Validation Data Research Articles

Meta-analysis of new intervention measures for preventing side effects of artificial joint replacement

BACKGROUND Intertrochanteric fracture of the femur occurs mostly among older people, and seriously affects daily life and quality of life. At present, physical intervention, drug treatment, routine intervention and rehabilitation training are widely used for prevention of side effects, but it is still inconclusive which intervention has the best effect. AIM To compare the effects of new intervention measures for preventing side effects of artificial joint replacement. METHODS We searched the Chinese and English literatures for comparative studies on the prevention of side effects of new interventions for artificial joint replacement from July 2013 to June 2023 in China HowNet, PubMed, Wanfang, Weipu and other databases. Study quality was evaluated by improved Jadad scoring standard, and the effects of different interventions on preventing different complications were analyzed by meta-analysis of evidence-based medicine with Review Manager 5.0 software. RESULTS Ten articles, including 869 cases, were finally included. The preventive effects of different interventions on the side effects of artificial joint replacement were studied, and valid data were extracted. There were two articles on the preventive effects of drug intervention, four on comparison of the preventive effects of combined and single interventions, and three on the preventive effects of physical intervention, rehabilitation training and routine intervention. Meta-analysis showed that the preventive effect of rivaroxaban was significantly better than low molecular weight heparin calcium [mean difference (MD) = -0.16, 95%CI: -0.28 to -0.04, P < 0.05]. The effect of combined intervention was significantly better than that of single intervention (MD = -0.08, 95%CI: -0.16 to -0.01, P < 0.001). Physical intervention was significantly better than routine intervention and rehabilitation training (MD = 0.26, 95%CI: 0.16–0.36, P < 0.001). CONCLUSION Rivaroxaban combined with rehabilitation training is preferred for preventing deep vein thrombosis after artificial joint replacement. In the prevention of pulmonary embolism, rivaroxaban drug intervention is given priority. The effect of combined intervention is better than that of single intervention.

Constructed wetlands as nature-based solutions in managing per-and poly-fluoroalkyl substances (PFAS): Evidence, mechanisms, and modelling.

Per- and poly-fluoroalkyl substances (PFAS) have emerged as newly regulated micropollutants, characterised by extreme recalcitrance and environmental toxicity. Constructed wetlands (CWs), as a nature-based solution, have gained widespread application in sustainable water and wastewater treatment and offer multiple environmental and societal benefits. Despite CWs potential, knowledge gaps persist in their PFAS removal capacities, associated mechanisms, and modelling of PFAS fate. This study carried out a systematic literature review, supplemented by unpublished experimental data, demonstrating the promise of CWs for PFAS removal from the influents of varying sources and characteristics. Median removal performances of 64, 46, and 0% were observed in five free water surface (FWS), four horizontal subsurface flow (HF), and 18 vertical flow (VF) wetlands, respectively. PFAS adsorption by the substrate or plant root/rhizosphere was deemed as a key removal mechanism. Nevertheless, the available dataset resulted unsuitable for a quantitative analysis. Data-driven models, including multiple regression models and machine learning-based Artificial Neural Networks (ANN), were employed to predict PFAS removal. These models showed better predictive performance compared to various mechanistic models, which include two adsorption isotherms. The results affirmed that artificial intelligence is an efficient tool for modelling the removal of emerging contaminants with limited knowledge of chemical properties. In summary, this study consolidated evidence supporting the use of CWs for mitigating new legacy PFAS contaminants. Further research, especially long-term monitoring of full-scale CWs treating real wastewater, is crucial to obtain additional data for model development and validation.

Predicting drug solubility in organic solvents mixtures: A machine-learning approach supported by high-throughput experimentation.

