Top-down and bottom-up
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Top-down and bottom-up are both strategies of information processing and knowledge ordering, used in a variety of fields including software, humanistic and scientific theories (see systemics), and management and organization. In practice, they can be seen as a style of thinking, teaching, or leadership. A top-down approach (also known as ''stepwise design'' and stepwise refinement and in some cases used as a synonym of ''decomposition'') is essentially the breaking down of a system to gain insight into its compositional sub-systems in a reverse engineering fashion. In a top-down approach an overview of the system is formulated, specifying, but not detailing, any first-level subsystems. Each subsystem is then refined in yet greater detail, sometimes in many additional subsystem levels, until the entire specification is reduced to base elements. A top-down model is often specified with the assistance of "black boxes", which makes it easier to manipulate. However, black boxes may fail to clarify elementary mechanisms or be detailed enough to realistically validate the model. Top down approach starts with the big picture, then breaks down from there into smaller segments. A bottom-up approach is the piecing together of systems to give rise to more complex systems, thus making the original systems sub-systems of the emergent system. Bottom-up processing is a type of information processing based on incoming data from the environment to form a
perception Perception () is the organization, identification, and interpretation of sensory information in order to represent and understand the presented information or environment. All perception involves signals that go through the nervous system ...
. From a cognitive psychology perspective, information enters the eyes in one direction (sensory input, or the "bottom"), and is then turned into an image by the brain that can be interpreted and recognized as a perception (output that is "built up" from processing to final cognition). In a bottom-up approach the individual base elements of the system are first specified in great detail. These elements are then linked together to form larger subsystems, which then in turn are linked, sometimes in many levels, until a complete top-level system is formed. This strategy often resembles a "seed" model, by which the beginnings are small but eventually grow in complexity and completeness. However, "organic strategies" may result in a tangle of elements and subsystems, developed in isolation and subject to local optimization as opposed to meeting a global purpose.


Product design and development

During the design and development of new products, designers and engineers rely on both a bottom-up and top-down approach. The bottom-up approach is being utilized when off-the-shelf or existing components are selected and integrated into the product. An example would include selecting a particular fastener, such as a bolt, and designing the receiving components such that the fastener will fit properly. In a top-down approach, a custom fastener would be designed such that it would fit properly in the receiving components. For perspective, for a product with more restrictive requirements (such as weight, geometry, safety, environment, etc.), such as a space-suit, a more top-down approach is taken and almost everything is custom designed.


Computer science


Software development

:''Part of this section is from the Perl Design Patterns Book''. In the software development process, the top-down and bottom-up approaches play a key role. Top-down approaches emphasize planning and a complete understanding of the system. It is inherent that no coding can begin until a sufficient level of detail has been reached in the design of at least some part of the system. Top-down approaches are implemented by attaching the stubs in place of the module. This, however, delays testing of the ultimate functional units of a system until significant design is complete. Bottom-up emphasizes coding and early testing, which can begin as soon as the first module has been specified. This approach, however, runs the risk that modules may be coded without having a clear idea of how they link to other parts of the system, and that such linking may not be as easy as first thought. Re-usability of code is one of the main benefits of the bottom-up approach. Top-down design was promoted in the 1970s by IBM researchers Harlan Mills and
Niklaus Wirth Niklaus Emil Wirth (born 15 February 1934) is a Swiss computer scientist. He has designed several programming languages, including Pascal, and pioneered several classic topics in software engineering. In 1984, he won the Turing Award, generally ...
. Mills developed structured programming concepts for practical use and tested them in a 1969 project to automate the ''
New York Times ''The New York Times'' (''the Times'', ''NYT'', or the Gray Lady) is a daily newspaper based in New York City with a worldwide readership reported in 2020 to comprise a declining 840,000 paid print subscribers, and a growing 6 million paid ...
'' morgue index. The engineering and management success of this project led to the spread of the top-down approach through IBM and the rest of the computer industry. Among other achievements, Niklaus Wirth, the developer of
Pascal programming language Pascal is an imperative and procedural programming language, designed by Niklaus Wirth as a small, efficient language intended to encourage good programming practices using structured programming and data structuring. It is named in honour o ...
, wrote the influential paper ''Program Development by Stepwise Refinement''. Since Niklaus Wirth went on to develop languages such as
Modula The Modula programming language is a descendant of the Pascal language. It was developed in Switzerland, at ETH Zurich, in the mid-1970s by Niklaus Wirth, the same person who designed Pascal. The main innovation of Modula over Pascal is a modul ...
and
Oberon Oberon () is a king of the fairies in medieval and Renaissance literature. He is best known as a character in William Shakespeare's play ''A Midsummer Night's Dream'', in which he is King of the Fairies and spouse of Titania, Queen of the Fairi ...
(where one could define a module before knowing about the entire program specification), one can infer that top-down programming was not strictly what he promoted. Top-down methods were favored in
software engineering Software engineering is a systematic engineering approach to software development. A software engineer is a person who applies the principles of software engineering to design, develop, maintain, test, and evaluate computer software. The term '' ...
until the late 1980s, and
object-oriented programming Object-oriented programming (OOP) is a programming paradigm based on the concept of "objects", which can contain data and code. The data is in the form of fields (often known as attributes or ''properties''), and the code is in the form of ...
assisted in demonstrating the idea that both aspects of top-down and bottom-up programming could be utilized. Modern software design approaches usually combine both top-down and bottom-up approaches. Although an understanding of the complete system is usually considered necessary for good design, leading theoretically to a top-down approach, most software projects attempt to make use of existing code to some degree. Pre-existing modules give designs a bottom-up flavor. Some design approaches also use an approach where a partially functional system is designed and coded to completion, and this system is then expanded to fulfill all the requirements for the project.


