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An Integrated Approach to Condition-Based Maintenance Decision-Making of Planetary Gearboxes: Combining Temporal Convolutional Network Auto Encoders with Wiener Process
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作者 Bo Zhu Enzhi Dong +3 位作者 Zhonghua Cheng Xianbiao Zhan Kexin Jiang Rongcai Wang 《Computers, Materials & Continua》 2026年第1期661-686,共26页
With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance s... With the increasing complexity of industrial automation,planetary gearboxes play a vital role in largescale equipment transmission systems,directly impacting operational efficiency and safety.Traditional maintenance strategies often struggle to accurately predict the degradation process of equipment,leading to excessive maintenance costs or potential failure risks.However,existing prediction methods based on statistical models are difficult to adapt to nonlinear degradation processes.To address these challenges,this study proposes a novel condition-based maintenance framework for planetary gearboxes.A comprehensive full-lifecycle degradation experiment was conducted to collect raw vibration signals,which were then processed using a temporal convolutional network autoencoder with multi-scale perception capability to extract deep temporal degradation features,enabling the collaborative extraction of longperiod meshing frequencies and short-term impact features from the vibration signals.Kernel principal component analysis was employed to fuse and normalize these features,enhancing the characterization of degradation progression.A nonlinear Wiener process was used to model the degradation trajectory,with a threshold decay function introduced to dynamically adjust maintenance strategies,and model parameters optimized through maximum likelihood estimation.Meanwhile,the maintenance strategy was optimized to minimize costs per unit time,determining the optimal maintenance timing and preventive maintenance threshold.The comprehensive indicator of degradation trends extracted by this method reaches 0.756,which is 41.2%higher than that of traditional time-domain features;the dynamic threshold strategy reduces the maintenance cost per unit time to 55.56,which is 8.9%better than that of the static threshold optimization.Experimental results demonstrate significant reductions in maintenance costs while enhancing system reliability and safety.This study realizes the organic integration of deep learning and reliability theory in the maintenance of planetary gearboxes,provides an interpretable solution for the predictive maintenance of complex mechanical systems,and promotes the development of condition-based maintenance strategies for planetary gearboxes. 展开更多
关键词 Temporal convolutional network autoencoder full lifecycle degradation experiment nonlinear Wiener process condition-based maintenance decision-making fault monitoring
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A Study on Maintenance Management and Maintenance Decision-Making Methods
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作者 ZHAOSong-zheng XIAOWei 《International Journal of Plant Engineering and Management》 2004年第1期8-10,共3页
By comparing the advantages and disadvantages of the main popular maintenance modes, this paper analyses the relationship between maintenance modes, and gives a model of maintenance decision-making. The model can be u... By comparing the advantages and disadvantages of the main popular maintenance modes, this paper analyses the relationship between maintenance modes, and gives a model of maintenance decision-making. The model can be used in enterprises to minimize life cycle cost (LCC). 展开更多
关键词 maintenance maintenance decision-making life cycle cost (LCC)
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Condition-Based Maintenance Decision-Making for Equipment 被引量:4
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作者 黄建新 边亚琴 李树彬 《Journal of Donghua University(English Edition)》 EI CAS 2014年第6期805-808,共4页
At present, condition monitoring and fault diagnosis technology and their application in engineering have been widely studied. Relatively little attention has been paid to condition-based maintenance decision-making f... At present, condition monitoring and fault diagnosis technology and their application in engineering have been widely studied. Relatively little attention has been paid to condition-based maintenance decision-making for equipment. In this paper,based on the decision-making policy in traditional condition-based maintenance,the connotation of condition-based maintenance for equipment was defined, and its characteristics were analyzed.Working contents of condition-based maintenance for equipment were provided,which were divided into three stages. The influence factors in condition-based maintenance for equipment were analyzed. The key links of equipment maintenance contents and decision-making process were proposed. The condition-based maintenance decision-making policy presented in this paper can provide a practical reference for equipment maintenance. 展开更多
