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Timely administration of antimicrobials in patients with community‐acquired pneumonia is now a standard of care. The purpose of this paper is to present a large observational study to understand the issues that result in a delay in the administration of antibiotics to patients with community‐acquired pneumonia

This prospective study involved all six hospitals in the Edmonton area: patients were enrolled at the time of hospitalization if they were adults aged ≥17 years with a clinical presentation consistent with community‐acquired pneumonia. A retrospective chart review was performed to determine the reasons why it took more than eight hours to administer the first dose of antibiotics.

The paper finds that of all 3,394 hospitalized patients, 646 (19.0 percent) received antibiotics over four hours after admission to the emergency department and in most instances the delay was more than 12 hours. A total of 30 percent of the delays were justifiable – 17 percent due to diagnostic indecision and 13 percent due to recent receipt of an antibiotic at home or at another institution prior to transfer. All the other delays were unnecessary and easily correctable. In this paper the data indicate that only 5.6 percent of 3,394 patients had an adequate reason for delay in antibiotic administration. Thus a reasonable target for timely administration of antibiotics is at least 90 percent of the patient population.

The strengths of this study lie in its large number of patients, inclusiveness and real world context.

The purpose of this paper is to analyze the art-based project of Full Llove Inn as a tactical urbanism intervention and urban tourist attraction. The project consisted of an elevated room-car, displayed in the public space of Amsterdam from August 2006 to September 2007.

The research was conducted between December 2017 and November 2018 in Amsterdam. The study applied the methodological tools of semi-structured interviews, textual analysis and participatory observation.

Full Llove Inn provided an extraordinary allure for visitors and residents. It created a sense of intra-personal and inter-personal existential authenticity for local and non-local guests, respectively, while introducing a pop-up hotel as a new form of tactical initiative.

Due to the inability to contact non-local guests for interviews, the only source of data was based on tourist experiences about Full Llove Inn derived from the hotel guest book.

The research suggests that pop-up hotels may be used by Destination Management Organizations as a means of strengthening the brand image and creating a competitive edge for cities.

The research indicates that art-inspired tactical interventions in the public space of civic environments could constitute a social capital while generating interactions between residents and visitors.

For the first time in the tourism literature, this study investigates the impact of tactical projects on destination branding from the perspective of both locals and visitors.

The purpose of this paper is to critically summarize the current data concerning the impact of obesity and micronutrient adequacy and supplementation on the risk and severity of COVID-19 disease, and their potential impact on treatment and rehabilitation.

PubMed, Scopus and Google Scholar databases were thoroughly searched to identify studies concerning obesity and nutritional status, vitamin and other micronutrients adequacy with COVID-19 severity.

Individuals with higher body mass index are in greater risk of severe disease and need for mechanical ventilation. Concerning micronutrient adequacy, no published studies at the present time have evaluated the effect of supplementation on the risk and the treatment of the novel disease.

Recently, COVID-19 has monopolized the interest of the medical community regarding diet and nutritional status and it possibly plays an important role in disease severity.

The purpose of this paper is to understand how patients on a low security personality disorder ward experienced multi-disciplinary team (MDT) meetings, in order to suggest improvements that would benefit the patients and clinical teams.

The design was a case study where all patients on a low secure ward that specialised in personality disorders were approached to take part in the research. The study utilised non-participant observations of the MDT meeting (n=11), followed by individual interviews with the patients (n=10).

The data were subjected to a thematic analysis and this illuminated five themes relating to the patients’ experience of the MDT meetings namely, the importance of leave applications, the formality of the meetings, the opportunity to check on progress, decision-making and the importance of communication.

The findings suggest that small changes could be made to improve the patients’ experience of the MDT meeting. These included the provision of a less formal setting, ensuring a system where leave can be requested confidentially, greater transparency about the content of progress reports, and clearer communication between the MDT and the patient after the meeting.

There is limited research that has explored patients’ experiences of MDT meetings within secure forensic settings, and the use of non-participant observations of the MDT meeting followed by semi-structured interviews meant that the researcher and the patient had a shared experience that formed the basis of the later discussion.