Speccy is too basic for monitoring temps and voltages, you need something like HWMonitor.
Put your card theough it paces with Unigene Valley benchmark (free) and see how it gets on, Valley from here
Changing the intake/exhaust direction of the fans would not alter anything, you would still have the same whatever problems in the middle.
Good/tidy cable management doesnt half help with keeping things cool.
Your RAM is reading 1.5V in the BIOS so leave as is now and see how things go.
Put your card theough it paces with Unigene Valley benchmark (free) and see how it gets on, Valley from here
aye, it was push/pull before, but, there was alot of problems in the middle restricting proper flow.

Good/tidy cable management doesnt half help with keeping things cool.
Your RAM is reading 1.5V in the BIOS so leave as is now and see how things go.