"Quality and Life" № 1(21) 2019



Main theme: 
Formation of a comfortable safe environment


Release date: 
21.03.2019

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Quality management

p. 3-7

Model of Ensuring Quality of Technical Systems of Responsible Appointment

S.A. Vasin, doctor of technical science, professor, head of the department «Design» of the Tula state university, president of the Tula regional office of Academy of quality problems; Tula

E.V. Plakhotnikova, doctor of technical science, professor of «Tool and Metrological Systems» department of the Tula state university; full member of Academy of quality problems; Tula
 
The logical model of ensuring quality of technical systems of responsible appointment is presented in article. The problems arising at stratification of responsibility between the producers providing release of the diverse elements integrated into a system are considered. Solutions of problems by the integrated approach to design which is based on the principles of complex standardization and the system-wide principles of ensuring coherence and compatibility of elements of a system are offered.
 
Keywords: ensuring quality, technical system, technical compatibility, complex standardization.
 
p. 8-11

Application of a Method of Strategic Planning During Creation of Certification Body of Quality Management Systems

Belaya M.N., candidate of technical sciences, associate professor of Federal state autonomous educational institution of Higher education «Sevastopol state University», corresponding member of the Academy of quality problems; Sevastopol

M. Korshunova, Federal state autonomous educational institution of Higher education «Sevastopol state University»; Sevastopol

In article the relevance of creation of the accredited certification body of quality management systems is considered. For the purpose of development of the long-term development strategy of the organization the SWOT analysis method is applied. The weak, strengths of the certification body, opportunities and threats emanating from the external environment have been identified.
 
Keywords: certification body, quality management system, SWOT analysis.
 
 
p. 12-18

Quality Management of Acid and Milk Products by Improving the Technology of their Enrichment of Regionally Significant Micronutrients

L.N. Tretyak, doctor of tеchnical sciences, professor of the department of metrology, standardization and certification of Federal state budgetary educational institution of higher education «Orenburg State University»; Orenburg
 
A.O. Mordvinova, Master student of the department of metrology, standardization and certification of Federal state budgetary educational institution of higher education «Orenburg State University»; Orenburg
 
The article emphasizes the social importance of the filling micronutrients deficiency by enriching with dairy products of inhabitants in some regions. The possible degree of risk and information uncertainty in the introduction of enriched dairy products is discussed. The SWOT analysis is used by substantiation of the methodology for the production of enriched dairy products. Suggestions and substantiation of the nutritious principles by enrichment in relation to production of the dairy milk products enriched with deficient bioelements and vitamins in a food allowance of inhabitants of the Orenburg region are resulted. The sources of replenishment of regionally important micronutrients are researched. The general scheme of creation dairy products enriched with regionally significant bioelements and vitamins is suggested. The technology enrichment of dairy products on the basis of standard technological instruction TTI GOST 31453-022 is invented.
 
Keywords: dairy products, enrichment technologies, micronutrient deficiency, regionally significant bioelements and vitamins, enrichment principles.
 

p. 19-23

Effective Way to Solve Canonical Equations of the Method of Forces Kicheev V.E.

V.E. Kicheev, candidate of technical sciences, associate professor of Moscow aviation Institute (national research university); Moscow
 
The problem of solving systems of linear algebraic equations of a particular form is considered. With the use of a geometric approach, a method of solution characterized by high efficiency is developed. Examples illustrating the possibilities of the proposed method are presented.
 
Keywords: static indefinability, system of linear algebraic equations, numerical methods.
 
p. 23-28

Modeling of Efficiency of a Separate Link  of the Simplest Over-Superficial Electrocatcher  of Aerosols from Galvanic Bath 

V.I. Garshin, candidate of technical sciences, associate professor of Donskoy state technical university; Rostov-on Don

A.R. Lebedev, candidate of technical sciences, associate professor of Donskoy state technical university; Rostov-on Don

S.E. Gerasikova, senior lecturer of Donskoy state technical university; Rostov-on-Don
 
E.S. Fil, engineer, Donskoy state technical university; Rostov-on-Don
 
Development of the concept of multipurpose over-superficial electrocatcher (MOSEC) of drop aerosols is presented in article. In it for calculation of the electrocatcher the data obtained by means of a method of measurement of a charge of the drops which are thrown out from the single bubble which is breaking off on the surface of liquid in the field of flat air condensate are used. Statistical modeling of elements of a trajectory of drops in electric field with the subsequent calculation of efficiency of process of catching is carried out. Influence of number of separate experiences on stability of result of calculation of efficiency is shown. The regression analysis showed that the considered model adequately describes process of catching of drops that is confirmed by Fischer’s criterion with probability 0.95. 
 
Keywords: concept, over-superficial electrocatcher, charge a capacitor box, heterogeneous, electric charge, regression model, the criterion of adequacy, Fisher, probability. 
 
p. 29-33

Analytical Solution of the Problem of Constructing an Epure of a Reinforced Elliptical Frame by a  Floor Beam M.I. Saliba, O.S. Dolgov, L.A. Bulychev, A.A. Zotov

M.I. Saliba, graduate student of the «design of the special aviation complexes» department of Moscow aviation institute (National Research University); Moscow 
 
O.S. Dolgov, doctor of technical sciences, head of the «Technological design and quality management» department of Moscow aviation institute (National Research University); Moscow
 
L.A. Bulychev, candidate of technical sciences, professor of the «Design and strength of aviation-rocket and space products» department of Moscow aviation institute (National Research University); Moscow
 
A.A. Zotov, doctor of technical sciences, professor of the «Design and strength of aviation-rocket and space products» department of Moscow aviation institute (National Research University); Moscow
 
The article solves the problem of plotting the bending moment in the plane of the frame for the fuselage of an elliptical cross section by an analytical method. The task considers an elliptical frame, supported by a floor power beam, a moment is calculated at each point and a plot of bending moment is derived for the frame and floor beam. 
 
Keywords: large-capacity fuselages, non-standard fuselage cross-section, elliptical fuselage, non-standard power elements of the frame design, power fuselage floor beam, analytical solution. 
 
p. 34-39

Variator Drive of Crank Press 

E.N. Skladchikov, doctor of technical sciences, the professor, department «Metal forming technologies by pressure» of Bauman Moscow state technical university; Moscow 
e-mail: ens_0@mail.ru
 
T.Yu. Artyukhovskaya, candidate of technical sciences, assistant professor, department «Metal forming technologies by pressure» of Bauman Moscow state technical university; Moscow
 
The article describes the design and study of the drive crank presses with variable gear ratio belt transmission. This allows you to reduce energy losses in the drive and save energy. The study was carried out by means of mathematical modeling in the environment of the PA9 dynamic software analysis system. 
 
Keywords: crank press, main drive, asynchronous motor, flywheel, mathematical modeling, energy costs. 
 
p. 40-41

Improving the Quality of the Production Plan by Using the Principles of Leisure Manufacture 

E.A. Skornyakova, postgraduate student of department I2 «Engineering and quality management» of Baltic state technical university «VOENMECH» named after D.F. Ustinov; St. Petersburg
 
The methods and tools of lean manufacturing that are mandatory for use in the implementation of the planning process of a high-performance enterprise are described, the necessity of their use and benefits in case of their correct use are justified. 
 