A novel approach based on supervised machine-learning is proposed to predict the solubility of drugs and drug-like molecules in mixtures of organic solvents. Similar to quantitative structure-property relationship (QSPR) models, different solvent types are identified by molecular descriptors, which, in this study, are considered as UNIFAC subgroups. To overcome the potential lack of UNIFAC subgroups for the complex Active Pharmaceutical Ingredients (APIs) currently developed in the pharmaceutical industry, the API molecule is considered as a unique entity in the proposed modelling approach. Therefore, API solubility is predicted as a function of temperature, functional subgroups of the solvents and composition of the solvent mixture; in turn, regressors' correlation is handled through Partial Least-Squares (PLS) regression. The method is developed and tested with experimental data of a real API and 14 organic solvents that are industrially employed for crystallisation. Solubility predictions are accurate and precise for single solvents, binary mixtures and ternary mixtures of organic solvents at different compositions and temperatures, with a determination coefficient R2 ≥ 0.90. To further test the applicability of the model, the proposed approach is applied to 9 literature organic solubility datasets of drugs and drug-like compounds and compared to benchmark solubility models in the literature. Results show that the proposed approach provides satisfactory predictions: the majority of validation and calibration data have R2 = 0.95-0.99; the ratio between RMSE (root mean squared error) of the proposed method and the range of measured solubility values is from 1 to 3 orders of magnitude smaller than the RMSE ratio obtained by the benchmark models.

Development and first-stage validation of a digital version of the Digit Symbol Substitution test for use in assessing cognitive function in older people with diabetes.

To describe the development and report the first-stage validation of a digital version of the digit symbol substitution test (DSST), for assessment of cognitive function in older people with diabetes. A multidisciplinary team of experts was convened to conceptualize and build a digital version of the DSST and develop a machine-learning (ML) algorithm to analyse the inputs. One hundred individuals with type 2 diabetes (aged ≥ 60 years) were invited to participate in a one-time meeting in which both the digital and the pencil-and-paper (P&P) versions of the DSST were administered. Information pertaining to demographics, laboratory measurements, and diabetes indices was collected. The correlation between the digital and P&P versions of the test was determined. Additionally, as part of the validation process, the performance of the digital version in people with and without known risk factors for cognitive impairment was analysed. The ML model yielded an overall accuracy of 89.1%. A strong correlation was found between the P&P and digital versions (r = 0.76, p < 0.001) of the DSST, as well as between the ML model and the manual reading of the digital DSST (r = 0.99, p < 0.001). This study describes the development of and provides first-stage validation data for a newly developed digital cognitive assessment tool that may be used for screening and surveillance of cognitive function in older people with diabetes. More studies are needed to further validate this tool, especially when self-administered and in different clinical settings.

Clinical biomarker-based biological age predicts deaths in Brazilian adults: the ELSA-Brasil study.

Biological age is a construct that seeks to evaluate the biological wear and tear process of the organism that cannot be observed by chronological age. We estimate individuals' biological age based on biomarkers from multiple systems and validate it through its association with mortality from natural causes. Biological age was estimated in 12,109 participants (6621 women and 5488 men) from the first visit of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) who had valid data for the biomarkers used in the analyses. Biological age was estimated using the Klemera and Doubal method. The difference between chronological age and biological age (Δage) was computed. Cox proportional hazard models stratified by sex were used to assess whether Δage was associated with mortality risk after a median follow-up of 9.1years. The accuracy of the models was estimated by the area under the curve (AUC). Δage had equal mean for men and women, with greater variability for men. Cox models showed that every 1-year increase in Δage was associated with increased mortality in men (HR (95% CI) 1.21; 1.17-1.25) and women (HR (95% CI) 1.24; 1.15-1.34), independently of chronological age. Results of the AUC demonstrated that the predictive power of models that only included chronological age (AUC chronological age = 0.7396) or Δage (AUC Δage = 0.6842) was lower than those that included both, chronological age and Δage (AUC chronological age + Δage = 0.802), in men. This difference was not observed in women. We demonstrate that biological age is strongly related to mortality in both genders and is a valid predictor of death in Brazilian adults, especially among men.