关键词 condition-based maintenance decision-making EQUIPMENT working contents
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Maintenance decision-making method for manufacturing system based on cost and arithmetic reduction of intensity model 被引量:4
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作者 刘繁茂 朱海平 刘伯兴 《Journal of Central South University》 SCIE EI CAS 2013年第6期1559-1571,共13页
A cost-based selective maintenance decision-making method was presented.The purpose of this method was to find an optimal choice of maintenance actions to be performed on a selected group of machines for manufacturing... A cost-based selective maintenance decision-making method was presented.The purpose of this method was to find an optimal choice of maintenance actions to be performed on a selected group of machines for manufacturing systems.The arithmetic reduction of intensity model was introduced to describe the influence on machine failure intensity by different maintenance actions (preventive maintenance,minimal repair and overhaul).In the meantime,a resolution algorithm combining the greedy heuristic rules with genetic algorithm was provided.Finally,a case study of the maintenance decision-making problem of automobile workshop was given.Furthermore,the case study demonstrates the practicability of this method. 展开更多
关键词 selective maintenance preventive maintenance arithmetic reduction of intensity model hybrid genetic algorithm
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Overview of Condition-Based Maintenance Decision-Making Optimization Modeling of Multi-component System
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作者 WANG Lei ZHANG Yaohui 《Journal of Donghua University(English Edition)》 EI CAS 2018年第4期353-356,共4页
Overview about three key contents of condition-based maintenance decision-making of a multi-component system is analyzed based on maintenance optimization and modeling. The component deterioration model, the correlati... Overview about three key contents of condition-based maintenance decision-making of a multi-component system is analyzed based on maintenance optimization and modeling. The component deterioration model, the correlation between the degraded components and the system configuration are analyzed separately in the deterioration model of multi-component system.For the maintenance polices,the opportunistic maintenance( OM)policy and the grouping maintenance( GM) policy are analyzed and summarized in combination with the condition-based maintenance( CBM) modeling of multi-component system. It is put forward that CBM modeling of multi-component system should be further researched based on the inspection interval and the maintenance threshold of multi-component system in availability. 展开更多
关键词 MULTI-COMPONENT SYSTEM condition-based maintenance maintenance polices
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Research on an Intelligent Maintenance Decision-making Support System
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作者 YANGMing-zhong HUANGJin-guo ZANGTie-gang 《International Journal of Plant Engineering and Management》 2004年第2期85-90,共6页
A new synthetic model of maintenance decision-making, which is made by anartificial neural network (ANN) , expert system (ES) and emulation technology, is put forward. Bymeans of this model all kinds of maintenance re... A new synthetic model of maintenance decision-making, which is made by anartificial neural network (ANN) , expert system (ES) and emulation technology, is put forward. Bymeans of this model all kinds of maintenance resources with low cost can be effectively harmonized;accordingly, the reliability, maintenance efficiency and quality of equipment can be improved, soservice life of equipments is enhanced. 展开更多
关键词 fault diagnosis neural network expert system intelligent decision-making
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Integration of on-board monitoring data into infrastructure management for effective decision-making in railway maintenance
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作者 Tzu-Hao Yan Cyprien Hoelzl +2 位作者 Francesco Corman Vasilis Dertimanis Eleni Chatzi 《Railway Engineering Science》 2025年第2期151-168,共18页
