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Saturday, June 22, 2019

Mars Science Laboratory

From Wikipedia, the free encyclopedia

Mars Science Laboratory
MSL cruise stage configuration (PIA14831).png
MSL cruise configuration

Mission typeMars rover
OperatorNASA
COSPAR ID2011-070A
SATCAT no.37936
Websitehttp://mars.jpl.nasa.gov/msl/
Mission durationPrimary: 669 Martian sols
     (687 days)
Elapsed: 2444 sols
     (2511 days)

Spacecraft properties
ManufacturerJPL, Lockheed Martin
Launch mass3,839 kg (8,463 lb)

Start of mission
Launch dateNovember 26, 2011, 15:02:00.211 UTC
RocketAtlas V 541 (AV-028)
Launch siteCape Canaveral SLC-41
ContractorUnited Launch Alliance

Mars rover
Landing dateAugust 6, 2012, 05:17 UTC SCET
MSD 49269 05:50:16 AMT
Landing site"Bradbury Landing" in Gale Crater 4.5895°S 137.4417°E
Mars Science Laboratory mission logo.png  

Mars Science Laboratory (MSL) is a robotic space probe mission to Mars launched by NASA on November 26, 2011, which successfully landed Curiosity, a Mars rover, in Gale Crater on August 6, 2012. The overall objectives include investigating Mars' habitability, studying its climate and geology, and collecting data for a manned mission to Mars. The rover carries a variety of scientific instruments designed by an international team.

Overview

Hubble view of Mars: Gale crater can be seen. Slightly left and south of center, it's a small dark spot with dust trailing southward from it.
 
MSL successfully carried out the most accurate Martian landing of any known spacecraft, hitting a small target landing ellipse of only 7 by 20 km (4.3 by 12.4 mi), in the Aeolis Palus region of Gale Crater. In the event, MSL achieved a landing 2.4 km (1.5 mi) east and 400 m (1,300 ft) north of the center of the target. This location is near the mountain Aeolis Mons (a.k.a. "Mount Sharp"). The rover mission is set to explore for at least 687 Earth days (1 Martian year) over a range of 5 by 20 km (3.1 by 12.4 mi).

The Mars Science Laboratory mission is part of NASA's Mars Exploration Program, a long-term effort for the robotic exploration of Mars that is managed by the Jet Propulsion Laboratory of California Institute of Technology. The total cost of the MSL project is about US$2.5 billion.

Previous successful U.S. Mars rovers include Sojourner from the Mars Pathfinder mission and the Mars Exploration Rovers Spirit and Opportunity. Curiosity is about twice as long and five times as heavy as Spirit and Opportunity, and carries over ten times the mass of scientific instruments.

Goals and objectives

MSL self-portrait from Gale Crater sol 85 (October 31, 2012).
The MSL mission has four scientific goals: Determine the landing site's habitability including the role of water, the study of the climate and the geology of Mars. It is also useful preparation for a future manned mission to Mars

To contribute to these goals, MSL has eight main scientific objectives:
Biological
Geological and geochemical
  • (4) Investigate the chemical, isotopic, and mineralogical composition of the Martian surface and near-surface geological materials
  • (5) Interpret the processes that have formed and modified rocks and soils
Planetary process
Surface radiation
  • (8) Characterize the broad spectrum of surface radiation, including cosmic radiation, solar particle events and secondary neutrons. As part of its exploration, it also measured the radiation exposure in the interior of the spacecraft as it traveled to Mars, and it is continuing radiation measurements as it explores the surface of Mars. This data would be important for a future manned mission.
About one year into the surface mission, and having assessed that ancient Mars could have been hospitable to microbial life, the MSL mission objectives evolved to developing predictive models for the preservation process of organic compounds and biomolecules; a branch of paleontology called taphonomy.

Specifications

Spacecraft

Mars Science Laboratory in final assembly
 
Diagram of the MSL spacecraft: 1- Cruise stage; 2- Backshell; 3- Descent stage; 4- Curiosity rover; 5- Heat shield; 6- Parachute
 
The spacecraft flight system had a mass at launch of 3,893 kg (8,583 lb), consisting of an Earth-Mars fueled cruise stage (539 kg (1,188 lb)), the entry-descent-landing (EDL) system (2,401 kg (5,293 lb) including 390 kg (860 lb) of landing propellant), and a 899 kg (1,982 lb) mobile rover with an integrated instrument package.

The MSL spacecraft includes spaceflight-specific instruments, in addition to utilizing one of the rover instruments — Radiation assessment detector (RAD) — during the spaceflight transit to Mars.
  • MSL EDL Instrument (MEDLI): The MEDLI project's main objective is to measure aerothermal environments, sub-surface heat shield material response, vehicle orientation, and atmospheric density. The MEDLI instrumentation suite was installed in the heatshield of the MSL entry vehicle. The acquired data will support future Mars missions by providing measured atmospheric data to validate Mars atmosphere models and clarify the lander design margins on future Mars missions. MEDLI instrumentation consists of three main subsystems: MEDLI Integrated Sensor Plugs (MISP), Mars Entry Atmospheric Data System (MEADS) and the Sensor Support Electronics (SSE).