Programming

Top-down is a programming style, the mainstay of traditional procedural languages, in which design begins by specifying complex pieces and then dividing them into successively smaller pieces. The technique for writing a program using top–down methods is to write a main procedure that names all the major functions it will need. Later, the programming team looks at the requirements of each of those functions and the process is repeated. These compartmentalized sub-routines eventually will perform actions so simple they can be easily and concisely coded. When all the various sub-routines have been coded the program is ready for testing. By defining how the application comes together at a high level, lower level work can be self-contained. By defining how the lower level abstractions are expected to integrate into higher level ones, interfaces become clearly defined. In a bottom-up approach, the individual base elements of the system are first specified in great detail. These elements are then linked together to form larger subsystems, which then in turn are linked, sometimes in many levels, until a complete top-level system is formed. This strategy often resembles a "seed" model, by which the beginnings are small, but eventually grow in complexity and completeness. Object-oriented programming (OOP) is a paradigm that uses "objects" to design applications and computer programs. In mechanical engineering with software programs such as Pro/ENGINEER, Solidworks, and Autodesk Inventor users can design products as pieces not part of the whole and later add those pieces together to form assemblies like building with Lego. Engineers call this piece part design. In a bottom-up approach, good intuition is necessary to decide the functionality that is to be provided by the module. If a system is to be built from an existing system, this approach is more suitable as it starts from some existing modules.


Parsing

Parsing Parsing, syntax analysis, or syntactic analysis is the process of analyzing a string of symbols, either in natural language, computer languages or data structures, conforming to the rules of a formal grammar. The term ''parsing'' comes from L ...
is the process of analyzing an input sequence (such as that read from a file or a keyboard) in order to determine its grammatical structure. This method is used in the analysis of both natural languages and
computer language A computer language is a formal language used to communicate with a computer. Types of computer languages include: * Construction language – all forms of communication by which a human can specify an executable problem solution to a comput ...
s, as in a
compiler In computing, a compiler is a computer program that translates computer code written in one programming language (the ''source'' language) into another language (the ''target'' language). The name "compiler" is primarily used for programs tha ...
. Bottom-up parsing is a strategy for analyzing unknown data relationships that attempts to identify the most fundamental units first, and then to infer higher-order structures from them. Top-down parsers, on the other hand, hypothesize general parse tree structures and then consider whether the known fundamental structures are compatible with the hypothesis. See
Top-down parsing Top-down parsing in computer science is a parsing strategy where one first looks at the highest level of the parse tree and works down the parse tree by using the rewriting rules of a formal grammar. LL parsers are a type of parser that uses a top- ...
and
Bottom-up parsing In computer science, parsing reveals the grammatical structure of linear input text, as a first step in working out its meaning. Bottom-up parsing recognizes the text's lowest-level small details first, before its mid-level structures, and leavin ...
.