FAIR health data in the national and international data space

Health data are extremely important in today's data-driven world. Through automation, healthcare processes can be optimized, and clinical decisions can be supported. For any reuse of data, the quality, validity, and trustworthiness of data are essential, and it is the only way to guarantee that data can be reused sensibly. Specific requirements for the description and coding of reusable data are defined in the FAIR guiding principles for data stewardship. Various national research associations and infrastructure projects in the German healthcare sector have already clearly positioned themselves on the FAIR principles: both the infrastructures of the Medical Informatics Initiative and the University Medicine Network operate explicitly on the basis of the FAIR principles, as do the National Research Data Infrastructure for Personal Health Data and the German Center for Diabetes Research.To ensure that aresource complies with the FAIR principles, the degree of FAIRness should first be determined (so-called FAIR assessment), followed by the prioritization for improvement steps (so-called FAIRification). Since 2016, aset of tools and guidelines have been developed for both steps, based on the different, domain-specific interpretations of the FAIR principles.Neighboring European countries have also invested in the development of anational framework for semantic interoperability in the context of the FAIR (Findable, Accessible, Interoperable, Reusable) principles. Concepts for comprehensive data enrichment were developed to simplify data analysis, for example, in the European Health Data Space or via the Observational Health Data Sciences and Informatics network. With the support of the European Open Science Cloud, among others, structured FAIRification measures have already been taken for German health datasets.

Diagnostic utility of clinicodemographic, biochemical and metabolite variables to identify viable pregnancies in a symptomatic cohort during early gestation

A significant number of pregnancies are lost in the first trimester and 1–2% are ectopic pregnancies (EPs). Early pregnancy loss in general can cause significant morbidity with bleeding or infection, while EPs are the leading cause of maternal mortality in the first trimester. Symptoms of pregnancy loss and EP are very similar (including pain and bleeding); however, these symptoms are also common in live normally sited pregnancies (LNSP). To date, no biomarkers have been identified to differentiate LNSP from pregnancies that will not progress beyond early gestation (non-viable or EPs), defined together as combined adverse outcomes (CAO). In this study, we present a novel machine learning pipeline to create prediction models that identify a composite biomarker to differentiate LNSP from CAO in symptomatic women. This prospective cohort study included 370 participants. A single blood sample was prospectively collected from participants on first emergency presentation prior to final clinical diagnosis of pregnancy outcome: LNSP, miscarriage, pregnancy of unknown location (PUL) or tubal EP (tEP). Miscarriage, PUL and tEP were grouped together into a CAO group. Human chorionic gonadotrophin β (β-hCG) and progesterone concentrations were measured in plasma. Serum samples were subjected to untargeted metabolomic profiling. The cohort was randomly split into train and validation data sets, with the train data set subjected to variable selection. Nine metabolite signals were identified as key discriminators of LNSP versus CAO. Random forest models were constructed using stable metabolite signals alone, or in combination with plasma hormone concentrations and demographic data. When comparing LNSP with CAO, a model with stable metabolite signals only demonstrated a modest predictive accuracy (0.68), which was comparable to a model of β-hCG and progesterone (0.71). The best model for LNSP prediction comprised stable metabolite signals and hormone concentrations (accuracy = 0.79). In conclusion, serum metabolite levels and biochemical markers from a single blood sample possess modest predictive utility in differentiating LNSP from CAO pregnancies upon first presentation, which is improved by variable selection and combination using machine learning. A diagnostic test to confirm LNSP and thus exclude pregnancies affecting maternal morbidity and potentially life-threatening outcomes would be invaluable in emergency situations.

