From species to supertrees: Popperian corroboration and some current controversies in systematics

2004 ◽  
Vol 17 (1) ◽  
pp. 1 ◽  
Author(s):  
Dan P. Faith

Popper's ideas of falsification and corroboration have been used over a long period to justify cladistic parsimony to the exclusion of other methods for phylogenetic inference. This has been based on a restrictive interpretation that takes observed data as Popperian evidence, and sees Popperian background knowledge as restricted to 'descent with modification'. An alternative, 'inclusive', interpretation, developed over the past decade, does not focus on corroboration as an automatic by-product of supposed non-falsification, but instead focuses on the useful fact that the evidence (e) for an hypothesis provides Popperian corroboration only when it is improbable in the absence of that hypothesis. This perspective highlights key errors in cladistic arguments, including a critical failure to ever assess corroboration through examination of improbability of evidence and a failure to view background knowledge as playing a role in casting doubts about supposed positive evidence. The pitfalls of Popperian justification of phylogenetic methods are not limited to cladistics. Justifications of likelihood methods unfortunately have repeated these key errors of cladistic philosophy, including the failure to satisfy the Popperian corroboration requirement that tests of hypotheses be 'genuine', as indicated by assessment of improbability of evidence given only background knowledge. Criticisms of the inclusive perspective are recognised as incorrect, based on the realisation that evidence e can relate to the hypothesis, that background knowledge can reflect chance, that corroboration does permit tail probabilities, and that corroboration in the inclusive framework is linked to tests as attempted refutations and so remains compatible with falsification. On the positive side, the inclusive approach opens the door to growth of knowledge through assessment of evidence, with no philosophical restriction on the forms of evidence in phylogenetic inference. Whatever the evidence put forward, corroboration can be claimed if attempts to explain away that evidence fail, so providing an indication of the improbability of the evidence without the hypothesis. Further, the repeated use of a form of evidence may reveal its pitfalls—the kinds of occasions when it does not provide corroboration—so providing lessons that guide the future search for effective evidence in different contexts. This theme of resisting the a priori justification of one form of evidence, and focusing sceptically on many different kinds of evidence, is critical in the two other systematics contexts. First, a unified species concept only makes sense if there is a way to sort through the pluralism that remains at the level of evidence for species hypotheses. Second, for building the tree of life (TOL) we must combine various pieces of evidence from separate studies in a meaningful way to evaluate TOL hypotheses. In both cases, Popperian corroboration provides the necessary framework for judging how our evidence bears on our hypotheses.

2020 ◽  
pp. 205141582093945
Author(s):  
Néha Sihra ◽  
Sachin Malde ◽  
Tamsin Greenwell ◽  
Mahreen Pakzad ◽  
Magda Kujawa ◽  
...  

Urinary tract infections are highly prevalent and result in significant patient morbidity as well as large financial costs to healthcare systems. Recurrent urinary tract infections can be challenging for many healthcare professionals, and the repeated use of antibiotics in this patient cohort inevitably contributes to the growing issue of antimicrobial resistance and superbugs. It is essential that these patients are appropriately diagnosed and managed to ensure rapid resolution of symptoms and the prevention of chronic or recurrent urinary tract infections. There are several antibiotic-based options available for the prophylaxis of recurrent urinary tract infections however, in the current era of rising antimicrobial resistance, an awareness of antibiotic stewardship and the use of non-antibiotic alternatives for the treatment and prevention of urinary tract infections is of critical importance. We present a case-based multidisciplinary team discussion to highlight how women with recurrent urinary tract infections should be managed, encouraging the use of non-antibiotic prophylactic measures when suitable. Level of evidence: Level 5


2018 ◽  
Vol 15 (2) ◽  
pp. 164-181 ◽  
Author(s):  
Preston J. Werner

Proponents of impure moral perception claim that, while there are perceptual moral experiences, these experiences epistemically depend on a priori moral knowledge. Proponents of pure moral perception claim that moral experiences can justify independently of substantive a priori moral knowledge. Some philosophers, most notably David Faraci (2015), have argued that the pure view is mistaken, since moral perception requires previous moral background knowledge, and such knowledge could not itself be perceptual. I defend pure moral perception against this objection. I consider two ways to understand the notion of “background knowledge” that is crucial to the objection. On a (stronger) reading, the claim that background knowledge is necessary for moral perception is likely false. On a second and weaker reading, the claim is true, but the background knowledge in question could be perceptual, and thus compatible with pure moral perception. Thus, the objection fails.


