An Interpretable Light Attention-Convolution-Gate Recurrent Unit Architecture for the Highly Accurate Modeling of Actual Chemical Dynamic Processes

To equip data-driven dynamic chemical process models with strong interpretability,we develop a light attention–convolution–gate recurrent unit(LACG)architecture with three sub-modules—a basic module,a brand-new light attention module,and a residue module—that are specially designed to learn the general dynamic behavior,transient disturbances,and other input factors of chemical processes,respectively.Combined with a hyperparameter optimization framework,Optuna,the effectiveness of the proposed LACG is tested by distributed control system data-driven modeling experiments on the discharge flowrate of an actual deethanization process.The LACG model provides significant advantages in prediction accuracy and model generalization compared with other models,including the feedforward neural network,convolution neural network,long short-term memory(LSTM),and attention-LSTM.Moreover,compared with the simulation results of a deethanization model built using Aspen Plus Dynamics V12.1,the LACG parameters are demonstrated to be interpretable,and more details on the variable interactions can be observed from the model parameters in comparison with the traditional interpretable model attention-LSTM.This contribution enriches interpretable machine learning knowledge and provides a reliable method with high accuracy for actual chemical process modeling,paving a route to intelligent manufacturing.

Combined use of fly ash and silica to prevent the long-term strength retrogression of oil well cement set and cured at HPHT conditions

The long-term strength retrogression of silica-enriched oil well cement poses a significant threat to wellbore integrity in deep and ultra-deep wells, which is a major obstacle for deep petroleum and geothermal energy development. Previous attempts to address this problem has been unsatisfactory because they can only reduce the strength decline rate. This study presents a new solution to this problem by incorporating fly ash to the traditional silica-cement systems. The influences of fly ash and silica on the strength retrogression behavior of oil well cement systems directly set and cured under the condition of 200°C and 50 MPa are investigated. Test results indicate that the slurries containing only silica or fly ash experience severe strength retrogression from 2 to 30 d curing, while the slurries containing both fly ash and silica experience strength enhancement from 2 to 90 d. The strength test results are corroborated by further evidences from permeability tests as well as microstructure analysis of set cement. Composition of set cement evaluated by quantitative X-ray diffraction analyses with partial or no known crystal structure(PONKCS) method and thermogravimetry analyses revealed that the conversion of amorphous C-(A)-S-H to crystalline phases is the primary cause of long-term strength retrogression.The addition of fly ash can reduce the initial amount of C-(A)-S-H in the set cement, and its combined use with silica can prevent the crystallization of C-(A)-S-H, which is believed to be the working mechanism of this new admixture in improving long-term strength stability of oil well cement systems.

SiO_(2) Induces Iron Overload and Ferroptosis in Cardiomyocytes in a Silicosis Mouse Model

Objective The aim of this study was to explore the role and mechanism of ferroptosis in SiO_(2)-induced cardiac injury using a mouse model.Methods Male C57BL/6 mice were intratracheally instilled with SiO_(2) to create a silicosis model.Ferrostatin-1(Fer-1)and deferoxamine(DFO)were used to suppress ferroptosis.Serum biomarkers,oxidative stress markers,histopathology,iron content,and the expression of ferroptosis-related proteins were assessed.Results SiO_(2) altered serum cardiac injury biomarkers,oxidative stress,iron accumulation,and ferroptosis markers in myocardial tissue.Fer-1 and DFO reduced lipid peroxidation and iron overload,and alleviated SiO_(2)-induced mitochondrial damage and myocardial injury.SiO_(2) inhibited Nuclear factor erythroid 2-related factor 2(Nrf2)and its downstream antioxidant genes,while Fer-1 more potently reactivated Nrf2 compared to DFO.Conclusion Iron overload-induced ferroptosis contributes to SiO_(2)-induced cardiac injury.Targeting ferroptosis by reducing iron accumulation or inhibiting lipid peroxidation protects against SiO_(2) cardiotoxicity,potentially via modulation of the Nrf2 pathway.

