Impact of failure mode and effects analysis-based emergency management on the effectiveness of craniocerebral injury treatment

BACKGROUND Craniocerebral injuries encompass brain injuries,skull fractures,cranial soft tissue injuries,and similar injuries.Recently,the incidence of craniocerebral injuries has increased dramatically due to the increased numbers of traffic accidents and aerial work injuries,threatening the physical and mental health of patients.AIM To investigate the impact of failure modes and effects analysis(FMEA)-based emergency management on craniocerebral injury treatment effectiveness.METHODS Eighty-four patients with craniocerebral injuries,treated at our hospital from November 2019 to March 2021,were selected and assigned,using the random number table method,to study(n=42)and control(n=42)groups.Patients in the control group received conventional management while those in the study group received FMEA theory-based emergency management,based on the control group.Pre-and post-interventions,details regarding the emergency situation;levels of inflammatory stress indicators[Interleukin-6(IL-6),C-reactive protein(CRP),and procalcitonin(PCT)];incidence of complications;prognoses;and satisfaction regarding patient care were evaluated for both groups.RESULTS For the study group,the assessed parameters[pre-hospital emergency response time(9.13±2.37 min),time to receive a consultation(2.39±0.44 min),time needed to report imaging findings(1.15±4.44 min),and test reporting time(32.19±6.23 min)]were shorter than those for the control group(12.78±4.06 min,3.58±0.71 min,33.49±5.51 min,50.41±11.45 min,respectively;P<0.05).Pre-intervention serum levels of IL-6(78.71±27.59 pg/mL),CRP(19.80±6.77 mg/L),and PCT(3.66±1.82 ng/mL)in the study group patients were not significantly different from those in the control group patients(81.31±32.11 pg/mL,21.29±8.02 mg/L,and 3.95±2.11 ng/mL respectively;P>0.05);post-intervention serum indicator levels were lower in both groups than pre-intervention levels.Further,serum levels of IL-6(17.35±5.33 pg/mL),CRP(2.27±0.56 mg/L),and PCT(0.22±0.07 ng/mL)were lower in the study group than in the control group(30.15±12.38 pg/mL,3.13±0.77 mg/L,0.38±0.12 ng/mL,respectively;P<0.05).The complication rate observed in the study group(9.52%)was lower than that in the control group(26.19%,P<0.05).The prognoses for the study group patients were better than those for the control patients(P<0.05).Patient care satisfaction was higher in the study group(95.24%)than in the control group(78.57%,P<0.05).CONCLUSION FMEA-based craniocerebral injury management effectively shortens the time spent on emergency care,reduces inflammatory stress and complication risk levels,and helps improve patient prognoses,while achieving high patient care satisfaction levels.

The single-longitudinal-mode operation of a ridge waveguide laser based on two-dimensional photonic crystals

An electrically driven, single-longitudinal-mode GaAs based photonic crystal （PC） ridge waveguide （RWG） laser emitting at around 850 nm is demonstrated. The single-longitudinal-mode lasing characteristic is achieved by introducing the PC to the RWG laser. The triangle PC is etched on both sides of the ridge by photolithography and inductive coupled plasma （ICP） etching. The lasing spectra of the RWG lasers with and without the PC are studied, and the result shows that the PC purifies the longitudinal mode. The power per facet versus current and current-voltage characteristics have also been studied and compared.

Comprehensive Reliability Allocation Method for CNC Lathes Based on Cubic Transformed Functions of Failure Mode and Effects Analysis

Reliability allocation of computerized numerical controlled（CNC）lathes is very important in industry.Traditional allocation methods only focus on high-failure rate components rather than moderate failure rate components,which is not applicable in some conditions.Aiming at solving the problem of CNC lathes reliability allocating,a comprehensive reliability allocation method based on cubic transformed functions of failure modes and effects analysis（FMEA）is presented.Firstly,conventional reliability allocation methods are introduced.Then the limitations of direct combination of comprehensive allocation method with the exponential transformed FMEA method are investigated.Subsequently,a cubic transformed function is established in order to overcome these limitations.Properties of the new transformed functions are discussed by considering the failure severity and the failure occurrence.Designers can choose appropriate transform amplitudes according to their requirements.Finally,a CNC lathe and a spindle system are used as an example to verify the new allocation method.Seven criteria are considered to compare the results of the new method with traditional methods.The allocation results indicate that the new method is more flexible than traditional methods.By employing the new cubic transformed function,the method covers a wider range of problems in CNC reliability allocation without losing the advantages of traditional methods.