Railway infrastructure is a crucial asset for the mobility of people and goods.The increased traffic frequency imposes higher loads and speeds,leading to accelerated infrastructure degradation.Asset managers require t... Railway infrastructure is a crucial asset for the mobility of people and goods.The increased traffic frequency imposes higher loads and speeds,leading to accelerated infrastructure degradation.Asset managers require timely information regarding the current(diagnosis)and future(prognosis)condition of their assets to make informed decisions on maintenance and renewal actions.In recent years,in-service vehicles equipped with on-board monitoring(OBM)measuring devices,such as accelerometers,have been introduced on railroad networks,traversing the network almost daily.This article explores the application of state-of-the-art OBM-based track quality indicators for railway infrastructure condition assessment and prediction,primarily under the prism of track geometry quality.The results highlight the similarities and advantages of applying track quality indicators generated from OBM measurements(high frequency and relatively lower accuracy data)compared to those generated from higher precision,yet temporally sparser,data collected by traditional track recording vehicles(TRVs)for infrastructure management purposes.The findings demonstrate the performance of the two approaches,further revealing the value of OBM information for monitoring the track status degradation process.This work makes a case for the advantageous use of OBM data for railway infrastructure management,and attempts to aid understanding in the application of OBM techniques for engineers and operators. 展开更多
关键词 On-board monitoring Structural health monitoring Railway systems and dynamics Predictive maintenance
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APPLICATION OF ROUGH SET THEORY TO MAINTENANCE LEVEL DECISION-MAKING FOR AERO-ENGINE MODULES BASED ON INCREMENTAL KNOWLEDGE LEARNING 被引量:3
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作者 陆晓华 左洪福 蔡景 《Transactions of Nanjing University of Aeronautics and Astronautics》 EI 2013年第4期366-373,共8页
The maintenance of an aero-engine usually includes three levels,and the maintenance cost and period greatly differ depending on the different maintenance levels.To plan a reasonable maintenance budget program, airline... The maintenance of an aero-engine usually includes three levels,and the maintenance cost and period greatly differ depending on the different maintenance levels.To plan a reasonable maintenance budget program, airlines would like to predict the maintenance level of aero-engine before repairing in terms of performance parameters,which can provide more economic benefits.The maintenance level decision rules are mined using the historical maintenance data of a civil aero-engine based on the rough set theory,and a variety of possible models of updating rules produced by newly increased maintenance cases added to the historical maintenance case database are investigated by the means of incremental machine learning.The continuously updated rules can provide reasonable guidance suggestions for engineers and decision support for planning a maintenance budget program before repairing. The results of an example show that the decision rules become more typical and robust,and they are more accurate to predict the maintenance level of an aero-engine module as the maintenance data increase,which illustrates the feasibility of the represented method. 展开更多
关键词 civil aero-engine maintenance level decision-making rough set incremental learning
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Bayesian Networks as a Support to Decision-Making When Evaluating Maintenance Scenarios
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作者 Daniela Ladiana Federico Novi Caterina Salvatori 《Journal of Civil Engineering and Architecture》 2020年第8期459-465,共7页
Contemporary architecture is characterized by an ever-greater morphological,functional and technological complexity.This requires new skills to effectively implement a process capable of ensuring an uninterrupted link... Contemporary architecture is characterized by an ever-greater morphological,functional and technological complexity.This requires new skills to effectively implement a process capable of ensuring an uninterrupted link between the concept of a building and its construction.The research described here focuses on implementing a tool for evaluating levels of maintenance quality applied at various stages in a project.In methodological terms,the research was conducted with the intention of constructing a system capable of managing the large number of variables involved in the design of a work of architecture from the earliest phases.The proposed digital model was defined through the construction and implementation of a Bayesian Network.The duration and maintainability of building components-generally expressed in statistical forecasts as expected duration in relation to operating conditions and as estimated costs and times of maintenance-were jointly evaluated using a synthetic index to generate a true overall rating of the various aspects that play a part in defining the quality of maintenance.The effectiveness of this decision-making support was tested in evaluations of complex architectural projects.Specifically,this text presents the results of an analysis of different maintenance scenarios for the ING Group Headquarters. 展开更多