Deconvolution analysis identified altered hepatic cell landscape in primary sclerosing cholangitis and primary biliary cholangitis

IntroductionPrimary sclerosing cholangitis (PSC) and primary biliary cholangitis (PBC) are characterized by ductular reaction, hepatic inflammation, and liver fibrosis. Hepatic cells are heterogeneous, and functional roles of different hepatic cell phenotypes are still not defined in the pathophysiology of cholangiopathies. Cell deconvolution analysis estimates cell fractions of different cell phenotypes in bulk transcriptome data, and CIBERSORTx is a powerful deconvolution method to estimate cell composition in microarray data. CIBERSORTx performs estimation based on the reference file, which is referred to as signature matrix, and allows users to create custom signature matrix to identify specific phenotypes. In the current study, we created two custom signature matrices using two single cell RNA sequencing data of hepatic cells and performed deconvolution for bulk microarray data of liver tissues including PSC and PBC patients.MethodsCustom signature matrix files were created using single-cell RNA sequencing data downloaded from GSE185477 and GSE115469. Custom signature matrices were validated for their deconvolution performance using validation data sets. Cell composition of each hepatic cell phenotype in the liver, which was identified in custom signature matrices, was calculated by CIBERSORTx and bulk RNA sequencing data of GSE159676. Deconvolution results were validated by analyzing marker expression for the cell phenotype in GSE159676 data.ResultsCIBERSORTx and custom signature matrices showed comprehensive performance in estimation of population of various hepatic cell phenotypes. We identified increased population of large cholangiocytes in PSC and PBC livers, which is in agreement with previous studies referred to as ductular reaction, supporting the effectiveness and reliability of deconvolution analysis in this study. Interestingly, we identified decreased population of small cholangiocytes, periportal hepatocytes, and interzonal hepatocytes in PSC and PBC liver tissues compared to healthy livers.DiscussionAlthough further studies are required to elucidate the roles of these hepatic cell phenotypes in cholestatic liver injury, our approach provides important implications that cell functions may differ depending on phenotypes, even in the same cell type during liver injury. Deconvolution analysis using CIBERSORTx could provide a novel approach for studies of specific hepatic cell phenotypes in liver diseases.

Blockchain self-update smart contract for supply chain traceability with data validation

Abstract A sustainable supply chain management strategy reduces risks and meets environmental, economic and social objectives by integrating environmental and financial practices. In an ever-changing environment, supply chains have become vulnerable at many levels. In a global supply chain, carefully tracing a product is of great importance to avoid future problems. This paper describes a self-updating smart contract, which includes data validation, for tracing global supply chains using blockchains. Our proposal uses a machine learning model to detect anomalies on traceable data, which helps supply chain operators detect anomalous behavior at any point in the chain in real time. Hyperledger Caliper has been used to evaluate our proposal, and obtained a combined average throughput of 184 transactions per second and an average latency of 0.41 seconds, ensuring that our proposal does not negatively impact supply chain processes while improving supply chain management through data anomaly detection.

Analysis of AlphaMissense data in different protein groups and structural context

Single amino acid substitutions can profoundly affect protein folding, dynamics, and function. The ability to discern between benign and pathogenic substitutions is pivotal for therapeutic interventions and research directions. Given the limitations in experimental examination of these variants, AlphaMissense has emerged as a promising predictor of the pathogenicity of missense variants. Since heterogenous performance on different types of proteins can be expected, we assessed the efficacy of AlphaMissense across several protein groups (e.g. soluble, transmembrane, and mitochondrial proteins) and regions (e.g. intramembrane, membrane interacting, and high confidence AlphaFold segments) using ClinVar data for validation. Our comprehensive evaluation showed that AlphaMissense delivers outstanding performance, with MCC scores predominantly between 0.6 and 0.74. We observed low performance on disordered datasets and ClinVar data related to the CFTR ABC protein. However, a superior performance was shown when benchmarked against the high quality CFTR2 database. Our results with CFTR emphasizes AlphaMissense’s potential in pinpointing functional hot spots, with its performance likely surpassing benchmarks calculated from ClinVar and ProteinGym datasets.

Emergency Department Risk Model: Timely Identification of Patients for Outpatient Care Coordination

Emergency Department Risk Model: Timely Identification of Patients for Outpatient Care Coordination

Machine Learning-Based Predictive Models for Patients with Venous Thromboembolism: A Systematic Review.