Resonant magneto-optical Kerr effect induced by hybrid plasma modes in ferromagnetic nanovoids

With nanovoids buried in Co films, resonant structures were observed in spectra of polar magneto-optical Kerr effect（MOKE）, where both a narrow bandwidth and high intensity were acquired. Through changing the thickness of Co films and the lattice of voids, different optical modes were introduced. For a very shallow array of voids, the resonant MOKE was induced by Ag plasma edge resonance, for deeper ones, hybrid plasma modes, such as void plasmons in the voids, surface lattice plasmons between the voids, and the co-action of them, etc. resulted in resonant MOKE. We found that resonant MOKE resulted from the void plasmons resonance which possesses the narrowest bandwidth for the lowest absorption of voids. The simulated electromagnetic field（EF） distribution consolidated different effects of these three optical modes on resonant MOKE modulation. Such resonant polar MOKE possesses high sensitivity, which might pave the way to on-chip MO devices.

Temperature dependence of mode coupling effect in piezoelectric vibrator made of[001]c-poled Mn-doped 0.24PIN-0.46PMN-0.30PT ternary single crystals with high electromechanical coupling factor

The influence of temperature on mode coupling effect in piezoelectric vibrators remains unclear.In this work,we discuss the influence of temperature on two-dimensional(2D)mode coupling effect and electromechanical coupling coefficient of cylindrical[001]c-poled Mn-doped 0.24PIN-0.46PMN-0.30PT piezoelectric single-crystal vibrator with an arbitrary configuration ratio.The electromechanical coupling coefficient kt decreases with temperature increasing,whereas k33 is largely invariant in a temperature range of 25℃-55℃.With the increase of temperature,the shift in the‘mode dividing point’increases the scale of the poling direction of the piezoelectric vibrator.The temperature has little effect on coupling constantΓ.At a given temperature,the coupling constantΓof the cylindrical vibrator is slightly greater than that of the rectangular vibrator.When the temperature changes,the applicability index(M)values of the two piezoelectric vibrators are close to 1,indicating that the coupling theory can be applied to piezoelectric vibrators made of late-model piezoelectric single crystals.

Application of Fuzzy Decision-Making Theory and Conflict-Resolution Method to Failure Mode and Effect Analysis of Industrial Valve

It is not objective to rate the decision-making factors in the traditional failure mode and effect analysis,so fuzzy semantic theory is used in this paper.Six fuzzy semantic scales and their corresponding semantics are summarized,and a defuzzification method is studied to obtain the fuzzy value table of the six fuzzy semantic scales.For the conflicts between experts in the traditional failure mode and effects analysis,a conflict-resolution algorithm is studied to obtain the failure risk order.Finally,a certain type of industrial valve is used as an example to prove the validity of the theory proposed in this paper.

Failure Modes of Machining Center in Test Run

To analysis the early failures of machining centers,the failure mode effect and criticality analysis( FMECA) method was used. Based on the failure data collected from production lines in test run,all the failure modes of machining centers were summarized and criticality of all subsystems is figured out. And the process of FMECA was improved. The most critical subsystem was manipulator subsystem. The most critical failure mode was impacted manipulator. Reasons and effect of some important failure modes were analyzed. And some suggestions to solve failures were given.

Failure Mode Effects and Criticality Analysis Method of Armored Equipment Based on Testability Growth

In view of the low level testability of armored equipment,the important significance of armored equipment testability growth is discussed in this paper.The failure mode effects and criticality analysis( FMECA) method to realize testability growth is introduced.Centering on the testability growth demands of new armored equipment,the deficiencies of traditional FMECA are analyzed.And an enhanced FMECA( EFMECA) method is proposed.The method increases the analysis contents,combines the information before the failure occurrence and impending failure modes together organically.Then the failure symptoms is analyzed,the failure modes and effects is determined,and the state development trend is predicted.Finally,the application of EFMECA method is illustrated by the example of the failure mode of typical armored equipment engine.