关键词 maintenance-oriented design decision support system maintenance scenarios Bayesian networks rating system
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Voices that matter:The impact of patient-reported outcome measures on clinical decision-making 被引量:1
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作者 Naveen Jeyaraman Madhan Jeyaraman +2 位作者 Swaminathan Ramasubramanian Sangeetha Balaji Sathish Muthu 《World Journal of Methodology》 2025年第2期54-61,共8页
The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a pati... The critical role of patient-reported outcome measures(PROMs)in enhancing clinical decision-making and promoting patient-centered care has gained a profound significance in scientific research.PROMs encapsulate a patient's health status directly from their perspective,encompassing various domains such as symptom severity,functional status,and overall quality of life.By integrating PROMs into routine clinical practice and research,healthcare providers can achieve a more nuanced understanding of patient experiences and tailor treatments accordingly.The deployment of PROMs supports dynamic patient-provider interactions,fostering better patient engagement and adherence to tre-atment plans.Moreover,PROMs are pivotal in clinical settings for monitoring disease progression and treatment efficacy,particularly in chronic and mental health conditions.However,challenges in implementing PROMs include data collection and management,integration into existing health systems,and acceptance by patients and providers.Overcoming these barriers necessitates technological advancements,policy development,and continuous education to enhance the acceptability and effectiveness of PROMs.The paper concludes with recommendations for future research and policy-making aimed at optimizing the use and impact of PROMs across healthcare settings. 展开更多
关键词 Patient-reported outcome measures Clinical decision-making Patient-centered care Healthcare technology Data management Policy development
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Rule-Guidance Reinforcement Learning for Lane Change Decision-making:A Risk Assessment Approach 被引量:1
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作者 Lu Xiong Zhuoren Li +2 位作者 Danyang Zhong Puhang Xu Chen Tang 《Chinese Journal of Mechanical Engineering》 2025年第2期344-359,共16页
To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforce... To solve problems of poor security guarantee and insufficient training efficiency in the conventional reinforcement learning methods for decision-making,this study proposes a hybrid framework to combine deep reinforcement learning with rule-based decision-making methods.A risk assessment model for lane-change maneuvers considering uncertain predictions of surrounding vehicles is established as a safety filter to improve learning efficiency while correcting dangerous actions for safety enhancement.On this basis,a Risk-fused DDQN is constructed utilizing the model-based risk assessment and supervision mechanism.The proposed reinforcement learning algorithm sets up a separate experience buffer for dangerous trials and punishes such actions,which is shown to improve the sampling efficiency and training outcomes.Compared with conventional DDQN methods,the proposed algorithm improves the convergence value of cumulated reward by 7.6%and 2.2%in the two constructed scenarios in the simulation study and reduces the number of training episodes by 52.2%and 66.8%respectively.The success rate of lane change is improved by 57.3%while the time headway is increased at least by 16.5%in real vehicle tests,which confirms the higher training efficiency,scenario adaptability,and security of the proposed Risk-fused DDQN. 展开更多
关键词 Autonomous driving Reinforcement learning decision-making Risk assessment Safety filter
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A review of intelligent technologies for underground construction and infrastructure maintenance 被引量:1
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作者 Weiqiang Xie Wenzhao Meng Wei Wu 《Intelligent Geoengineering》 2025年第1期22-34,共13页
Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review cover... Scientific and technological advancements are rapidly transforming underground engineering,shifting from labor-intensive,time-consuming methods to automated,real-time systems.This timely and comprehensive review covers in-situ testing,intelligent monitoring,and geophysical testing methods,highlighting fundamental principles,testing apparatuses,data processing techniques,and engineering applications.The state-of-the-art summary emphasizes not only cutting-edge innovations for complex and harsh environments but also the transformative role of artificial intelligence and machine learning in data interpretations.The integration of big data and advanced algorithms is particularly impactful,enabling the identification,prediction,and mitigation of potential risks in underground projects.Key aspects of the discussion include detection capabilities,method integration,and data convergence of intelligent technologies to drive enhanced safety,operational efficiency,and predictive reliability.The review also examines future trends in intelligent technologies,emphasizing unified platforms that combine multiple methods,real-time data,and predictive analytics.These advancements are shaping the evolution of underground construction and maintenance,aiming for risk-free,high-efficiency underground engineering. 展开更多