Keywords: lean manufacturing, production system,  production planning, production plan, standardization, tact time, visualization. 
 
p. 42-46

Process Improvement Quality Management Based on Methodology of Innovation Management 

V.V. Miroshnikov, doctor of technical sciences, professor of department «Quality management, standardization and metrology» of the Bryansk state technical university, full member of the Academy of quality problems; Bryansk 
 
G.V. Efimova, candidate of technical sciences, associate professor of department «Quality management, standardization and metrology» of the Bryansk state technical university; Bryansk
 
T.V. Svetlichnaya, master’s student in the direction of «Quality management» of the Bryansk state technical university; Bryansk
 
The article studies the problem of application of innovation management methodology (complex of European standards CEN/TS 16555) in quality management systems (new version of the standard ISO 9001:2015). The introduction of innovative management with the already existing certified quality management system in the organization is considered as a modern and effective method of implementation of the well-known from the standard ISO 9001:2015 of the principle of quality management «Improvement». The authors propose a process model of innovation management, presented graphically in the form of a scheme, which shows how the application of innovative management techniques can improve the implementation of quality management processes. 
 
Keywords: quality management, innovation management, process, improvement, model. 
 
p. 46-49

New Approaches in Higher Education 

O.S. Dolgov, Doctor of technikal sciences, Professor, head of the «Technologikal design and quality management» department of moscow aviation institute (National Research University; Moscow 
e-mail: Dolgov@mai.ru
 
D.A. Dukhnovskiy, Student of Moscow Aviation Institute (National Research University); Moscow
 
The article suggests ways of developing and actualization of extracurricular research work of students as an aspect of specialist training. The system of support for the student scientific environment is proposed. 
 
Keywords: scientific work of students, coordination center, register of achievements, the third generation university. 
 

Transport

p. 50-53

The Risk of Losing Problem Solving Skills in the Face of Uncertainty by Civil Aviation Pilots 

S.M. Golovnin, deputy student, leading specialist in standardization of Volga-Dnepr Airlines; Moscow 
 
The article is devoted to the problem of the human factor and the effect of training of cadets (novice pilots) on flight safety. The significance of the exercises, which the cadets obviously do not know in the course of training, their influence on the overall preparation and speed of decision making by civil aviation pilots is considered. The results of modeling cadets training given the unexpected for them exercises in the virtual piloting environment are given, the risks of losing problem solving skills in conditions of uncertainty, taking into account the influence of the human factor on flight safety, and the process of training civil aviation cadets are considered. The main trends in the process of preparing civil aviation pilots are considered and a theoretical justification of the results of the simulation of the situation using the virtual piloting environment is given. The results of the study are presented in graphical form for a visual display of the results and the likely consequences of using statistical forecasting. The statistics of the distribution of hazards in the three main components of the man-machine-environment and an explanation of the statistical indicators in these areas over the past decades in civil aviation are given. Mention is made of the possibility and importance of working out abnormal situations on aircraft using a virtual piloting environment, when the risk of actual damage is minimized. A formula is given for calculating the probability of errors being made by civil aviation pilots in the course of aircraft operations and options for increasing the level and culture of safety by adjusting aviation personnel training programs. The conclusions and recommendations of the article are supposed to be introduced into the training programs for civil aviation specialists, in the long term with a focus on management risks arising in the management of organizations that are elements of the air transport system in order to improve the quality of civil aviation services and flight safety. The results of the implementation will be detailed in subsequent articles. 
 
Keywords: flight safety, risk management, quality management, virtual environment, aviation specialist training, fight simulation, human factors in civil aviation. 
 

RETRACTED due to plagiarism (source of borrowing: Malkin V.S., Epishkin V.E. Method of calculating the number of technological equipment for a service station // Automotive industry. 2008. No. 2. pp. 27-29). Date: 01.03.2023

p. 54-57

Method of Calculating the Quantity of Technological Equipment for the Car Service Station 

A.N. Cheboksarov, candidate of technical sciences, associate professor of the Department «Operation and repair of automobiles» of the Siberian state automobile and highway university; Omsk 
e-mail: сhan23@inbox.ru
 
The article presents the method of calculating the optimal amount of technological equipment for a car service station. The calculation is proposed to use the theory of mass service, as well as take into account the total costs that consist of the cost of purchasing process equipment, and the costs associated with the loss of customer requests that apply to the service station. 
 
Keywords: car, process equipment, theory of mass service, expense. 
 

Labour protection

p. 58-61

Improvement of Working Conditions of the Medical Personnel Working with Sources of X-Ray Radiation 

E.V. Bulgakova, candidate of biology, associate professor, Tyumen state medical university, Industrial university of Tyumen; Tyumen
 
G.A. Sulkarnaeva, doctor of medicine, professor, Tyumen state medical university, Industrial university of Tyumen; Tyumen

E.I. Zavertanaya, candidate of biology, associate professor, Tyumen state medical university, Industrial university of Tyumen; Tyumen
 
Working conditions and organization of modern workplaces with X-ray sources have changed significantly due to the modernization of the X-ray equipment and the introduction of digital technologies. However, analyzing results of special assessment of working conditions we pointed out, that 32% of workplaces of the examined medical organizations defined class 3.1, 2% – class 3.2 only for ionizing (X-ray) radiation.  Based on the analysis, we developed recommendations for improving the working conditions of medical personnel working with sources of X-ray radiation: aeroionization of air, regulated breaks and uniform distribution of patients within the working day, provision of modern individual protection means, radiation control. 
 
Keywords: X-ray radiation, working conditions, medical personnel, recommendations. 
 
p. 61-63

Occupational Safety and Health Management System at Work: Problems and Perspective Directions of Development 

L.N. Romanchenko, candidate of military sciences, associate professor, Federal state educational institution of higher professional education «Financial university under the Government of the Russian Federation»; Moscow
 
A.A. Frolova, student, Federal state educational institution of higher professional education «Financial university under the Government of the Russian Federation»; Moscow 
 
The article shows the relevance of the topic, the content of the terms: occupational safety and health management system (OSH), «human resources». Describes the main features of investment in human resources. The problems of labor resources management are considered, prospects are marked. The conclusions of the study of the labor protection management system at work, the system of effective human resource management are presented, the corresponding problems and development directions are highlighted. 
 
Keywords: value, occupational safety and health management system, human resources, abilities, qualitative characteristics. 
 

Fire safety

p. 64-69

Fire Hazard of Electronic Cigarettes. 1. Liquids for Vaping 

S.G. Alekseev, candidate of chemistry, associate professor, senior researcher of Science and engineering сenter «Reliability and safety of large systems and cars» of Ural branch of Russian Academy of Sciences; leading researcher of Ural institute of state fire service of EMERCOM of Russia, Corresponding Member of WASCS; Ekaterinburg 
 
D.V. Bessonov, sector chief of Forensic and expert establishment of the Federal fire service «Testing fire laboratory» on Sverdlovsk Region, graduate student of Ural institute of state fire service of EMERCOM of Russia; Ekaterinburg
 
N.M. Barbin, doctor of technical sciences, candidate of chemistry, associate professor, director of Institute of physical and chemical problems and technosphere safety of Ural state agrarian university, leading researcher of Ural institute of State fire service of EMERCOM of Russia; Ekaterinburg
 
Currently, the vaping (use of electronic cigarettes) is seen as a safe and harmless alternative to the traditional use of tobacco products. Incidents that took place during the use of electronic cigarettes destroy the stereotype of their fire and explosion safety. In this work, a number of the fire hazard characteristics of working and model liquids for vaping have been determined, the difficulties in determining them have been demonstrated, and the fire danger of expired steam has been pointed to the vaping. 
 
