The effects of laryngeal mask airway passage simulation training on the acquisition of undergraduate clinical skills: a randomised controlled trial

Background\ud Effective use of the laryngeal mask airway (LMA) requires learning proper insertion technique in normal patients undergoing routine surgical procedures. However, there is a move towards simulation training for learning practical clinical skills, such as LMA placement. The evidence linking different amounts of mannequin simulation training to the undergraduate clinical skill of LMA placement in real patients is limited. The purpose of this study was to compare the effectiveness in vivo of two LMA placement simulation courses of different durations. \ud \ud Methods\ud Medical students (n = 126) enrolled in a randomised controlled trial. Seventy-eight of these students completed the trial. The control group (n = 38) received brief mannequin training while the intervention group (n = 40) received additional more intensive mannequin training as part of which they repeated LMA insertion until they were proficient. The anaesthetists supervising LMA placements in real patients rated the participants' performance on assessment forms. Participants completed a self-assessment questionnaire. \ud \ud Results\ud Additional mannequin training was not associated with improved performance (37% of intervention participants received an overall placement rating of > 3/5 on their first patient compared to 48% of the control group, $X^2$ = 0.81, p = 0.37). The agreement between the participants and their instructors in terms of LMA placement success rates was poor to fair. Participants reported that mannequins were poor at mimicking reality. \ud \ud Conclusions\ud The results suggest that the value of extended mannequin simulation training in the case of LMA placement is limited. Educators considering simulation for the training of practical skills should reflect on the extent to which the in vitro simulation mimics the skill required and the degree of difficulty of the procedure. \ud \u

Covariant Description of Flavor Conversion in the LHC Era

A simple covariant formalism to describe flavor and CP violation in the left-handed quark sector in a model independent way is provided. The introduction of a covariant basis, which makes the standard model approximate symmetry structure manifest, leads to a physical and transparent picture of flavor conversion processes. Our method is particularly useful to derive robust bounds on models with arbitrary mechanisms of alignment. Known constraints on flavor violation in the K and D systems are reproduced in a straightforward manner. Assumptions-free limits, based on top flavor violation at the LHC, are then obtained. In the absence of signal, with 100 fb^{-1} of data, the LHC will exclude weakly coupled (strongly coupled) new physics up to a scale of 0.6 TeV (7.6 TeV), while at present no general constraint can be set related to Delta t=1 processes. LHC data will constrain Delta F=2 contributions via same-sign tops signal, with a model independent exclusion region of 0.08 TeV (1.0 TeV). However, in this case, stronger bounds are found from the study of CP violation in D-bar D mixing with a scale of 0.57 TeV (7.2 TeV). In addition, we apply our analysis to models of supersymmetry and warped extra dimension. The minimal flavor violation framework is also discussed, where the formalism allows to distinguish between the linear and generic non-linear limits within this class of models.Comment: 24 pages, 6 figures. Some corrections and clarifications; references added. Matches published versio

Excluding Electroweak Baryogenesis in the MSSM

In the context of the MSSM the Light Stop Scenario (LSS) is the only region of parameter space that allows for successful Electroweak Baryogenesis (EWBG). This possibility is very phenomenologically attractive, since it allows for the direct production of light stops and could be tested at the LHC. The ATLAS and CMS experiments have recently supplied tantalizing hints for a Higgs boson with a mass of ~ 125 GeV. This Higgs mass severely restricts the parameter space of the LSS, and we discuss the specific predictions made for EWBG in the MSSM. Combining data from all the available ATLAS and CMS Higgs searches reveals a tension with the predictions of EWBG even at this early stage. This allows us to exclude EWBG in the MSSM at greater than (90) 95% confidence level in the (non-)decoupling limit, by examining correlations between different Higgs decay channels. We also examine the exclusion without the assumption of a ~ 125 GeV Higgs. The Higgs searches are still highly constraining, excluding the entire EWBG parameter space at greater than 90% CL except for a small window of m_h ~ 117 - 119 GeV.Comment: 24 Pages, 4 Figures (v3: fixed typos, minor corrections, added references