Rover

Color-coded rover diagram

Curiosity rover has a mass of 899 kg (1,982 lb), can travel up to 90 m (300 ft) per hour on its six-wheeled rocker-bogie system, is powered by a multi-mission radioisotope thermoelectric generator (MMRTG), and communicates in both X band and UHF bands.
  • Computers: The two identical on-board rover computers, called "Rover Compute Element" (RCE), contain radiation-hardened memory to tolerate the extreme radiation from space and to safeguard against power-off cycles. Each computer's memory includes 256 KB of EEPROM, 256 MB of DRAM, and 2 GB of flash memory.[30] This compares to 3 MB of EEPROM, 128 MB of DRAM, and 256 MB of flash memory used in the Mars Exploration Rovers.[31]
The RCE computers use the RAD750 CPU (a successor to the RAD6000 CPU used in the Mars Exploration Rovers) operating at 200 MHz.[32][33][34] The RAD750 CPU is capable of up to 400 MIPS, while the RAD6000 CPU is capable of up to 35 MIPS. Of the two on-board computers, one is configured as backup, and will take over in the event of problems with the main computer.
The rover has an Inertial Measurement Unit (IMU) that provides 3-axis information on its position, which is used in rover navigation. The rover's computers are constantly self-monitoring to keep the rover operational, such as by regulating the rover's temperature. Activities such as taking pictures, driving, and operating the instruments are performed in a command sequence that is sent from the flight team to the rover.
The rover's computers function on VxWorks, a real-time operating system from Wind River Systems. During the trip to Mars, VxWorks ran applications dedicated to the navigation and guidance phase of the mission, and also had a pre-programmed software sequence for handling the complexity of the entry-descent-landing. Once landed, the applications were replaced with software for driving on the surface and performing scientific activities.


Goldstone antenna can receive signals
 
Wheels of a working sibling to Curiosity. The Morse code pattern (for "JPL") is represented by small (dot) and large (dash) holes in three horizontal lines on the wheels. The code on each line is read from right to left.
  • Communications: Curiosity is equipped with several means of communication, for redundancy. An X band Small Deep Space Transponder for communication directly to Earth via the NASA Deep Space Network and a UHF Electra-Lite software-defined radio for communicating with Mars orbiters. The X-band system has one radio, with a 15 W power amplifier, and two antennas: a low-gain omnidirectional antenna that can communicate with Earth at very low data rates (15 bit/s at maximum range), regardless of rover orientation, and a high-gain antenna that can communicate at speeds up to 32 kbit/s, but must be aimed. The UHF system has two radios (approximately 9 W transmit power), sharing one omnidirectional antenna. This can communicate with the Mars Reconnaissance Orbiter (MRO) and 2001 Mars Odyssey orbiter (ODY) at speeds up to 2 Mbit/s and 256 kbit/s, respectively, but each orbiter is only able to communicate with Curiosity for about 8 minutes per day. The orbiters have larger antennas and more powerful radios, and can relay data to Earth faster than the rover could do directly. Therefore, most of the data returned by Curiosity (MSL), is via the UHF relay links with MRO and ODY. The data return via the communication infrastructure as implemented at MSL, and observed during the first 10 days was approximately 31 megabytes per day.
Typically 225 kbit/day of commands are transmitted to the rover directly from Earth, at a data rate of 1–2 kbit/s, during a 15-minute (900 second) transmit window, while the larger volumes of data collected by the rover are returned via satellite relay. The one-way communication delay with Earth varies from 4 to 22 minutes, depending on the planets' relative positions, with 12.5 minutes being the average.
At landing, telemetry was monitored by the 2001 Mars Odyssey orbiter, Mars Reconnaissance Orbiter and ESA's Mars Express. Odyssey is capable of relaying UHF telemetry back to Earth in real time. The relay time varies with the distance between the two planets and took 13:46 minutes at the time of landing.
  • Mobility systems: Curiosity is equipped with six wheels in a rocker-bogie suspension, which also served as landing gear for the vehicle, unlike its smaller predecessors. The wheels are significantly larger (50 centimeters (20 in) diameter) than those used on previous rovers. Each wheel has cleats and is independently actuated and geared, providing for climbing in soft sand and scrambling over rocks. The four corner wheels can be independently steered, allowing the vehicle to turn in place as well as execute arcing turns. Each wheel has a pattern that helps it maintain traction and leaves patterned tracks in the sandy surface of Mars. That pattern is used by on-board cameras to judge the distance traveled. The pattern itself is Morse code for "JPL" (•−−− •−−• •−••). Based on the center of mass, the vehicle can withstand a tilt of at least 50 degrees in any direction without overturning, but automatic sensors will limit the rover from exceeding 30-degree tilts.