Keywords: fire safety, vaping, electronic cigarette, flash point. 
 

p. 70-71
 

Ensuring Fire Safety in Transport: Information and Technological Bases 

V.A. Yakovlev, Assistant-lecturer of the department «Technosphere safety» of North-Eastern Federal university named after M.K. Ammosov; Yakutsk 
 
The main characteristics that determine the actualization of the use of elements of the information environment in the context of achieving fire safety in transport are given.  It has been formulated that the practice of fire risk management is determined by the following interrelated practices: a comprehensive assessment of potential risk, its processing, the practice of risk acceptance, and finally, the exchange phase of the relevant information resource.  The thesis is substantiated that the practice of forming and implementing an information space for fire safety in transport can be implemented in an invariant manner.  At the same time, the most significant approaches are the analysis of associative rules, the methodology of cluster and segmentation analysis, and time series analytics. 
  
Keywords: fire safety, information resource, analytics, data, efficiency, forecast. 

Safety of human activities

p. 72-79

Disposal of Solid Domestic Waste as a Way to Improve the Quality of Human Life in the Rostov Region 

V.L. Gaponov, doctor of technical sciences, professor, Donskoy state technical university; Rostov-on-Don  

T.N. Savuskan, candidate of chemical sciences, deputy student, senior lecturer; Rostov-on-Don
 
E.Yu. Gaponova, senior lecturer, senior lecturer; Rostov-on-Don  
 
The article discusses the impact of solid waste landfills on the quality of the environment, on the health of the population of the Rostov region. An analysis of information on the management of municipal solid waste in Russia and abroad. In the Rostov region, as well as in Russia as a whole, municipal solid waste is not mainly divided into components. To reduce transport costs and reduce emissions of harmful substances into the atmosphere in Russia, the waste handling complexes, inter-municipal environmental waste-treatment complexes are used, in the Rostov region there are eight of them. However, only a small amount of municipal solid waste is recycled and neutralized, therefore these measures cannot ensure a high quality of human life. The proposed measures to identify the most ecological path of disposal of solid waste in the Rostov region. 
  
Keywords: landfill, quality of environment, waste handling complexes, inter-municipal environmental waste-treatment complexes, ecological path of disposal. 
 
 
p. 80-84

Obtaining Ecologically Safe Organic Fertilizer from Waste Products of Vegetative Mass of Legumes Herbals 

V.V. Kireeva, doctor of biological sciences, professor of the department «Safety of technological processes and productions» of Don state technical university; Rostov-on Don
 
T.G. Rasskazova, graduate student of the department «Safety of technological processes and productions» of Don state technical university; Rostov-on-Don
 
The paper explored the processes of soil contamination with organo-chlorine pesticides, heavy metal ions and toxic elements. Presents the results of the toxicological assessment of liquid organic fertilizers produced from wastes of complex processing of vegetative mass of alfalfa. 
 
Keywords: pollution of the soil, ions of heavy metals, organochlorine pesticides, brown juice of the plant, organic fertilizer. 
 
p. 84-86

Formation of Ecological Culture Through Environmental Education 

E.V. Manchenko, lecture of the department «management of daily activities» of Military training and research center of air force «Air force Academy named after Professor N.E. Zhukovsky and Y.A. Gagarin»; Voronezh
 
Yu.V. Tsyplukhina, candidate of chemical sciences, associate professor of the department «management of daily activities» of Military training and research center of air force «Air force Academy named after Professor N.E. Zhukovsky and Y.A. Gagarin»; Voronezh  
 
 
The article is devoted to the actual problem of ecological education for the formation of ecological culture of society. The main ways of formation of ecological education are defined. It is noted that the achievement of this goal is possible under the condition of purposeful systematic work on the formation of a system of scientific knowledge aimed at understanding the processes and results of interaction between man, society and nature; environmental value orientations, norms and rules in relation to nature, the ability and skills to study and protect it. 
  
Keywords: environmental education, the world, environmental pollution, environmental culture. 
 
 

Health as a component of quality of life

I all-Russian scientific-practical conference with international participation «PROBLEMS of ASSESSMENT AND PREDICTION of QUALITY of LIFE»
 

Value of Quality of Life Assessment in Health Care 

T.I. Ionova, PhD, Professor, Head of Department at the Clinic of High Medical Technologies named after N.I. Pirogov, St. Petersburg State University; St. Petersburg   
e-mail: tation16@gmail.com 

The conceptual and methodological issues of quality of life research have been considered. The main areas of application of quality of life assessment in modern health care are presentedin the paper. The value of quality of life assessment in clinical research and clinical practice is high­lighted. 
  
Keywords: quality of life, health care. 

 
References
1. Novik A.A., Ionova T.I. Guide to the study of the quality of life in medicine. St.-Petersburg. Publishing house «Neva». Moscow. Olma-Press Star World. 2002.
2. Novik A.A., Ionova T.I. Guide to the study of the quality of life in medicine. Moscow. Publishing House of Natural Sciences. 2012. 528 p.
3. World Health Organization. The World Health Organization Qua­lity Management and Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 2005. 41(10). 1403–1409.
4. Cella D., Tulsky D. Measuring quality of life today: methodological aspects. Oncology. 1990. V. 944. No. 5. pp. 29–38.
5. Shevchenko Yu.L., Novik A.A., Tyurin V.P. et al. Study of the quality of life in cardiology. Bulletin of the Interethnic Center for the Study of the Quality of Life. 2007. No. 9–10. pp. 4–14.
6. World Health Organization: Handbook of Basic Documents.  Geneva. 1948.
7. Novik A.A., Ionova T.I., Kalyadina S.A., Kistovich A.V. Evalua­tion of symptoms in clinical practice: discrepancies in the assessment of the severity of symptoms and the effectiveness of their treatment between the doctor and the patient. Bulletin of the Interethnic Center for the Study of Quality of Life. 2008. No. 11–12. pp. 19–31.
8. Skoromets N.M., Chernova T.V., Elfimov P.V., Borodina Z.I. The results of the survey of patients of a general practitioner. Healthcare of the Russian Federation. 1997. No. 3. pp. 21–22.
9. Fayers P., Hays R. Assessing Quality of Life in Clinical Trials: Methods and Practice. Oxford University Press. Oxford, New York. 2005. 46 p.
10. Doward L.C., McKenna S.P. Defining patient-reported out­comes. Value Hlth. 2004. V. 7. No. 1. pp. 4–8.
11. Fayers P., Machin D. Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. Weinheim: John Wiley & Sons. 2007.
12. Fitzpatrick R., Davey C., Buxton M.J., Jones D.R. Evaluating pa­tient-based rates for trials in clinical use. Hlth Technol. Ass. 1998. V. 2. No. 14. pp. 1–74.
13. Gorodokin G.I., Novik A.A. Quality of cancer care. Ann. Oncol.  2005. V. 16. p. 991.
14. Osoba D. Translating patient-reported outcomes of assessment into clinical practice. J. N. C. I. Monogr. 2007. V. 37. pp. 5–11.
15. US Food and Drug Administration: Guidance for Industry. Patient-reported outcomes of labeling claims. U.S. FDA, Clinical / Medical, 2009. Available at: http: /www.fda.gov/downloads/Drugs/GuidanceComp­lianceRegulatoryInformation / Guidances / UCM193282.pdf.
16. Guidelines. Patient-reported outcomes in hematology. The EHA SWG Quality of Life and Symptoms. Forum Service Editore. Genoa, 2012.   