Risk Evaluation in Blood Donation Using Failure Mode and Effective Analysis

The recognition and management of risk in donation process and blood product is critical to ensure donor and patient safety. To achieve this goal, the failure mode and effects analysis (FMEA) is a convenient method;moreover it was used to prevent the occurrence of adverse events and look at what could go strong at each step. This study aimed to utilize FMEA in central blood bank in Khartoum to evaluate the potential risk and adverse event that may occur during the donation process. According to the severity, occurrence and the detection of each failure mode, the risk priority number (RPN) was calculated to determine which of the failures should take priority to find a solution and applying corrective action to reduce the failure risk. The statistical package for social sciences (SPSS) version 11 was used as descriptive and analytical statistics tool. The FMEA technique provides a systematic method for finding vulnerabilities in a process before they result in an error, and in this study a satisfactory outcome was reached.

Effect of Hyper-Resistivity on Nonlinear Tearing Modes

We analytically investigate nonlinear tearing modes with the anomalous electron viscosity or,as it is normally called,hyper-resistivity.In contrast to the flux average method used by previous work,we employ the standard singular perturbation technique and a quasilinear method to obtain the time evolution equation of tearing modes.The result that the magnetic flux grows with time in a scaling as t^（2/3）demonstrates that nonlinear tearing modes with the hyper-resistivity effect alone have a weaker dependence on time than that of the corresponding resistive case.

Effect of Healthcare Failure Mode and Effect Analysis on Reducing Error Risk of Neonatal Parenteral Nutrition Solution Dispensing

[Objectives]To investigate the effect of healthcare failure mode and effect analysis(HFMEA)on reducing error risk of neonatal parenteral nutrition solution dispensing.[Methods]A research team was established to identify the failure mode(FM)in each link of the formulation process of neonatal parenteral nutrition solution by HFMEA,quantify the severity(S),occurrence(O)and detection(D)of FM,and evaluate FM by risk priority number(RPN).For FM with the values of RPN>16,failure cause analysis was conducted,and corresponding improvement measures were formulated.The weight coefficient and random consistency ratio(CR)of deployment process were calculated in Matlab R2018a by compiling the Analytic Hierarchy Process(AHP)program.Six months after the implementation of improvement measures,the implementation effect was evaluated by comparing the changes of the values of RPN which was evaluated comprehensively and the rate of dispensing errors before and after the implementation of HFMEA.[Results]In the preparation process of neonatal parenteral nutrition solution,a total of 13 FMs with medium and above risk were found,the weight coefficient of medical order review,dosing and mixing was 0.2703,the weight coefficient of drug dispensing check and review was 0.1432,the weight coefficient of print label was 0.1015,the weight coefficient of distribution was 0.0716,and CR=0.0491<0.1.After six months of intervention,the total RPN value decreased by 64.81%from 127.8 to 45.0.The deployment error rates were significantly lower after the implementation,and the difference was statistically significant(P<0.05).[Conclusions]HFMEA can effectively reduce the error risk in preparation of neonatal parenteral nutrition solution,improve the quality of dispensing and promote the safety of neonatal medication.

Therapeutic effect of a dualchamber pacemaker with the optimized program-control mode on long-qt syndrome

Objectives To explore the optimized program-control mode of a dual-chamber pacemaker combined withβ-blocker to treat congenital long QT syndrome(LQTS). Methods 12 LQTS patients in our hospital that still have symptoms despite use of regular drug therapies or that can not endure the therapies were implanted with DDD cardiac pacemaker.The QT/QTc intervals of those patients were measured at different pacing rates respectively.Their cardiac pacemakers were all programmed to selectively turn on and turn off some related functions at the pacing rate of 80 beats/min.The dosage ofβ-blockers was adjusted according to the patients’ PR intervals and blood pressures.The MACE and the cardiac function of the patients were recorded after operation.Results The measured QT / QTc interval decreased with the pacing rate increasing.The pacing rate of 80 beats/min can make QT/QTc interval basically normal. The MACE of the patients were statistically declined(P = 0.003) and no negative effect on cardiac function was found during the follow-up.Conclusions The optimized program-control mode of a dual-chamber pacemaker combined withβ-blocker to treat congenital LQTS are:to pace at the rate of 80 beats/min and program to turn off lag,sleep,automatic preventing PMT and automatic threshold-capture feature and turn on the PVC,rate adaptation and atrioventricular node priority function.

