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Establishing a Competing Risk Regression Nomogram Model for Survival Data
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A New Approach to Disease, Risk, and Boundaries Based on Emergent Probability
1Lonergan Institute at Boston College, Boston, Massachusetts, USA.
The Journal of Medicine and Philosophy
|July 2, 2022
Summary
This study proposes a new framework to understand disease and risk factors by differentiating biological system levels. It clarifies disease boundaries by examining biological dysfunction and genetic risk factors.
Area of Science:
- Philosophy of Medicine
- Systems Biology
- Biostatistics
Background:
- Theories of disease and risk factors lack clear definitions and boundaries.
- Existing medical frameworks struggle to integrate diverse levels of biological organization.
Purpose of the Study:
- To present a novel framework for understanding disease and risk factors based on emergent probability.
- To differentiate distinct levels of biological function and investigation methods.
- To redefine disease boundaries based on biological dysfunction and systemic integration.
Main Methods:
- Utilizing Bernard Lonergan's theory of emergent probability.
- Differentiating generic levels of systematic function within and between organisms.
- Applying functional, genetic, and statistical investigation methods.
Main Results:
- Disease is understood as biological or higher intra-level dysfunction.
- Risk factors, including genetic ones, are viewed as statistical inter-level conditioning.
- Disease boundaries are defined by functional categorization limits and upper-level integration.
Conclusions:
- The proposed framework offers a unified approach to understanding disease etiology and boundaries.
- It reconciles functional, genetic, and statistical perspectives in medical science.
- This model provides a clearer ontological and epistemic understanding of health and disease.
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