Nanotechnology

Top-down and bottom-up are two approaches for the manufacture of products. These terms were first applied to the field of nanotechnology by the
Foresight Institute The Foresight Institute (Foresight) is a San Francisco-based research non-profit that promotes the development of nanotechnology and other emerging technologies, such as safe AGI, biotech and longevity. Foresight runs four cross-disciplinary pr ...
in 1989 in order to distinguish between molecular manufacturing (to mass-produce large atomically precise objects) and conventional manufacturing (which can mass-produce large objects that are not atomically precise). Bottom-up approaches seek to have smaller (usually molecular) components built up into more complex assemblies, while top-down approaches seek to create nanoscale devices by using larger, externally controlled ones to direct their assembly. Certain valuable nanostructures, such as Silicon nanowires, can be fabricated using either approach, with processing methods selected on the basis of targeted applications. The top-down approach often uses the traditional workshop or microfabrication methods where externally controlled tools are used to cut, mill, and shape materials into the desired shape and order.
Micropatterning Micropatterning is the art of miniaturisation of patterns. Especially used for electronics, it has recently become a standard in biomaterials engineering and for fundamental research on cellular biology by mean of soft lithography. It generally ...
techniques, such as photolithography and
inkjet printing Inkjet printing is a type of computer printing that recreates a digital image by propelling droplets of ink onto paper and plastic substrates. Inkjet printers were the most commonly used type of printer in 2008, and range from small inexpen ...
belong to this category. Vapor treatment can be regarded as a new top-down secondary approaches to engineer nanostructures. Bottom-up approaches, in contrast, use the
chemical A chemical substance is a form of matter having constant chemical composition and characteristic properties. Some references add that chemical substance cannot be separated into its constituent elements by physical separation methods, i.e., w ...
properties of single molecules to cause single-molecule components to (a) self-organize or self-assemble into some useful conformation, or (b) rely on positional assembly. These approaches utilize the concepts of molecular self-assembly and/or
molecular recognition The term molecular recognition refers to the specific interaction between two or more molecules through noncovalent bonding such as hydrogen bonding, metal coordination, hydrophobic forces, van der Waals forces, π-π interactions, halogen ...
. See also
Supramolecular chemistry Supramolecular chemistry refers to the branch of chemistry concerning chemical systems composed of a discrete number of molecules. The strength of the forces responsible for spatial organization of the system range from weak intermolecular forces ...
. Such bottom-up approaches should, broadly speaking, be able to produce devices in parallel and much cheaper than top-down methods, but could potentially be overwhelmed as the size and complexity of the desired assembly increases.