Instruments

Main instruments
APXS – Alpha Particle X-ray Spectrometer
ChemCam – Chemistry and Camera complex
CheMin – Chemistry and Mineralogy
DAN – Dynamic Albedo of Neutrons
Hazcam – Hazard Avoidance Camera
MAHLI – Mars Hand Lens Imager
MARDI – Mars Descent Imager
MastCam – Mast Camera
MEDLI – MSL EDL Instrument
Navcam – Navigation Camera
RAD – Radiation assessment detector
REMS – Rover Environmental Monitoring Station
SAM – Sample Analysis at Mars
The shadow of Curiosity and Aeolis Mons ("Mount Sharp")
 
The general analysis strategy begins with high resolution cameras to look for features of interest. If a particular surface is of interest, Curiosity can vaporize a small portion of it with an infrared laser and examine the resulting spectra signature to query the rock's elemental composition. If that signature intrigues, the rover will use its long arm to swing over a microscope and an X-ray spectrometer to take a closer look. If the specimen warrants further analysis, Curiosity can drill into the boulder and deliver a powdered sample to either the SAM or the CheMin analytical laboratories inside the rover.
Comparison of Radiation Doses – includes the amount detected on the trip from Earth to Mars by the RAD on the MSL (2011–2013).
  • Radiation Assessment Detector (RAD): This instrument was the first of ten MSL instruments to be turned on. Both en route and on the planet's surface, it will characterize the broad spectrum of radiation encountered in the Martian environment. Turned on after launch, it recorded several radiation spikes caused by the Sun. On May 31, 2013, NASA scientists reported that a possible manned mission to Mars may involve a great radiation risk based on the amount of energetic particle radiation detected by the RAD on the Mars Science Laboratory while traveling from the Earth to Mars in 2011–2012.
The RAD on Curiosity.
  • Dynamic Albedo of Neutrons (DAN): A pulsed neutron source and detector for measuring hydrogen or ice and water at or near the Martian surface. On August 18, 2012 (sol 12) the Russian science instrument, DAN, was turned on, marking the success of a Russian-American collaboration on the surface of Mars and the first working Russian science instrument on the Martian surface since Mars 3 stopped transmitting over forty years ago. The instrument is designed to detect subsurface water.
  • Rover Environmental Monitoring Station (REMS): Meteorological package and an ultraviolet sensor provided by Spain and Finland. It measures humidity, pressure, temperatures, wind speeds, and ultraviolet radiation.
  • Cameras: Curiosity has seventeen cameras overall. 12 engineering cameras (Hazcams and Navcams) and five science cameras. MAHLI, MARDI, and MastCam cameras were developed by Malin Space Science Systems and they all share common design components, such as on-board electronic imaging processing boxes, 1600×1200 CCDs, and a RGB Bayer pattern filter.
    • MastCam: This system provides multiple spectra and true-color imaging with two cameras.
    • Mars Hand Lens Imager (MAHLI): This system consists of a camera mounted to a robotic arm on the rover, used to acquire microscopic images of rock and soil. It has white and ultraviolet LEDs for illumination.
  • ChemCam: Designed by Roger Wiens is a system of remote sensing instruments used to erode the Martian surface up to 10 meters away and measure the different components that make up the land. The payload includes the first laser-induced breakdown spectroscopy (LIBS) system to be used for planetary science, and Curiosity's fifth science camera, the remote micro-imager (RMI). The RMI provides black-and-white images at 1024×1024 resolution in a 0.02 radian (1.1-degree) field of view. This is approximately equivalent to a 1500 mm lens on a 35 mm camera.
MARDI views the surface
  • Mars Descent Imager (MARDI): During part of the descent to the Martian surface, MARDI acquired 4 color images per second, at 1600×1200 pixels, with a 0.9-millisecond exposure time. Images were taken 4 times per second, starting shortly before heatshield separation at 3.7 km altitude, until a few seconds after touchdown. This provided engineering information about both the motion of the rover during the descent process, and science information about the terrain immediately surrounding the rover. NASA descoped MARDI in 2007, but Malin Space Science Systems contributed it with its own resources. After landing it could take 1.5 mm (0.059 in) per pixel views of the surface, the first of these post-landing photos were taken by August 27, 2012 (sol 20).
  • Engineering cameras: There are 12 additional cameras that support mobility:
    • Hazard avoidance cameras (Hazcams): The rover has a pair of black and white navigation cameras (Hazcams) located on each of its four corners. These provide closed-up views of potential obstacles about to go under the wheels.
    • Navigation cameras (Navcams): The rover uses two pairs of black and white navigation cameras mounted on the mast to support ground navigation. These provide a longer-distance view of the terrain ahead.

History

MSL's cruise stage on Earth
 
The Mars Science Laboratory was recommended by United States National Research Council Decadal Survey committee as the top priority middle-class Mars mission in 2003. NASA called for proposals for the rover's scientific instruments in April 2004, and eight proposals were selected on December 14 of that year. Testing and design of components also began in late 2004, including Aerojet's designing of a monopropellant engine with the ability to throttle from 15–100 percent thrust with a fixed propellant inlet pressure.

Cost overruns, delays, and launch

By November 2008 most hardware and software development was complete, and testing continued. At this point, cost overruns were approximately $400 million. In the attempts to meet the launch date, several instruments and a cache for samples were removed and other instruments and cameras were simplified to simplify testing and integration of the rover. The next month, NASA delayed the launch to late 2011 because of inadequate testing time. Eventually the costs for developing the rover reached $2.47 billion, that for a rover that initially had been classified as a medium-cost mission with a maximum budget of $650 million, yet NASA still had to ask for an additional $82 million to meet the planned November launch. As of 2012, the project suffered an 84 percent overrun.