Forming a Risk-Oriented Life Quality System in Health Care   

T.Yu. Grozdova, doctor of medical sciences, Director Territorial Fund for Mandatory Medical Insurance; Sevastopol 
e-mail: grozdovat@mail.ru 

The article deals with topical issues of building a risk-based system for monitoring the life quality in health care. The necessity of increasing the reliability with the early diagnosis of the diseases causes and minimization of medical risk factors has been shown. The importance of improving compulsory health insurance is noted, by increasing the compe­tences of the public health organization and experts in assessing the medical care quality. The proposed system of identifying areas of high medical risk, tested in relation to the city of Sevastopol. The examples of the introduction of the functional diagnostics base for cardiovascular system diseases and the  creation of an insurance representatives institution to increase the social  protection of the population and improve its life quality are shown. 

Keywords: life quality, risk-oriented system, process approach, risk parameters, competence. 

References
1. http://www.rbc.ru/politics/22/03/2018/5ab3b3cd9a79472770203e72.
2. The world health report 2002: Overcoming exposure to risk fac­tors, promoting a healthy lifestyle. Geneva: World Health Organization, 2002.
3. Vishnyakov L.D., Radaev N.N. General theory of risk: studies. Moscow. Publishing center «Academy». 2008. 368 p.
4. Maksimov V.L., Fomina V.D .; Ostapenko V.A. Human biology.  Publishing house «Lan». 2015. 368 p.
5. ISO 31000: 2009. Risk management. Principles and leadership.
6. GOST R ISO / IEC 31010-211. Management. Risk Assessment Methods.
7. Malovik K.N. Opportunities to improve the quality of technical decisions based on the classification of the risk function. Quality and Life. No. 4(20). 2018. pp. 176–180.
8. Malovik K.N. Study of the health hierarchy of life-saving quality of life indicators. Quality and Life. No. 1(21) 2019. 
9. Sitnikova V.A., Sitnikova S.A. Elements of risk-based management accounting. Modern Economy: Problems and Solutions. No. 12(60). 2014. pp. 132–138.   

 

The Technique of Human Life Quality Estimation on the Basis  of the Process Approach to Management   

V.F. Bezyazychny, doctor of technical sciences, professor, Head of the Department of Technology of Aviation Engines and General Engineering, Rybinsk State Aviation Technical University named after P. A. Solovyov, President of the Yaroslavl Regional Branch of the Agroindustrial Complex; Rybinsk 
e-mail: technology@rsatu.ru 

M.Ye. Ilyina, candidate of technical sciences, associate professor of the Department Organization of Production and Quality Management of Rybinsk State Aviation Technical University named after P. A. Solovyov; Rybinsk 
e-mail: maria_ilyina@mail.ru   

The analysis of domestic and foreign life quality assessment approaches is performed; the general trends and the Russian scientific school features in the life quality field are determined. It is proposed to estimate the life quality on the basis of the person’s living processes analysis and their influence on his needs. The technique application helps to identify the person’s dependences and abilities in order to improve his life. 

Keywords: life quality, person’s needs system, process approach. 

References 
1. GOST R ISO 9000–2015. Quality Management Systems. The main provisions and vocabulary. Moscow. Standardinform. 2015. 48 p.
2. Bezlyazychny V.F., Ilyina M.Ye. Increasing the effectiveness of the quality management system of an enterprise taking into account the qua­lity of a person’s life. Quality and Life. No. 4(12). 2016. pp. 149–159.   

Preservation of Health and Improving the Quality of Life at Present Stage 

V.N. Kolocei, candidate of medical sciences, associate professor, Head of the 2nd Department of Surgical Diseases of Grodno State Medical University; Grodno

I.I. Klimovich, doctor of medicine, professor of the 2nd Department of Surgical Diseases of Grodno State Medical University; Grodno

L.I. Belskaya, general practitioner, State Healthcare Institution Polyclinic № 7; Grodno 
e-mail: hir2@mail.ru 

The major current problems of preservation of health and improvement of the quality of life were analyzed as well as the directions for their solving. 

Keywords: health, quality of life. 

References
1. Yakovleva M.V. The state of health of young people according to the data of socio-hygienic monitoring. Public health is the basis of the country’s well-being. Materials of the V Republican Congress of Healthcare Organizers of the Republic of Belarus. Minsk. May 11–12, 2006. Health Ministry Res. Belarus, Belarusian Association of Social Hygienists and Healthcare Organizers. Minsk. 2006. pp. 334–336.
2. Lisitsyn Yu.P. Theories of medicine of the XX century. Moscow. Medicine. 1999. 176 p.
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4. Razvodovsky Yu.E., Klimovich I.I. The prevalence of tobacco smoking in Belarus and ways to reduce it. Donosology and healthy lifestyle. 2018. No. 1. pp. 99–103.
5. Klimovich I.I. Legalized drug addiction and ways to reduce it. Proceedings of the VII International Scientific and Practical Conference «Health for All», dedicated to the 10th anniversary of the Faculty of Organizing a Healthy Lifestyle. Pinsk. 2017. pp. 132–135.
6. Alexander F. Psychosomatic medicine. Moscow. EKSMO-Press. 2002. 352 p.
7. Newspaper «Medical Bulletin». No. 8. 21.02.2019. p. 2.   

The Use of Pelotherapy in Treatment of Patients with Chronic Prostatitis 

P.M. Klimenko, doctor of medicine, professor, head of the course of urology, Medical Academy. S.I. Georgievsky, the Crimean Federal University. V.I. Vernadsky; Simferopol 
e-mail: pmk55@rambler.ru 

V.A. Chabanov, candidate of medical sciences, associate professor of the Course of Urology, Medical Academy. S.I. Georgievsky Crimean Federal University. V.I. Vernadskogo; Simferopol 
e-mail: chabanov.vladimir@mail.ru 

S.E. Shimkus, candidate of medical sciences, assistant Course of Uro­logy, Medical Academy. S.I. Georgievsky Crimean Federal University. V.I. Vernadskogo; Simferopol   
e-mail: serzsyimkus@mail.ru 

The efficiency of correction of organ hemodynamic disorders in the prostate gland in chronic prostatitis with the help of traditional allopathic therapy and in combination with peloidotherapy in a seaside resort is analyzed. The data obtained allow us to confirm that pelotherapy in complex treatment is particularly effective in patients with stasis in the genitourinary venous plexus and contributes to the increase of effectiveness of traditional therapeutic measures and quality of life. 

Keywords: prostatitis, hemodynamics, pelotherapy, dopplerography, treatment, methods, quality of life. 

References
1. Gorpinchenko I.I., Klimenko P.M., Pavlovsky Yu.E. Hemodynamic classification of prostatitis. Health of men. 2004. No. 1(8). pp. 44–49.
2. Eliseev Yu.M. Stage of circulatory disorders of the prostate gland in chronic prostatopathy. X Russian Congress of urology. Moscow. 2002. pp. 274–275.
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4. Kochetov A.G., Rudenko B.P. Pathogenetic substantiation of com­bined application of physical factors in complex treatment of patients with chronic prostatitis. Urology. Moscow. 2001. No. 4. pp. 15–21.
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6. Walker C.K., Workowski K.A., Washington A.E. Guidelines for the control and prevention of diseases for the treatment of sexually transmitted diseases. Clin. Charge. Dis. 1999. V. 28. pp. 29–36.   