Neuroscience and psychology

These terms are also employed in
neuroscience Neuroscience is the scientific study of the nervous system (the brain, spinal cord, and peripheral nervous system), its functions and disorders. It is a multidisciplinary science that combines physiology, anatomy, molecular biology, developme ...
,
cognitive neuroscience Cognitive neuroscience is the scientific field that is concerned with the study of the biological processes and aspects that underlie cognition, with a specific focus on the neural connections in the brain which are involved in mental process ...
and cognitive psychology to discuss the flow of information in processing. Typically sensory input is considered "bottom-up", and higher cognitive processes, which have more information from other sources, are considered "top-down". A bottom-up process is characterized by an absence of higher level direction in sensory processing, whereas a top-down process is characterized by a high level of direction of sensory processing by more cognition, such as goals or targets (Biederman, 19). According to college teaching notes written by Charles Ramskov, Rock, Neiser, and Gregory claim that top-down approach involves perception that is an active and constructive process. Additionally, it is an approach not directly given by stimulus input, but is the result of stimulus, internal hypotheses, and expectation interactions. According to Theoretical Synthesis, "when a stimulus is presented short and clarity is uncertain that gives a vague stimulus, perception becomes a top-down approach." Conversely, psychology defines bottom-up processing as an approach wherein there is a progression from the individual elements to the whole. According to Ramskov, one proponent of bottom-up approach, Gibson, claims that it is a process that includes visual perception that needs information available from proximal stimulus produced by the distal stimulus. Theoretical Synthesis also claims that bottom-up processing occurs "when a stimulus is presented long and clearly enough." Cognitively speaking, certain cognitive processes, such as fast reactions or quick visual identification, are considered bottom-up processes because they rely primarily on sensory information, whereas processes such as
motor An engine or motor is a machine designed to convert one or more forms of energy into mechanical energy. Available energy sources include potential energy (e.g. energy of the Earth's gravitational field as exploited in hydroelectric power g ...
control and directed attention are considered top-down because they are goal directed. Neurologically speaking, some areas of the brain, such as area V1 mostly have bottom-up connections. Other areas, such as the
fusiform gyrus The fusiform gyrus, also known as the ''lateral occipitotemporal gyrus'','' ''is part of the temporal lobe and occipital lobe in Brodmann area 37. The fusiform gyrus is located between the lingual gyrus and parahippocampal gyrus above, and th ...
have inputs from higher brain areas and are considered to have top-down influence. The study of visual attention provides an example. If your attention is drawn to a flower in a field, it may be because the color or shape of the flower are visually salient. The information that caused you to attend to the flower came to you in a bottom-up fashion—your attention was not contingent upon knowledge of the flower; the outside stimulus was sufficient on its own. Contrast this situation with one in which you are looking for a flower. You have a representation of what you are looking for. When you see the object you are looking for, it is salient. This is an example of the use of top-down information. In cognitive terms, two thinking approaches are distinguished. "Top-down" (or "big chunk") is stereotypically the visionary, or the person who sees the larger picture and overview. Such people focus on the big picture and from that derive the details to support it. "Bottom-up" (or "small chunk") cognition is akin to focusing on the detail primarily, rather than the landscape. The expression "seeing the wood for the trees" references the two styles of cognition. Studies done in task switching and response selection show that there are differences through the two types of processing. Top down primarily focuses on the attention side, Such as task repetition (Schneider, 2015).  While bottom-up focuses on item- based learning. Such as finding the same object over and over again( Schneider, 2015). Implications for understanding attentional control of response selection in conflict situations are discussed (Schneider, 2015). Also in how we structure these processing neroogically. With structuring information interfaces in our neurological processes for procdeual learning. These processes where proven effective to work in our interface design. However, Although both top-down principles were effective in guiding interface design, they were not sufficient. They can be combined with iterative bottom-up methods to produce usable interfaces  (Zacks & Tversky, 2003).


Schooling

Undergraduate students are taught the basis of Top-down bottom-up processing around their third year in the program. Going through 4 main parts of the processing when viewing it from a learning perspective. The two main definitions; Being bottom-up processing that is determined directly by environmental stimuli rather than the individual's knowledge and expectations (Koch, 2022). Top-down being stimulus processing that is determined by expectations, memory, and knowledge rather than directly by the stimulus (Koch, 2022). These are fairly standard definitions since the students are just learning, its good for them.


Management and organization

In the fields of management and organization, the terms "top-down" and "bottom-up" are used to describe how decisions are made and/or how change is implemented. A "''top-down''" approach is where an executive decision maker or other top person makes the decisions of how something should be done. This approach is disseminated under their authority to lower levels in the hierarchy, who are, to a greater or lesser extent, bound by them. For example, when wanting to make an improvement in a hospital, a hospital administrator might decide that a major change (such as implementing a new program) is needed, and then the leader uses a planned approach to drive the changes down to the frontline staff (Stewart, Manges, Ward, 2015). A "''bottom-up''" approach to changes is one that works from the grassroots—from a large number of people working together, causing a decision to arise from their joint involvement. A decision by a number of activists, students, or victims of some incident to take action is a "bottom-up" decision. A bottom-up approach can be thought of as "an incremental change approach that represents an emergent process cultivated and upheld primarily by frontline workers" (Stewart, Manges, Ward, 2015, p. 241). Positive aspects of top-down approaches include their efficiency and superb overview of higher levels. Also, external effects can be internalized. On the negative side, if reforms are perceived to be imposed 'from above', it can be difficult for lower levels to accept them (e.g. Bresser-Pereira, Maravall, and Przeworski 1993). Evidence suggests this to be true regardless of the content of reforms (e.g. Dubois 2002). A bottom-up approach allows for more experimentation and a better feeling for what is needed at the bottom. Other evidence suggests that there is a third combination approach to change (see Stewart, Manges, Ward, 2015).


