That means a case heard in a trial court was appealed to an appellate court; the appellate court agreed with the lower court's decision, and determined the case was conducted properly. When this happens, the appellate court "affirms" the trial court decision, and that decision becomes final unless the case is carried to a higher appellate court that reverses the trial court's decision.
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A "higher court" is typically acting in an appellate capacity. The "lower court" is often the trial court. The trial court is charged with hearing evidence, making rulings on the admissibility of evidence, and applying the correct law to the facts. From that, a decision is reached on the merits of the case.
When an appellate (higher) court upholds the lower court's decision, it essentially means that it believes that the trial court applied the correct law and applied it correctly.
We call this "Certiorari". It's the ability for the higher courts to review, amend, and direct the lower courts to take a specific action requiring a case submitted to them. Typically, laymens call it an appeal.
The types of rulings are to uphold ,or keep the original decision made by the district court , reverse the district court's decision , or remand the case.
A decision made by a higher court sets a binding precedent for the inferior court(s).
In the Federal court system, the district courts are the "lowest" courts. Cases usually start in district court and are decided there. The circuit courts are courts of appeal. That means that you can appeal a district court's ruling to the circuit court (and then to the Supreme Court, if you still don't like the ruling). In that sense, the circuit courts are "higher" than the district courts.
The main job of the Supreme Court is to uphold the US Constitution. It is the highest court in the US and its job is to interpret the meaning of the law.
other courts use the decision as a guideline when they rule on similar cases