MSL launched on an Atlas V rocket from Cape Canaveral on November 26, 2011. On January 11, 2012, the spacecraft successfully refined its trajectory with a three-hour series of thruster-engine firings, advancing the rover's landing time by about 14 hours. When MSL was launched, the program's director was Doug McCuistion of NASA's Planetary Science Division.

Curiosity successfully landed in the Gale Crater at 05:17:57.3 UTC on August 6, 2012, and transmitted Hazcam images confirming orientation. Due to the Mars-Earth distance at the time of landing and the limited speed of radio signals, the landing was not registered on Earth for another 14 minutes. The Mars Reconnaissance Orbiter sent a photograph of Curiosity descending under its parachute, taken by its HiRISE camera, during the landing procedure. 

Six senior members of the Curiosity team presented a news conference a few hours after landing, they were: John Grunsfeld, NASA associate administrator; Charles Elachi, director, JPL; Peter Theisinger, MSL project manager; Richard Cook, MSL deputy project manager; Adam Steltzner, MSL entry, descent and landing (EDL) lead; and John Grotzinger, MSL project scientist.

Naming

Between March 23–29, 2009, the general public ranked nine finalist rover names (Adventure, Amelia, Journey, Perception, Pursuit, Sunrise, Vision, Wonder, and Curiosity) through a public poll on the NASA website. On May 27, 2009, the winning name was announced to be Curiosity. The name had been submitted in an essay contest by Clara Ma, a then sixth-grader from Kansas.
Curiosity is the passion that drives us through our everyday lives. We have become explorers and scientists with our need to ask questions and to wonder.
— Clara Ma, NASA/JPL Name the Rover contest

Landing site selection

Aeolis Mons rises from the middle of Gale CraterGreen dot marks the Curiosity rover landing site in Aeolis Palus – North is down
 
Over 60 landing sites were evaluated, and by July 2011 Gale crater was chosen. A primary goal when selecting the landing site was to identify a particular geologic environment, or set of environments, that would support microbial life. Planners looked for a site that could contribute to a wide variety of possible science objectives. They preferred a landing site with both morphologic and mineralogical evidence for past water. Furthermore, a site with spectra indicating multiple hydrated minerals was preferred; clay minerals and sulfate salts would constitute a rich site. Hematite, other iron oxides, sulfate minerals, silicate minerals, silica, and possibly chloride minerals were suggested as possible substrates for fossil preservation. Indeed, all are known to facilitate the preservation of fossil morphologies and molecules on Earth. Difficult terrain was favored for finding evidence of livable conditions, but the rover must be able to safely reach the site and drive within it.

Engineering constraints called for a landing site less than 45° from the Martian equator, and less than 1 km above the reference datum. At the first MSL Landing Site workshop, 33 potential landing sites were identified. By the end of the second workshop in late 2007, the list was reduced to six; in November 2008, project leaders at a third workshop reduced the list to these four landing sites:

Name Location Elevation Notes
Eberswalde Crater Delta 23.86°S 326.73°E −1,450 m (−4,760 ft) Ancient river delta.
Holden Crater Fan 26.37°S 325.10°E −1,940 m (−6,360 ft) Dry lake bed.
Gale Crater 4.49°S 137.42°E −4,451 m (−14,603 ft) Features 5 km (3.1 mi) tall mountain
of layered material near center. Selected.
Mawrth Vallis Site 2 24.01°N 341.03°E −2,246 m (−7,369 ft) Channel carved by catastrophic floods.

A fourth landing site workshop was held in late September 2010, and the fifth and final workshop May 16–18, 2011. On July 22, 2011, it was announced that Gale Crater had been selected as the landing site of the Mars Science Laboratory mission.

Launch

The MSL launched from Cape Canaveral.

Launch vehicle

The Atlas V launch vehicle is capable of launching up to 8,290 kg (18,280 lb) to geostationary transfer orbit. The Atlas V was also used to launch the Mars Reconnaissance Orbiter and the New Horizons probe.

The first and second stages, along with the solid rocket motors, were stacked on October 9, 2011 near the launch pad. The fairing containing MSL was transported to the launch pad on November 3, 2011.

Launch event

MSL was launched from Cape Canaveral Air Force Station Space Launch Complex 41 on November 26, 2011, at 15:02 UTC via the Atlas V 541 provided by United Launch Alliance. This two stage rocket includes a 3.8 m (12 ft) Common Core Booster (CCB) powered by one RD-180 engine, four solid rocket boosters (SRB), and one Centaur second stage with a 5 m (16 ft) diameter payload fairing. The NASA Launch Services Program coordinated the launch via the NASA Launch Services (NLS) I Contract.

Cruise

Animation of Mars Science Laboratory's trajectory
   Earth ·    Mars ·   Mars Science Laboratory

Cruise stage

The cruise stage carried the MSL spacecraft through the void of space and delivered it to Mars. The interplanetary trip covered the distance of 352 million miles in 253 days. The cruise stage has its own miniature propulsion system, consisting of eight thrusters using hydrazine fuel in two titanium tanks. It also has its own electric power system, consisting of a solar array and battery for providing continuous power. Upon reaching Mars, the spacecraft stopped spinning and a cable cutter separated the cruise stage from the aeroshell. Then the cruise stage was diverted into a separate trajectory into the atmosphere. In December 2012, the debris field from the cruise stage was located by the Mars Reconnaissance Orbiter. Since the initial size, velocity, density and impact angle of the hardware are known, it will provide information on impact processes on the Mars surface and atmospheric properties.