2012 ◽  
Vol 17 (Suppl1) ◽  
pp. 230-246 ◽  
Author(s):  
James S. Harrop ◽  
Robin Hashimoto ◽  
Dan Norvell ◽  
Annie Raich ◽  
Bizhan Aarabi ◽  
...  

Object Using a systematic approach, the authors evaluated the current utilization, safety, and effectiveness of cellular therapies for traumatic spinal cord injuries (SCIs) in humans. Methods A systematic search and critical review of the literature published through mid-January 2012 was performed. Articles included in the search were restricted to the English language, studies with at least 10 patients, and those analyzing cellular therapies for traumatic SCI. Citations were evaluated for relevance using a priori criteria, and those that met the inclusion criteria were critically reviewed. Each article was then designated a level of evidence that was developed by the Oxford Centre for Evidence-Based Medicine. Results The initial literature search identified 651 relevant articles, which decreased to 350 after excluding case reports and reviews. Evaluation of articles at the title/abstract level, and later at the full-text level, limited the final article set to 12 papers. The following cellular therapies employed in humans with SCI are reviewed: bone marrow mesenchymal and hematopoietic stem cells (8 studies), olfactory ensheathing cells (2 studies), Schwann cells (1 study), and fetal neurogenic tissue (1 study). Overall the quality of the literature was very low, with 3 Grade III levels of evidence and 9 Grade IV studies. Conclusions Several different cellular-mediated strategies for adult SCI have been reported to be relatively safe with varying degrees of neurological recovery. However, the literature is of low quality and there is a need for improved preclinical studies and prospective, controlled clinical trials.


2018 ◽  
Vol 6 (8) ◽  
pp. 232596711879151 ◽  
Author(s):  
Brandon J. Erickson ◽  
Peter N. Chalmers ◽  
Jon Newgren ◽  
Marissa Malaret ◽  
Michael O’Brien ◽  
...  

Background: The Kerlan-Jobe Orthopaedic Clinic (KJOC) shoulder and elbow outcome score is a functional assessment tool for the upper extremity of the overhead athlete, which is currently validated for administration in person. Purpose/Hypothesis: The purpose of this study was to validate the KJOC score for administration over the phone. The hypothesis was that no difference will exist in KJOC scores for the same patient between administration in person versus over the phone. Study Design: Cohort study (diagnosis); Level of evidence, 2. Methods: Fifty patients were randomized to fill out the KJOC questionnaire either over the phone first (25 patients) or in person first (25 patients) based on an a priori power analysis. One week after the patients completed the initial KJOC on the phone or in person, they then filled out the score via the opposite method. Results were compared per question and for overall score. Results: There was a mean ± SD of 8 ± 5 days between when patients completed the first and second questionnaires. There were no significant differences in the overall KJOC score between the phone and paper groups ( P = .139). The intraclass correlation coefficient comparing paper and phone scores was 0.802 (95% CI, 0.767-0.883; P < .001), with a Cronbach alpha of 0.89. On comparison of individual questions, there were significant differences for questions 1, 3, and 8 ( P = .013, .023, and .042, respectively). Conclusion: The KJOC questionnaire can be administered over the phone with no significant difference in overall score as compared with that from in-person administration.


2019 ◽  
Vol 47 (5) ◽  
pp. 1203-1208 ◽  
Author(s):  
Justin A. Magnuson ◽  
Greg Strnad ◽  
Clair Smith ◽  
Morgan H. Jones ◽  
Paul Saluan ◽  
...  

