Introducing a Calculus of Effects and Handlers for Natural Language Semantics

In compositional model-theoretic semantics, researchers assemble truth-conditions or other kinds of denotations using the lambda calculus. It was previously observed that the lambda terms and/or the denotations studied tend to follow the same pattern: they are instances of a monad. In this paper, we present an extension of the simply-typed lambda calculus that exploits this uniformity using the recently discovered technique of effect handlers. We prove that our calculus exhibits some of the key formal properties of the lambda calculus and we use it to construct a modular semantics for a small fragment that involves multiple distinct semantic phenomena

Exocrine and endocrine pancreatic function in patients with pancreatico-jejunostomy or pancreatic duct occlusion after pancreaticoduodenectomy

Pancreatic duct occlusion (PDO) is performed in some centres to avoid complications of pancreaticojejunostomy (PJ) after pancreaticodudodenectomy. The aim of our study was to study the exo- and endocrine pancreatic function, nutritional status and quality of life in patients with a PJ or PDO after a pancreatico-duodenectomy (PD)

Interplay between static and dynamic polar correlations in relaxor Pb(Mg_{1/3}Nb_{2/3})O_{3}

We have characterized the dynamics of the polar nanoregions in Pb(Mg$_{1/3}$Nb$_{2/3}$)O$_{3}$ (PMN) through high-resolution neutron backscattering and spin-echo measurements of the diffuse scattering cross section. We find that the diffuse scattering intensity consists of \emph{both} static and dynamic components. The static component first appears at the Curie temperature $\Theta \sim 400$ K, while the dynamic component freezes completely at the temperature T$_{f} \sim 200$ K; together, these components account for all of the observed spectral weight contributing to the diffuse scattering cross section. The integrated intensity of the dynamic component peaks near the temperature at which the frequency-dependent dielectric constant reaches a maximum (T$_{max}$) when measured at 1 GHz, i. e. on a timescale of $\sim 1$ ns. Our neutron scattering results can thus be directly related to dielectric and infra-red measurements of the polar nanoregions. Finally, the global temperature dependence of the diffuse scattering can be understood in terms of just two temperature scales, which is consistent with random field models.Comment: (8 pages, 5 figures, submitted to Phys. Rev. B

Gender differences in tumor characteristics, treatment allocation and survival in stage I–III pancreatic cancer:a nationwide study

Introduction: Sex and gender are modulators of health and disease and may have impact on treatment allocation and survival in patients with cancer. In this study, we analyzed the impact of sex and gender on treatment allocation and overall survival in patients with stage I-III pancreatic cancer. Methods: Patients with stage I-III pancreatic cancer diagnosed between 2015 and 2020 were selected from the nationwide Netherlands Cancer Registry. Associations between sex and gender and the probability of receiving surgical and/or systemic treatment were examined with multivariable logistic regression analyses. Overall survival was assessed with log rank test and multivariable Cox proportional hazard analysis. Results: Among 6855 patients, 51.2 % were female. Multivariable logistic regression analyses with adjustment for known confounders (age, performance status, comorbidities, tumor location, tumor stage and previous malignancies) showed that females less often received systemic chemotherapy compared to males (OR 0.799, 95 %CI 0.703–0.909, p &lt; .001). No difference was found in the probability for undergoing surgical resection. Furthermore, females had worse overall survival compared to males (median OS 8.5 and 9.2 months respectively, 95 %CI 8.669–9.731). Conclusion: This nationwide study found that female patients with stage I-III pancreatic cancer significantly less often received systemic treatment and had worse overall survival as compared to males. Disparities in pancreatic cancer care can be decreased by recognizing and resolving potential obstacles or biases in treatment decision-making.</p

The Association of Computed Tomography-Assessed Body Composition with Mortality in Patients with Necrotizing Pancreatitis

Background: Identification of patients with necrotizing pancreatitis at high risk for a complicated course could facilitate clinical decision-making. In multiple diseases, several parameters of body composition are associated with impaired outcome, but studies in necrotizing pancreatitis are lacking. Methods: A post hoc analysis was performed in a national prospective cohort of 639 patients with necrotizing pancreatitis. Skeletal muscle mass, skeletal muscle density, and visceral adipose tissue were measured at the third lumbar vertebra level (L3) on contrast-enhanced computed tomography (CT) within 10 days after initial admission and 1 month thereafter. Results: In total, 496 of 639 patients (78%) were included. Overall mortality rate was 14.5%. Skeletal muscle mass and density and visceral adipose tissue on first CT were not independently associated with in-hospital mortality. However, low skeletal muscle density was independently associated with increased mortality in patients ≥65 years (OR 2.54 (95%CI 1.12–5.84, P = 0.028). Skeletal muscle mass and density significantly decreased within 1 month, for both males and females, with a median relative loss of muscle mass of 12.9 and 10.2% (both P < 0.001), respectively. Skeletal muscle density decreased with 7.2 and 7.5% (both P < 0.001) for males and females, respectively. A skeletal muscle density decrease of ≥10% in 1 month was independently associated with in-hospital mortality: OR 5.87 (95%CI 2.09–16.50, P = 0.001). Conclusion: First CT-assessed body composition parameters do not correlate with in-hospital mortality in patients with necrotizing pancreatitis. Loss of skeletal muscle density ≥10% within the first month after initial admission, however, is significantly associated with increased mortality in these patients

