scholarly journals MANAJEMEN RISIKO K3 ( KESELAMATAN DAN KESEHATAN KERJA) PADA PROYEK PEMBANGUNAN RUMAH SAKIT BALI MANDARA

2021 ◽  
Vol 9 (1) ◽  
pp. 29
Author(s):  
Nyoman Martha Jaya ◽  
G.A.P. Candra Dharmayanti ◽  
Dewa Ayu Retnoyasa Ulupie Mesi
Keyword(s):  
High Risk ◽  
Low Risk ◽  
Emergency Call ◽  
Medium Risk

Proyek pembangunan Rumah Sakit Bali Mandara merupakan proyek konstruksi gedung bertingkat yang memiliki risiko K3 dalam pelaksanaan pembangunannya. Manajemen risiko K3 dilakukan dengan tujuan untuk mengetahui, menganalisis, memberikan penanganan dan menentukan kepemilikan risiko K3 yang teridentifikasi. Metode yang digunakan pada penelitian ini pada tahapan identifikasi risiko adalah brainstorming, kuesioner dan wawancara kemudian pada tahap penilaian/klasifikasi risiko dianalisis menurut AS/NZS 4360:2004, tahap penanganan diperoleh dari hasil brainstorming dengan SHE Officer dan tahap pengalokasian risiko menurut Flanagan dan Norman. Hasil identifikasi risiko pada penelitian diperoleh sebanyak 80 item risiko, 54 risiko dari penelitian terdahulu dan 26 risiko dari penelitian ini kemudian dibedakan menjadi 3 kategori/klasifikasi yaitu high risk 21 risiko (26,25%), kategori medium risk 32 risiko (40 %), kategori low risk sebanyak 27 risiko (33,75%). Risiko dominan diperoleh sebanyak 21 risiko seluruhnya dengan kategori high risk. Tindakan penanganan risiko K3 dominan diantaranya perbaikan pondasi dan melakukan sondir untuk mengetahui daya dukung tanah, melakukan perbaikan dan pengecekan kelayakan alat sebelum dipakai bekerja, penyiapan APAR dan menyediakan sistem pemadam yang baik, mempersiapkan petugas untuk segera mengantarkan pasien ke rumah sakit, segera menelepon emergency call (Rumah Sakit), memasang pagar pembatas antara site dan bangunan sekitar, memasang turap pelindung tanah, memasang jaring pengaman, menggunakan sling penjaga baja untuk memegang baja agar tidak bergerak saat dilakukan pengangkutan dengan crane, menggunakan perancah sesuai SNI dan lolos uji kelayakan, menggunakan sistem perancah yang baik, rutin cek kelayakan perancah/alat yang digunakan untuk bekerja, menggunakan formwork yang baik, memasang kornes/pagar pembatas, memakai APD lengkap. Kepemilikan risiko K3 keseluruhan dibebankan kepada pihak kontraktor yaitu petugas K3 atau SHE Officer yang memiliki tanggungjawab pelaksanaan, pengendalian dan penanganan masalah K3 pada pelaksanaan Pembangunan Rumah Sakit Bali Mandara.

scholarly journals Multidimensional dynamic healthcare personnel (HCP)-centric model from a low-income and middle-income country to support and protect COVID-19 warriors: a large prospective cohort study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043837
Author(s):  
Usha Dutta ◽  
Anurag Sachan ◽  
Madhumita Premkumar ◽  
Tulika Gupta ◽  
Swapnajeet Sahoo ◽  
...  
Keyword(s):  
High Risk ◽  
Low Income ◽  
Tertiary Care ◽  
Low Risk ◽  
Transmission Risk ◽  
Healthcare Personnel ◽  
Risk Zone ◽  
Increased Risk ◽  
Medium Risk ◽  
Risk Zones