Progress of semitransparent emerging photovoltaics for building integrated applications

With the rapid development of emerging photovoltaics technology in recent years,the application of building-integrated photovoltaics(BIPVs)has attracted the research interest of photovoltaic communities.To meet the practical application requirements of BIPVs,in addition to the evaluation indicator of power conversion efficiency(PCE),other key performance indicators such as heat-insulating ability,average visible light transmittance(AVT),color properties,and integrability are equally important.The traditional Si-based photovoltaic technology is typically limited by its opaque properties for application scenarios where transparency is required.The emerging PV technologies,such as organic and perovskite photovoltaics are promising candidates for BIPV applications,owing to their advantages such as high PCE,high AVT,and tunable properties.At present,the PCE of semitransparent perovskite solar cells(ST-PSCs)has attained 14%with AVT of 22–25%;for semitransparent organic solar cells(ST-OSCs),the PCE reached 13%with AVT of almost 40%.In this review article,we summarize recent advances in material selection,optical engineering,and device architecture design for high-performance semitransparent emerging PV devices,and discuss the application of optical modeling,as well as the challenges of commercializing these semitransparent solar cells for building-integrated applications.

Genome-wide association study of seedling nitrogen-use efficiency-associated traits in common wheat(Triticum aestivum L.)

Nitrogen(N)fertilizer application is essential for crop-plant growth and development.Identifying genetic loci associated with N-use efficiency(NUE)could increase wheat yields and reduce environmental pollution caused by overfertilization.We subjected a panel of 389 wheat accessions to N and chlorate(a nitrate analog)treatments to identify quantitative trait loci(QTL)controlling NUE-associated traits at the wheat seedling stage.Genotyping the panel with a 660K single-nucleotide polymorphism(SNP)array,we identified 397 SNPs associated with N-sensitivity index and chlorate inhibition rate.These SNPs were merged into 49 QTL,of which eight were multi-environment stable QTL and 27 were located near previously reported QTL.A set of 135 candidate genes near the 49 QTL included TaBOX(F-box family protein)and TaERF(ethylene-responsive transcription factor).A Tabox mutant was more sensitive to low-N stress than the wild-type plant.We developed two functional markers for Hap 1,the favorable allele of TaBOX.

Broadband third-order optical nonlinearities of layered franckeite towards mid-infrared regime

The study of nonlinear optical responses in the mid-infrared(mid-IR)regime is essential for advancing ultrafast mid-IR laser applications.However,nonlinear optical effects under mid-IR excitation are rarely reported due to the lack of suitable nonlinear optical materials.The natural van derWaals heterostructure franckeite,known for its narrow bandgap and stability in air,shows great potential for developing mid-IR nonlinear optical devices.We have experimentally demonstrated that layered franckeite exhibits a broadband wavelength-dependent nonlinear optical response in the mid-IR spectral region.Franckeite nanosheets were prepared using a liquid-phase exfoliation method,and their nonlinear optical response was characterized in the spectral range of 3000 nm to 5000 nm.The franckeite nanosheets exhibit broadband wavelengthdependent third-order nonlinearities,with nonlinear absorption and refraction coefficients estimated to be about 10^(-7)cm/W and 10^(-11)cm^(2)/W,respectively.Additionally,a passively Q-switched fluoride fiber laser operating around a wavelength of 2800 nm was achieved,delivering nanosecond pulses with a signal-to-noise ratio of 43.6 dB,based on the nonlinear response of franckeite.These findings indicate that layered franckeite possesses broadband nonlinear optical characteristics in the mid-IR region,potentially enabling new possibilities for mid-IR photonic devices.

Umbilical cord mesenchymal stem cell exosomes alleviate necrotizing enterocolitis in neonatal mice by regulating intestinal epithelial cells autophagy

BACKGROUND Necrotizing enterocolitis(NEC)is a severe gastrointestinal disease that affects premature infants.Although mounting evidence supports the therapeutic effect of exosomes on NEC,the underlying mechanisms remain unclear.AIM To investigate the mechanisms underlying the regulation of inflammatory response and intestinal barrier function by umbilical cord mesenchymal stem cell(UCMSCs)exosomes,as well as their potential in alleviating NEC in neonatal mice.METHODS NEC was induced in 5-d-old C57BL/6 pups through hypoxia and gavage feeding of formula containing lipopolysaccharide(LPS),after which the mice received human UCMSC exosomes(hUCMSC-exos).The control mice were allowed to breastfeed with their dams.Ileal tissues were collected from the mice and analyzed by histopathology and immunoblotting.Colon tissues were collected from NEC neonates and analyzed by immunofluorescence.Molecular biology and cell culture approaches were employed to study the related mechanisms in intestinal epithelial cells.RESULTS We found that autophagy is overactivated in intestinal epithelial cells during NEC,resulting in reduced expression of tight junction proteins and an increased inflammatory response.The ability of hUCMSC-exos to ameliorate NEC in a mouse model was dependent on decreased intestinal autophagy.We also showed that hUCMSC-exos alleviate the inflammatory response and increase migration ability in intestinal epithelial cells induced by LPS.CONCLUSION These results contribute to a better understanding of the protective mechanisms of hUCMSC-exos against NEC and provide a new theoretical and experimental foundation for NEC treatment.These findings also enhance our understanding of the role of the autophagy mechanism in NEC,offering potential avenues for identifying new therapeutic targets.