Interdisciplinary Approaches in the Assessment of the Quality of Life Related to Health 

E.A. Evstifeeva, doctor of philosophy, professor, Head of the Department of Philosophy and Psychology with courses in bioethics and history of the Fatherland of Tver State Medical University; Tver 
e-mail: pif1997@mail.ru 

S.I. Filippchenkova, doctor of psychology, professor of the Department of Philosophy and Psychology with courses of bioethics and history of the Fatherland of Tver State Medical University; Tver 
e-mail: sfilippchenkova@mail.ru 

L.A. Murashova, candidate of psychology, associate professor of the Department of Philosophy and Psychology with courses on bioethics and the history of the Fatherland of Tver State Medical University; Tver 
e-mail: lada-murashova@yandex.ru 

R.N. Chirkov, doctor of medicine, professor, Head of the Department of Oncology and Palliative Medicine, Tver State Medical University; Tver 

The article considers interdisciplinary approaches to assessing the quality of life, understood as a projected variable, going back to the desires, expectations, ideas of a person, his personal preferences, preferences. The quality of life associated with health is a fragment of QOL as a comprehensive assessment of all (material, physical and non-material, spiritual and mental) spheres of human life and society. 

Keywords: ethos, habitus, health-related quality of life, interdisciplinary approaches, laparoscopic appendectomy, existential-psychological model of healing, oncology. 

References
1. Zarakovsky G.M. The quality of life of the population of Russia. Psychological components. Moscow. Meaning. 2009. 320 p.
2. Mokhov E.M., Morozov A.A. Evstifeeva E.A., Filippchenkova S.I., Murashova L.A., Kadykov V.A., Peltikhina O.V. Life quality of patients who underwent laparoscopic appedition with the use of combinatorial antimicrobial prophylaxis with the use of bacteriophages in the postoperative period.  Modern problems of science and education. 2018. No. 3. p. 76.
3. Evstifeeva E.A., Murashova L.A. Socio-humanitarian technologies for diagnosing the quality of life in medical practice. Tver. Tver State Medical University. 2017. 219 p.   

Research Hierarchy Health – Saving Indicators of Quality of Life 

K.N. Malovik, doctor of technical sciences, professor, president of the Presidium of the Sevastopol Regional Branch of the IPO «Academy of Quality Problems»; Sevastopol 
e-mail: malovik.k.n@gmail.com 

The article is devoted to the problematic issues of selection of quality of life criteria and approaches to the assessment of quality of life indicators. A model of quality of life is proposed, as is the development of the Zeithalm model, and a structure for the study of quality of life indicators. A comparative analysis of the resource distribution curves of a technical object and a living human body is carried out, taking into account the recommendations of the Cox model and the features of biological reliability. The possibilities of the classification of states in solving the problem of pathological anatomy, taking into account the periods of ontogenesis, as well as the definition of the vital space are shown. An approach to the formation of a space of risk parameters for the quantitative assessment of risk factors is proposed. 

Keywords: criteria for quality of life, indicators of quality of life, model of quality of life, resource allocation, resilience, livelihoods, pathogenic conditions, risk parameters. 

References
1. Kuznetsov V.V., Malovik K.N. Health research – saving indicators of the quality of life of the population for evaluating and predicting medical support of the city of Sevastopol. Abstracts of the IV Medical International Forum «Sevastopol Health». Sevastopol. 2018.
2. Bakulina A.N., Malovik K.N., Strigunova M.N., Smirnov S.B. Qualimetry in educational services of higher educational institutions. Se­vastopol. SNUNEI. 2009. V. 1. 369 p.
3. Gludkin O.P., Gorbunov N.M., Gurov A.I., Zorin Yu.V. Total qua­lity management. Moscow. Hotline – Telecom. 2001. 600 p.
4. Shmeleva A.N., Fedorova N.V., Aleshkina E.A. The need to in­crease the importance of health – saving indicators in assessing the quality of life of the population of megalopolises. Quality and life. 2016. No. 2(10).  pp. 64–68.
5. Malovik K.N. Development of scientific bases for improving the quality of assessment and forecasting of resource characteristics of complex objects. Sevastopol. SNUNEI. 2013. 332 p.
6. Sinelnikov R.D. Atlas of Human Anatomy. V. 1. Moscow. State Publishing House of Medical Literature. pp. 196–478.
7. Maksimov V.I., Fomina V.D., Ostapenko V.A. Human biology.  Lan publishing house. Special literature. 2015. 368 p.
8. Cox D.R., Ouns D. Data analysis of the type of lifetime. Moscow.Finance and Statistics. 1988. 191 p.
9. Kaluzhsky A.D. On the issue of quantitative assessment of the quality of human life (in order of discussion). Quality and life. No. 4(12) 2016. pp. 173–182.
10. Sudakova R.S. Reliability and efficiency in technology. Moscow. Ma­shinostroenie. 1989. V. 6. Experimental testing and testing. Equipment. 376 p.
11. Eliseeva M.A., Malovik K.N., Malovik S.K., Miroshnichenko A.N. Identification of risks in a situational analysis of longevity. Quality and life.  No. 1(17). 2018. pp. 10–14.
12. Strukov A.I., Serov V.V. Pathological anatomy. Fourth edition, stereotypical. Moscow. Medicine. 1995 – 658 p.
13. Eliseeva M.A., Malovik K.N., Chuzhikova – Proskurina, OD Improving the risk management process. Risk Management, 2017, No. 2 (82) – pp. 10–19.   

The Impact of Subjective Uncertainty on Quantitative Estimates of Health Indicators 

J.V. Doronina, doctor of technical sciences, professor of department is the «Information’s systems» of the Sevastopol state university; Sevastopol 
е-mail: juvado@yandex.ru 

The article proposes to consider the subjective factor in the assessment of health-saving indicators as an indirect criterion. It is proposed to apply the concept of complex indirect criterion. Investigated the impact of complex indirect criterion for the assessment of health-indicators of the General index, taking into account the degree of importance of objective factors, expressed in the form of indicative criteria. An example of using the proposed method in the task of studying the ecology of information space as a factor affecting the quality of life is considered. 

Keywords: quality of life of the population, information ecology, subjective and objective factors in the assessment of health-saving indicators, criteria for assessing health-saving indicators, scalarization of criteria, hierarchy of criteria, scale of categories. 