Mars transfer orbit

The MSL spacecraft departed Earth orbit and was inserted into a heliocentric Mars transfer orbit on November 26, 2011, shortly after launch, by the Centaur upper stage of the Atlas V launch vehicle. Prior to Centaur separation, the spacecraft was spin-stabilized at 2 rpm for attitude control during the 36,210 km/h (22,500 mph) cruise to Mars.

During cruise, eight thrusters arranged in two clusters were used as actuators to control spin rate and perform axial or lateral trajectory correction maneuvers. By spinning about its central axis, it maintained a stable attitude. Along the way, the cruise stage performed four trajectory correction maneuvers to adjust the spacecraft's path toward its landing site. Information was sent to mission controllers via two X-band antennas. A key task of the cruise stage was to control the temperature of all spacecraft systems and dissipate the heat generated by power sources, such as solar cells and motors, into space. In some systems, insulating blankets kept sensitive science instruments warmer than the near-absolute zero temperature of space. Thermostats monitored temperatures and switched heating and cooling systems on or off as needed.

Entry, descent and landing (EDL)

EDL spacecraft system

Landing a large mass on Mars is particularly challenging as the atmosphere is too thin for parachutes and aerobraking alone to be effective, while remaining thick enough to create stability and impingement problems when decelerating with retrorockets. Although some previous missions have used airbags to cushion the shock of landing, Curiosity rover is too heavy for this to be an option. Instead, Curiosity was set down on the Martian surface using a new high-accuracy entry, descent, and landing (EDL) system that was part of the MSL spacecraft descent stage. The mass of this EDM system, including parachute, sky crane, fuel and aeroshell, is 2,401 kg (5,293 lb). The novel EDL system placed Curiosity within a 20 by 7 km (12.4 by 4.3 mi) landing ellipse, in contrast to the 150 by 20 km (93 by 12 mi) landing ellipse of the landing systems used by the Mars Exploration Rovers.

The entry-descent-landing (EDL) system differs from those used for other missions in that it does not require an interactive, ground-generated mission plan. During the entire landing phase, the vehicle acts autonomously, based on pre-loaded software and parameters. The EDL system was based on a Viking-derived aeroshell structure and propulsion system for a precision guided entry and soft landing, in contrasts with the airbag landings that were used in the mid-1990s by the Mars Pathfinder and Mars Exploration Rover missions. The spacecraft employed several systems in a precise order, with the entry, descent and landing sequence broken down into four parts—described below as the spaceflight events unfolded on August 6, 2012.

EDL event–August 6, 2012

Martian atmosphere entry events from cruise stage separation to parachute deployment
 
Despite its late hour, particularly on the east coast of the United States where it was 1:31 a.m., the landing generated significant public interest. 3.2 million watched the landing live with most watching online instead of on television via NASA TV or cable news networks covering the event live. The final landing place for the rover was less than 2.4 km (1.5 mi) from its target after a 563,270,400 km (350,000,000 mi) journey. In addition to streaming and traditional video viewing, JPL made Eyes on the Solar System, a three-dimensional real time simulation of entry, descent and landing based on real data. Curiosity's touchdown time as represented in the software, based on JPL predictions, was less than 1 second different than reality.

The EDL phase of the MSL spaceflight mission to Mars took only seven minutes and unfolded automatically, as programmed by JPL engineers in advance, in a precise order, with the entry, descent and landing sequence occurring in four distinct event phases.

Guided entry

The guided entry is the phase that allowed the spacecraft to steer with accuracy to its planned landing site
 
Precision guided entry made use of onboard computing ability to steer itself toward the pre-determined landing site, improving landing accuracy from a range of hundreds of kilometers to 20 kilometers (12 mi). This capability helped remove some of the uncertainties of landing hazards that might be present in larger landing ellipses. Steering was achieved by the combined use of thrusters and ejectable balance masses. The ejectable balance masses shift the capsule center of mass enabling generation of a lift vector during the atmospheric phase. A navigation computer integrated the measurements to estimate the position and attitude of the capsule that generated automated torque commands. This was the first planetary mission to use precision landing techniques.

The rover was folded up within an aeroshell that protected it during the travel through space and during the atmospheric entry at Mars. Ten minutes before atmospheric entry the aeroshell separated from the cruise stage that provided power, communications and propulsion during the long flight to Mars. One minute after separation from the cruise stage thrusters on the aeroshell fired to cancel out the spacecraft's 2-rpm rotation and achieved an orientation with the heat shield facing Mars in preparation for Atmospheric entry. The heat shield is made of phenolic impregnated carbon ablator (PICA). The 4.5 m (15 ft) diameter heat shield, which is the largest heat shield ever flown in space, reduced the velocity of the spacecraft by ablation against the Martian atmosphere, from the atmospheric interface velocity of approximately 5.8 km/s (3.6 mi/s) down to approximately 470 m/s (1,500 ft/s), where parachute deployment was possible about four minutes later. One minute and 15 seconds after entry the heat shield experienced peak temperatures of up to 2,090 °C (3,790 °F) as atmospheric pressure converted kinetic energy into heat. Ten seconds after peak heating, that deceleration peaked out at 15 g.

