Education is viewed as central to improving future palliative care for children and families across all countries. International education initiatives will ensure practitioners are aware of global health issues and can provide culturally sensitive care. Creative and innovative means of meeting such directives are required to achieve meaningful student learning. This paper focuses on one innovation, a children's palliative care workshop using case studies as a teaching method, with nursing students from the USA and nursing and midwifery students from the UK. Key learning points arising from student evaluation were recorded under three main themes, these were: differences across countries, similarities across countries, and making learning fun and memorable. Findings indicated that this joint learning activity was viewed positively by all students and has enabled them to learn with and from each other, potentially impacting on their future practice.

Death of an infant is acutely stressful for parents and professionals. Little is known about junior nurses' experiences providing end-of-life care in Neonatal Units (NNU).This study aimed to better understand junior nurses' experiences providing end-oflife care in NNU. Neonatal nurses (n=12) with less than 3 years experience participated in a focus group. Nominal Group Technique (NGT) was used to build consensus around the challenges faced, alongside suggested developments in improving future care provision. Primary analysis involved successive rounds of ranking and decision making whilst secondary analysis involved thematic analysis.All issues, whether environmental, professional or social appeared driven by an awareness on the part of nurses, that there was no 'second chance' which created a huge pressure to 'get if right' for the infants and families. Regarding future care 2 areas of improvement identified were 'Education and Training' and Support. This paper unpacks these findings making recommendations for practice. words

In the female tammar wallaby, Macropus eugenii, which has a highly seasonal breeding pattern, teat eversion and enlargement of the pouch occur at puberty, about 40 weeks after birth. The most obvious sign of puberty is teat eversion: 22 of 23 wild caught, and 23 of 24 captive postpubertal animals had fully everted or everting teats. Full eversion of the teats took on average two to three weeks after puberty. The pouch opening enlarged at puberty, and the rate of enlargement from 2 weeks before puberty to 2 weeks after puberty was significantly greater than the rate before puberty. In a group of pouch young ovariectomized at 5-10 weeks of age, no such changes in either teats or pouch were observed by 46 weeks of age. However, after treatment with oestradiol (0.5 microgram kg-1 body mass), four of five young showed teat eversion within 3-4 weeks. Progesterone (2 mg kg-1) had no effect on inverted teats. In these ovariectomized females oestradiol treatment caused a significant increase in the rate of growth of the pouch opening. During progesterone injections the size of the pouch remained the same. Thus, at puberty the teats and pouch of the tammar wallaby undergo rapid developmental changes and growth. Ovariectomy at an early stage of gonadal differentiation disrupts these normal changes, but treatment of these animals with physiological doses of oestradiol at the age when puberty would normally have occurred can restore teat and pouch maturation. Teat eversion and pouch enlargement can therefore be used as markers for puberty.(ABSTRACT TRUNCATED AT 250 WORDS)

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