ObjectivesHealthcare personnel (HCP) are at an increased risk of acquiring COVID-19 infection especially in resource-restricted healthcare settings, and return to homes unfit for self-isolation, making them apprehensive about COVID-19 duty and transmission risk to their families. We aimed at implementing a novel multidimensional HCP-centric evidence-based, dynamic policy with the objectives to reduce risk of HCP infection, ensure welfare and safety of the HCP and to improve willingness to accept and return to duty.SettingOur tertiary care university hospital, with 12 600 HCP, was divided into high-risk, medium-risk and low-risk zones. In the high-risk and medium-risk zones, we organised training, logistic support, postduty HCP welfare and collected feedback, and sent them home after they tested negative for COVID-19. We supervised use of appropriate personal protective equipment (PPE) and kept communication paperless.ParticipantsWe recruited willing low-risk HCP, aged <50 years, with no comorbidities to work in COVID-19 zones. Social distancing, hand hygiene and universal masking were advocated in the low-risk zone.ResultsBetween 31 March and 20 July 2020, we clinically screened 5553 outpatients, of whom 3012 (54.2%) were COVID-19 suspects managed in the medium-risk zone. Among them, 346 (11.4%) tested COVID-19 positive (57.2% male) and were managed in the high-risk zone with 19 (5.4%) deaths. One (0.08%) of the 1224 HCP in high-risk zone, 6 (0.62%) of 960 HCP in medium-risk zone and 23 (0.18%) of the 12 600 HCP in the low-risk zone tested positive at the end of shift. All the 30 COVID-19-positive HCP have since recovered. This HCP-centric policy resulted in low transmission rates (<1%), ensured satisfaction with training (92%), PPE (90.8%), medical and psychosocial support (79%) and improved acceptance of COVID-19 duty with 54.7% volunteering for re-deployment.ConclusionA multidimensional HCP-centric policy was effective in ensuring safety, satisfaction and welfare of HCP in a resource-poor setting and resulted in a willing workforce to fight the pandemic.

scholarly journals RISK ANALYSIS OF COCONUT PRODUCT MARKETING

2018 ◽  
Vol 6 (5) ◽  
pp. 138-148
Author(s):  
Ine Fausayana ◽  
Weka Gusmiarty Abdullah ◽  
La Ode Dawid
Keyword(s):  
High Risk ◽  
Risk Analysis ◽  
Risk Identification ◽  
Low Risk ◽  
Coconut Shell ◽  
Market Regulation ◽  
Shell Waste ◽  
Medium Risk ◽  
Product Marketing ◽  
Coconut Product

The aim of this study was to analysis the risks of coconut products marketing in Kendari City. The results of this study described risk identification in three stage of marketing of coconut product, namely (a) Five risks identified at the stage of storaging; broken coconut fruit, unsold product, fire market, theft of coconut fruits, and market regulation; (b) Three risks identified at the stage of processing; broken coconut, coconut shell waste, and damage to processing facilities; and (c) Four risks identified at the stage of selling; unsold product, non-strategic selling locations, substitute goods, and competitors. Overall, the risk on coconut products marketing was mapped at low risk. High risk was more prevalent in the stage of processing, which was caused by the risk of coconut shell waste. While medium risk was more prevalent in the stage of storaging.

Algorithms for Individual Prediction of COVID-19 infection and Hospitalization among Symptomatic patients based on health data (Preprint)

2021 ◽  
Author(s):  
Rossella Murtas ◽  
Nuccia Morici ◽  
Chiara Cogliati ◽  
Massimo Puoti ◽  
Barbara Omazzi ◽  
...  
Keyword(s):  
High Risk ◽  
Prediction Models ◽  
Hospital Admissions ◽  
Health Data ◽  
Low Risk ◽  
Risk Prediction Models ◽  
Predictive Algorithms ◽  
Medium Risk ◽  
Risk Patients ◽  
At Home

BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has generated a huge strain on the health care system worldwide. The metropolitan area of Milan, Italy was one of the most hit area in the world. OBJECTIVE Robust risk prediction models are needed to stratify individual patient risk for public health purposes METHODS Two predictive algorithms were implemented in order to foresee the probability of being a COVID-19 patient and the risk of being hospitalized. The predictive model for COVID-19 positivity was developed in 61.956 symptomatic patients, whereas the model for COVID-19 hospitalization was developed in 36.834 COVID-19 positive patients. Exposures considered were age, gender, comorbidities and symptoms associated with COVID-19 (vomiting, cough, fever, diarrhoea, myalgia, asthenia, headache, anosmia, ageusia, and dyspnoea). RESULTS The predictive models showed a good fit for predicting COVID-19 disease [AUC 72.6% (95% CI 71.6%-73.5%)] and hospitalization [AUC 79.8% (95% CI 78.6%-81%)]. Using these results, 118,804 patients with COVID-19 from October 25 to December 11, 2020 were stratified into low, medium and high risk for COVID-19 severity. Among the overall population, 67.030 (56%) were classified as low-risk, 43.886 (37%) medium-risk, and 7.888 (7%) high-risk, with 89% of the overall population being assisted at home, 9% hospitalized, and 2% dead. Among those assisted at home, most people (60%) were classified as low risk, whereas only 4% were classified at high risk. According to ordinal logistic regression, the OR of being hospitalised or dead was 5.0 (95% CI 4.6-5.4) in high-risk patients and 2.7 (95% CI 2.6-2.9) in medium-risk patients, as compared to low-risk patients. CONCLUSIONS A simple monitoring system, based on primary care datasets with linkage to COVID-19 testing results, hospital admissions data and death records may assist in proper planning and allocation of patients and resources during the ongoing COVID-19 pandemic.

A practical composite risk score for the development of Haemolytic Uraemic Syndrome from Shiga toxin-producing Escherichia coli

2019 ◽  
Vol 29 (5) ◽  
pp. 861-868 ◽  
Author(s):  
Douglas Hamilton ◽  
John Cullinan
Keyword(s):  
Escherichia Coli ◽  
High Risk ◽  
Risk Score ◽  
Shiga Toxin ◽  
Haemolytic Uraemic Syndrome ◽  
Low Risk ◽  
Medium Risk ◽  
Composite Risk ◽  
Very High ◽  
Estimation Of Risk

Abstract Background Haemolytic Uraemic Syndrome (HUS) is a serious complication of Shiga toxin-producing Escherichia coli (STEC) infection and the key reason why intensive health protection against STEC is required. However, although many potential risk factors have been identified, accurate estimation of risk of HUS from STEC remains challenging. Therefore, we aimed to develop a practical composite score to promptly estimate the risk of developing HUS from STEC. Methods This was a retrospective cohort study where data for all confirmed STEC infections in Ireland during 2013–15 were subjected to statistical analysis with respect to predicting HUS. Multivariable logistic regression was used to develop a composite risk score, segregating risk of HUS into ‘very low risk’ (0–0.4%), ‘low risk’ (0.5–0.9%), ‘medium risk’ (1.0–4.4%), ‘high risk’ (4.5–9.9%) and ‘very high risk’ (10.0% and over). Results There were 1397 STEC notifications with complete information regarding HUS, of whom 5.1% developed HUS. Young age, vomiting, bloody diarrhoea, Shiga toxin 2, infection during April to November, and infection in Eastern and North-Eastern regions of Ireland, were all statistically significant independent predictors of HUS. Demonstration of a risk gradient provided internal validity to the risk score: 0.2% in the cohort with ‘very low risk’ (1/430), 1.1% with ‘low risk’ (2/182), 2.3% with ‘medium risk’ (8/345), 3.1% with ‘high risk’ (3/98) and 22.2% with ‘very high risk’ (43/194) scores, respectively, developed HUS. Conclusion We have developed a composite risk score which may be of practical value, once externally validated, in prompt estimation of risk of HUS from STEC infection.

scholarly journals Salivary Cytokine Biomarker Concentrations in Relation to Obesity and Periodontitis

2019 ◽  
Vol 8 (12) ◽  
pp. 2152 ◽  
Author(s):  
Sanna Syrjäläinen ◽  
Ulvi Kahraman Gursoy ◽  
Mervi Gursoy ◽  
Pirkko Pussinen ◽  
Milla Pietiäinen ◽  
...  
Keyword(s):  
High Risk ◽  
Cumulative Risk ◽  
Normal Weight ◽  
Low Risk ◽  
Control Group ◽  
Low Grade ◽  
Periodontal Status ◽  
Tnf Α ◽  
Medium Risk ◽  
And Control