References
1. Medic V.A., Yuriev V.K. Public Health and Health Care. Moscow. Professional. 2009. 432 p.
2. Gritchina N.V., Savchenko T.N. Study of the quality of work in the context of quality of life. Collection of articles. Issue 3. Moscow. Higher Scho­ol of Psychology. 2006. pp. 53–61.
3. Kopnov V.A. Environment–Related Quality of Life: a set of policies. Quality of Life Technology. 2006. 6(1). pp. 3–18.
4. Measuring Healthy Days. Quality of Life Internet resource. U.S. Department of Health and Human Services. 2000. 40 p.
5. Almakaeva A.M. The subjective quality of life: the main problems of research. Bulletin of SamSU. 2006. No. 5–1. URL: https://cyberleninka.ru/article/n/subektivnoe-kachestvo-zhizni-osnovnye-... (access date: 10/06/2018).
6. Doronin Yu.V., Malovik K.N. The impact of environmental information system on the quality of life. Quality and Life. 2018. No. 1(17). pp. 70–77.
7. Dyachenko V.G. Quality in modern medicine. Ed. center DVGMU. Khabarovsk. 2007. 490 p.
8. Almakaeva A.M. Subjective perception of quality of life: theoretical, methodological and methodological aspects of analysis. Ros. state humanitarian un-t (RGGU). Moscow. 2007. 17 p.
9. Dremina M.A., Datsko A.A., Kopnov V.A., Pochechun A.A. Ma­nagement subjects and the scenario of starting the processes of improving the quality of life in the university community. Mater. scientific method. conf. from Intern. participation. Ural. state forestry un-t Yekaterinburg. 2007. pp. 134–136.
10. Miconi S.V. Evaluation of the quality of complex objects in the model of social cyber-physical system. Perspective directions of development of domestic information technologies – 2018 (PNROIT-2018). Sevastopol. 2018. pp. 24–26.
11. Voronin A.A., Mishin S.P. Optimal hierarchical structures. Mos­cow. IPU RAS. 2003. 214 p.
12. Semenov S.S. Evaluation of the quality and technical level of complex systems. Practice of application of expert assessments. Moscow. LENAND. 2015. 350 p.
13. Nikolaev V.I., Brook V.M. Systems engineering: methods and applications. Mechanical Engineering. Leningrad. 1985. 199 p.   

Mobile Application for Assessing and Predicting Anomalous States 

Yu.E. Shishkin, graduate student of the department «Information Systems» of Sevastopol State University; Sevastopol 
e-mail: iurii.e.shishkin@gmail.com 

A.V. Skatkov, doctor of technical sciences, professor, department «Information Systems» of Sevastopol State University; Sevastopol

K.N. Malovik, doctor of technical sciences, professor, president of the Presidium of the Sevastopol Regional Branch of the IPO «Academy of Quality Problems»; Sevastopol 

The article deals with the problem of raising awareness in monitoring and identifying anomalies of complex systems state that ensure a high quality of human life. Of particular importance is the detection of abnormal values in the medical case, on this basis, pathological conditions of patients can be determined and the therapy appropriate for this state can be applied at an early stage, thereby significantly increasing the rate of release of these conditions. A monitoring system based on the use of mobile applications is proposed, possessing much higher efficiency and functional flexibility in comparison with classical systems. 

Keywords: monitoring systems, anomaly detection, intelligent technology, big data, mobile applications, data mining. 

References
1. Zavala E., Franch X., Marco J. Adaptive monitoring: A systematic mapping. Information and Software Technology. 2018. V. 105. pp. 161–189. DOI: 10.1016 / j.infsof.2018.08.013.
2. Skatkov A.V., Shevchenko V.I., Bryukhovetsky A.A. [et al.] System modeling of actor interactions for cloud services. Simferopol. 2018. 420 p.
3. Malik H., Shakshuki E.M. Towards Identifying Performance Anomalies. Procedures Computer Science. 2016. V. 83. pp. 621–627.
4. Lee U., Han K., Cho H. [et. al] Intelligent positive computing with wearable, and IoT devices. Ad Hoc Networks. 2018. V. 83. pp. 8–24.
5. The near future of 5G networks. Century of quality. 2015. No. 2. p. 22–25.
6. Mastitsky S.E., Shitikov V.K. Statistical analysis and data visualization using R. Creative Commons. 2014. 401 p.
7. Roganov V.R., Chetvergova M.V., Symochkin A.V. Designing virtual reality systems from a position of a systems approach. Modern problems of science and education. 2014. No. 6. p. 199.
8. Shishkin Y.E. Big Data visualization in decision making. Science in Progress. Mes. All-Russia. scientific-practical conf. undergraduates and graduate students. Novosibirsk, October 20, 2016. NSTU. 2016. pp. 203–205.
9. Konovalov S.K., Romanov A.S., Moiseenko O.G. [et. al] Atlas of oceanographic characteristics of the Sevastopol Bay. EKOSI-HYDROPHY­SICS. Sevastopol. 2010. 320 p.
10. Mcdougall T.J., Feistel Rainer, Millero F.J. [et al] The International Thermodynamic Equation of Seawater 2010 (TEOS-10): Calculate and Use Thermodynamic Properties. Intergovernmental Oceanographic Commission IOC of Unesco. 2010. 218 p.
11. Bryukhovetsky A.A., Skatkov A.V., Shishkin Yu.E. Simulation of anomaly detection processes in complexly structured monitoring data. Environmental control systems. 2017. No. 9(29). pp. 45–49.
12. Shishkin Yu.E., Skatkov A.V. Method of interactive recognition of anomalies of gradients of scalar fields of observations. Environmental Cont­rol Systems. 2018. No. 12(32). pp. 30–37.
13. Tolstosheev A.P., Lunev E.G., Motyzhev S.V. Analysis of the results of field experiments with thermoprofiling drifting buoys in the Black Sea and other areas of the world ocean. Marine Hydrophysical Journal. 2014. No. 5. pp. 9–32.
14. Shishkin I.E., Grekov A.N. (2018). Analysis of image clustering methods for oceanographic equipment. 2018 International Russian Automation Conference (RusAutoCon). September, 2018. Sochi  DOI: 10.1109 / RUSAUTOCON.2018.8501756.
15. Düzgün H.Ş., Demirel N. Remote Sensing of the Mineral Environment. CRC Press. London. 2017. 220 p.   

Quality metrics for assessing and forecasting critical condition

Yu.E. Shishkin, graduate student of the department «Information Systems» of Sevastopol State University; Sevastopol 
е-mail: iurii.e.shishkin@gmail.com 

A.V. Skatkov, doctor of technical sciences, professor, department «Information Systems» of Sevastopol State University; Sevastopol 

The problem of increasing the implementation reliability of complex systems eco- and biomonitoring process with the aim of anomalous and critical conditions timely detection and taking response measures to ensure a high human life quality is considered. Numerical metrics are proposed for the quality of mathematical models that analytically define the functional fields of the parameters studied, constructed from point measurements in the context of reducing the number of false positives when anomalies are detected. The tasks of optimizing the sample size and increasing the sensitivity to emerging anomalies in conditions of limited bandwidth of the mobile communication channel and speed are solved. An intelligent system has been proposed that, based on historical data from observation fields of the aquatic environment parameters, selects the optimal regression model and serves as the basis for the decision support system for choosing the optimal measurement intervals. 

Keywords: quality metrics, monitoring systems, anomaly detection, intelligent system, big data, mobile applications, data mining. 


References
1. Lee U., Han K. [et. al] Intelligent positive computing with wearable, and IoT devices. Ad Hoc Networks. 2018. V. 83. pp. 8–24.
2. Skatkov A.V., Shishkin Yu.E. Model of detection of anomalies in observations of parameters of environmental fields using monitoring sys­tems. Environmental control systems. 2017. No. 10(30).  pp. 48–53.
3. Model representations for mobile applications for assessing and predicting anomalous and pathological states. Environmental control sys­tems. 2017. No. 10(30).
4. Konovalov S.К., Romanov A.S., Moiseenko O.G. [et. al] Atlas of oceanographic characteristics of the Sevastopol Bay. EKOSI-HYDROPHY­SICS. Sevastopol. 2010. 320 p.
5. Düzgün H.Ş., Demirel N. Remote Sensing of the Mineral Envi­ronment. CRC Press. London. 2017. 220 p.   