Public health

Both top-down and bottom-up approaches exist in
public health Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals". Analyzing the det ...
. There are many examples of top-down programs, often run by governments or large
inter-governmental organizations An international organization or international organisation (see spelling differences), also known as an intergovernmental organization or an international institution, is a stable set of norms and rules meant to govern the behavior of states a ...
(IGOs); many of these are disease-specific or issue-specific, such as
HIV The human immunodeficiency viruses (HIV) are two species of ''Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the immune ...
control or
Smallpox Smallpox was an infectious disease caused by variola virus (often called smallpox virus) which belongs to the genus Orthopoxvirus. The last naturally occurring case was diagnosed in October 1977, and the World Health Organization (WHO) c ...
Eradication. Examples of bottom-up programs include many small NGOs set up to improve local access to healthcare. However, a lot of programs seek to combine both approaches; for instance,
guinea worm eradication Dracunculiasis, or Guinea worm disease, is an infection by the Guinea worm. In 1986, there were an estimated 3.5 million cases of Guinea worm in 20 endemic nations in Asia and Africa. Ghana alone reported 180,000 cases in 1989. The number of ...
, a single-disease international program currently run by the
Carter Center The Carter Center is a nongovernmental, not-for-profit organization founded in 1982 by former U.S. President Jimmy Carter. He and his wife Rosalynn Carter partnered with Emory University just after his defeat in the 1980 United States presid ...
has involved the training of many local volunteers, boosting bottom-up capacity, as have international programs for hygiene, sanitation, and access to primary health-care.


Architecture

Often, the
École des Beaux-Arts École des Beaux-Arts (; ) refers to a number of influential art schools in France. The term is associated with the Beaux-Arts style in architecture and city planning that thrived in France and other countries during the late nineteenth centur ...
school of design is said to have primarily promoted top-down design because it taught that an architectural design should begin with a parti, a basic plan drawing of the overall project. By contrast, the
Bauhaus The Staatliches Bauhaus (), commonly known as the Bauhaus (), was a German art school operational from 1919 to 1933 that combined crafts and the fine arts.Oxford Dictionary of Art and Artists (Oxford: Oxford University Press, 4th edn., 20 ...
focused on bottom-up design. This method manifested itself in the study of translating small-scale organizational systems to a larger, more architectural scale (as with the wood panel carving and furniture design).


Ecology

In
ecology Ecology () is the study of the relationships between living organisms, including humans, and their physical environment. Ecology considers organisms at the individual, population, community, ecosystem, and biosphere level. Ecology overl ...
, top-down control refers to when a top predator controls the structure or population dynamics of the
ecosystem An ecosystem (or ecological system) consists of all the organisms and the physical environment with which they interact. These biotic and abiotic components are linked together through nutrient cycles and energy flows. Energy enters the syste ...
. The interactions between these top predators and their prey is what influences lower
trophic level The trophic level of an organism is the position it occupies in a food web. A food chain is a succession of organisms that eat other organisms and may, in turn, be eaten themselves. The trophic level of an organism is the number of steps it ...
s. Changes in the top level of trophic levels have an inverse effect on the lower trophic levels. Top-down control can have negative effects on the surrounding ecosystem if there is a drastic change in the number of predators. The classic example is of
kelp forest Kelp forests are underwater areas with a high density of kelp, which covers a large part of the world's coastlines. Smaller areas of anchored kelp are called kelp beds. They are recognized as one of the most productive and dynamic ecosystems on Ea ...
ecosystems. In such ecosystems, sea otters are a keystone predator. They prey on urchins which in turn eat
kelp Kelps are large brown algae seaweeds that make up the order Laminariales. There are about 30 different genera. Despite its appearance, kelp is not a plant - it is a heterokont, a completely unrelated group of organisms. Kelp grows in "underwa ...
. When otters are removed, urchin populations grow and reduce the kelp forest creating
urchin barren An urchin barren is an area of the shallow part of the ocean where the population growth of sea urchins has gone unchecked, causing destructive grazing of kelp forests. Process Sea urchins eat kelp holdfasts. This can be caused by a lack of sea ...
s. This reduces the diversity of the ecosystem as a whole and can detrimental effects on all of the other organisms. In other words, such ecosystems are not controlled by productivity of the kelp, but rather, a top predator. One can see the inverse effect that top-down control has in this example; when the population of otters decreased, the population of the urchins increased. Bottom-up control in ecosystems refers to ecosystems in which the nutrient supply, productivity, and type of
primary producer Primary or primaries may refer to: Arts, entertainment, and media Music Groups and labels * Primary (band), from Australia * Primary (musician), hip hop musician and record producer from South Korea * Primary Music, Israeli record label Works * ...
s (plants and phytoplankton) control the ecosystem structure. If there are not enough resources or producers in the ecosystem, there is not enough energy left for the rest of the animals in the food chain because of
biomagnification Biomagnification, also known as bioamplification or biological magnification, is any concentration of a toxin, such as pesticides, in the tissues of tolerant organisms at successively higher levels in a food chain. This increase can occur as a ...
and the ecological efficiency. An example would be how plankton populations are controlled by the availability of nutrients. Plankton populations tend to be higher and more complex in areas where upwelling brings nutrients to the surface. There are many different examples of these concepts. It is common for populations to be influenced by both types of control, and there is still debates going on as to which type of control affects food webs in certain ecosystems.