Gender differences in tumor characteristics, treatment allocation and survival in stage I–III pancreatic cancer:a nationwide study

Introduction: Sex and gender are modulators of health and disease and may have impact on treatment allocation and survival in patients with cancer. In this study, we analyzed the impact of sex and gender on treatment allocation and overall survival in patients with stage I-III pancreatic cancer. Methods: Patients with stage I-III pancreatic cancer diagnosed between 2015 and 2020 were selected from the nationwide Netherlands Cancer Registry. Associations between sex and gender and the probability of receiving surgical and/or systemic treatment were examined with multivariable logistic regression analyses. Overall survival was assessed with log rank test and multivariable Cox proportional hazard analysis. Results: Among 6855 patients, 51.2 % were female. Multivariable logistic regression analyses with adjustment for known confounders (age, performance status, comorbidities, tumor location, tumor stage and previous malignancies) showed that females less often received systemic chemotherapy compared to males (OR 0.799, 95 %CI 0.703–0.909, p &lt; .001). No difference was found in the probability for undergoing surgical resection. Furthermore, females had worse overall survival compared to males (median OS 8.5 and 9.2 months respectively, 95 %CI 8.669–9.731). Conclusion: This nationwide study found that female patients with stage I-III pancreatic cancer significantly less often received systemic treatment and had worse overall survival as compared to males. Disparities in pancreatic cancer care can be decreased by recognizing and resolving potential obstacles or biases in treatment decision-making.</p

Effect of centralization and regionalization of pancreatic surgery on resection rates and survival

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KLN theorem, magnetic mass, and thermal photon production

We study the infrared singularities associated to ultra-soft transverse gluons in the calculation of photon production by a quark-gluon plasma. Despite the fact that the KLN theorem works in this context and provides cancellations of infrared singularities, it does not prevent the production rate of low invariant mass dileptons to be sensitive to the magnetic mass of gluons and therefore the rate to be non perturbative.Comment: 9 pages Latex document, 5 postscript figures, modified figure 5 and slightly updated section

Age and prognosis in patients with pancreatic cancer:a population-based study

BACKGROUND: The diagnosis of pancreatic ductal adenocarcinoma (PDAC) has an enormous impact on patients, and even more so if they are of younger age. It is unclear how their treatment and outcome compare to older patients. This study compares clinicopathological characteristics and overall survival (OS) of PDAC patients aged <60 years to older PDAC patients. METHOD: This is a retrospective, population-based cohort study using Netherlands Cancer Registry data of patients diagnosed with PDAC (1 January 2015-31 December 2018). Kaplan-Meier curves and Cox proportional hazards models were used to assess OS. RESULTS: Overall, 10,298 patients were included, of whom 1551 (15%) were <60 years. Patients <60 years were more often male, had better performance status, less comorbidities and less stage I disease, and more often received anticancer treatment (67 vs. 33%, p < 0.001) than older patients. Patients <60 years underwent resection of the tumour more often (22 vs. 14%p < 0.001), more often received chemotherapy, and had a better median OS (6.9 vs. 3.3 months, p < 0.001) compared to older patients. No differences in median OS were demonstrated between both age groups of patients who underwent resection (19.7 vs. 19.4 months, p = 0.123), received chemotherapy alone (7.8 vs. 8.5 months, p = 0.191), or received no anticancer treatment (1.8 vs. 1.9 months, p = 0.600). Patients <60 years with stage-IV disease receiving chemotherapy had a somewhat better OS (7.5 vs. 6.3 months, p = 0.026). CONCLUSION: Patients with PDAC <60 years more often underwent resection despite less stage I disease and had superior OS. Stratified for treatment, however, survival was largely similar

Thinking About Causation : A Causal Language with Epistemic Operators

In this paper we propose a formal framework for modeling the interaction of causal and (qualitative) epistemic reasoning. To this purpose, we extend the notion of a causal model [11, 16, 17, 26] with a representation of the epistemic state of an agent. On the side of the object language, we add operators to express knowledge and the act of observing new information. We provide a sound and complete axiomatization of the logic, and discuss the relation of this framework to causal team semantics.Peer reviewe