关键词 Underground construction Infrastructure maintenance In-situ testing Intelligent monitoring Geophysical investigation
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Correlation between anxiety, depression, self-perceived burden, and psychological resilience in patients with chronic renal failure on maintenance hemodialysis 被引量:1
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作者 Yin-Yin Ye Liang-Fei Tao +3 位作者 Yan-Lang Yang Yu-Wei Wang Xiao-Ming Yang Hai-Hong Xu 《World Journal of Psychiatry》 2025年第7期103-110,共8页
BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receivi... BACKGROUND Research examining the relationships among anxiety,depression,self-perceived burden(SPB),and psychological resilience(PR),along with the determinants of PR,in patients with chronic renal failure(CRF)receiving maintenance hemodia-lysis(MHD)is limited.AIM To investigate the correlation between anxiety,depression,SPB,and PR in pati-ents with CRF on MHD.METHODS This study included 225 patients with CRF on MHD who were admitted between June 2021 and June 2024.The anxiety level was evaluated using the Self-Rating Anxiety Scale(SAS);the depression status was assessed using the Self-Rating Depression Scale(SDS);the SPB was measured using the SPB Scale(SPBS);and the PR was determined using the Connor–Davidson Resilience Scale(CD-RISC).The correlations among the SAS,SDS,SPB,and CD-RISC were analyzed using Pearson’s correlation coefficients.Univariate and multivariate analyses were performed to identify the factors that influence the PR of patients with CRF on MHD.RESULTS The SAS,SDS,SPB,and CD-RISC scores of the 225 patients were 45.25±15.36,54.81±14.68,32.31±11.52,and 66.48±9.18,respectively.Significant negative correlations were observed between SAS,SDS,SPB,and CD-RISC.Furthermore,longer dialysis vintage(P=0.015),the absence of religious beliefs(P=0.020),lower monthly income(P=0.008),higher SAS score(P=0.013),and higher SDS score(P=0.006)were all independent factors that adversely affected the PR of patients with CRF on MHD.CONCLUSION Patients with CRF on MHD present with varying degrees of anxiety,depression,and SPB,all of which exhibit a significant negative correlation with their PR.Moreover,longer dialysis vintage,the absence of religious beliefs,lower monthly income,higher SAS score,and higher SDS score were factors that negatively affected the PR of patients with CRF on MHD. 展开更多
关键词 Chronic renal failure maintenance hemodialysis ANXIETY DEPRESSION Self-perceived burden Psychological resilience
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A Synergistic Multi-Attribute Decision-Making Method for Educational Institutions Evaluation Using Similarity Measures of Possibility Pythagorean Fuzzy Hypersoft Sets
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作者 Khuram Ali Khan Saba Mubeen Ishfaq +1 位作者 Atiqe Ur Rahman Salwa El-Morsy 《Computer Modeling in Engineering & Sciences》 SCIE EI 2025年第1期501-530,共30页
Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pP... Due to the numerous variables to take into account as well as the inherent ambiguity and uncertainty,evaluating educational institutions can be difficult.The concept of a possibility Pythagorean fuzzy hypersoft set(pPyFHSS)is more flexible in this regard than other theoretical fuzzy set-like models,even though some attempts have been made in the literature to address such uncertainties.This study investigates the elementary notions of pPyFHSS including its set-theoretic operations union,intersection,complement,OR-and AND-operations.Some results related to these operations are also modified for pPyFHSS.Additionally,the similarity measures between pPyFHSSs are formulated with the assistance of numerical examples and results.Lastly,an intelligent decision-assisted mechanism is developed with the proposal of a robust algorithm based on similarity measures for solving multi-attribute decision-making(MADM)problems.A case study that helps the decision-makers assess the best educational institution is discussed to validate the suggested system.The algorithmic results are compared with the most pertinent model to evaluate the adaptability of pPyFHSS,as it generalizes the classical possibility fuzzy set-like theoretical models.Similarly,while considering significant evaluating factors,the flexibility of pPyFHSS is observed through structural comparison. 展开更多