Verification and Application Evaluation of Intelligent Audit Rules for The UN9000 Urine Analysis System

Objective:To apply and verify the application of intelligent audit rules for urine analysis by Cui et al.Method:A total of 1139 urine samples of hospitalized patients in Tai’an Central Hospital from September 2021 to November 2021 were randomly selected,and all samples were manually microscopic examined after the detection of the UN9000 urine analysis line.The intelligent audit rules(including the microscopic review rules and manual verification rules)were validated based on the manual microscopic examination and manual audit,and the rules were adjusted to apply to our laboratory.The laboratory turnaround time(TAT)before and after the application of intelligent audit rules was compared.Result:The microscopic review rate of intelligent rules was 25.63%(292/1139),the true positive rate,false positive rate,true negative rate,and false negative rate were 27.66%(315/1139),6.49%(74/1139),62.34%(710/1139)and 3.51%(40/1139),respectively.The approval consistency rate of manual verification rules was 84.92%(727/856),the approval inconsistency rate was 0%(0/856),the interception consistency rate was 12.61%(108/856),and the interception inconsistency rate was 0%(0/856).Conclusion:The intelligence audit rules for urine analysis by Cui et al.have good clinical applicability in our laboratory.

Study of hydraulic fracture growth behavior in heterogeneous tight sandstone formations using CT scanning and acoustic emission monitoring

Tortuous hydraulic fractures(HFs) are likely to be created in heterogeneous formations such as conglomerates, which may cause sand plugging, ultimately resulting in poor stimulation efficiency. This study aims to explore HF growth behavior in conglomerate through laboratory fracturing experiments under true tri-axial stresses combined with computed tomography scanning and acoustic emission(AE) monitoring. The effects of gravel size, horizontal differential stress, and AE focal mechanisms were examined. Especially, the injection pressure and the AE response features during HF initiation and propagation in conglomerate were analyzed. Simple HFs with narrow microfractures are created in conglomerate when the gravels are considerably smaller than the specimen, whereas complex fractures are created when the gravels are similar in size to the specimen, even under high horizontal differential stresses. Breakdown pressure and AE rates are high when a HF is initiated from the high-strength gravel. A large pressure decline after the breakdown may indicate the creation of a planar and wide HF. Analyzing the focal mechanism indicates that the shear mechanism generally dominates with an increase in the HF complexity. Tensile events are likely to occur during HF initiation and are located around the wellbore. Shear events occur mainly around the nonplanar and complex matrix/gravel interfaces.

Evaluation method and optimization strategies of resilience for air&space defense system of systems based on kill network theory and improved self-information quantity

Resilience of air&space defense system of systems(SoSs)is critical to national air defense security.However,the research on it is still scarce.In this study,the resilience of air&space defense SoSs is firstly defined and the kill network theory is established by combining super network and kill chain theory.Two cases of the SoSs are considered:(a)The kill chains are relatively homogenous;(b)The kill chains are relatively heterogenous.Meanwhile,two capability assessment methods,which are based on the number of kill chains and improved self-information quantity,respectively,are proposed.The improved self-information quantity modeled based on nodes and edges can achieve qualitative and quantitative assessment of the combat capability by using linguistic Pythagorean fuzzy sets.Then,a resilient evaluation index consisting of risk response,survivability,and quick recovery is proposed accordingly.Finally,network models for regional air defense and anti-missile SoSs are established respectively,and the resilience measurement results are verified and analyzed under different attack and recovery strategies,and the optimization strategies are also proposed.The proposed theory and method can meet different demands to evaluate combat capability and optimize resilience of various types of air&space defense and similar SoSs.

