An Empirical Study of Customer Satisfaction and Loyalty on Health Websites

Numerous health websites are developing rapidly in China and the competition is fierce between these websites. In order to win the competition, the websites operators need to satisfy their customers to attain more market shares. But few attention has been paid to factors affecting customer satisfaction and loyalty on these websites. As a result, the paper aims to empirically explore the factors affecting customer satisfaction and loyalty on health websites based on perceived service quality (responsiveness, empathy and reliability), perceived risk (financial risk and time risk) and trust, and then to propose some targeted measures. A survey was conducted to collect data by means of questionnaires, and a total of 231 usable responses were gathered. Then the hypothesis model was tested using the Structural Equation Modeling(SEM). Results revealed that responsiveness, empathy, time risk and trust had significant impacts on customer satisfaction, whereas reliability and financial risk showed no effects on customer satisfaction. In addition, customer satisfaction and trust significantly influenced customer loyalty. The implications and limitations were discussed

NLP From Scratch Without Large-Scale Pretraining: A Simple and Efficient Framework

Pretrained language models have become the standard approach for many NLP tasks due to strong performance, but they are very expensive to train. We propose a simple and efficient learning framework, TLM, that does not rely on large-scale pretraining. Given some labeled task data and a large general corpus, TLM uses task data as queries to retrieve a tiny subset of the general corpus and jointly optimizes the task objective and the language modeling objective from scratch. On eight classification datasets in four domains, TLM achieves results better than or similar to pretrained language models (e.g., RoBERTa-Large) while reducing the training FLOPs by two orders of magnitude. With high accuracy and efficiency, we hope TLM will contribute to democratizing NLP and expediting its development.Comment: 14 pages, 5 figure

2'-Fucosyllactose Remits Colitis-Induced Liver Oxygen Stress through the Gut-Liver-Metabolites Axis.

peer reviewedLiver oxygen stress is one of the main extraintestinal manifestations of colitis and 5% of cases develop into a further liver injury and metabolic disease. 2′-fucosyllactose (2′-FL), a main member of human milk oligosaccharides (HMOs), has been found to exert efficient impacts on remitting colitis. However, whether 2′-FL exerts the function to alleviate colitis-induced liver injury and how 2′-FL influences the metabolism via regulating gut microbiota remain unknown. Herein, in our study, liver oxygen stress was measured by measuring liver weight and oxygen-stress-related indicators. Then, 16S full-length sequencing analysis and non-target metabolome in feces were performed to evaluate the overall responses of metabolites and intestinal bacteria after being treated with 2′-FL (400 mg/kg b.w.) in colitis mice. The results showed that, compared with the control group, the liver weight of colitis mice was significantly decreased by 18.30% (p < 0.05). After 2′-FL treatment, the liver weight was significantly increased by 12.65% compared with colitis mice (p < 0.05). Meanwhile, they exhibited higher levels of oxidation in liver tissue with decreasing total antioxidant capacity (T-AOC) (decreased by 17.15%) and glutathione (GSH) levels (dropped by 22.68%) and an increasing malondialdehyde (MDA) level (increased by 36.24%), and 2′-FL treatment could reverse those tendencies. Full-length 16S rRNA sequencing revealed that there were 39 species/genera differentially enriched in the control, dextran sulphate sodium (DSS), and DSS + 2′-FL groups. After treatment with 2′-FL, the intestinal metabolic patterns, especially glycometabolism and the lipid-metabolism-related process, in DSS mice were strikingly altered with 33 metabolites significantly down-regulated and 26 metabolites up-regulated. Further analysis found DSS induced a 40.01%, 41.12%, 43.81%, and 39.86% decline in acetic acid, propionic acid, butyric acid, and total short chain fatty acids (SCFAs) in colitis mice (all p < 0.05), respectively, while these were up-regulated to different degrees in the DSS + 2′-FL group. By co-analyzing the data of gut microbiota and metabolites, glycometabolism and lipid-metabolism-associated metabolites exhibited strong positive/negative relationships with Akkermansia_muciniphila (all p < 0.01) and Paraprevotella spp. (all p < 0.01), suggesting that the two species might play crucial roles in the process of 2′-FL alleviating colitis-induced liver oxygen stress. In conclusion, in the gut−liver−microbiotas axis, 2′-FL mediated in glucose and lipid-related metabolism and alleviated liver oxygen stress via regulating gut microbiota in the DSS-induced colitis model. The above results provide a new perspective to understand the probiotic function of 2′-FL