Venous thromboembolism (VTE) is a chronic disorder with a significant health and economic burden. Several VTE-specific clinical prediction models (CPMs) have been used to assist physicians in decision-making but have several limitations. This systematic review explores if machine learning (ML) can enhance CPMs by analyzing extensive patient data derived from electronic health records. We aimed to explore ML-CPMs' applications in VTE for risk stratification, outcome prediction, diagnosis, and treatment. Three databases were searched: PubMed, Google Scholar, and IEEE electronic library. Inclusion criteria focused on studies using structured data, excluding non-English publications, studies on non-humans, and certain data types such as natural language processing and image processing. Studies involving pregnant women, cancer patients, and children were also excluded. After excluding irrelevant studies, a total of 77 studies were included. Most studies report that ML-CPMs outperformed traditional CPMs in terms of receiver operating area under the curve in the four clinical domains that were explored. However, the majority of the studies were retrospective, monocentric, and lacked detailed model architecture description and external validation, which are essential for quality audit. This review identified research gaps and highlighted challenges related to standardized reporting, reproducibility, and model comparison. ML-CPMs show promise in improving risk assessment and individualized treatment recommendations in VTE. Apparently, there is an urgent need for standardized reporting and methodology for ML models, external validation, prospective and real-world data studies, as well as interventional studies to evaluate the impact of artificial intelligence in VTE.

Secure high-density constellation mapping OTFS modulation scheme with low PAPR

In this paper, a secure orthogonal time-frequency space (OTFS) modulation transmission system based on 3D dense constellation mapping (DCM) geometric shaping is proposed, and a selective reduction amplitude algorithm (SRA) for DCM to reduce peak average power ratio (PAPR) is presented. The DCM is based on regular tetrahedron construction to improve its space utilization efficiency. The proposed SRA involves reducing high PAPRs transmitter and restoring them at the receiving end, which only requires an additional 0.57% of the total transmission capacity. The algorithm reduces PAPR while ensuring the bit error rate performance of the system, so it is suitable for systems that need to process large amounts of transmitted data quickly. By verifying the actual transmission performance on a 2 km of 7-core optical fiber transmission system, the optical transmission with a bit rate of 33.93Gb/s is achieved. The experimental results show that when the bit error rate (BER) reaches the 3.8×10−3 threshold, the OTFS system using DCM and SRA could improve the receiver sensitivity by 3.7 dB compared with the OTFS system using concentric cube mapping and SRA, and 2.7 dB compared with the OFDM system using DCM. After adding the SRA, the PAPR of the OTFS system is reduced by more than 2.2 dB. When the received optical power reaches near the bit error rate threshold, the SRA valid data can be fully recovered by optimizing the SRA.

Cross-cultural validation and formulation of key evidence-based back pain messages for Zambian nurses.

Workplace attitudes among nurses with back pain disability are usually unsupportive as nurses tend to rely on passive approaches like pain medications and taking sick leave to manage the impact of their back pain experiences. To lessen the burden of back pain disability, this paper aimed to collate information from publicly accessible health resources such as posters, pamphlets, and electronic resources and cross-culturally validate this information for nurses in Zambia. Focus group discussions were used to produce the validation data for this study's qualitative research design. For cross-cultural validation, deductive analysis was carried out using Herdman's framework for Conceptual Equivalence, Item Equivalence, and Semantic Equivalence. The 14 messages on back pain given to the participants were reviewed to enhance clarity, applicability, and acceptability. Messages with similar meanings were merged, reducing the total number to 7. The revisions made to the 14 back pain messages aimed to improve understanding, acceptability, and relevance within the contexts and circumstances in which nurses' practice. This is important because the messages adapted for use in low- and middle-income countries like Zambia are equivalent and applicable to those originally developed in high-income countries.

