Conceptual aspects of public administration of the quality of life in the context of war
DOI:
https://doi.org/10.56294/hl2025587Keywords:
Public administration, Quality of life, Individual potential, Wartime governance, Policy resilience, Digital governanceAbstract
Introduction: post-COVID syndrome is associated with a wide range of long-term complications, among which neurological manifestations have become increasingly recognized. These complications present diagnostic and therapeutic challenges due to their heterogeneity and the evolving understanding of their pathophysiology.
Objective: to investigate the clinical and pathogenetic characteristics of neurological manifestations in patients with post-COVID syndrome, with a focus on identifying patterns and potential underlying mechanisms.
Methods: a cohort of 60 patients with confirmed post-COVID syndrome was evaluated. Clinical assessments included neurological examination, neuroimaging (MRI), and neurophysiological studies (EEG, EMG, and evoked potentials). Laboratory markers were also analyzed to assess inflammatory and autoimmune activity. Data were categorized by symptom type and severity.
Results: The most frequent neurological symptoms were headaches (48.3%), cognitive impairments (41.6%), sleep disorders (40%), and anxiety-depressive symptoms (38.3%). Neuroimaging revealed structural changes in 35% of patients, while neurophysiological testing showed signs of central and peripheral dysfunction in a significant subset. Laboratory analysis indicated elevated inflammatory markers in patients with more severe neurological presentations. Findings suggest a multifactorial pathogenesis involving neuroinflammation, vascular dysfunction, and possible autoimmune responses.
Conclusions: The most frequent neurological symptoms were headaches (48.3%), cognitive impairments (41.6%), sleep disorders (40%), and anxiety-depressive symptoms (38.3%). Neuroimaging revealed structural changes in 35% of patients, while neurophysiological testing showed signs of central and peripheral dysfunction in a significant subset. Laboratory analysis indicated elevated inflammatory markers in patients with more severe neurological presentations. Findings suggest a multifactorial pathogenesis involving neuroinflammation, vascular dysfunction, and possible autoimmune responses.
References
1. Anderson R, Mikuliç B, Vermeylen G, Lyly-Yrjanainen M, Zigante V. Second European quality of life survey [Internet]. 2009 . Available from: https://www.eurofound.europa.eu/sites/default/files/ef_files/pubdocs/2009/02/en/2/EF0902EN.pdf
2. Andrianova T. Does Ukraine need so many officials? [Internet]. 2022. Available from: https://www.epravda.com.ua/columns/2022/06/20/688340/
3. Borshchevskyi V, Vasylytsia O, Matvieiev Ye. Public administration under martial law: institutional transformations, strategic planning and development mechanisms. State and Regions. 2022;2:30–5.
4. Bryan HM. Quality of life: Public planning and private living. Prog Plann. 2002;58(3):141–227. doi: https://doi.org/10.1016/S0305-9006(02)00023-5
5. Cherenko LM, Poliakova SV, Shyshkin VS, Reut AH, Krykun OI, Kohatko YuL, Zaiats VS, Klymenko YuA. The quality of life of the population of Ukraine and the first consequences of the war. Kyiv: Ptoukha Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine; 2023. 191 p.
6. Duka AP, Liutikov PS, Starchenko HV, Tovmash DA. Strategy of modern development of Ukraine: synthesis of legal, educational and economic mechanisms. Chernihiv: Scientific and Educational Innovation Center of Social Transformations; 2022. 283 p.
7. Duma OI. Efficiency of the public administration in Ukraine: problems and challenges. Efficient Economy [Internet]. 2017;3. Available from: http://www.economy.nayka.com.ua/?op=1&z=5509
8. Economist Intelligence Unit. A summary of the liveability ranking and overview [Internet]. 2011. Available from: https://graphics.eiu.com/upload/liveability2011.pdf
9. European Business Association. Despite the war, almost a third of Ukrainians are satisfied with their lives [Internet]. 2023. Available from: https://eba.com.ua/en/popry-vijnu-majzhe-tretyna-ukrayintsiv-zadovoleni-svoyim-zhyttyam/
10. European Commission, European Parliament. Beyond GDP: Measuring progress, true wealth, and the well-being of nations. Luxembourg: OOPEC; 2009. 346 p.
11. Fahey T, Nolan B, Whelan C. Monitoring quality of life in Europe [Internet]. 2003. Available from: https://www.eurofound.europa.eu/en/monitoring-quality-life-europe-2003
12. Feshchenko R. A portrait of a completely different Ukrainian. Chornomorski novyny [Internet]. 2022;25–26(22348–22349). Available from: https://chornomorka.com/archive/22348-22349/a-15929.html
13. Government Portal. Ministry of Economy preliminarily estimates GDP decline in 2022 at 30.4% [Internet]. 2023. Available from: https://www.kmu.gov.ua/en/news/minekonomiky-poperedno-otsiniuie-padinnia-vvp-v-2022-rotsi-na-rivni-304
14. Hbur ZV. Risks caused by war and the economic security of the state. Kyiv: Shupyk National Healthcare University of Ukraine; 2022. p. 5–19. doi: https://doi.org/10.54929/monograph-12-2022-01-01
15. Holubchuk VS. Public management of social development on the basis of improving the quality of life. Sci Notes Lviv Univ Bus Law. 2022;34:255–62.