Background: The International Knee Documentation Committee Subjective Knee Form (IKDC-SKF) is a validated patient-reported outcome used in clinical research. No studies exist directly comparing the standard unilateral adult version (IKDC-SKF) with the bilateral adult version (R/L IKDC-SKF). Hypotheses: The first hypothesis is that no clinically relevant difference would be observed between standard IKDC-SKF scores and involved R/L scores. The second hypothesis is that a relevant difference would be observed between involved and uninvolved scores on the R/L IKDC-SKF. Study Design: Cohort study (Diagnosis); Level of evidence, 2. Methods: One hundred patients were enrolled via a crossover study design. Participants were split into 2 groups per simple randomization. One group completed the standard IKDC-SKF first and the R/L IKDC-SKF second. The other group completed forms in the reverse order. A 10-minute washout period was administered between questionnaires. Participants reported their preferred form in a postquestionnaire survey. A 5-point threshold for clinical relevance was set a priori, which is less than multiple published minimal detectable change and minimal clinically important difference metrics of the standard IKDC-SKF, ranging from 6.3 to 20.5. Data were analyzed with Bland-Altman plots, paired t tests, correlations, and chi-square tests. Results: Paired t tests between the standard IKDC-SKF and the involved R/L IKDC-SKF scores demonstrated a statistically significant mean difference of 1.4 ( P = .008; 95% CI, 0.4-2.4). However, the 95% CI falls under the clinically relevant threshold of 5. Standard and involved knee scores from the R/L IKDC-SKF were highly correlated, with a rho of 0.95. Patients consistently distinguished the injured knee from the uninjured knee across a range of scores via the R/L IKDC-SKF ( P < .001). The postquestionnaire survey showed that 55 patients preferred the R/L IKDC-SKF, 30 preferred the standard IKDC-SKF, and 15 had no preference. Post hoc analysis showed a significant preference for “R/L vs standard IKDC-SKF” ( P = .014) and “R/L IKDC-SKF vs no preference” ( P < .003). Conclusion: No clinically relevant difference was observed between the standard IKDC-SKF and the involved knee score of the R/L IKDC-SKF. Therefore, for symptomatic unilateral knee diagnosis, either form can be used. The R/L IKDC-SKF showed a consistent and clinically relevant difference between involved and uninvolved knees. Patients in this study preferred the R/L IKDC-SKF.


2020 ◽  
Vol 8 (1) ◽  
pp. 232596711989327
Author(s):  
Kyra A. Benavent ◽  
Dafang Zhang ◽  
Elizabeth G. Matzkin ◽  
Brandon E. Earp

Background: Tunnel placement is important for outcomes after acromioclavicular (AC) joint reconstruction, yet little has been written on sex-based differences in optimal tunnel positioning. Hypothesis: No sex-based or anatomic differences will be found in ideal tunnel position based on radiographic measurements. Study Design: Cross-sectional study; Level of evidence, 3. Methods: The records of 2382 patients were retrospectively examined for clavicle radiographs over a 20-year period. A random set of radiographs were reviewed until 200 radiographs from each sex met inclusion criteria per a priori power analysis. Anteroposterior clavicle radiographs were used to collect (1) length from lateral clavicle to lateral coracoid (LCLC), (2) length from lateral clavicle to medial coracoid (LCMC), (3) clavicle length (CL), and (4) clavicular depth at the midcoracoid (MCCD). The Student t test was used to compare differences between male and female patients. The Pearson correlation coefficient was used to measure linear correlations. Variables with a P < .1 were included in a multiple regression model. Results: The cohort included 200 men and 200 women. LCLC and LCMC were significantly greater for men than for women ( P < .0001). Clavicle length was significantly correlated with LCLC ( r = 0.63; P < .0001) and LCMC ( r = 0.74; P < .0001). MCCD was significantly correlated with LCLC ( r = 0.32; P < .0001) and LCMC ( r = 0.43; P < .0001). The approximate placement for the trapezoid tunnel was found to be 22.1 mm in women and 26.6 mm in men. The approximate placement for the conoid tunnel was found to be 40 mm in women and 46.6 mm in men. The ratios (LCLC:CL and LCMC:CL) were also significantly different between female and male patients. The LCLC:CL was 0.144 in women and 0.154 in men ( P < .0001). The LCMC:CL was 0.261 in women and 0.271 in men ( P < .0006). Conclusion: Significant sex-based differences are found in the position of the coracoid relative to the lateral edge of the clavicle. Coracoid position relative to the lateral edge of the clavicle is correlated with anatomic parameters, most strongly with clavicle length.


