BACKGROUND The implementation of the Performance Management and Development System (PMDS) is seen as being vital to the quality of care, resource management and inter-professional work. However, there is evidence that, at present, professional nurses lack the knowledge to implement such a system. OBJECTIVES The aim of this study was to explore and describe professional nurses' knowledge regar...

499 Usmartphones and tablets, has forever changed how we communicate. In the clinical environment, photography has extended beyond professional photography units and into the hands of clinicians throughPMDs.Opportunities to optimisepatient carehavebeenenhancedby this immediate transfer of accurate and relevant clinical images. Despite these benefits, photographic documentation of the patient’s ...

We report a case of congenital adrenal hyperplasia due to 17 alpha-hydroxylase deficiency in a Chinese genotypic male patient. Despite the male genotype, normal female external genitalia were present and with the introduction of cyclical oestrogen therapy withdrawal bleeding occurred, confirming the presence of functional endometrial tissue. We believe this to be the first report of persistent ...

Developmental anomalies of the urogenital tract are rare but often encountered. Zinner's syndrome is a rare congenital abnormality of mesonephric (Wolffian) duct consisting of unilateral renal agenesis, ipsilateral seminal vesicle cyst, and ipsilateral ejaculatory duct obstruction due to developmental arrest in early embryogenesis affecting the caudal end of Mullerian duct and only approximatel...