Use of ACE inhibitors or ARBs in people with CKD reduces the risk for kidney failure and cardiovascular events. ACE inhibitors also reduced the risk for all-cause mortality and were possibly superior to ARBs for kidney failure, cardiovascular death, and all-cause mortality in patients with CKD, suggesting that they could be the first choice for treatment in this population.

A closed‐loop system that can mini‐invasively track blood glucose and intelligently treat diabetes is in great demand for modern medicine, yet it remains challenging to realize. Microneedles technologies have recently emerged as powerful tools for transdermal applications with inherent painlessness and biosafety. In this work, for the first time to the authors' knowledge, a fully integrated wearable closed‐loop system (IWCS) based on mini‐invasive microneedle platform is developed for in situ diabetic sensing and treatment. The IWCS consists of three connected modules: 1) a mesoporous microneedle‐reverse iontophoretic glucose sensor; 2) a flexible printed circuit board as integrated and control; and 3) a microneedle‐iontophoretic insulin delivery component. As the key component, mesoporous microneedles enable the painless penetration of stratum corneum, implementing subcutaneous substance exchange. The coupling with iontophoresis significantly enhances glucose extraction and insulin delivery and enables electrical control. This IWCS is demonstrated to accurately monitor glucose fluctuations, and responsively deliver insulin to regulate hyperglycemia in diabetic rat model. The painless microneedles and wearable design endows this IWCS as a highly promising platform to improve the therapies of diabetic patients.

Hypoxia and hyperoxia, referring to states of biological tissues in which oxygen supply is in sufficient and excessive, respectively, are often pathological conditions. Many luminescent oxygen probes have been developed for imaging intracellular and in vivo hypoxia, but their sensitivity toward hyperoxia becomes very low. Here we report a series of iridium­(III) complexes in which limited internal conversion between two excited states results in dual phosphorescence from two different excited states upon excitation at a single wavelength. Structural manipulation of the complexes allows rational tuning of the dual-phosphorescence properties and the spectral profile response of the complexes toward oxygen. By manipulating the efficiency of internal conversion between the two emissive states, we obtained a complex exhibiting naked-eye distinguishable green, orange, and red emission in aqueous buffer solution under an atmosphere of N2, air, and O2, respectively. This complex is used for intracellular and in vivo oxygen sensing not only in the hypoxic region but also in normoxic and hyperoxic intervals. To the best of our knowledge, this is the first example of using a molecular probe for simultaneous bioimaging of hypoxia and hyperoxia.

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Due to its agile maneuverability, unmanned aerial vehicles (UAVs) have shown great promise for ondemand communications. In practice, UAV-aided aerial base stations are not separate. Instead, they rely on existing satellites/terrestrial systems for spectrum sharing and efficient backhaul. In this case, how to coordinate satellites, UAVs and terrestrial systems is still an open issue. In this paper, we deploy UAVs for coverage enhancement of a hybrid satellite-terrestrial maritime communication network. Under the typical composite channel model including both large-scale and small-scale fading, the UAV trajectory and in-flight transmit power are jointly optimized, subject to constraints on UAV kinematics, tolerable interference, backhaul, and the total energy of UAV for communications. Different from existing studies, only the location-dependent large-scale channel state information (CSI) is assumed available, because it is difficult to obtain the small-scale CSI before takeoff in practice, and the ship positions can be obtained via the dedicated maritime Automatic Identification System. The optimization problem is non-convex. We solve it by problem decomposition, successive convex optimization and bisection searching tools. Simulation results demonstrate that the UAV fits well with existing satellite and terrestrial systems, using the proposed optimization framework. Index TermsHybrid satellite-terrestrial network, maritime communications, power allocation, trajectory, unmanned aerial vehicle (UAV). X. Li, W. Feng (corresponding author), and N. Ge are with the Beijing the UAV's maximum velocity and/or maximum acceleration, the trajectory of UAV was optimized for maximum throughput or minimum UAV periodic flight duration, or optimal energy efficiency [18]-[23]. These works [11]-[23] mainly considered static users. For mobile users, the ergodic achievable rate was maximized by dynamically adjusting the UAV heading [24]-[26]. Intuitively in the maritime scenario, the UAV's trajectory should adaptively cater to the mobility of ships, providing an accompanying broadband coverage, which however remains elusive. 2) Coexistence of UAVs and TBSs: In addition to UAV-only models, the coexistence of UAVs and TBSs was investigated in [27]-[31]. For rotary-wing UAVs, the TBS can be used as a hub to connect UAVs to the network [27]. In this case, the access link and backhaul link should be jointly optimized to maximize the sum rate. In [28], the UAV-based multi-hop backhaul network was formulated to adapt to the dynamics of the network. Outage probability is also an important issue for the coexistence of UAVs and TBSs [29]-[31]. In [30], the outage probability was minimized. In [31], the throughput was maximized subject to the maximum outage probability constraint. For the maritime scenario, the TBS is the primary choice for UAV backhaul, due to their high-speed transmission rate. 3) Coexistence of UAVs and Satellites: More recently, the integration of UAVs and satellites has been investigated in [32]-[37]. Particularly, the aut...

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Establishing techniques to efficiently and nondestructively access the intracellular milieu is essential for many biomedical and scientific applications, ranging from drug delivery, to electrical recording, to biochemical detection. Cell penetration using nanoneedle arrays is currently a research focus area because it not only meets the increasing therapeutic demands of cell modifications and genome editing, but also provides an ideal platform for tracking long-term intracellular information. Although the precise mechanism driving membrane penetration by nanoneedle arrays is still unclear, the low cytotoxicity, wide range of delivered materials, diverse cell type targets, and simple material structures of nanoneedle arrays make these splendid platforms for cell access. Here, the recent progress in this field is reviewed by examining device architectures and discussing mechanisms for nanoneedle penetration, and the major studies demonstrating the most general applicability of nanoneedle arrays, typical methodologies to access the intracellular environment using nanoneedles with spontaneous or assisted penetration modes, as well as biosafety aspects are presented. This review should be valuable for deeply understanding the materials fabrication principles, device designs, cell penetration methodologies, biosafety aspects, and application strategies of nanoneedle array-based systems that are of crucial importance for the development of future practical biomedical platforms.

A variety of nanomaterial‐based biosensors have been developed to sensitively detect biomolecules in vitro, yet limited success has been achieved in real‐time sensing in vivo. The application of microneedles (MN) may offer a solution for painless and minimally‐invasive transdermal biosensing. However, integration of nanostructural materials on microneedle surface as transdermal electrodes remains challenging in applications. Here, a transdermal H2O2 electrochemical biosensor based on MNs integrated with nanohybrid consisting of reduced graphene oxide and Pt nanoparticles (Pt/rGO) is developed. The Pt/rGO significantly improves the detection sensitivity of the MN electrode, while the MNs are utilized as a painless transdermal tool to access the in vivo environment. The Pt/rGO nanostructures are protected by a water‐soluble polymer layer to avoid mechanical destruction during the MN skin insertion process. The polymer layer can readily be dissolved by the interstitial fluid and exposes the Pt/rGO on MNs for biosensing in vivo. The applications of the Pt/rGO‐integrated MNs for in situ and real‐time sensing of H2O2 in vivo are demonstrated both on pigskin and living mice. This work offers a unique real‐time transdermal biosensing system, which is a promising tool for sensing in vivo with high sensitivity but in a minimally‐invasive manner.