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The purpose of this study was to explore the doctoral student experience in relation to their school-work-lives. Through a grounded theory research design we sought to explore the following research question: How, and to what extent, do full-time doctoral students strive to obtain school-work-life balance? Data were collected through semi-structured interviews and participant observations with five full-time doctoral education students who held one or more graduate assistantships on campus. From the data, we constructed four themes. Full-time doctoral students strived to achieve a school-work-life balance by (a) purposefully managing their time, priorities, and roles and responsibilities; (b) seeking well-being by managing stress levels, maintaining their mental and physical health, and creating personal time; (c) finding support from various individuals and their institution; and (d) making tradeoffs. Additionally, we found that single students with no children faced more challenges in efforts to obtain a school-work-life balance in comparison to their peers with families. Based on our findings, programs can facilitate degree attainment for students by continuing to provide financial support, flexibility in school and work schedules, and support services tailored to specifically address doctoral student needs. Lastly, our participants' stories may resonate with other doctoral students, and thus, may help them think about ways to attempt to balance their work and personal lives.

Resection and whole brain radiotherapy (WBRT) are standard treatments for brain metastases (BM) but are associated with cognitive side effects. Stereotactic radiosurgery (SRS) uses a targeted approach with less side effects than WBRT. SRS requires precise identification and delineation of BM. While artificial intelligence (AI) algorithms have been developed for this, their clinical adoption is limited due to poor model performance in the clinical setting. The limitations of algorithms are often due to the quality of datasets used for training the AI network. The purpose of this study was to create a large, heterogenous, annotated BM dataset for training and validation of AI models. We present a BM dataset of 200 patients with pretreatment T1, T1 post-contrast, T2, and FLAIR MR images. The dataset includes contrast-enhancing and necrotic 3D segmentations on T1 post-contrast and peritumoral edema 3D segmentations on FLAIR. Our dataset contains 975 contrast-enhancing lesions, many of which are sub centimeter, along with clinical and imaging information. We used a streamlined approach to database-building through a PACS-integrated segmentation workflow.

The relationship between educational expenditures and student achievement is a debate that has taken place over the course of nearly four decades. Accordingly, some researchers have labeled this question the \"holy grail\" of school finance (Stiefel, Schwartz, Rubenstein, & Zable, 2005). Most scholars trace this debate to the publication of Equality of Educational Opportunity, or the Coleman Report in 1966. Succinctly stated, the Coleman Report found that schools do not significantly explain the variation in student achievement. Even the terms to define efficiency, sufficiency, adequacy, and achievement are cause for debate. Given the potential for stakeholders' different interpretations of these terms in school finance litigation and policymaking, the purpose of this paper is twofold: 1) to conceptually investigate different interpretations of efficiency as well as the potential unintended, and unjust, consequences that arise from using different notions of efficiency as a goal of public education; and 2) to explore the tensions between the broader goals of efficiency, equity, and adequacy in school finance litigation and policymaking. This study also sought to answer the following two research questions: 1) What combination and quantity of resources can be used to achieve efficient student performance outcomes after controlling for student demographic factors and 2) do differences exist in resource intensity for low and high poverty high schools? This paper focuses on resource allocation patterns in schools that are deemed to be efficient, using Data Envelopment Analysis, in an attempt to inform changes to resource allocation patterns in schools.

Purpose – The purpose of this paper is to explore the connections between state education finance distribution models and student achievement. To date, lawsuits challenging the constitutionality of state finance systems have been heard in 45 states; the judicial interpretation of the requirement to provide equality of educational opportunity has led to changes in finance distribution models as well as the implementation of accountability policy. Design/methodology/approach – The study included district level finance and achievement data from five states. Researchers reviewed the relevant judicial interpretation of the finance system, the accountability policy, and the finance distribution system. Next, researchers calculated the equity of both the finance distribution model and measures of student achievement. Finally, an equity ratio was developed and calculated to discern the degree to which state distribution models resulted in equitable measures of student achievement. Findings – Findings reveal that no state has both an equitable system of finance and equitable measures of student achievement. The way that states define proficiency significantly impacts the percentage of students that reach proficiency. This impacts the provision of equality of opportunity. Originality/value – Traditionally, the measurement of equity has only been applied to finance distribution systems. The authors of this paper have applied these concepts to measures of student achievement and aligned the two concepts with the equity ratio. Since states are charged with providing sufficient resources to enable students to reach proficiency, an understanding of the interaction between resources and achievement is a critical tool in analyzing the provision of equal opportunity.

New surgical procedures can expose patients to harm and should be carefully evaluated before widespread use. The InSpace balloon (Stryker, USA) is an innovative surgical device used to treat people with rotator cuff tears that cannot be repaired. We aimed to determine the effectiveness of the InSpace balloon for people with irreparable rotator cuff tears. We conducted a double-blind, group-sequential, adaptive randomised controlled trial in 24 hospitals in the UK, comparing arthroscopic debridement of the subacromial space with biceps tenotomy (debridement only group) with the same procedure but including insertion of the InSpace balloon (debridement with device group). Participants had an irreparable rotator cuff tear, which had not resolved with conservative treatment, and they had symptoms warranting surgery. Eligibility was confirmed intraoperatively before randomly assigning (1:1) participants to a treatment group using a remote computer system. Participants and assessors were masked to group assignment. Masking was achieved by using identical incisions for both procedures, blinding the operation note, and a consistent rehabilitation programme was offered regardless of group allocation. The primary outcome was the Oxford Shoulder Score at 12 months. Pre-trial simulations using data from early and late timepoints informed stopping boundaries for two interim analyses. The primary analysis was on a modified intention-to-treat basis, adjusted for the planned interim analysis. The trial was registered with ISRCTN, ISRCTN17825590. Between June 1, 2018, and July 30, 2020, we assessed 385 people for eligibility, of which 317 were eligible. 249 (79%) people consented for inclusion in the study. 117 participants were randomly allocated to a treatment group, 61 participants to the debridement only group and 56 to the debridement with device group. A predefined stopping boundary was met at the first interim analysis and recruitment stopped with 117 participants randomised. 43% of participants were female, 57% were male. We obtained primary outcome data for 114 (97%) participants. The mean Oxford Shoulder Score at 12 months was 34·3 (SD 11·1) in the debridement only group and 30·3 (10·9) in the debridement with device group (mean difference adjusted for adaptive design –4·2 [95% CI –8·2 to –0·26];p=0·037) favouring control. There was no difference in adverse events between the two groups. In an efficient, adaptive trial design, our results favoured the debridement only group. We do not recommend the InSpace balloon for the treatment of irreparable rotator cuff tears. Efficacy and Mechanism Evaluation Programme, a Medical Research Council and National Institute for Health and Care Research partnership