Much of the reduction of the landing precision error was accomplished by an entry guidance algorithm, derived from the algorithm used for guidance of the Apollo Command Modules returning to Earth in the Apollo program. This guidance uses the lifting force experienced by the aeroshell to "fly out" any detected error in range and thereby arrive at the targeted landing site. In order for the aeroshell to have lift, its center of mass is offset from the axial centerline that results in an off-center trim angle in atmospheric flight. This is accomplished by a series of ejectable ballast masses consisting of two 75 kg (165 lb) tungsten weights that were jettisoned minutes before atmospheric entry. The lift vector was controlled by four sets of two reaction control system (RCS) thrusters that produced approximately 500 N (110 lbf) of thrust per pair. This ability to change the pointing of the direction of lift allowed the spacecraft to react to the ambient environment, and steer toward the landing zone. Prior to parachute deployment the entry vehicle ejected more ballast mass consisting of six 25 kg (55 lb) tungsten weights such that the center of gravity offset was removed.

Parachute descent

MSL's parachute is 16 m (52 ft) in diameter.
 
NASA's Curiosity rover and its parachute were spotted by NASA's Mars Reconnaissance Orbiter as the probe descended to the surface. August 6, 2012.
 
When the entry phase was complete and the capsule slowed to about 470 m/s (1,500 ft/s) at about 10 km (6.2 mi) altitude, the supersonic parachute deployed, as was done by previous landers such as Viking, Mars Pathfinder and the Mars Exploration Rovers. The parachute has 80 suspension lines, is over 50 m (160 ft) long, and is about 16 m (52 ft) in diameter. Capable of being deployed at Mach 2.2, the parachute can generate up to 289 kN (65,000 lbf) of drag force in the Martian atmosphere. After the parachute was deployed, the heat shield separated and fell away. A camera beneath the rover acquired about 5 frames per second (with resolution of 1600×1200 pixels) below 3.7 km (2.3 mi) during a period of about 2 minutes until the rover sensors confirmed successful landing. The Mars Reconnaissance Orbiter team were able to acquire an image of the MSL descending under the parachute.

Powered descent

The powered descent stage

Following the parachute braking, at about 1.8 km (1.1 mi) altitude, still travelling at about 100 m/s (220 mph), the rover and descent stage dropped out of the aeroshell. The descent stage is a platform above the rover with eight variable thrust monopropellant hydrazine rocket thrusters on arms extending around this platform to slow the descent. Each rocket thruster, called a Mars Lander Engine (MLE), produces 400 to 3,100 N (90 to 697 lbf) of thrust and were derived from those used on the Viking landers. A radar altimeter measured altitude and velocity, feeding data to the rover's flight computer. Meanwhile, the rover transformed from its stowed flight configuration to a landing configuration while being lowered beneath the descent stage by the "sky crane" system.

Sky crane

Entry events from parachute deployment through powered descent ending at sky crane flyaway
 
Artist's conceptIon of Curiosity being lowered from the rocket-powered descent stage.
 
For several reasons, a different landing system was chosen for MSL compared to previous Mars landers and rovers. Curiosity was considered too heavy to use the airbag landing system as used on the Mars Pathfinder and Mars Exploration Rovers. A legged lander approach would have caused several design problems. It would have needed to have engines high enough above the ground when landing not to form a dust cloud that could damage the rover's instruments. This would have required long landing legs that would need to have significant width to keep the center of gravity low. A legged lander would have also required ramps so the rover could drive down to the surface, which would have incurred extra risk to the mission on the chance rocks or tilt would prevent Curiosity from being able to drive off the lander successfully. Faced with these challenges, the MSL engineers came up with a novel alternative solution: the sky crane. The sky crane system lowered the rover with a 7.6 m (25 ft) tether to a soft landing—wheels down—on the surface of Mars. This system consists of a bridle lowering the rover on three nylon tethers and an electrical cable carrying information and power between the descent stage and rover. As the support and data cables unreeled, the rover's six motorized wheels snapped into position. At roughly 7.5 m (25 ft) below the descent stage the sky crane system slowed to a halt and the rover touched down. After the rover touched down, it waited two seconds to confirm that it was on solid ground by detecting the weight on the wheels and fired several pyros (small explosive devices) activating cable cutters on the bridle and umbilical cords to free itself from the descent stage. The descent stage then flew away to a crash landing 650 m (2,100 ft) away. The sky crane concept had never been used in missions before.

Landing site

Gale Crater is the MSL landing site. Within Gale Crater is a mountain, named Aeolis Mons ("Mount Sharp"), of layered rocks, rising about 5.5 km (18,000 ft) above the crater floor, that Curiosity will investigate. The landing site is a smooth region in "Yellowknife" Quad 51 of Aeolis Palus inside the crater in front of the mountain. The target landing site location was an elliptical area 20 by 7 km (12.4 by 4.3 mi). Gale Crater's diameter is 154 km (96 mi). 