祛斑美白类化妆品功效成分的研究现状

皮肤细胞中黑色素沉着过度会导致皮肤疾病,如炎症后色素沉着、日光性黑子、黄褐斑和雀斑等。祛斑美白类化妆品可用于临床辅助治疗黑色素沉着过度,其作用机制涉及抑制黑色素合成、还原黑色素、抑制黑素小体转运等。祛斑美白类化妆品中的美白原料,通过抑制黑色素生物合成途径的限速酶酪氨酸酶,参与调控黑色素生物合成的信号通路,还原黑色素或抑制黑素小体转运等作用机制达到美白的作用。随着市场对祛斑美白类化妆品的需求日渐增加,越来越多的天然活性成分作为美白原料添加到化妆品中,但是存在着成分不明确、作用机理缺失等问题。文章梳理了现有祛斑美白类化妆品功效成分的作用机理并分类归纳讨论,旨在为皮肤色素沉着防治的临床策略以及祛斑美白类化妆品的产品开发提供理论依据。

An Optimal Control-Based Distributed Reinforcement Learning Framework for A Class of Non-Convex Objective Functionals of the Multi-Agent Network

This paper studies a novel distributed optimization problem that aims to minimize the sum of the non-convex objective functionals of the multi-agent network under privacy protection, which means that the local objective of each agent is unknown to others. The above problem involves complexity simultaneously in the time and space aspects. Yet existing works about distributed optimization mainly consider privacy protection in the space aspect where the decision variable is a vector with finite dimensions. In contrast, when the time aspect is considered in this paper, the decision variable is a continuous function concerning time. Hence, the minimization of the overall functional belongs to the calculus of variations. Traditional works usually aim to seek the optimal decision function. Due to privacy protection and non-convexity, the Euler-Lagrange equation of the proposed problem is a complicated partial differential equation.Hence, we seek the optimal decision derivative function rather than the decision function. This manner can be regarded as seeking the control input for an optimal control problem, for which we propose a centralized reinforcement learning(RL) framework. In the space aspect, we further present a distributed reinforcement learning framework to deal with the impact of privacy protection. Finally, rigorous theoretical analysis and simulation validate the effectiveness of our framework.

Minimizing Carbon Content with Three-in-One Functionalized Nano Conductive Ceramics:Toward More Practical and Safer S Cathodes of Li-S Cells

Using porous carbon hosts in cathodes of Li-S cells can disperse S actives and offset their poor electrical conductivity.However,such reservoirs would in turn absorb excess electrolyte solvents to S-unfilled regions,causing the electrolyte overconsumption,specific energy decline,and even safety hazards for battery devices.To build better cathodes,we propose to substitute carbons by In-doped SnO_(2)(ITO)nano ceramics that own three-in-one functionalities:1)using conductive ITO enables minimizing the total carbon content to an extremely low mass ratio(~3%)in cathodes,elevating the electrode tap density and averting the electrolyte overuse;2)polar ITO nanoclusters can serve as robust anchors toward Li polysulfide(LiPS)by electrostatic adsorption or chemical bond interactions;3)they offer catalysis centers for liquid–solid phase conversions of S-based actives.Also,such ceramics are intrinsically nonflammable,preventing S cathodes away from thermal runaway or explosion.These merits entail our configured cathodes with high tap density(1.54 g cm^(−3)),less electrolyte usage,good security for flame retardance,and decent Li-storage behaviors.With lean and LiNO_(3)-free electrolyte,packed full cells exhibit excellent redox kinetics,suppressed LiPS shuttling,and excellent cyclability.This may trigger great research enthusiasm in rational design of low-carbon and safer S cathodes.

Tuning the thermal conductivity of strontium titanate through annealing treatments

Strontium titanate（SrTiO3） is a promising n-type material for thermoelectric applications. However, its relatively high thermal conductivity limits its performance in efficiently converting heat into electrical power through thermoelectric effect.This work shows that the thermal conductivity of SrTiO3 can be effectively reduced by annealing treatments, through an integrated study of laser flash measurement, scanning electron microscopy, Fourier transform infrared spectroscopy, x-ray absorption fine structure, and first-principles calculations. A phonon scattering model is proposed to explain the reduction of thermal conductivity after annealing. This work suggests a promising means to characterize and optimize the material for thermoelectric applications.