Effect of Interaction on the Majorana Zero Modes in the Kitaev Chain at Half Filling

The one-dimensional interacting Kitaev chain at half filling is studied. The symmetry of the Hamiltonian is examined by dual transformations, and various physical quantities as a function of the fermion-fermion interaction U are calculated systematically using the density matrix renormalization group method. A special value of interaction Up is revealed in the topological region of the phase diagram. We show that at Up the ground states are strictly two-fold degenerate even though the chain length is finite and the zero-energy peak due to the Majorana zero modes is maximally enhanced and exactly localized at the end sites. Here Up may be attractive or repulsive depending on other system parameters. We also give a qualitative understanding of the effect of interaction under the self-consistent mean field framework.

Effects of Strong Turbulence on the Spiral Plane Mode of Whittaker-Gaussian Beam through Terrene-Atmosphere

The analytic formulae of probability distribution of spiral plane modes for the Whittaker-Gaussian （WG） beams with orbital angular momentum （OAM） in strong turbulence regime are modeled based on the modified Rytov approximation. Numerical results show that the erosstalk range of OAM modes in the vicinity of signal mode increases with the increasing refractive-index construction parameter. However, effects of change of the width of the Gaussian envelope and the parameter Wo of WG beams on normalization energy weight of signal mode can be ignored. We find theoretically that signal spiral plane mode of WG beams at each OAM level approximatively has the same normalization energy weight, implying that the channels with WG （pseudo non-diffraction） beam have higher channel capacity than the channels with the Laguerre-Gaussian beam.

A DISCUSSION ABOUT THE EFFECTIVENESS ON USING A VARIATE-TRANSFORMATION TO FIND OUT SOLUTIONS OF MODE Ⅲ CRACK PROBLEMS IN POWER HARDENING MEDIA

By the use of the transformations of physical plane to strain plane and physical planeto stress plane,an analytic expression of the asymptotic solution near a modeⅢcrack tipin a power hardening medium can be obtained.In this paper the effectiveness of thetransformation is discussed.Analytical results show that the transformation is effectiveexcept for a special limit case of power hardening media—the ideal plastic materials.

A Computer Aided System for URT Maintenance Optimization Based on a FMEA-fuzzy Model

In recent years, urban rail transit （URT） systems have rapidly developed in China, however, their existing strategies for vehicle maintenance are still based on experiential and qualitative methods which result in either high cost or emergencies. In this paper, a tentative attempt at introducing the fuzzy set theory into quantitative analysis and assessment of URT trains＇ failures was presented. Based on the proposed FMEA-fuzzy model, a com- puter aided system for URT maintenance optimization was developed. The overall structure and procedure of the system were described in detail, and the important issues, including the development environment, improvement to FMEA table, acquisition of weight distribution matrix P, and setting of fuzzy vector R, were also discussed. Initial application into the vehicle maintenance of Shanghai Metro System shows, that the proposed model and computer aided system have a good performance and consequently are worth further development.

Effect of irrigation modes on the senescence of hybrid rice after heading

The pot experiment was designed to investigate therelationship between the senescence of hybrid riceand the irrigation mode and conducted during1984-1985.There were 30 pots for each treatmentand each pot contained 17.5 kg soil.Hybrid riceShanyou 6 was sown on 10 Jun ahd transplanted

基于数据仓库汽车零部件失效诊断研究

本文以汽车零部件的失效诊断为技术背景,根据失效诊断技术过程,提出了失效诊断数据仓库的功能架构,描述了集成化建模方法,对数据的收集、集成、存储、管理等方面进行研究,以提高数据仓库的准确度,并提供了基于此架构的系统实现案例,指出了要进一步研究的问题。为汽车零部件失效诊断数据仓库建设提供了一种实用而有效的新途径。

Numerical analysis of photonic crystal fiber with chalcogenide core tellurite cladding composite microstructure

Kinds of photonic crystal fibers with chalcogenide core tellurite cladding composite microstructure are proposed. The multi-core photonic crystal fiber can reach the higher nonlinearity coefficient and the larger effective mode area. The small single-core photonic crystal fiber has a very high nonlinearity coefficient. At the wavelength λ=0.8μm, the nonlinearity coefficient can reach 31.37053 W-1·m-1, at the wavelength λ=1.55μm, the nonlinearity coefficient is 11.19686W-1·m-1.

Self-consistent kinetic theory with nonlinear wave-particle resonances

We have developed, based on the oscillating-center transformation, a general theoretical approach for self-consistent plasma dynamics including, explicitly, effects of nonlinear(higherorder) wave-particle resonances. A specific example is then given for low-frequency responses of trapped particles in axisymmetric tokamaks. Possible applications to transport as well as nonlinear wave growth/damping are also briefly discussed.