关键词 Hypersoft set Pythagorean fuzzy hypersoft set computational complexity multi-attribute decision-making optimization similarity measures uncertainty
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Medical Diagnosis Based on Multi-Attribute Group Decision-Making Using Extension Fuzzy Sets,Aggregation Operators and Basic Uncertainty Information Granule
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作者 Anastasios Dounis Ioannis Palaiothodoros Anna Panagiotou 《Computer Modeling in Engineering & Sciences》 SCIE EI 2025年第1期759-811,共53页
Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective to... Accurate medical diagnosis,which involves identifying diseases based on patient symptoms,is often hindered by uncertainties in data interpretation and retrieval.Advanced fuzzy set theories have emerged as effective tools to address these challenges.In this paper,new mathematical approaches for handling uncertainty in medical diagnosis are introduced using q-rung orthopair fuzzy sets(q-ROFS)and interval-valued q-rung orthopair fuzzy sets(IVq-ROFS).Three aggregation operators are proposed in our methodologies:the q-ROF weighted averaging(q-ROFWA),the q-ROF weighted geometric(q-ROFWG),and the q-ROF weighted neutrality averaging(qROFWNA),which enhance decision-making under uncertainty.These operators are paired with ranking methods such as the similarity measure,score function,and inverse score function to improve the accuracy of disease identification.Additionally,the impact of varying q-rung values is explored through a sensitivity analysis,extending the analysis beyond the typical maximum value of 3.The Basic Uncertain Information(BUI)method is employed to simulate expert opinions,and aggregation operators are used to combine these opinions in a group decisionmaking context.Our results provide a comprehensive comparison of methodologies,highlighting their strengths and limitations in diagnosing diseases based on uncertain patient data. 展开更多
关键词 Medical diagnosis multi-attribute group decision-making(MAGDM) q-ROFS IVq-ROFS BUI aggregation operators similarity measures inverse score function
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Making Predictive Maintenance a Reality
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作者 Subash Senthil Mohanvel 《Intelligent Control and Automation》 2025年第1期1-18,共18页
While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect ... While Artificial Intelligence (AI) is leading the way in terms of hardware advancements, such as GPUs, memory, and processing power, real-time applications are still catching up. It is inevitable that when one aspect leads and other trails behind, they coexist in life, as is often the case. The trailing aspect cannot remain far behind because, without application and use, there would be a dead end. Everything, whether an object, software, or tool, must have a practical use for humans. Without this, it will become obsolete. We can see this in many instances, such as blockchain technology, which is superior yet faces challenges in practical implementation, leading to a decline in adoption. This publication aims to bridge the gap between AI advancements and maintenance, specifically focusing on making predictive maintenance a practical application. There are multiple building blocks that make predictive maintenance a practical application. Each block performs a function leading to an output. This output forms an input to the receiving block. There are also foundational parts for all these building blocks to perform a function. Eventually, once the building blocks are connected, they form a loop and start to lead the path to predictive maintenance. Predictive maintenance is indeed practically achievable, but one must comprehend all the building blocks necessary for its implementation. Although detailed explanations will be provided in the upcoming sections, it is important to understand that simply purchasing software and plugging it in might be a far-fetched approach. 展开更多
关键词 PREDICTIVE Predictive maintenance How to Achieve Predictive maintenance
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Healthcare providers’perspectives on factors influencing their critical care decision-making during the COVID-19 pandemic:An international pilot survey
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作者 Sonali Vadi Neha Sanwalka Pramod Thaker 《World Journal of Critical Care Medicine》 2025年第1期100-110,共11页
BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpfu... BACKGROUND Understanding a patient's clinical status and setting priorities for their care are two aspects of the constantly changing process of clinical decision-making.One analytical technique that can be helpful in uncertain situations is clinical judgment.Clinicians must deal with contradictory information,lack of time to make decisions,and long-term factors when emergencies occur.AIM To examine the ethical issues healthcare professionals faced during the coronavirus disease 2019(COVID-19)pandemic and the factors affecting clinical decision-making.METHODS This pilot study,which means it was a preliminary investigation to gather information and test the feasibility of a larger investigation was conducted over 6 months and we invited responses from clinicians worldwide who managed patients with COVID-19.The survey focused on topics related to their professional roles and personal relationships.We examined five core areas influencing critical care decision-making:Patients'personal factors,family-related factors,informed consent,communication and media,and hospital administrative policies on clinical decision-making.The collected data were analyzed using the χ^(2) test for categorical variables.RESULTS A total of 102 clinicians from 23 specialties and 17 countries responded to the survey.Age was a significant factor in treatment planning(n=88)and ventilator access(n=78).Sex had no bearing on how decisions were made.Most doctors reported maintaining patient confidentiality regarding privacy and informed consent.Approximately 50%of clinicians reported a moderate influence of clinical work,with many citing it as one of the most important factors affecting their health and relationships.Clinicians from developing countries had a significantly higher score for considering a patient's financial status when creating a treatment plan than their counterparts from developed countries.Regarding personal experiences,some respondents noted that treatment plans and preferences changed from wave to wave,and that there was a rapid turnover of studies and evidence.Hospital and government policies also played a role in critical decision-making.Rather than assessing the appropriateness of treatment,some doctors observed that hospital policies regarding medications were driven by patient demand.CONCLUSION Factors other than medical considerations frequently affect management choices.The disparity in treatment choices,became more apparent during the pandemic.We highlight the difficulties and contradictions between moral standards and the realities physicians encountered during this medical emergency.False information,large patient populations,and limited resources caused problems for clinicians.These factors impacted decision-making,which,in turn,affected patient care and healthcare staff well-being. 展开更多
关键词 SURVEY Clinical decision-making COVID-19 pandemic
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Development of Aircraft Maintenance Glossaries in Higher Education:Exploring Methodological Paths to Corpus-Driven Analysis of Key Keywords
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作者 Malila PRADO Daniela TERENZI Diego BRITO 《中国科技术语》 2025年第1期83-93,共11页
This paper presents a project aimed at developing a trilingual visual dictionary for aircraft maintenance professionals and students.The project addresses the growing demand for accurate communication and technical te... This paper presents a project aimed at developing a trilingual visual dictionary for aircraft maintenance professionals and students.The project addresses the growing demand for accurate communication and technical terminology in the aviation industry,particularly in Brazil and China.The study employs a corpus-driven approach,analyzing a large corpus of aircraft maintenance manuals to extract key technical terms and their collocates.Using specialized subcorpora and a comparative analysis,this paper demonstrates challenges and solutions into the identification of high-frequency keywords and explores their contextual use in aviation documentation,emphasizing the need for clear and accurate technical communication.By incorporating these findings into a trilingual visual dictionary,the project aims to enhance the understanding and usage of aviation terminology. 展开更多
关键词 aircraft maintenance CORPUS keyword extraction
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The relationship between proxy decision-making content and cues by families of patients with malignant brain tumor: A descriptive qualitative study
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作者 Runa Tokunaga Fumiyo Ishikawa 《International Journal of Nursing Sciences》 2025年第2期169-175,共7页
