State of emergency medicine in Spain

Spain has universal public health care coverage. Emergency care provisions are offered to patients in different modalities and levels according to the characteristics of the medical complaint: at primary care centers (PCC), in an extrahospital setting by emergency medical services (EMS) and at hospital emergency departments (ED). We have more than 3,000 PCCs, which are run by family doctors (general practitioners) and pediatricians. On average, there is 1 PCC for every 15,000 to 20,000 inhabitants, and every family doctor is in charge of 1,500 to 2,000 citizens, although less populated zones tend to have lower ratios. Doctors spend part of their duty time in providing emergency care to their own patients. While not fully devoted to emergency medicine (EM) practice, they do manage minor emergencies. However, Spanish EMSs contribute hugely to guarantee population coverage in all situations. These EMS are run by EM technicians (EMT), nurses and doctors, who usually work exclusively in the emergency arena. EDs dealt with more than 25 million consultations in 2008, which implies, on average, that one out of two Spaniards visited an ED during this time. They are usually equipped with a wide range of diagnostic tools, most including ultrasonography and computerized tomography scans. The academic and training background of doctors working in the ED varies: nearly half lack any structured specialty residence training, but many have done specific master or postgraduate studies within the EM field. The demand for emergency care has grown at an annual rate of over 4% during the last decade. This percentage, which was greater than the 2% population increase during the same period, has outpaced the growth in ED capacity. Therefore, Spanish EDs become overcrowded when the system exerts minimal stress. Despite the high EM caseload and the potential severity of the conditions, training in EM is still unregulated in Spain. However, in April 2009 the Spanish Minister of Health announced the imminent approval of an EM specialty, allowing the first EM resident to officially start in 2011. Spanish emergency physicians look forward to the final approval, which will complete the modernization of emergency health care provision in Spain

The Universal One-Loop Effective Action

We present the universal one-loop effective action for all operators of dimension up to six obtained by integrating out massive, non-degenerate multiplets. Our general expression may be applied to loops of heavy fermions or bosons, and has been checked against partial results available in the literature. The broad applicability of this approach simplifies one-loop matching from an ultraviolet model to a lower-energy effective field theory (EFT), a procedure which is now reduced to the evaluation of a combination of matrices in our universal expression, without any loop integrals to evaluate. We illustrate the relationship of our results to the Standard Model (SM) EFT, using as an example the supersymmetric stop and sbottom squark Lagrangian and extracting from our universal expression the Wilson coefficients of dimension-six operators composed of SM fields.Comment: 30 pages, v2 contains additional comments and corrects typos, version accepted for publication in JHE

Dimension-6 operator analysis of the CLIC sensitivity to new physics

We estimate the possible accuracies of measurements at the proposed CLICe+ e− collider of Higgs and W+W− production at centre-of-mass energies up to 3 TeV, incorporating also Higgsstrahlung projections at higher energies that had not been considered previously, and use them to explore the prospective CLIC sensitivities to decoupled new physics. We present the resulting constraints on the Wilson coefficients of dimension6 operators in a model-independent approach based on the Standard Model effective field theory (SM EFT). The higher centre-of-mass energy of CLIC, compared to other projects such as the ILC and CEPC, gives it greater sensitivity to the coefficients of some of the operators we study. We find that CLIC Higgs measurements may be sensitive to new physics scales Λ = O(10) TeV for individual operators, reduced to O(1) TeV sensitivity for a global fit marginalising over the coefficients of all contributing operators. We give some examples of the corresponding prospective constraints on specific scenarios for physics beyond the SM, including stop quarks and the dilaton/radion

Field redefinitions in effective theories at higher orders

The invariance of physical observables under redefinitions of the quantum fields is a well-known and important property of quantum field theory. We study perturbative field redefinitions in effective theories, paying special attention to higher-order effects and their impact on matching to an ultraviolet theory at the classical and quantum levels.Our work has been supported by the Spanish MINECO project FPA2016-78220-C3-1-P (Fondos FEDER) and the Junta de Andalucía grant FQM101. The work of J.C.C. has also been supported by the Spanish MECD grant FPU14

Effective description of general extensions of the Standard Model: the complete tree-level dictionary

We thank Nuria Rius and Arcadi Santamaria for an interesting discussion that motivated this work. We also thank Paco del Águila and Toni Pich for useful comments.We compute all the tree-level contributions to the Wilson coefficients of the dimension-six Standard-Model effective theory in ultraviolet completions with general scalar, spinor and vector feld content and arbitrary interactions. No assumption about the renormalizability of the high-energy theory is made. This provides a complete ultraviolet/ infrared dictionary at the classical level, which can be used to study the low-energy implications of any model of interest, and also to look for explicit completions consistent with low-energy dataThe work of J.C.C., M.P.V. and J.S. has been supported by the Spanish MICINN project FPA2013- 47836-C3-2-P, the MINECO project FPA2016-78220-C3-1-P (Fondos FEDER) and the Junta de Andalucía grant FQM101. The work of J.C.C. has also been supported by the Spanish MECD grant FPU14. The work of M.P.V. and J.S. has also been supported by the European Commission through the contract PITN-GA-2012-316704 (HIGGSTOOLS). J.C.C. is grateful for the hospitality of the Dipartimento di Fisica e Astronomia \Galileo Galilei" of the University of Padova during part of this work. J.S. would like to thank the Mainz Institute for Theoretical Physics (MITP) for its hospitality and partial support during the completion of this work

The effective Standard Model after LHC Run I

We treat the Standard Model as the low-energy limit of an effective field theory that incorporates higher-dimensional operators to capture the effects of decoupled new physics. We consider the constraints imposed on the coefficients of dimension-6 operators by electroweak precision tests (EWPTs), applying a framework for the effects of dimension- 6 operators on electroweak precision tests that is more general than the standard S, T formalism, and use measurements of Higgs couplings and the kinematics of associated Higgs production at the Tevatron and LHC, as well as triple-gauge couplings at the LHC. We highlight the complementarity between EWPTs, Tevatron and LHC measurements in obtaining model-independent limits on the effective Standard Model after LHC Run 1. We illustrate the combined constraints with the example of the two-Higgs doublet model

Complete Higgs sector constraints on dimension-6 operators

Constraints on the full set of Standard Model dimension-6 operators have previously used triple-gauge couplings to complement the constraints obtainable from Higgs signal strengths. Here we extend previous analyses of the Higgs sector constraints by including information from the associated production of Higgs and massive vector bosons (H+V production), which excludes a direction of limited sensitivity allowed by partial cancellations in the triple-gauge sector measured at LEP. Kinematic distributions in H+V production provide improved sensitivity to dimension-6 operators, as we illustrate here with simulations of the invariant mass and pT distributions measured by D0 and ATLAS, respectively. We provide bounds from a global fit to a complete set of CP-conserving operators affecting Higgs physics