2020 ◽  
Vol 120 (04) ◽  
pp. 592-598 ◽  
Author(s):  
Massimo Radin ◽  
Silvia G. Foddai ◽  
Irene Cecchi ◽  
Elena Rubini ◽  
Karen Schreiber ◽  
...  

Abstract Objective The aim of the study is to perform a systematic review on the recent available evidence on antiphosphatidylserine/prothrombin (aPS/PT) antibodies and their association with clinical manifestations of the antiphospholipid syndrome (APS). Methods A detailed literature search was applied a priori to Ovid MEDLINE, In-Process and Other Non-Indexed Citation 2012 to present and to abstract from EULAR and ACR/ARHP Annual Meetings (2012–2019). Results Data from 2,901 patients, 587 diseases controls and 559 healthy controls included in 15 retrieved studies was analyzed. The patient population included 1,219 patients classified as APS according to the Sidney criteria, 285 patients with isolated persistently positive antiphospholipid antibodies (aPL) and 1,397 patients with a clinical suspicion of APS. Twelve studies, including 1,888 patients, analyzed the association between aPS/PT antibodies and thrombosis. We observed a statistically significant association between aPS/PT IgG/IgM positivity and thrombotic events (mean odds ratio [OR]: 6.8 [95% CI: 3.18–16.4], p < 0.05), confirmed when analyzing aPS/PT IgG (mean OR: 6.7 [95% CI: 3.04–21.6], p < 0.05) and aPS/PT IgM (mean OR: 4.35 [95% CI: 1.54–17.77], p < 0.05) separately. Seven studies, including 1,388 patients, evaluated the association between aPS/PT antibodies and PM. When pooled together, we found a statistically significant association between any PM and aPS/PT IgG/IgM positivity (mean OR: 10.6 [95% CI: 3.54–35.38], p < 0.05), particularly aPS/PT IgG positivity (mean OR: 6.7 [95% CI: 3.04–21.6], p < 0.05). Conclusion Our results highlight the strong association between aPS/PT and the clinical manifestations of APS. With the available level of evidence, aPS/PT testing can be considered as a robust test applicable in the investigation of patients suspected for APS, also beyond the research settings.


2016 ◽  
Vol 9 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Eric G. Post ◽  
Jill M. Thein-Nissenbaum ◽  
Mikel R. Stiffler ◽  
M. Alison Brooks ◽  
David R. Bell ◽  
...  

Background: Sport specialization is a strategy to acquire superior sport performance in 1 sport but is associated with increased injury risk. Currently, the degree of high school specialization among Division I athletes is unknown. Hypothesis: College athletes will display increased rates of specialization as they progress through their high school careers. Study Design: Descriptive epidemiological study. Level of Evidence: Level 4. Methods: Three hundred forty-three athletes (115 female) representing 9 sports from a Midwest Division I University completed a previously utilized sport specialization questionnaire regarding sport participation patterns for each grade of high school. McNemar and chi-square tests were used to investigate associations of grade, sport, and sex with prevalence of sport specialization category (low, moderate, high) (a priori P ≤ 0.05). Results: Specialization increased throughout high school, with 16.9% (n = 58) and 41.1% (n = 141) of athletes highly specialized in 9th and 12th grades, respectively. Football athletes were less likely to be highly specialized than nonfootball athletes for each year of high school ( P < 0.001). There was no difference in degree of specialization between sexes at any grade level ( P > 0.23). Conclusion: The majority of Division I athletes were not classified as highly specialized throughout high school, but the prevalence of high specialization increased as athletes progressed through high school. Nonfootball athletes were more likely to be highly specialized than football athletes at each grade level. Clinical Relevance: Most athletes who are recruited to participate in collegiate athletics will eventually specialize in their sport, but it does not appear that early specialization is necessary to become a Division I athlete. Athletes should be counseled regarding safe participation in sport during high school to minimize injury and maximize performance.


