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Failure Modes, Effects, and Criticality Analysis (FMECA) is a commonly used method for analyzing system reliability. It is frequently applied in identifying weak points in the reliability of CNC machine tools. However, traditional FMECA has issues such as vague descriptions of risk factors, equal treatment of risk factors, and unclear directions for improving weak points. In response to the issue of vague descriptions of risk factors, this paper further expands severity (S) into machine hazard (M) and personal hazard (P), and subdivides detectability (D) into functional structural complexity (D) and detection cost (D). In addressing the issue of treating risk factors equally, this paper integrates Distance Analysis Method (DAM) and Grey Relational Analysis (GRA) to propose Distance-Grey Relational Analysis (D-GRA). Subsequently, based on the D-GRA method, the weights of each risk factor were determined by comprehensively considering expert system scores and actual economic loss indicators. In response to the issue of unclear improvement directions for weak points, this paper introduces the BCC model. It treats common failure modes of CNC machine tools as decision-making units within the BCC model, refines risk factors as input indicators, and evaluates the efficiency values of each decision-making unit based on various actual losses as output indicators. Through efficiency value analysis, it proposes improvement directions for weak points. Then, based on the weights of risk factors and the efficiency values of failure modes, a modified calculation method for the new Risk Priority Number (RPN) is proposed to amend the traditional RPN, This paper takes the electric spindle system of a certain machining center as an example, applies the proposed method to rank common failure modes with the new RPN, and compares it with other RPN calculation methods to verify the rationality of the proposed approach. Finally, it presents improvement directions for reliability enhancement.
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http://dx.doi.org/10.1038/s41598-024-77920-7 | DOI Listing |
World J Pediatr Congenit Heart Surg
September 2025
Postgraduate Program in Health Sciences, Medical School, Federal University of Amazonas (UFAM), Manaus, Amazonas, Brazil.
To analyze in-hospital mortality in children undergoing congenital heart interventions in the only public referral center in Amazonas, North Brazil, between 2014 and 2022. This retrospective cohort study included 1041 patients undergoing cardiac interventions for congenital heart disease, of whom 135 died during hospitalization. Records were reviewed to obtain demographic, clinical, and surgical data.
View Article and Find Full Text PDFJAMA Netw Open
September 2025
Social and Behavioral Sciences Branch, Division of Population Health Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland.
Importance: Higher intellectual abilities have been associated with lower mortality risk in several longitudinal cohort studies. However, these studies did not fully account for early life contextual factors or test whether the beneficial associations between higher neurocognitive functioning and mortality extend to children exposed to early adversity.
Objective: To explore how the associations of child neurocognition with mortality changed according to the patterns of adversity children experienced.
Int J Surg
September 2025
Department of Gynecology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, Hainan, China.
Background: Ovarian cancer remains the most lethal gynecological cancer, with fewer than 50% of patients surviving more than five years after diagnosis. This study aimed to analyze the global epidemiological trends of ovarian cancer from 1990 to 2021 and also project its prevalence to 2050, providing insights into these evolving patterns and helping health policymakers use healthcare resources more effectively.
Methods: This study comprehensively analyzes the original data related to ovarian cancer from the GBD 2021 database, employing a variety of methods including descriptive analysis, correlation analysis, age-period-cohort (APC) analysis, decomposition analysis, predictive analysis, frontier analysis, and health inequality analysis.