Philosophy and ethics

Top-down reasoning in ethics is when the reasoner starts from abstract universalisable principles and then reasons down them to particular situations. Bottom-up reasoning occurs when the reasoner starts from intuitive particular situational judgements and then reasons up to principles.
Reflective equilibrium Reflective equilibrium is a state of balance or coherence among a set of beliefs arrived at by a process of deliberative mutual adjustment among general principles and particular judgements. Although he did not use the term, philosopher Nelson G ...
occurs when there is interaction between top-down and bottom-up reasoning until both are in harmony. That is to say, when universalisable abstract principles are reflectively found to be in equilibrium with particular intuitive judgements. The process occurs when cognitive dissonance occurs when reasoners try to resolve top-down with bottom-up reasoning, and adjust one or the other, until they are satisfied they have found the best combinations of principles and situational judgements.


See also

*
The Cathedral and the Bazaar ''The Cathedral and the Bazaar: Musings on Linux and Open Source by an Accidental Revolutionary'' (abbreviated ''CatB'') is an essay, and later a book, by Eric S. Raymond on software engineering methods, based on his observations of the Linux ...
* Pseudocode


References cited

* * * * * https://philpapers.org/rec/COHTNO


Citations and notes


Further reading

*Corpeño, E (2021). "The Top-Down Approach to Problem Solving: How to Stop Struggling in Class and Start Learning". . * *Goldstein, E.B. (2010). ''Sensation and Perception''. USA: Wadsworth. *Galotti, K. (2008). ''Cognitive Psychology: In and out of the laboratory''. USA: Wadsworth. *Dubois, Hans F.W. 2002. Harmonization of the European vaccination policy and the role TQM and reengineering could play. Quality Management in Health Care 10(2): 47–57. * J. A. Estes, M. T. Tinker, T. M. Williams, D. F. Doak "Killer Whale Predation on Sea Otters Linking Oceanic and Nearshore Ecosystems", ''Science'', October 16, 1998: Vol. 282. no. 5388, pp. 473 – 476 * *
Luiz Carlos Bresser-Pereira Luiz Carlos Bresser-Pereira (born 30 June 1934) is a Brazilian economist and social scientist. He teaches at the Getulio Vargas Foundation, in São Paulo. Since 1981, he has edited the ''Brazilian Journal of Political Economy''. Bresser-Pereir ...
, José María Maravall, and Adam Przeworski, 1993. Economic reforms in new democracies. Cambridge: Cambridge University Press. . *


External links


"Program Development by Stepwise Refinement"
''Communications of the ACM'', Vol. 14, No. 4, April (1971)
Integrated Parallel Bottom-up and Top-down Approach
In Proceedings of the International Emergency Management Society's Fifth Annual Conference (TIEMS 98), May 19–22, Washington DC, USA (1998).
Changing Your Mind: On the Contributions of Top-Down and Bottom-Up Guidance in Visual Search for Feature Singletons
''Journal of Experimental Psychology: Human Perception and Performance'', Vol. 29, No. 2, 483–502, 2003. * K. Eric Drexler and Christine Peterson

Foresight Briefing No. 2, 1989.
Empowering sustained patient safety: the benefits of combining top-down and bottom-up approaches
{{DEFAULTSORT:Top-Down and Bottom-Up Design Dichotomies Information science Neuropsychology Software design Management science Hierarchy