The Journal of Medicine, Law & Public Health <p><em>The</em> Journal <em>of</em> Medicine, Law <em>&amp;</em> Public Health (JMLPH) is an interdisciplinary publication that explores the intersection of medical practice, legal considerations, and public health policy. It aims to serve as a platform for professionals and academics from various fields to discuss and disseminate research findings, legal analysis, and policy discussions that impact health outcomes and healthcare delivery. The journal publishes a range of content, including original research, review articles, case studies, and commentaries, all of which undergo a rigorous peer-review process to ensure high-quality and relevant contributions to the literature. JMLPH is designed for a diverse readership, including healthcare providers, legal experts, public health practitioners, researchers, and policymakers. Through its publications, JMLPH seeks to inform and influence practice and policy, promote multidisciplinary collaboration, and encourage the integration of health, law, and public health principles in addressing contemporary health issues</p> JMLPH en-US The Journal of Medicine, Law & Public Health 2788-9815 Coercive Vaccination Policy in Nigeria: Legal Perspectives <p style="font-weight: 400;"><strong>Background:</strong> In December 2021, the Nigerian federal government declared a compulsory COVID-19 immunisation for all employees of government. This declaration by the government has been viewed by some Nigerians as a contravention of the fundamental rights of Nigerian citizens.</p> <p style="font-weight: 400;"><strong>Aim:</strong> This study was aimed at identifying the human rights concerns surrounding vaccination mandates from the perspective of legal practitioners in Nigeria.</p> <p style="font-weight: 400;"><strong>Methods:</strong> This study was a cross-sectional study that used a semi-structured self-administered questionnaire to interview legal practitioners practicing in Uyo, Nigeria. The survey focused on identifying human right concerns surrounding vaccination mandates. </p> <p style="font-weight: 400;"><strong>Results:</strong> One hundred and five legal practitioners participated in the study. Data analysis revealed that 79 (75.2%) of our respondents agreed that vaccination mandates to prevent an epidemic is well within the powers of the state, while 97 (92.4%) asserted that the Nigerian constitution gives the state authority to enact health laws including quarantine and vaccination laws to protect its citizens. According to 59% (n=62) of our respondents, the only exception to a mandatory vaccination is an offer of apparent or reasonably certain proof to the state’s board of health that the vaccination would seriously impair health or probably cause death.</p> <p style="font-weight: 400;"><strong>Conclusion:</strong> In the opinion of majority of the legal practitioners interviewed, the Nigerian constitution gives the state the power to implement measures established by legislation to protect the health of her citizens. Thus, coercive vaccination policies by the state to protect the public from an epidemic outbreak of a disease which threatens the safety of citizens may be legally binding on the citizens.</p> Unyime Eshiet Idongesit Jackson Obinna Ugama Copyright (c) 2024 Unyime Eshiet, Idongesit Jackson, Obinna Ugama 2024-05-11 2024-05-11 4 3 403 411 10.52609/jmlph.v4i3.131 Exercise Capacity and Fatigue in Post-COVID-19 Patients <p style="font-weight: 400;"><strong>Background: </strong></p> <p style="font-weight: 400;">While many researchers have investigated the influence of COVID-19 on fatigue and quality of life, its impact on exercise capacity has been little considered. It is therefore our aim to examine the impact of COVID-19 on exercise capacity and fatigue among individuals who have recovered from the virus.</p> <p style="font-weight: 400;"><strong>Methods: </strong></p> <p style="font-weight: 400;">A cross-sectional study was conducted at the outpatient physical therapy department of a tertiary hospital and Primary health care center. The study comprised 116 participants divided into two groups: a normative group composed of individuals who had not been infected with COVID-19 in the past three months, and a control group consisting of those who had contracted COVID-19 within the preceding three months. The one-minute sit-to-stand test (1STST) was carried out to assess exercise capacity, following which fatigue was measured using the validated Arabic version of the Fatigue Severity Scale (FSS).</p> <p style="font-weight: 400;"><strong>Results:</strong></p> <p style="font-weight: 400;">Of the 116 participants enrolled in this study, 76 (65.5%) were in the normative group and 40 (34.5%) in the control group. Following the intervention, the mean FSS score differed significantly between the normative (26.6; SD 10.9) and the control group (36.9; SD 14.8); p-value &lt; 0.001, with participants in the control group reporting higher levels of weariness than those in the normative group. Moreover, as measured by 1STST, the median number of sit-to-stand repetitions completed by participants in the normative group (21.0) was considerably greater than that of the control group (20.0); p-value = 0.025.</p> <p style="font-weight: 400;"><strong>Conclusion: </strong></p> <p style="font-weight: 400;">Participants in the control group reported higher levels of fatigue and demonstrated lower exercise capacity than those in the normative group.</p> Hadeel Alqahtani Tamadher Aljouiee Mohammed Alsultan Mohsen Ayyash Amani Abu-shaheen Copyright (c) 2024 Hadeel Alqahtani, Tamadher Aljouiee, Mohammed Alsultan, Mohsen Ayyash, Amani Abu-shaheen 2024-04-21 2024-04-21 4 3 399 402 10.52609/jmlph.v4i3.125 The Impact of Involving a Senior Emergency Physician in the Triage Process <p style="font-weight: 400;"><strong>BACKGROUND: </strong></p> <p style="font-weight: 400;">Emergency Department (ED) overcrowding has been demonstrated in several studies to be associated with undesirable effects such as longer waiting times, reduced patient satisfaction, and, most importantly, poor patient outcomes. Furthermore, long waiting times for walk-ins result in more complaints and patient dissatisfaction than illness management itself, with the majority of issues arising as a result of real and perceived waiting periods before being seen by the doctor.</p> <p style="font-weight: 400;"><strong>AIM: </strong></p> <p style="font-weight: 400;">We set out to investigate whether introducing a senior emergency physician into the triage system would reduce waiting time, door-to-decision time, and door-to-doctor time, as well as increase patient satisfaction across the ED.</p> <p style="font-weight: 400;"><strong>METHOD: </strong></p> <p style="font-weight: 400;">This was an interventional pre-post study that utilised retrospective data to evaluate the effect on ED throughput of triage by senior emergency physicians. We aimed to measure its impact on waiting time, door-to-decision time, and door-to-doctor time, along with ED patient satisfaction.</p> <p style="font-weight: 400;"><strong>RESULTS: </strong></p> <p style="font-weight: 400;">Patient satisfaction, the overall assessment of treatment received during the visit, increased, from 74.975 to 77.425, and the likelihood of patients recommending the ED increased from 71.36 to 75.21. Operational metrics revealed a considerable drop in door-to-decision time (admit or discharge) of 46 minutes and 3 seconds, as well as a 1 minute and 21 second reduction in time from door to doctor (arrival to first provider).</p> <p style="font-weight: 400;"><strong>CONCLUSION: </strong></p> <p style="font-weight: 400;">The mixed results hint at an effective but iterative process of enhancing patient flow and experience in the ED through senior physician triage.</p> Ahmed Alsuliamani Rizq Badawi Jumana Abdulqader Alrehaili Albara Saleh Alsayed Yousef Alawad Moosa Riyadh Khalifah Adel Korairi Copyright (c) 2024 Ahmed Alsuliamani, Rizq Badawi, Jumana Abdulqader Alrehaili , Albara Saleh Alsayed, Yousef Alawad, Moosa Riyadh Khalifah , Adel Korairi 2024-04-21 2024-04-21 4 3 391 398 10.52609/jmlph.v4i3.127