Data Validation Utilizing Expert Knowledge and Shape Constraints

Data validation is a primary concern in any data-driven application, as undetected data errors may negatively affect machine learning models and lead to suboptimal decisions. Data quality issues are usually detected manually by experts, which becomes infeasible and uneconomical for large volumes of data. To enable automated data validation, we propose “shape constraint-based data validation”, a novel approach based on machine learning that incorporates expert knowledge in the form of shape constraints. Shape constraints can be used to describe expected (multivariate and nonlinear) patterns in valid data, and enable the detection of invalid data which deviates from these expected patterns. Our approach can be divided into two steps: (1) shape-constrained prediction models are trained on data, and (2) their training error is analyzed to identify invalid data. The training error can be used as an indicator for invalid data because shape-constrained models can fit valid data better than invalid data. We evaluate the approach on a benchmark suite consisting of synthetic datasets, which we have published for benchmarking similar data validation approaches. Additionally, we demonstrate the capabilities of the proposed approach with a real-world dataset consisting of measurements from a friction test bench in an industrial setting. Our approach detects subtle data errors that are difficult to identify even for domain experts.

OPTIMIZATION OF CNN + MOBILENETV3 FOR INSECT IDENTIFICATION: TOWARD HIGH ACCURACY

Developments in the field of artificial intelligence and deep learning, particularly Convolutional Neural Networks (CNN) techniques, have expanded the research potential and applications in ecology, including efficient and accurate insect classification. However, there are challenges in achieving high levels of accuracy with similar computational efficiency. In response, the efficient MobileNetV3 architecture was investigated to improve the insect pest classification process. Through an analytical descriptive quantitative approach and insect datasets from Kaggle, this study tested the effectiveness of CNN models optimized with MobileNetV3. The results indicated that the optimized model achieved classification accuracy of up to 90%, with consistent performance between training and validation data and significant loss reduction. With high precision and processing efficiency, this discovery makes a substantial contribution to deep learning applications in the field of intelligent agriculture, promising methodological improvements for other classification problems. Despite offering a promising solution, this study recognizes the limitation in dataset diversity and suggests further exploration with more varied datasets to strengthen the model's application in actual agricultural practices.

Studying eruption patterns of mandibular third molars for forensic age assessment: Introducing current reference data from a population of black South Africans.

Evaluation of the eruption of mandibular third molars in orthopantomograms (OPGs) is a method of forensic age assessment. The objective of our study was to provide valid reference data for this trait within a population of black South Africans. The study was guided by the criteria for reference studies in age assessment. A study population from Pretoria, South Africa comprising 670 OPGs obtained from 338 black females and 332 black males aged between 15.00 and 25.97 years was analysed. All OPGs were performed for medical indication during the period from 2011 to 2022 and were retrospectively evaluated. From the 670 OPGs, a total of 1021 mandibular third molars were evaluated. The assessment of mandibular third molars was conducted using the staging scale presented by Olze et al. in 2012. Two experienced dentists evaluated the OPGs independently of each other. If the two examiners diverged in their assessments, a consensus stage was assigned. As expected, the mean, median and minimal age increased with higher stages for both teeth and both sexes. The minimum age recorded for stage D, indicating complete tooth eruption, was 15.79 years in females and 16.62 years in males. As it is the case for previous reference studies in other countries, placing exclusive reliance on the evaluation of mandibular third molar eruption is inadequate for ascertaining the age of majority among Black South Africans. Future studies need to examine if our results are transferable to other countries in Sub-Saharan Africa.