16. Hukalova IV. Quality of life of the population of Ukraine: theoretical and methodological foundations of socio-geographic research. Kyiv: Institute of Geography of the National Academy of Sciences of Ukraine; 2008. 20 p.
17. Human Development Report Office. Human Development Insights [Internet]. 2020. Available from: https://hdr.undp.org/data-center/country-insights#/ranks
18. Interfax. Ukraine rose 20 positions in terms of road quality in the international rating of The Legatum Prosperity Index [Internet]. 2020. Available from: https://interfax.com.ua/news/economic/705446.html
19. Izha MM, Kurnosenko LV. Public administration in the conditions of the call of martial law. Public Adm Reg Dev. 2023;19:11–30. doi: 10.34132/pard2023.19.01
20. Karakuts A, Schedrin Y, Davymuka O. Future of Ukraine Workforce [Internet]. 2023. Available from: https://cpd.com.ua/future-of-ukraine-workforce.pdf
21. Kelley-Gillespie N. An integrated conceptual model of quality of life for older adults based on a synthesis of the literature. Appl Res Qual Life. 2009;3:259–82.
22. Korolchuk O. National resilience in democracy: Ukrainian experience. J Natl Acad Legal Sci Ukr. 2021;28(2):34–46.
23. Kortukova T, Kolosovskyi Y, Korolchuk OL, Shchokin R, Volkov AS. Peculiarities of the legal regulation of temporary protection in the European Union in the context of the aggressive war of the Russian Federation against Ukraine. Int J Semiot Law. 2023;36(2):667–78. doi: https://doi.org/10.1007/s11196-022-09945-y
24. Kostiuk V. Human development as a goal and a means of further movement in conditions of uncertainty. Econ Soc. 2023;(52). doi: https://doi.org/10.32782/2524-0072/2023-52-21
25. Kulikov P, Aziukovskyi O, Vahonova O, Bondar O, Akimova L, Akimov O. Post-war economy of Ukraine: Innovation and investment development project. Econ Aff (New Delhi). 2022;67(5):943–59. doi: 10.46852/0424-2513.5.2022.30
26. Kyiv International Institute of Sociology. Indicators of national-civic Ukrainian identity [Internet]. 2022. Available from: https://kiis.com.ua/?lang=en&cat=reports&id=1131&page=9
27. Lelyk L, Olikhovskyi V, Mahas N, Olikhovska M. An integrated analysis of enterprise economy security. Decis Sci Lett. 2022;11(3):299–310. doi: https://doi.org/10.5267/j.dsl.2022.2.003
28. Libanova EM, Hladun OM, Lisohor LS. Measuring the quality of life in Ukraine. Kyiv: Ptouha Institute for Demography and Social Studies of the National Academy of Sciences of Ukraine; 2013.
29. Minfin. Population of Ukraine [Internet]. 2024. Available from: https://index.minfin.com.ua/en/reference/people/
30. Ministry of Education and Science of Ukraine. 7 million children of war in Ukraine [Internet]. Available from: https://saveschools.in.ua/
31. Ministry of Social Policy of Ukraine. In two years, Ukraine rose to 32 positions in the global ranking according to the index of social progress [Internet]. 2022. Available from: https://www.kmu.gov.ua/news/ukrayina-za-dva-roki-pidnyalas-na-32-poziciyi-v-globalnomu-rejtingu-za-indeksom-socialnogo-progresu-minsocpolitiki
32. Mulska O, Vasyltsiv T, Shushkova Y, Kloba L, Parfenyuk Y. Assessment of the population's social resilience environment (the case of the Carpathian region of Ukraine). Probl Perspect Manag. 2022;20(1):407–21. doi: 10.21511/ppm.20(1).2022.33
33. National Bank of Ukraine. Report on financial stability [Internet]. 2023. Available from: https://bank.gov.ua/ua/stability/report
34. National Council for the Restoration of Ukraine. Project of the Recovery Plan of Ukraine. Materials of the working group "Audit of losses incurred as a result of the war" [Internet]. 2022. Available from: https://www.kmu.gov.ua/storage/app/sites/1/recoveryrada/en/audit-of-war-damage.pdf
35. National Institute for Strategic Studies. Results of 2022 and expectations for 2023 [Internet]. 2022. Available from: https://niss.gov.ua/news/komentari-ekspertiv/pidsumky-2022-roku-ta-ochikuvannya-shchodo-2023-roku
36. National Institute for Strategic Studies. Analysis of national security threats in the sphere of domestic policy (expert survey) [Internet]. 2023. Available from: https://niss.gov.ua/sites/default/files/2023-07/ad_analiz-zagroz_14072023.pdf
37. Nykyforenko VH. Quality of life of the population of the region: analysis, forecasting, social policy. Odesa: Oneu; 2012. 316 p.
