Twelve tips for strengthening global equity in health professions education publication.

Despite recent calls to engage in scholarship with attention to anti-racism, equity, and social justice at a global level in Health Professions Education (HPE), the field has made few significant advances in incorporating the views of the so-called "Other" in understanding the nature, origin, and scope of knowledge as well as the epistemic justification of knowledge production. Editors, authors, and reviewers must take responsibility for questioning existing systems and structures, specifically about how they diffuse the knowledge of a few and silence the knowledge of many. This article presents 12 recommendations proposed by The Global South Counterspace Authors Collective (GSCAC), a group of HPE professionals, representing countries in the Global South, to help the Global North enact practical changes to become more inclusive and engage in authentic and representative work in HPE publishing. This list is not all-encompassing but a first step to begin rectifying non-inclusive structures in our field.

Advancing Fault Detection in HVAC Systems: Unifying Gramian Angular Field and 2D Deep Convolutional Neural Networks for Enhanced Performance.

Efficiency and comfort in buildings rely on on well-functioning HVAC systems. However, system faults can compromise performance. Modern data-driven fault detection methods, considering diverse techniques, encounter challenges in understanding intricate interactions and adapting to dynamic conditions present in HVAC systems during occupancy periods. Implementing fault detection during active operation, which aligns with real-world scenarios and captures dynamic interactions and environmental changes, is considered highly valuable. To address this, utilizing the dynamic simulation system HVAC SIMulation PLUS (HVACSIM+), an HVAC fault model was developed using 194 sensor signals from each HVAC component within a single-story, four-room building. The advanced HVAC fault detection framework, leveraging simulated HVAC operational scenarios with the Gramian angular field (GAF) and two-dimensional convolutional neural networks (GAF-2DCNNs), offers a robust and proactive solution. By utilizing the GAF capacity to convert time-series sensor data into informative 2D images, integrated with 2DCNN for automated feature extraction, hidden temporal relationships within 1D signals are captured. After training on nine significant HVAC faults and normal conditions during occupancy, the effectiveness of the proposed GAF-2DCNN is evaluated through comparisons with support vector machine (SVM), random forest (RF), and hybrid RF-SVM, one-dimensional convolutional neural networks (1D-CNNs). The results demonstrates an impressive overall accuracy of 97%, accompanied by precision, recall, and F1 scores that surpass 90% for individual HVAC faults. Through the introduction of the unified approach that integrates HVACSIM+ simulated data and GAF-2DCNN, a notable enhancement in robustness and reliability for handling substantial HVAC faults is achieved.

Hybrid Random Forest and Support Vector Machine Modeling for HVAC Fault Detection and Diagnosis.

The malfunctioning of the heating, ventilating, and air conditioning (HVAC) system is considered to be one of the main challenges in modern buildings. Due to the complexity of the building management system (BMS) with operational data input from a large number of sensors used in HVAC system, the faults can be very difficult to detect in the early stage. While numerous fault detection and diagnosis (FDD) methods with the use of statistical modeling and machine learning have revealed prominent results in recent years, early detection remains a challenging task since many current approaches are unfeasible for diagnosing some HVAC faults and have accuracy performance issues. In view of this, this study presents a novel hybrid FDD approach by combining random forest (RF) and support vector machine (SVM) classifiers for the application of FDD for the HVAC system. Experimental results demonstrate that our proposed hybrid random forest-support vector machine (HRF-SVM) outperforms other methods with higher prediction accuracy (98%), despite that the fault symptoms were insignificant. Furthermore, the proposed framework can reduce the significant number of sensors required and work well with the small number of faulty training data samples available in real-world applications.

Healthcare Provider Advocacy for Primary Health Care Strengthening: A Call for Action.

Primary Health Care (PHC) is the backbone of health systems and a cornerstone of Universal Health Coverage. In 2018, political commitment to PHC, including a comprehensive approach based on essential care throughout the lifespan, integrated public health functions, and community empowerment was reaffirmed by international stakeholders in Astana. As recent events exposed weaknesses of health care systems worldwide, growing attention has been paid to strengthening PHC. While the role of care providers as health advocates has been recognized, they may lack skills, opportunities, and resources to actively engage in advocacy. Particularly for PHC providers, guidance and tools on how to advocate to strengthen PHC are scarce. In this article, we review priority policy areas for PHC strengthening with relevance for several settings and health care systems and propose approaches to empower PHC providers-physician, non-physician, or informal PHC providers-to advocate for strengthening PHC in their countries by individual or collective action. We provide initial ideas for a stepwise advocacy strategy and recommendations for practical advocacy activities. Our aim is to initiate further discussion on how to strengthen health care provider driven advocacy for PHC and to encourage advocates in the field to reflect on their opportunities for local, national, and global action.