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Background The application of n-3 Polyunsaturated Fatty Acids (n-3 PUFAs) supplementation for major depressive disorder (MDD) has been widely discussed in recent years, but its efficacy and application are still controversial. This network meta-analysis was conducted to compare the efficacy of different dosages of n-3 PUFAs on MDD patients in the early period of treatment. Methods Randomized controlled trials (RCTs) exploring the efficacy of n-3 PUFA supplementation for patients with MDD were retrieved from the databases of Pubmed, Embase and the Cochrane Library. RCTs comparing the efficacy of n-3 PUFA for adult (≥18 years) MDD patients without comorbidity were eligible for our study. The score of depressive symptoms in early therapy period of the treatment (≤9 weeks) was extracted. Standardized mean deviations (SMDs) of all the sores from the eligible RCTs were synthesized in a pairwise meta-analysis in frequentist framework and a random-effects network meta-analysis in Bayesian framework for the overall and subgroups (high- and low-dose) efficacy of n-3 PUFAs. Results A total of 910 MDD patients in 10 trials with 3 adjuvant therapy strategies (high-dose n-3 PUFAs, low-dose n-3 PUFAs and placebo) were included. Results of pairwise meta-analysis showed that n-3 PUFAs were superior to placebo (SMD: 1.243 ± 0.596; 95% CI: 0.060 ~ 2.414). Results of the network meta-analysis showed that both the high (SMD: 0.908 ± 0.331; 95% CI: 0.262 ~ 1.581) and the low-dose (SMD: 0.601 ± 0.286; 95% CI: 0.034 ~ 1.18) n-3 PUFAs were superior to placebo, and the efficacy of high-dose n-3 PUFAs is superior to that of low-dose. Conclusions High-dose n-3 PUFAs supplementation might be more superior than low-dose in the early therapy period for MDD. More head-to-head clinical trials need to be carried out to provide more direct comparison and enhance the evidence of the efficacy of n-3PUFAs for MDD.

In order to research the sintering mechanism of Y2O3 on CaZrO3, CaZrO3 was synthesized by solid reaction using analytical ZrO2 and CaCO3 as raw materials and Y2O3 as additive. The liner change rate, the relative density, XRD and the microstructure of the CaZrO3 samples were determined, and the effect of Y2O3 on sintering of CaZrO3 was researched. The results show that the sintering property of CaZrO3 is enhanced by adding Y2O3. When the content of Y2O3 is lower than 2 % (mass-%), the lattice volume of CaZrO3 increases to 0.262 nm3, which is attributed to Zr4+ being replaced by Y3+ in the CaZrO3 crystal. However, the content of Y2O3 is up to 4 %, and the lattice volume decreases due to Ca2+ being replaced by Y3+. The liner change rate of the samples increases with increasing Y2O3 additive. When Y2O3 is 4 %, the liner change rate of CaZrO3 reaches maximum (26.9 %). The relative density of the samples increases from 63.99 to 84.45 % with increasing addition of Y2O3, and the average grain size of CaZrO3 increases from 1.64 to 2.65 μm when the additive increases from 0 to 4 %.