Systemic low-grade inflammation is associated with obesity. Our aim was to examine the association between obesity and salivary biomarkers of periodontitis. Salivary interleukin (IL)-1-receptor antagonist (IL-1Ra), IL-6, IL-8, IL-10, and tumor necrosis factor (TNF)-α concentrations were measured from 287 non-diabetic obese (body mass index (BMI) of >35 kg/m2) individuals and 293 normal-weight (BMI of 18.5–25 kg/m2) controls. Periodontal status was defined according to a diagnostic cumulative risk score (CRS) to calculate the risk of having periodontitis (CRS I, low risk; CRS II, medium risk; CRS III, high risk). In the whole population, and especially in smokers, higher IL-8 and lower IL-10 concentrations were detected in the obese group compared to the control group, while in non-smoking participants, the obese and control groups did not differ. IL-1Ra and IL-8 concentrations were higher in those with medium or high risk (CRS II and CRS III, p < 0.001) of periodontitis, whereas IL-10 and TNF-α concentrations were lower when compared to those with low risk (CRS I). In multivariate models adjusted for periodontal status, obesity did not associate with any salivary cytokine concentration. In conclusion, salivary cytokine biomarkers are not independently associated with obesity and concentrations are dependent on periodontal status.

scholarly journals Prediction of Botrytis cinerea Risk in Vineyards Based on Weather Indicators

2020 ◽  
Vol 77 (2) ◽  
pp. 58
Author(s):  
Liliana PIRCALABU ◽  
Elena BRINDUSE ◽  
Marian ION
Keyword(s):  
High Risk ◽  
Botrytis Cinerea ◽  
Predictive Models ◽  
Meteorological Data ◽  
Grey Mould ◽  
Low Risk ◽  
Wine Quality ◽  
The Hours ◽  
Medium Risk ◽  
Positive Correlations

Botrytis cinerea causes grey mould, a major disease occurring in vineyards worldwide, resulting in loss of grape production and wine quality. Predictive models of favorability of Botrytis cinerea were used. Therefore, a series of meteorological data from 2010 to 2019 was used. The results showed that the frequency of years with low risk of Botrytis cinerea was 10%, medium risk 10%, high risk 80%. The disease can drastically reduce both yield and wine quality (Ribereau Gayon et al., 1980). The harvest years 2010, 2011, 2012, 2013 and 2014, favored the manifestation of an attack degree of 62.9% (2012) and 34.2% (2013). Positive correlations were observed in the case of Broome index and Bacchus index with the duration of sunlight (r2 = 0.935), respectively (r2 = 0.944) and the sum of the hours of moisture on the leaves (r2 = 0.833, r2 = 0.848). Based on the results a model for prediction of Botrytis cinerea risk will be developed.

Assessment of Heavy Metal Contamination in Sediments along the Jiangsu Lagoon

2013 ◽  
Vol 641-642 ◽  
pp. 211-214
Author(s):  
Zhao Xiang Han ◽  
Zhen Zhu ◽  
Dan Dan Wu
Keyword(s):  
High Risk ◽  
Ecological Risk ◽  
Heavy Metal Contamination ◽  
Risk Index ◽  
Potential Ecological Risk ◽  
Low Risk ◽  
Moderate Risk ◽  
Ecological Risk Index ◽  
Risk Indices ◽  
Medium Risk

Abstract: In this study we have worked on the evaluation of heavy metal contamination in the sediments taken from the Jiangsu lagoon and thereby used the Enrichment factor (EF), Pollution load index (PLI), Geoaccumulation index (Igeo), Potential ecological risk index (PERI), Potential ecological risk index (PERI), Potential toxicity response index (PTRI) and Risk assessment code (RAC) and the methods of statistical analysis. The average EF of Zn is found to be less than 2, and the average EF of Cu, Cr, Cd, Pb and Ni are found to be greater than 2 in Jiangsu lagoon.The EF for Pb, Cd and Cr are higher along the Jiangsu lagoon and harbor, which reveals the anthropogenic contribution to the increased content of the surface sediments of the Jiangsu coast. PLI values calculated for Yancheng suggest that this zone is appreciably less impacted by metal pollutants than Nantong. Zn (Igeo(mean)<0), as unpolluted to moderately polluted with Cu (0<Igeo(mean)<1), moderately polluted with Ni (1<Igeo(mean)<2), moderate to strongly polluted with Cd (2<Igeo(mean)<3), and strongly polluted with Cr and Pb (3<Igeo(mean)<4). The potential ecological risk indices of Cu, Zn and Ni in 9 stations in Lianyungang coast were lower than 40, which indicated slight potential ecological risk of three metals in 9 stations.Potential ecological risk indices of Cu, Zn and Cd in 9 stations in Yancheng lagoon were lower than 40, which indicated slight potential ecological risk of two metals in 9 stations. The sediments show a medium risk for Cu with PERI value greater than 40 indicating a moderate risk from sediments across the entire Nantong region. The amount of Cu and Ni with low risk, while Cd with moderate, with high risk in Lianyungang coast. Cu, Zn and Cd with low risk, while Cr and Ni with moderate risk, but, the Pb with very high risk in Yancheng coast. Cu and Zn with low risk, Cr and Ni with medium risk, Pb,Cd with high risk in Nantong coast.