Using satellite image data to identify rice varieties through linear spectral unmixing method (case study: Karangjati Sub District, Ngawi Regency)

&lt;p&gt;Remote sensing technology has increasingly emerged as a potent tool for precision agriculture, particularly in facilitating the mapping and monitoring of crops on a large scale. An application of this technology is the identification of different types of rice by analyzing the pixels acquired in satellite images. Regrettably, the pixels in the image have been mixed from different recorded items. Therefore, they have the potential to influence the outcome of the identification. An effective approach to address this problem is to employ the linear spectral unmixing (LSU) technique. The LSU approach quantifies the ratio of pure objects in every pixel of an image by utilizing the spectral value associated with the endmember of the rice variety. The investigation was carried out in the Karangjati District during the generative stage (70 ± DAP) of the rice planting season. The data indicates that the dominant variety is Inpari 32 HDB. The data validation tests, which involved the use of a confusion matrix and Kappa analysis, resulted in an overall accuracy rate of 85.48% and a Kappa analysis score of 70.6%.&lt;strong&gt;&lt;/strong&gt;&lt;/p&gt;

Age-related patterns in mandibular third molar eruption: presenting new forensic age assessment reference data from a Chinese population.

Valid reference data are essential for reliable forensic age assessment procedures in the living, a fact that extends to the trait of mandibular third molar eruption in dental panoramic radiographs (PAN). The objective of this study was to acquire valid reference data for a northern Chinese population. The study was guided by the criteria for reference studies in age assessment.To this end, a study population from China comprising 917 panoramic radiographs obtained from 430 females and 487 males aged between 15.00 and 25.99 years was analysed. Of the 917 PANs, a total of 1230 mandibular third molars were evaluated.The PANs, retrospectively evaluated, were performed for medical indication during the period from 2016 to 2021. The assessment of mandibular third molars was conducted using the staging scale presented by Olze et al. in 2012. Two independent examiners, trained in assessing PANs for forensic age estimation, evaluated the images. In instances where the two examiners diverged in their assessments these were subsequently deliberated, and a consensus stage was assigned.The mean age increased with higher stages for both teeth and both sexes. The minimum age recorded for stage D, indicating complete tooth eruption, was 15.6 years in females and 16.1 years in males. Consequently, the completion of mandibular third molar eruption was observed in both sexes well before reaching the age of 18. In light of our results, it is evident that relying solely on the assessment of mandibular third molar eruption may not be sufficient for accurately determining the age of majority. Contrary to previous literature, this finding of a completed eruption of the mandibular third molars in northern Chinese individuals is only suitable for detecting the completion of the 16th year of life in males according to our results. However, as the results are inconsistent compared to other studies in the literature, the trait should not be used as the only decisive marker to prove this age threshold in males from northern China.

Implementation of the Teaching Factory Learning Model to Improve Student Competencies in Entrepreneurship Subjects at SMKN 1 Bagor, Nganjuk Regency

This study aims to determine (1) the implementation of the teaching factory learning program, (2) describe the implementation of the teaching factory learning model in improving students in entrepreneurship subjects. Teaching factory learning aims to train students to become entrepreneurs. Teaching factory is implemented by setting up a business unit or company at school. The method used in this research is descriptive qualitative method. The data collection techniques used are documentation, interviews and questionnaires. Data validity uses credibility test criteria, transferability, dependability, and confirmabilitaty criteria. The data analysis technique used is the Miles and Huberman model, namely data reduction (Data Reduction), data presentation (Data Display), and conclusion drawing / verification. The results of this study can be obtained that: 1) the implementation of teaching factory learning is in accordance with the concepts and elements, equipment and equipment have been fulfilled, the marketing aspect has not been maximized, 2) teaching factory learning to improve student competence in entrepreneurship subjects. The goal is to train and facilitate students to maximize their talents and interests. The principles make students independent by instilling an entrepreneurial mentality, and 3) students have motivation to move forward, creativity, commitment innovation and honesty, The level of tendency of the entrepreneurial spirit of students is included in the high category. the implementation of the teaching factory learning model in improving student competence in entrepreneurship subjects includes 3 components, namely: (1) Product, (2) Block Schedule, (3) Job Sheet. The results of the Implementation of the Teaching Factory Learning Model are: the practical learning process is carried out based on real work procedures (real job), teaching factory learning is done by learning by doing, teaching factory learning activities produce learning that takes place centered on students (student active learning). Keywords: teaching factory learning model, student entrepreneurial competence