Compositional characteristics of sediment from Jiaozhou Bay in North China and the implication to the provenance

Rare earth elements(REEs)can be used to trace source materials and identify their provenances,because of significant conservation and immobility during chemical alteration processes after erosion of materials from the provenance.This study focused on the temporal variation of REEs for columnar sediments from the mouth of Jiaozhou Bay in North China to understand the potential controls for the geochemical variations of sediments.Through extraction experiments,we identified that the residual fraction is the main host for REEs compared with other fractions(i.e.,exchangeable and carbonate fraction,easily reducible oxides fraction,reducible oxides fraction,magnetite fraction).REE ratios(e.g.,La_(N)/Sm_(N)and La_(N)/Yb_(N);N:normalized by chondrite)lack correlations with grain size or the chemical index of alteration(CIA),which is correlated with major elements.All these indicate that these REE variations reflect the varying contribution of source materials from different provenances instead of grain size or chemical weathering effects.REE ratios(e.g.,La_(N)/Sm_(N)and La_(N)/Yb_(N))remain relatively constant until the depth of roughly 40 cm(equivalent to the year 1995),and show obvious changes beyond this depth.Compared REE characteristics of Jiaozhou Bay with those of neighboring rivers and bedrocks,the relative contributions of Dagu River-Jiaolai River,and Licun River may have been increased during the sedimentary processes,which could be caused by the construction of reservoir and related change of aquaculture(e.g.,rapid accumulation of organic materials).

Early Cenozoic paleontological assemblages and provenance evolution of the Lishui Sag,East China Sea

The East China Sea Shelf Basin generated a series of back-arc basins with thick successions of marine-and terrestrial-facies sediments during Cenozoic.It is enriched with abundant oil and gas resources and is of great significance to the petroleum exploration undertakings.Therein,the Lishui Sag formed fan delta,fluvial delta and littoral-to-neritic facies sediments during Paleocene–Eocene,and the research on its sedimentary environment and sediment source was controversial.This study analyzed the paleontological combination characteristics,and conducted a source-to-sink comparative analysis to restore the sedimentary environment and provenance evolution of the Lishui Sag during Paleocene–Eocene based on the integration of detrital zircon U-Pb age spectra patterns with paleontological assemblages.The results indicated that Lishui Sag was dominated by littoral and neritic-facies environment during time corroborated by large abundance of foraminifera,calcareous nannofossils and dinoflagellates.Chronological analysis of detrital zircon U-Pb revealed that there were significant differences in sediment sources between the east and west area of the Lishui Sag.The western area was featured by deeper water depths in the Paleocene–Eocene,and the sediment was characterized by a single Yanshanian peak of zircon U-Pb age spectra,and mainly influenced from Yanshanian magmatic rocks of South China Coast and the surrounding paleo-uplifts.However,its eastern area partly showed Indosinian populations.In particular,the upper Eocene Wenzhou sediments were featured by increasingly plentiful Precambrian zircons in addition to the large Indosinian-Yanshanian peaks,indicating a possible impact from the Yushan Low Uplift to the east.Therefore,it is likely that the eastern Lishui Sag generated large river systems as well as deltas during time.Due to the Yuquan Movement,the Lishui Sag experienced uplifting and exhumation in the late stage of the late Eocene and was not deposited with sediments until Miocene.Featured by transitional-facies depositions of Paleocene–Eocene,the Lishui Sag thus beared significant potential for source rock and oil-gas reservoir accumulation.

Optimizing the morphology of all-polymer solar cells for enhanced photovoltaic performance and thermal stability

Due to the complicated film formation kinetics, morphology control remains a major challenge for the development of efficient and stable all-polymer solar cells(all-PSCs). To overcome this obstacle, the sequential deposition method is used to fabricate the photoactive layers of all-PSCs comprising a polymer donor PTzBI-oF and a polymer acceptor PS1. The film morphology can be manipulated by incorporating amounts of a dibenzyl ether additive into the PS1 layer. Detailed morphology investigations by grazing incidence wide-angle X-ray scattering and a transmission electron microscope reveal that the combination merits of sequential deposition and DBE additive can render favorable crystalline properties as well as phase separation for PTzBI-oF:PS1 blends. Consequently, the optimized all-PSCs delivered an enhanced power conversion efficiency(PCE) of 15.21%along with improved carrier extraction and suppressed charge recombination. More importantly, the optimized all-PSCs remain over 90% of their initial PCEs under continuous thermal stress at 65 °C for over 500 h. This work validates that control over microstructure morphology via a sequential deposition process is a promising strategy for fabricating highly efficient and stable all-PSCs.