scholarly journals STUDI IMPLEMENTASI KONSEP HALAL SUPPLY CHAIN PADA PASOKAN DAGING AYAM DI PASAR BARU KARAWANG

BUANA ILMU ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 140-157
Author(s):  
Afif Hakim
Keyword(s):  
Supply Chain ◽  
High Risk ◽  
Chicken Meat ◽  
Low Risk ◽  
Chain Process ◽  
Direct Observations ◽  
Traditional Market ◽  
Medium Risk ◽  
Scale Calibration ◽  
Supply Chain Process

Salah satu produk yang dekat dengan masyarakat dan selalu diminati untuk dikonsumsi adalah daging ayam. Oleh karena itu, diperlukan penelitian yang mengkaji mengenai kehalalan daging ayam curah dalam serangkain proses suplly chain-nya dari hulu ke hilir. Penelitian ini mengambil objek yaitu daging ayam yang dijual di Pasar Baru Karawang. Adapun kesimpulan yang dapat ditarik dari penelitian ini adalah ketiga pemasok daging ayam ke pasar baru karawang secara umum berdasarkan observasi secara langsung di lapangan sudah memenuhi syarat syar’i mengenai kehalalan daging ayam dan sampai kepada konsumen akhir tidak terkontaminasi dengan barang haram/najis. Akan tetapi tetap masih diperlukan penyempurnaan sebagai yaitu perlu dipastikan kembali kehalalan bahan dari makanan, minuman, vaksin, dan vitamin yang digunakan, perlu adanya pemastian menghadap kiblat, perlu adanya pemastian bahwa ayam yang disembelih sudah betul-betul mati sebelum proses selanjutnya atau minimal menunggu 3 menit. Risiko yang dapat terjadi dikelompokkan menjadi resiko rendah, resiko sedang dan resiko tinggi. Risiko rendah yaitu daging ayam tercampur dengan bahan najis/haram dan timbangan tidak sesuai. Resiko sedang yaitu penyembelihan tidak menghadap kiblat. Sedangkan resiko tinggi yaitu ayam belum benar-benar mati karena berhubungan langsung dengan kehalalan daging ayam. Hal ini pula yang jarang disadari oleh para pemasok daging ayam mereka kebanyakan tidak memastikan benar-benar mati atau tidak menunggu setidaknya 3 menit. Oleh karena itu, dibutuhkan edukasi, standarisasi, serta kalibrasi timbangan. Kata kunci  :   supply chain,  kehalalan, haram, Pasar Baru Karawang One of the products that are close to the community and always in demand for consumption is chicken. Therefore, it is necessary to study the halal chicken meat in the supply chain process from upstream to downstream. This research took the object, namely chicken meat sold in Pasar Baru Karawang. The conclusions that can be drawn from this study are that the three suppliers of chicken meat to the Karawang new market in general, based on direct observations in the field, have met the syar'i requirements regarding the halalness of chicken meat and until the end consumers are not contaminated with haram / najis goods. However, improvements are still needed as it is necessary to re-confirm the halalness of the ingredients of the food, drinks, vaccines, and vitamins used, it is necessary to ensure facing the Qibla, it is necessary to ensure that the slaughtered chickens have really died before the next process or at least wait 3 minute. The risks that can occur are grouped into low risk, medium risk and high risk. Low risk, namely the chicken meat is mixed with unclean / haram ingredients and the scale is not suitable. The risk is moderate, namely the slaughter does not face the Qibla. Meanwhile, the high risk is that the chicken has not really died because it is directly related to the halal meat of the chicken. It is also something that is rarely realized by most of their chicken meat suppliers who do not ensure that they are really dead or do not wait at least 3 minutes. Therefore, it takes education, standardization, and scale calibration.  Keyword : supply chain,  halal, haram, Pasar Baru Karawang (traditional market)

scholarly journals Impella use in real-world cardiogenic shock patients: Sobering outcomes