High yield expression of an AHL-lactonase from Bacillus sp. B546 in Pichia pastoris and its application to reduce Aeromonas hydrophila mortality in aquaculture

<p>Abstract</p> <p>Background</p> <p><it>Aeromonas hydrophila </it>is a serious pathogen and can cause hemorrhagic septicemia in fish. To control this disease, antibiotics and chemicals are widely used which can consequently result in "superbugs" and chemical accumulation in the food chain. Though vaccine against <it>A. hydrophila </it>is available, its use is limited due to multiple serotypes of this pathogen and problems of safety and efficacy. Another problem with vaccination is the ability to apply it to small fish especially in high numbers. In this study, we tried a new way to attenuate the <it>A. hydrophila </it>infection by using a quorum quenching strategy with a recombinant AHL-lactonase expressed in <it>Pichia pastoris</it>.</p> <p>Results</p> <p>The AHL-lactonase (AiiA_B546) from <it>Bacillus </it>sp. B546 was produced extracellularly in <it>P. pastoris </it>with a yield of 3,558.4 ± 81.3 U/mL in a 3.7-L fermenter when using 3-oxo-C8-HSL as the substrate. After purification with a HiTrap Q Sepharose column, the recombinant homogenous protein showed a band of 33.6 kDa on SDS-PAGE, higher than the calculated molecular mass (28.14 kDa). Deglycosylation of AiiA_B546with Endo H confirmed the occurrence of <it>N</it>-glycosylation. The purified recombinant AiiA_B546showed optimal activity at pH 8.0 and 20°C, exhibited excellent stability at pH 8.0-12.0 and thermal stability at 70°C, was firstly confirmed to be significantly protease-resistant, and had wide substrate specificity. In application test, when co-injected with A. <it>hydrophila </it>in common carp, recombinant AiiA_B546decreased the mortality rate and delayed the mortality time of fish.</p> <p>Conclusions</p> <p>Our results not only indicate the possibility of mass-production of AHL-lactonase at low cost, but also open up a promising foreground of application of AHL-lactonase in fish to control <it>A. hydrophila </it>disease by regulating its virulence. To our knowledge, this is the first report on heterologous expression of AHL-lactonase in <it>P. pastoris </it>and attenuating <it>A. hydrophila </it>virulence by co-injection with AHL-lactonase.</p

A novel MIPgene mutation associated with autosomal dominant congenital cataracts in a Chinese family

BACKGROUND: The major intrinsic protein gene (MIP), also known as MIP26 or AQP0, is a member of the water-transporting aquaporin family, which plays a critical role in the maintenance of lifelong lens transparency. To date, several mutations in MIP (OMIM 154050) have been linked to hereditary cataracts in humans. However, more pathogenic mutations remain to be identified. In this study, we describe a four-generation Chinese family with a nonsense mutation in MIP associated with an autosomal dominant congenital cataract (ADCC), thus expanding the mutational spectrum of this gene. METHODS: A large four-generation Chinese family affected with typical Y-suture cataracts combined with punctuate cortical opacities and 100 ethnically matched controls were recruited. Genomic DNA was extracted from peripheral blood leukocytes to analyze congenital cataract-related candidate genes. Effects of the sequence change on the structure and function of proteins were predicted by bioinformatics analysis. RESULTS: Direct sequencing of MIP in all affected members revealed a heterozygous nucleotide exchange c.337C>T predicting an arginine to a stop codon exchange (p.R113X). The substitution co-segregated well in all the affected individuals in the family and was not found in unaffected members or in the 100 unrelated healthy controls. Bioinformatics analysis predicted that the mutation affects the secondary structure and function of the MIP protein. CONCLUSIONS: We identified a novel mutation of MIP (p.R113X) in a Chinese cataract family. This is the first nonsense mutation of MIP identified thus far. This novel mutation is also the first disease-causing mutation located in the loop C domain of MIP. The results add to the list of mutations of the MIP linked to cataracts