Priorities of Quality of Life Research in Modern Health Care 

T.P. Nikitinа, candidate of medical sciences, Clinic of High Medical Technologies named after N.I. Pirogov, St. Petersburg State University; St. Petersburg

A.A. Zhernyakova, candidate of medical sciences, Russian Research Institute of Hematology and Transfusiology, FMBA of Russia; St. Petersburg

T.I. Ionova, doctor of biological sciences, professor, Head of Department at the Clinic of High Medical Technologies named after N.I. Pirogov,  St. Petersburg State University; St. Petersburg   
e-mail: tation16@gmail.com 

The main areas of application of quality of life assessment in modern health care are presented. The value of quality of life assessment in clinical research and clinical practice is considered. The importance of quality of life assessment to evaluate quality of health care especially in the context of high-tech care (on the example of BMT/CST) is argued. In addition, the importance of quality of life assessment in pediatric rehabilitation is highlighed. The core issues of implementation of quality of life information in modern pediatric rehabilitation are considered. 

Keywords: quality of life, quality of health care, high-tech medical care, pediatric rehabilitation. 

References
1. Novik A.A., Ionova T.I. Guide to the study of the quality of life in medicine (3rd edition, revised and enlarged). Publishing House of Natural Sciences. Moscow. 2012. 528 p.
2. Ionova T.I. New directions for the study of quality of life in the domestic health care. Bulletin of the National Medical-Surgical Center. N.I. Pirogov. 2017; 12 (3, Appendix). pp. 9.
3. World Health Organization. The World Health Organization Quality Management and Life Assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med 2005; 41 (10): 1403–1409.
4. Salek S., Ionova T.I. Values of patient ratings in modern medicine.  Bulletin of the National Medical and Surgical Center named after. N.I. Piro­gov. 2013. V. 8. No. 3 (Appendix). pp. 5–7.
5. Novik A., Salek S., Ionova T. Guidelines Patient-reported Outco­mes in Hematology. Forum service editore. Genoa. 2012.
6. Organization and quality of medical care to the population of the Russian Federation. Health. 2009. No. 11. pp. 22–23.
7. Alonazi W.B., Thomas S.A. Quality of Care and Quality of Life: Convergence or Divergence? Health Services Insights 2014: 7 1–12.  DOI: 10.4137 / HSI.S13283.
8. The sectoral program «Quality management in health care for 2003-2007»: approved by the Ministry of Public Health of the Russian Federation on April 23, 2003. Glav. doctor. 2004. No. 7. pp. 100–110.
9. Abdulkadyrov K.M., Shebalin V.N. Bone marrow transplantation. Medicine. Leningrad. 1976.
10. Mamaev N.N., Mikhailova N.B., Afanasyev B.V. Hematology. Manual for doctors. 2011.
11. World Health Organization. Disability and rehabilitation. Medical care and rehabilitation: WHO activities. International Classification of Fun­ctioning, Disability and Health. Geneva: WHO, 2001: 342. Access mode: http://www.who.int/disabilities/care/activities/ru/ (appeal date 08/30/2017). 12. Zelinskaya D.I. Basics of pediatric rehabilitation. Pediatrics. 2012. 91(3): 15–20.
13. Aliyev M.D. Pediatric oncology. National leadership. 2012.
14. Novik A.A., Ionova, T.I. Study of the quality of life in pediatrics.RANS. Moscow. 2017.   

Expert Assessment of the Employee Qualifications for the Effective Management of Life Quality 

M.V. Lapa, candidate of technical sciences, associate professor of the Department of Technical Expertise and Quality Management of Sevastopol State University; Sevastopol 
e-mail: siver_info@mail.ru 

K.N. Malovik, doctor of technical sciences, professor, president of the Presidium of the Sevastopol Regional Branch of the IPO «Academy of Quality Problems»; Sevastopol 

The article deals with the method of assessment and forecasting of employee qualification using professional standards, which takes into account staff quality required for a particular position, which allows to reveal opportunities to improve the employee competitiveness, to determine the adequacy of self-assessment, to improve educational programs for the training of highly qualified employees. 

Keywords: qualifications, competence, competitiveness, professional standard, personnel, quality of life. 

References
1. Fatkhutdinov R.A. Competitiveness of the organization in the conditions of crisis. Publishing and book-selling center «Marketing». Moscow. 2002. 892 p.
2. Quality of life. Concise dictionary. Sense. Moscow. 2009. 168 p.
3. Available at: http://profstandart.rosmintrud.ru.
4. Lapa M.V. Scientific bases development of engineering and technical means operation quality improvement of nuclear facilities physical protection systems. SNUNEI. Sevastopol. 2013. 332 p.
5. Lapa M.V., Malovik K.N. Scientific bases development for improving the quality of operation and resilience of critical infrastructure: a monograph. Industry. Kharkov. 2016. 278 p.
6. Available at: http://classinform.ru/eksd.html. 

Research of Quality of Life in Health-Spa Treatment 

I.A. Dovgan, candidate of medical sciences, associate professor, Head of the Saki Military Clinical Sanatorium named after N.I. Pirogov; Saki 
e-mail: diaspb1963@mail.ru 

A.V. Merzlikin, candidate of medical sciences, Head of the Educational and Methodological Department of the branch of the Military Medical Academy named after S.M. Kirov; Moscow 

The article is devoted to a set of issues of evaluating the medical effectiveness of sanitary and resort treatment and rehabilitation to ensure and improve the quality of life based on clinical studies using physical data and laboratory indicators. The features of the Saki Military Clinical Sanatorium named after N.I. Pirogov as a multidisciplinary medical-diagnostic complex, including a medical rehabilitation center, in which, based on modern medical and information technologies, highly effective treatment is carried out for 12 disease groups and medical rehabilitation of diseases for more than 12,500 patients from 60 countries of the world. It is shown that the work performed is carried out on the basis of a quality management system certified for compliance with international standards ISO 9001: 2015 and 14001-2015 and awarded the Diploma of the Prize of the Government of the Russian Federation in the field of quality. Presents examples of assessing the quality of life of patients obtained on the basis of the international universal questionnaire Short Form Medical Outcomes Study, using petal diagrams and the Harrington scale. The results of these studies are intended for the scientific substantiation of ways to improve and develop methods of using natural factors and expert assessments of the effectiveness of modern methods of treating and rehabilitating patients to improve their quality of life. 

Keywords: quality of life, sanitary and resort treatment, medical rehabilitation, indicators of quality of life, effectiveness, natural healing factors. 

References
1. Kolesnik V.S. Evaluation of the quality of life in medicine. Russian family doctor. 2002. No. 1. pp. 23–26.
2. Kosenkova O.I., Makarova V.I. The problem of quality of life in modern medicine. Human Ecology. 2007. No. 11. pp. 29–31.
3. Ionova T.I. Conceptual and methodological aspects of the study of quality of life in oncohematology. Moscow. 2009. 230 p.
4. Ionova T.I., Novik A.A., Sukhonos Yu.A. The concept of quality of life of patients with oncological profile. Oncology. 2000. V. 2. No. 1–2. pp. 25–27.
5. Petrov V.I. Basic principles and methodology of evidence-based medicine. Bulletin of the Volgograd State Medical University. 2011. V. 38. No. 2. pp. 3–9.
6. Amirjanova V.N., Goryachev D.V., Korshunov N.I., Rebrov A.P.,  Sorotskaya V.N. Population indicators of quality of life according to the SF-36 questionnaire (results of a multicenter study of the quality of life «MIRAGE»). Scientific and practical rheumatology. 2008. No. 1. pp. 36–48.
7. Shevchenko Y.L. Guidance on the study of quality of life. CJSC «OLMA Media Group». Moscow. 2007. 320 p. 