PLoS ONE ◽  
2021 ◽  
Vol 16 (2) ◽  
pp. e0247667
Author(s):  
Khaled Q. A. Abdullah ◽  
Jana V. Roedler ◽  
Juergen vom Dahl ◽  
Istvan Szendey ◽  
Hendrik Haake ◽  
...  
Keyword(s):  
Logistic Regression ◽  
High Risk ◽  
Hospital Mortality ◽  
Cardiogenic Shock ◽  
Patient Selection ◽  
Primary Endpoint ◽  
Real World ◽  
Risk Group ◽  
Low Risk ◽  
Medium Risk

Background Critically ill patients with cardiogenic shock could benefit from ventricular assist device support using the Impella microaxial blood pump. However, recent studies suggested Impella not to improve outcomes. We, therefore, evaluated outcomes and predictors in a real-world scenario. Methods In this retrospective single-center trial, 125 patients suffering from cardiac arrest/cardiogenic shock between 2008 and 2018 were analyzed. 93 Patients had a prior successful cardiopulmonary resuscitation. The primary endpoint was hospital mortality. Associations of covariates with the primary endpoint were assessed by univariable and multivariable logistic regression. Adjusted odds ratios (aOR) and optimal cut-offs (using Youden index) were obtained. Results Hospital mortality was high (81%). Baseline lactate was 4.7mmol/L [IQR = 7.1mmol/L]. In multivariable logistic regression, only age (aOR 1.13 95%CI 1.06–1.20; p<0.001) and lactate (aOR 1.23 95%CI 1.004–1.516; p = 0.046) were associated with hospital mortality, and the respective optimal cut-offs were >3.3mmol/L and age >66 years. Patients were retrospectively stratified into three risk groups: Patients aged ≤66 years and lactate ≤3.3mmol (low-risk; n = 22); patients aged >66 years or lactate >3.3mmol/L (medium-risk; n = 52); and patients both aged >66 years and lactate >3.3mmol/L (high-risk, n = 51). Risk of death increased from 41% in the low-risk group, to 79% in the medium risk group and 100% in the high-risk group. The predictive abilities of this model were high (AUC 0.84; 95% 0.77–0.92). Conclusion Mortality was high in this real-world collective of severely ill cardiogenic shock patients. Better patient selection is warranted to avoid unethical use of Impella. Age and lactate might help to improve patient selection.

scholarly journals Investigação dos fatores condicionantes do capital de giro em micro e pequenas empresas: uma abordagem por grupos estratégicos

2009 ◽  
Vol 13 (3) ◽  
pp. 51
Author(s):  
Lucas Maia dos Santos ◽  
Marco Aurélio Marques Ferreira
Keyword(s):  
High Risk ◽  
Low Risk ◽  
Small Enterprises ◽  
Short Term ◽  
Conditioning Factors ◽  
Medium Risk ◽  
Micro And Small Enterprises ◽  
Financial Administration ◽  
The City

In a general way, micro and small enterprises (MPEs) are attractive for their rentability, but, because of some deficiencies in short term financial administration, they work in a high risk of bankruptcy. In this context, this paper aimed to identify and analyze the acting of strategical groups of MPEs according to the methodologies and practices in the working capital conduction, taking as reference the city of Viçosa, MG. In this paper, in which it was used the exploratory quantitive approach, 172 MPEs proprietors were interviewed, and this fact, through the factorial analyses followed by the cluster analyses, enables the identification of three groups with distincts characteristics, basing in restrictive aspects of risk of bankruptcy in these enterprises: low risk, medium risk, and high risk. Despite of the fact that it was noticeable a low risk of bankruptcy group, it is evident the importance of the short term financial administration in the region studied, since the maintenance of a correct administration is far from being unannimous because of the classification of nearly 30% of the enterprises in medium and high risk of bankruptcy groups. To finish, the identification of the enterprises with similar strategies and the best practices used in the short term financial administration can be an aplication instrument in the enterprises classified in medium and high risk of bankruptcy, since some conditioning factors of the risk of bankruptcy were identified.

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