With new requirements being placed on the distribution grid, the cost to consumers of poor supply quality and low reliability is increasing. Consumers are starting to demand higher levels of supply quality from distribution network operators. This paper will discuss various Fault Location, Isolation and Service Restoration (FLISR) strategies with increasing CAPEX investment potential that can b...

We report the case of a 13-year-old obese child presenting with bilateral stable slipped capital femoral epiphyses, which were managed by percutaneous single screw fixation in situ under image intensifier control using arthrography.

EIOPA’s report on the results of the last full quantitative impact study (QIS5) has already indicated that the use of partial models led to an average 13% reduction in insurers’ solvency capital requirement (SCR). In 2011, only 10% of the participating companies intended to use an internal model, and almost half of those (42%) will be using a partial internal model. We expect that the importanc...

The etiology of slipped capital femoral epiphysis (SCFE) is unknown, though hormonal as well as mechanical factors have been implicated. We report a case of gigantism who presented with SCFE. This case provides an insight into the genesis of SCFE, which in this case was related to growth hormone excess and sex-hormone deficiency.

This paper examines the consequences for a life annuity insurance company if the solvency II solvency capital requirements (SCR) are calibrated based on expected shortfall (ES) instead of value-at-risk (VaR). We focus on the risk modules of the SCRs for the three risk classes equity risk, interest rate risk and longevity risk. The stress scenarios are determined using the calibration method pro...

UNLABELLED Femoroacetabular impingement causing pain and deformity often follows in situ pinning for severe, stable (Grade III) slipped capital femoral epiphysis. We asked whether a transverse percutaneous subtrochanteric osteotomy using external fixation could decrease pain, restore function and motion, and improve radiographic outcome. We performed a transverse subtrochanteric osteotomy with ...

Atypical slipped capital femoral epiphyseal (SCFE) is associated with endocrine or metabolic disorders and radiation therapy. In this review, we discuss the clinical presentation for endocrinopathies, such as hyperparathyroidism, hypothyroidism, growth hormone deficiency well renal osteodystrophy, radiation-induced, valgus SCFE, pertinent case examples. Routine laboratory screening of all patie...