The landing location for the rover was less than 2.4 km (1.5 mi) from the center of the planned landing ellipse, after a 563,000,000 km (350,000,000 mi) journey. NASA named the rover landing site Bradbury Landing on sol 16, August 22, 2012. According to NASA, an estimated 20,000 to 40,000 heat-resistant bacterial spores were on Curiosity at launch, and as much as 1,000 times that number may not have been counted.

History of nursing

From Wikipedia, the free encyclopedia

The word "nurse" originally came from the Latin word "nutrire", meaning to suckle, referring to a wet-nurse; only in the late 16th century did it attain its modern meaning of a person who cares for the infirm. 

From the earliest times most cultures produced a stream of nurses dedicated to service on religious principles. Both Christendom and the Muslim World generated a stream of dedicated nurses from their earliest days. In Europe before the foundation of modern nursing, Catholic nuns and the military often provided nursing-like services. It took until the 19th century for nursing to become a secular profession.

Ancient history

The early history of nurses suffers from a lack of source material, but nursing in general has long been an extension of the wet-nurse function of women.

Buddhist Indian ruler (268 B.C.E. to 232 B.C.E.) Ashoka erected a series of pillars, which included an edict ordering hospitals to be built along the routes of travelers, and that they be "well provided with instruments and medicine, consisting of mineral and vegetable drugs, with roots and fruits"; "Whenever there is no provision of drugs, medical roots, and herbs, they are to be supplied, and skilful physicians appointed at the expense of the state to administer them." The system of public hospitals continued until the fall of Buddhism in India ca. 750 CE

About 100 B.C.E. the Charaka Samhita was written in India, stating that good medical practice requires a patient, physician, nurse, and medicines, with the nurse required to be knowledgeable, skilled at preparing formulations and dosage, sympathetic towards everyone, and clean.

The first known Christian nurse, Phoebe, is mentioned in Romans 16:1. During the early years of the Christian Church (ca. 50 C.E.), St. Paul sent a deaconess named Phoebe to Rome as the first visiting nurse.

From its earliest days, following the edicts of Jesus, Christianity encouraged its devotees to tend the sick. Priests were often also physicians. According to the historian Geoffrey Blainey, while pagan religions seldom offered help to the infirm, the early Christians were willing to nurse the sick and take food to them, notably during the smallpox epidemic of AD 165-180 and the measles outbreak of around AD 250; "In nursing the sick and dying, regardless of religion, the Christians won friends and sympathisers".

Following the First Council of Nicaea in 325 AD, Christianity became the official religion of the Roman Empire, leading to an expansion of the provision of care. Among the earliest were those built ca. 370 by St. Basil the Great, bishop of Caesarea Mazaca in Cappadocia in Asia Minor (modern-day Turkey), by Saint Fabiola in Rome ca. 390, and by the physician-priest Saint Sampson (d. 530) in Constantinople, Called the Basiliad, St. Basil's hospital resembled a city, and included housing for doctors and nurses and separate buildings for various classes of patients. There was a separate section for lepers. Eventually construction of a hospital in every cathedral town was begun.

Christian emphasis on practical charity gave rise to the development of systematic nursing and hospitals after the end of the persecution of the early church. Ancient church leaders like St. Benedict of Nursia (480-547) emphasized medicine as an aid to the provision of hospitality. 12th century Roman Catholic orders like the Dominicans and Carmelites have long lived in religious communities that work for the care of the sick.

Some hospitals maintained libraries and training programs, and doctors compiled their medical and pharmacological studies in manuscripts. Thus in-patient medical care in the sense of what we today consider a hospital, was an invention driven by Christian mercy and Byzantine innovation. Byzantine hospital staff included the Chief Physician (archiatroi), professional nurses (hypourgoi) and orderlies (hyperetai). By the twelfth century, Constantinople had two well-organized hospitals, staffed by doctors who were both male and female. Facilities included systematic treatment procedures and specialized wards for various diseases.

In the early 7th century, Rufaidah bint Sa’ad (also known as Rufaida Al-Aslamia) became what is now described as the first Muslim nurse. A contemporary of Muhammad, she hailed from the Bani Aslam tribe in Medina and learned her medical skills from her father, a traditional healer. After she had led a group of women to treat injured fighters on the battlefield, Muhammad gave her permission to set up a tent near the Medina mosque to provide treatment and care for the ill and the needy.

Medieval Europe

Medieval hospitals in Europe followed a similar pattern to the Byzantine. They were religious communities, with care provided by monks and nuns. (An old French term for hospital is hôtel-Dieu, "hostel of God.") Some were attached to monasteries; others were independent and had their own endowments, usually of property, which provided income for their support. Some hospitals were multi-functional while others were founded for specific purposes such as leper hospitals, or as refuges for the poor, or for pilgrims: not all cared for the sick. The first Spanish hospital, founded by the Catholic Visigoth bishop Masona in 580AD at Mérida, was a xenodochium designed as an inn for travellers (mostly pilgrims to the shrine of Eulalia of Mérida) as well as a hospital for citizens and local farmers. The hospital's endowment consisted of farms to feed its patients and guests. From the account given by Paul the Deacon we learn that this hospital was supplied with physicians and nurses, whose mission included the care the sick wherever they were found, "slave or free, Christian or Jew." 