38. OECD. Public administration in Ukraine: assessment against the principles of public administration. Paris: SIGMA; 2024. doi: https://doi.org/10.1787/078d08d4-en
39. Omelchuk OM, Haiur IY, Kozytska OG, Prysiazhna AV, Khmelevska NV. Analysis of the activities of law enforcement authorities in the field of combating crime and corruption offences. J Money Laund Control. 2022;25(3):700–16. doi: https://doi.org/10.1108/JMLC-07-2021-0073
40. Operational Data Portal. Ukraine refugee situation [Internet]. 2022. Available from: https://data.unhcr.org/en/situations/ukraine
41. Order of the Ministry of Youth and Sports of Ukraine. On the implementation of the action plan for the implementation of the State Administration Reform Strategy of Ukraine for 2019–2021 [Internet]. 2019. Available from: https://ips.ligazakon.net/document/MUS31745
42. Orlova NS, Lukashuk MV. Evaluation of the effectiveness of public administration. REICST. 2022:118–32. doi: https://doi.org/10.54929/monograph-12-2022-03-02
43. Polishchuk Y, Ivashchenko A, Britchenko I, Machashchik P, Shkarlet S. European smart specialization for Ukrainian regional development: Path from creation to implementation. Probl Perspect Manag. 2019;17(2):376–91. doi:10.21511/ppm.17(2).2019.29
44. Sardak S, Britchenko I, Vazov R, Krupskyi OP. Life cycle: Formation, structure, management. Ikonomicheski Izsledvania. 2021;30(6):126–42.
45. Semenets-Orlova I, Rodchenko L, Chernenko I, Druz O, Rudenko M, Poliuliakh R. Requests for public information in the state administration in situations of military operations. Anu Fac Derecho Univ Extremadura. 2022;(38):249–70. doi:10.17398/2695-7728.38.249
46. Slovo I Dilo. Perception of corruption, level of happiness, strength of the army: how Ukraine's place in the rankings changed [Internet]. 2022. Available from: https://www.slovoidilo.ua/2022/02/08/infografika/suspilstvo/spryjnyattya-korupcziyi-riven-shhastya-potuzhnist-armiyi-yak-zminyuvalosya-misce-ukrayiny-rejtynhax
47. Sokolov AV. Modern approaches to the assessment of the quality of state administration. State Adm Improv Dev. 2014;4.
48. Statista. Opinion on the war impact on Ukrainians 2023 [Internet]. 2023. Available from: https://www.statista.com/statistics/1413828/war-impact-on-ukrainians/
49. Svit. 92% of Ukrainians see human life as highest value [Internet]. 2024. Available from: https://svit.kpi.ua/en/2022/10/26/92-of-ukrainians-see-human-life-as-highest-value/
50. The Fund for Peace. Fragile States Index 2022 – Annual Report [Internet]. 2022. Available from: https://fragilestatesindex.org/2022/07/13/fragile-states-index-2022-annual-report/
51. The Guardian. (2024). Ukrainians face growing homelessness crisis at home and abroad, report finds. Retrieved from https://www.theguardian.com/global-development/2024/sep/24/war-ukrainians-homelessness-crisis-abroad-two-million-housing-idp-destroyed-damaged-ukraine-europe?
52. The Village (2022). Ukraine was included in the ten unhappiest countries in the world – Gallup. Retrieved from: https://www.village.com.ua/village/city/city-news/322127-ukrayintsi-potrapili-v-desyatku-naybilsh-neschaslivih-natsiy-svitu-gallup
53. Tretiak, N. M., Basova, O. V., Horiainova, N. V., Koval, A. I., Anoshyna, M. Yu., Mnyshenko, V. M. & Yahovdyk, M. V. (2014). Quality of human life: the essence of the concept. Hematology and Blood Transfusion, 37, 238-243.
54. Ukrainian public organization “Civic Network OPORA”. (2024). Number of Ukrainians and Their Migration Abroad Because of the War. Retrieved from: https://www.oporaua.org/en/viyna/24791-kilkist-ukrayintsiv-ta-yikh-migratsiia-za-kordon-cherez-viinu-doslidzhennia-gromadianskoyi-merezhi-opora-24791
55. UNFPA Division for Communications and Strategic Partnerships (2023). 8 Billion Lives, infinite possibilities the case for rights and choices. Retrieved from: https://ukraine.unfpa.org/sites/default/files/pub-pdf/swop2023-english-230329-web_5.pdf
56. United Nations (2023). Civilian Deaths In Ukraine War Top 10,000, UN Says. Retrieved from: https://ukraine.un.org/en/253322-civilian-deaths-ukraine-war-top-10000-un-says
57. United Nations Development Program (2022). Human Development Report 2021-2022. Retrieved from: https://hdr.undp.org/content/human-development-report-2021-22
58. World Property Journal (2021). Analysts named the most affordable countries for buying housing: where is Ukraine? Retrieved from https://realestate.24tv.ua/analitiki-nazvali-naydostupnishi-krayini-dlya-kupivli- zhitla_n1796845/amp
59. Yaremko, I. (2022). Effectiveness of public administration and administration: problems and directions of improvement of evaluation processes. Management and Enterpreneurship in Ukraine: The Stages of Formation and Problems of Development, 4(1), 49-56.
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