Reinforcement learning with verifiable rewards (RLVR) broadcasts a single response-level reward to every token, while on-policy distillation (OPD) scores each token against a stronger teacher for a dense advantage but caps performance at teacher quality and discourages exploratio…
Background This study aimed to investigate whether neutrophil elastase inhibitor (sivelestat sodium) was associated with decreased duration of organ failure in patients with acute pancreatitis (AP) and early organ failure. Methods Between January 2022 and December 2024, patients…