Research of Health Care Effectiveness Modern Aspects to Improve  the Life Quality of the Population 

V.V. Kuznetsov, candidate of medical sciences, Chief Doctor of the City Hospital №1 named after N.I. Pirogov; Sevastopol 
e-mail: dr_smith@inbox.ru 

The article deals with topical questions of research problems of ensuring and improving the life quality, based on health-saving indicators. Proposed vectors for improving the health care system and identified the main modern aspects of the study of the problem field of health care efficiency to improve the life quality. Approaches for the study of these problem areas are proposed, considering the human body as a single, multicomponent system, which has much greater resources and capabilities than a complex technical object. The expediency of the human quality system models applying and introducing cross-functional groups of life quality expertise is shown. 

Keywords: improving the life quality, risk factors, quality management system, health care efficiency, health-saving indicators, integrated system approach. 

References
1. Kuznetsov V.V., Malovik K.N. Study of health-saving indicators of the quality of life of the population for assessing and predicting medical support of the city of Sevastopol. Abstracts of the IV International Medical Forum «Public Health of Sevastopol». Sevastopol. 2018.
2. Kuznetsov V.V. Modern aspects of studies of working life when diagnosing mechanisms of urological diseases. Problems of evaluating and predicting the quality of life. Collection of abstracts of the I All-Russian Scientific and Practical Conference with international participation. Sevastopol. 2018. pp. 67–70.
3. Kipshidze A.A., Malovik K.N. The use of modern science-based approaches to improve the efficiency of medical care. Modern medicine in urban health care. Materials of the Russian scientific-practical conference. Sevastopol: Kalamo. 2018. pp. 111–114.
4. Malovik K.N. Study of the hierarchy of health-saving indicators of quality of life. Quality and life. Special edition. 2019.
5. Doronin Yu.V. Reengineering information systems. Moscow. Publishing house Sputnik+. 2015. 170 p.
6. Maksimov V.I., Fomina V.D., Ostapenko V.A. Human Biology. «Lan» Publishing House. St. Petersburg. 2015. 368 p.
7. Kaluzhsky A.D. On the issue of quantitative assessment of the quality of human life. Quality and life. Special edition. 2016. pp. 173–182.
8. Novik A.A., Ionova T.I. Guide to the study of the quality of life in medicine. Moscow. RANS. 2012. 528 p.
9. Vasilevich L.F., Malovik K.N. Patent UA 85314 U IPC G06F 17/18 (200 G01). Publ. 2013. Byul. No. 21.
10. Shekhovtsov S.Yu. Organization of postgraduate education: advanced training of specialists of the oncological service in the field of gerontology and geriatrics. Moscow. 2015. 50 p.
11. Malovik K.N. Opportunities to improve the quality of technical decisions based on the classification of risk functions. Quality and Life. Special edition. 2018. No. 4 pp. 176–180.
12. Bezlyazychny V.F., Ilina M.Ye. Improving the efficiency of the qua­lity management system of an enterprise taking into account the quality of human life. Quality and Life. Special edition. 2016. pp. 149–159. 

Features of Ensuring and Evaluating of the Quality of Life Under Conditions of Modern Megapolis   

A.A. Kipshidze, candidate of medical sciences, Head of the Surgery Department of the City Hospital № 4; Sevastopol

M.V. Lapa, candidate of technical sciences, associate professor of the Department of Technical Expertise and Quality Management of Sevastopol State University; Sevastopol 
e-mail: siver_info@mail.ru 

The article presents a general description of the life quality concept, its main components and influence factors in megalopolises, analyzes of modern methods of assessment and the problems of their practical use, especially the quality of life in a megacity. A method of estimating the quality of life in a megalopolis using fuzzy sets is proposed, which will provide flexibility in the assessment process through the use of priority factors, take into account the dynamics of changes in individual indicators, individual requirements in relation to factors affecting the quality of life of a resident. 

Keywords: life quality, health, fuzzy sets, megalopolis.   

References
1. Ayvazyan S.A. Analysis of the quality and lifestyle of the population. Moscow. Science. 2012. 432 p.
2. Bakumenko L.P. Statistical aspects of the population life quality research. Mari State Technical University. Yoshkar-Ola. 2011. 152 p.
3. Bakumenko L.P., Sarycheva T.V. Methodical approaches to assessing the living standard of the mesosystem population. Bulletin of Samara State University of Economics. 2009. No. 12. pp. 10–16.
4. Aivazian A. Synthetic Indicators of Quality of Life: Construction and Utilization for Social-Economic Management and Comparativ Analysis. Austrian Journal of Statistics. V. 34. No. 1. 2005. pp. 69–77.
5. Aivazian A. On Key Factors of Socio-Economic Policy and Insti­tutional Development that Determine the Improvement of the Quality of Life.  Austrian Journal of Statistics. V. 37. No. 1. 2008. pp. 5–20.
6. Mkhitaryan V. S., Bakumenko L.P. Statistical approach to assessing of the population life quality in the regions of Russia. KazEU Bulle­tin. No. 3(93). 2013. pp. 9–20.
7. Andersen E.M. Population measurement of Health-Related Qua­lity-оf-Life (HRQoL). Quality of Life Newsletter. 1999. pp. 101–122.
8. Trifonov V.A. Quality management of the population life in Russia. Modern problems of science and education. No. 4. 2014.
9. Balobanov A.E., Golubev S.V. Quality of life is a key parameter of the world city modern strategy. X All-Russian Forum of Strategic Planning Leaders. Leontief Center. St. Petersburg. 2012. pp. 109–118.
10. SNaR 2.07.01-89 Urban Planning. Planning and development of urban and rural settlements.
11. Lapa M.V., Malovik K.N. Scientific bases development for improving the quality of operation and resilience of critical infrastructure: a monograph. Industry. Kharkov. 2016. 278 p. 

The Influence of the Prediction Accuracy of the Duration of Urological Surgery on the Guality of Life of Postoperative Patients 

V.S. Chernega, Ph. D., associate Professor of the Department «Information systems» of Sevastopol state University; Sevastopol
e-mail: v_chernega@rambler.ru  

N.P. Tlukhovskaya-Stepanenko, assistant of information systems Department Sevastopol state University; Sevastopol 

The connection of indicators of quality of life with the duration of rehabilitation in the postoperative period of the patient is considered. It is shown that the reduction of the rehabilitation period depends on the accuracy of predicting the duration of urological surgery, which affects the tactics of the operation and the calculation of the optimal amount of anesthetic. A model of contact laser lithotripsy was chosen and proposed to predict the duration of the operation of crushing urinary stones by a laser lithotripter. It is proposed to use an alternative stochastic network graph as a lithotripsy model. An example of an alternative stochastic network model of the operation of crushing stones in the ureter is given, as well as analytical expressions for the calculation of the parameters of the distribution of the duration of the operation. 

Keywords: quality of life, duration of rehabilitation period, laser contact lithotripsy, prediction of lithotripsy duration, alternative stochastic network model. 

References
1. Lukyanchikova L.V., Belskaya G.N. Quality of life as an integral indicator of rehabilitation of patients in the recovery period of ischemic stroke. Annals of clinical and experimental neurology. 11 (3). 2017. pp. 5–14.
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