Objectives This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues le... Objectives This study aimed to clarify the relationship between the content of proxy decision-making made by families of patients with malignant brain tumors regarding treatment policies and daily care and the cues leading to those decisions.Methods Semi-structured personal interviews were used to collect data.Seven family members of patients with malignant brain tumors were selected to participate in the study by purposive sampling method from June to August 2022 in the Patient Family Association of Japan.Responses were content analyzed to explore the relationship between the content of decisions regarding“treatment policies”and“daily care”and the cues influencing those decisions.Semi-structured interviews were analyzed by using thematic analysis.Results The contents of proxy decisions regarding“treatment policies”included implementation,interruption,and termination of initial treatments,free medical treatments,use of respirators,and end-of-life sedation and included six cues:treatment policies suggested by the primary physician,information and knowledge about the disease and treatment obtained by the family from limited resources,perceived life threat from symptom worsening,words and reactions from the patient regarding treatment,patient’s personality and way of life inferred from their treatment preferences,family’s thoughts and values hoping for better treatment for the patient.Decisions for“daily care”included meal content and methods,excretion,mobility,maintaining cleanliness,rehabilitation,continuation or resignation from work,treatment settings(outpatient or inpatient),and ways to spend time outside and included seven cues:words and thoughts from the patient about their way of life,patient’s reactions and life history inferred from their preferred way of living,things the patient can do to maintain daily life and roles,awareness of the increasing inability to do things in daily life,family’s underlying thoughts and values about how to spend the remaining time,approval from family members regarding the care setting,advice from medical professionals on living at home.Conclusions For“treatment policies,”guidelines from medical professionals were a key cue,while for“daily care,”the small signs from the patients in their daily lives served as cues for proxy decision-making.This may be due to the lack of information available to families and the limited time available for discussion with the patient.Families of patients with malignant brain tumors repeatedly use multiple cues to make proxy decision-making under high uncertainty.Therefore,nurses supporting proxy decision-making should assess the family’s situation and provide cues that facilitate informed and confident decisions. 展开更多
关键词 Brain neoplasms FAMILY Nurses CUES Proxy decision-making
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An Explainable Autoencoder-Based Feature Extraction Combined with CNN-LSTM-PSO Model for Improved Predictive Maintenance
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作者 Ishaani Priyadarshini 《Computers, Materials & Continua》 2025年第4期635-659,共25页
Predictive maintenance plays a crucial role in preventing equipment failures and minimizing operational downtime in modern industries.However,traditional predictive maintenance methods often face challenges in adaptin... Predictive maintenance plays a crucial role in preventing equipment failures and minimizing operational downtime in modern industries.However,traditional predictive maintenance methods often face challenges in adapting to diverse industrial environments and ensuring the transparency and fairness of their predictions.This paper presents a novel predictive maintenance framework that integrates deep learning and optimization techniques while addressing key ethical considerations,such as transparency,fairness,and explainability,in artificial intelligence driven decision-making.The framework employs an Autoencoder for feature reduction,a Convolutional Neural Network for pattern recognition,and a Long Short-Term Memory network for temporal analysis.To enhance transparency,the decision-making process of the framework is made interpretable,allowing stakeholders to understand and trust the model’s predictions.Additionally,Particle Swarm Optimization is used to refine hyperparameters for optimal performance and mitigate potential biases in the model.Experiments are conducted on multiple datasets from different industrial scenarios,with performance validated using accuracy,precision,recall,F1-score,and training time metrics.The results demonstrate an impressive accuracy of up to 99.92%and 99.45%across different datasets,highlighting the framework’s effectiveness in enhancing predictive maintenance strategies.Furthermore,the model’s explainability ensures that the decisions can be audited for fairness and accountability,aligning with ethical standards for critical systems.By addressing transparency and reducing potential biases,this framework contributes to the responsible and trustworthy deployment of artificial intelligence in industrial environments,particularly in safety-critical applications.The results underscore its potential for wide application across various industrial contexts,enhancing both performance and ethical decision-making. 展开更多
关键词 Explainability feature reduction predictive maintenance OPTIMIZATION
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