Land ◽  
2021 ◽  
Vol 10 (12) ◽  
pp. 1282
Author(s):  
Dario Hernan Schoulund ◽  
Carlos Alberto Amura ◽  
Karina Landman

Increasingly independent fields of specialization, civil engineering, and urban design find themselves practicing in isolation on the same urban issues. The result surfaces on the relative qualities of public spaces: projects that are functionally successful but spatially poor, and vice versa This is critical in the global south, where infrastructure is prioritized, and politicized, as the key driver of change but often heedless of spatial consequences. The present study explores the dynamics of integration between logics arising from technical and spatial fields, and the planning processes under which such integration is feasible. An urban design/infrastructural project in Argentina, stalled for more than two decades under regulatory policies, was selected as a case study. An overview and background of the adopted planning/design methodologies are followed by a structural/spatial analysis, focusing on type, logistics, and construction on the one hand, and on indicators of successful public spaces on the other: access, uses, comfort and image. Aspects that a priori appeared as inevitable compromises found a common, but the critically logical ground in which urban and structural thinking complemented each other. More than a functional asset, infrastructure presents an opportunity to re-think the future of the built environment as a typology that could be conceived, designed and evaluated, on the same terms as successful public spaces.


2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Ilana Seff ◽  
Kellie Leeson ◽  
Lindsay Stark

Abstract Background Humanitarian practitioners have recently expanded their focus from the provision of assistance only to working to ensure refugees and internally displaced peoples (IDPs) can develop sustained ‘self-reliance’. However, few tools measure self-reliance, and even fewer capture non-financial dimensions of self-reliance or measure the construct within refugee and IDP populations. To help address these gaps in measurement and provide organizations with a tool to track households’ self-reliance over time, the Self-Reliance Index (SRI) was developed. The index component of the tool comprises 12 domains of self-reliance, including housing, food, education, healthcare, health status, safety, employment, financial resources, assistance, debt, and savings, and social capital. This paper presents the methodology used to evaluate the tool’s internal consistency and scoring validity, shares the corresponding findings, and offers a practical approach for developing a culturally relevant and robust tool for humanitarian settings. Results Data were collected from 57 and 59 refugee households in Nairobi, Kenya, and Palenque, Mexico, respectively; repeat follow-up interviews were held with 34 and 33 households in Kenya and Mexico after a period of 3 months. Cronbach’s alpha was found to be 0.66 in Kenya and 0.64 in Mexico, both of which met the a priori minimum threshold for internal consistency of 0.6. A data-driven process was used to inform the design of the scoring rubric for the SRI, prioritizing the tool’s validity such that the final score would signal useful information about a household’s overall level of self-reliance while also keeping the process as straightforward for users as possible. Final descriptive statistics and score distributions, considered alongside organizational knowledge of sample households and sensitivity analyses, suggest good score validity. Conclusions The SRI aims to serve as an important step in measuring the complex subject of self-reliance in a comprehensive way and over time. Results suggest that, with some contextualizing for each setting, the universal tool offers a measurement approach that is feasible, reliable, and valid. By encouraging relevant stakeholders to more holistically conceptualize and measure self-reliance, the SRI also aims to promote a more cross-sector, all-inclusive approach to programming.


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