17.13% Efficiency and Superior Thermal Stability of Organic Solar Cells Based on a Comb-Shape Active Blend

With rapid progress,organic solar cells(OSCs)are getting closer to the target of real application.However,the stability issue is still one of the biggest challenges that have to be resolved.Especially,the thermal stability of OSCs is far from meeting the requirements of the application.Here,based on the layer-by-layer(LBL)process and by utilizing the dissolubility nature of solvent and materials,binary inverted OSCs(ITO/AZO/PM6/BTP-eC9/MoO3/Ag)with comb shape active morphology are fabricated.High efficiency of 17.13%and simultaneous superior thermal stability(with 93%of initial efficiency retained in~9:00 h under 85℃in N_(2))are demonstrated,showing superior stability to reference cells.The enhancements are attributed to the formed optimal comb shape of the active layer,which could provide a larger D/A interface,thus more charge carriers,render the active blend a more stable morphology,and protect the electrode by impeding ion's migration and corrosion.To the best of our knowledge,this is the best thermal stability of binary OSCs reported in the literature,especially when considering the high efficiency of over 17%.

Danggui Niantong decoction ameliorates joint inflammation and cardiopulmonary injury in TNF-Tg mice

Objective:Rheumatoid arthritis(RA)is a common autoimmune disease characterized by multiple joint lesions and systemic complications.Danggui Niantong decoction(DGNTT)has been clinically used for RA treatment;however,its beneficial effect on cardiopulmonary complications has not been reported.Methods:Female tumor necrosis factor-transgenic(TNF-Tg)mice were used to evaluate the therapeutic effects of DGNTT on arthritis and cardiopulmonary complications.Methotrexate(MTX)served as a positive control.Histopathological assessment of the joint sections was performed using hematoxylin and eosin(HE),Alcian Blue/Orange G,and tartrate-resistant acid phosphatase staining.Bone mass was assessed by micro-computed tomography,inflammatory infiltrates in the heart and lungs were evaluated by HE staining,cardiopulmonary fibrotic injury was identified by Masson’s trichrome staining,and hypertrophy of mouse cardiomyocytes was measured by wheat germ agglutinin(WGA)staining.Results:DGNTT mitigated the inflammation of the ankle joint synovium,decreased the number of osteoclasts,and increased the area of cartilage and bone mass in TNF-Tg mice.In addition,DGNTT decreased the infiltration of inflammatory cells into the lung and heart tissues,accompanied by a reduction in cardiopulmonary fibrosis and myocardial cell hypertrophy in TNF-Tg mice.As a positive control drug,MTX attenuated the pathological changes in joints,but had no beneficial effect on cardiopulmonary inflammation and fibrosis in TNF-Tg mice.Conclusions:DGNTT improved joint lesions and alleviated cardiopulmonary complications in TNF-Tg mice.

Initial clinical experience with Xpert-Pro peripheral self-expanding stent system for internal carotid artery dissection:Two case reports

Background:The standard treatment for internal carotid artery(ICA)dissection is obscure.Current therapeutic strategies include the use of antiplatelet drugs,anticoagulant drugs,intravenous thrombolysis,and endovascular treatment.Endovascular treatment is important in acute internal carotid artery dissection.This study reports two acute internal carotid artery dissection cases that were treated successfully using the Xpert-Pro peripheral selfexpanding stent system.Case summary:The first case was of a 38-year-old male patient with transient speechlessness and paralysis of the right limb in July 2021.Cervical computed tomographic angiography(CTA)showed ICA occlusion on the left side.Digital subtraction angiography(DSA)showed severe stenosis of the C1 segment of the left internal carotid artery with intermural hematoma.The patient subsequently underwent Xpert-Pro peripheral self-expanding stent implantation,and his condition stabilized.The second case was of a 56-year-old male patient with speechlessness and paralysis of the right limb.Cervical CTA showed a dissected left ICA,and DSA showed an occluded left ICA and middle cerebral artery.The patient subsequently underwent stent implantation,and his condition stabilized.