During the late 700s and early 800s, Emperor Charlemagne decreed that those hospitals which had been well conducted before his time and had fallen into decay should be restored in accordance with the needs of the time. He further ordered that a hospital should be attached to each cathedral and monastery.

During the tenth century the monasteries became a dominant factor in hospital work. The famous Benedictine Abbey of Cluny, founded in 910, set the example which was widely imitated throughout France and Germany. Besides its infirmary for the religious, each monastery had a hospital in which externs were cared for. These were in charge of the eleemosynarius, whose duties, carefully prescribed by the rule, included every sort of service that the visitor or patient could require.

As the eleemosynarius was obliged to seek out the sick and needy in the neighborhood, each monastery became a center for the relief of suffering. Among the monasteries notable in this respect were those of the Benedictines at Corbie in Picardy, Hirschau, Braunweiler, Deutz, Ilsenburg, Liesborn, Pram, and Fulda; those of the Cistercians at Arnsberg, Baumgarten, Eberbach, Himmenrode, Herrnalb, Volkenrode, and Walkenried.

No less efficient was the work done by the diocesan clergy in accordance with the disciplinary enactments of the councils of Aachen (817, 836), which prescribed that a hospital should be maintained in connection with each collegiate church. The canons were obliged to contribute towards the support of the hospital, and one of their number had charge of the inmates. As these hospitals were located in cities, more numerous demands were made upon them than upon those attached to the monasteries. In this movement the bishop naturally took the lead, hence the hospitals founded by Heribert (died 1021) in Cologne, Godard (died 1038) in Hildesheim, Conrad (died 975) in Constance, and Ulrich (died 973) in Augsburg. But similar provision was made by the other churches; thus at Trier the hospitals of St. Maximin, St. Matthew, St. Simeon, and St. James took their names from the churches to which they were attached. During the period 1207–1577 no less than 155 hospitals were founded in Germany.

The Ospedale Maggiore, traditionally named Ca' Granda (i.e. Big House), in Milan, northern Italy, was constructed to house one of the first community hospitals, the largest such undertaking of the fifteenth century. Commissioned by Francesco Sforza in 1456 and designed by Antonio Filarete it is among the first examples of Renaissance architecture in Lombardy. 

The Normans brought their hospital system along when they conquered England in 1066. By merging with traditional land-tenure and customs, the new charitable houses became popular and were distinct from both English monasteries and French hospitals. They dispensed alms and some medicine, and were generously endowed by the nobility and gentry who counted on them for spiritual rewards after death.

According to Geoffrey Blainey, the Catholic Church in Europe provided many of the services of a welfare state: "It conducted hospitals for the old and orphanages for the young; hospices for the sick of all ages; places for the lepers; and hostels or inns where pilgrims could buy a cheap bed and meal". It supplied food to the population during famine and distributed food to the poor. This welfare system the church funded through collecting taxes on a large scale and possessing large farmlands and estates.

Roles for women

Catholic women played large roles in health and healing in medieval and early modern Europe. A life as a nun was a prestigious role; wealthy families provided dowries for their daughters, and these funded the convents, while the nuns provided free nursing care for the poor.

Meanwhile, in Catholic lands such as France, rich families continued to fund convents and monasteries, and enrolled their daughters as nuns who provided free health services to the poor. Nursing was a religious role for the nurse, and there was little call for science.

Middle East

The Eastern Orthodox Church had established many hospitals in the middle east, but following the rise of Islam from the 7th century, Arabic medicine developed in this region, where a number of important advances were made and an Islamic tradition of nursing begun. Arab ideas were later influential in Europe. The famous Knights Hospitaller arose as a group of individuals associated with an Amalfitan hospital in Jerusalem, which was built to provide care for poor, sick or injured Christian pilgrims to the Holy Land. Following the capture of the city by Crusaders, the order became a military as well as infirmarian order.

Roman Catholic orders such as the Franciscans stressed tending the sick, especially during the devastating plagues.

Early modern Europe

"After the Battle of Gravelotte. The French Sisters of Mercy of St. Borromeo arriving on the battle field to succor the wounded." Unsigned lithograph, 1870 or 1871.

Catholic Europe

The Catholic elites provided hospital services because of their theology of salvation that good works were the route to heaven. The same theology holds strong into the 21st century. In Catholic areas, the tradition of nursing sisters continued uninterrupted. Several orders of nuns provided nursing services in hospitals. A leadership role was taken by the Daughters of Charity of Saint Vincent de Paul, founded in France in 1633. New orders of Catholic nuns expanded the range of activities and reached new areas. For example, in rural Brittany in France, the Daughters of the Holy Spirit, created in 1706, played a central role. New opportunity for nuns as charitable practitioners were created by devout nobles on their own estates. The nuns provided comprehensive care for the sick poor on their patrons' estates, acting not only as nurses, but took on expanded roles as physicians, surgeons, and apothecaries. The French Catholics in New France (Canada) and New Orleans continued these traditions. During the French Revolution, most of the orders of nurses were shut down and there was no organized nursing care to replace them. However the demand for their nursing services remained strong, and after 1800 the sisters reappeared and resumed their work in hospitals and on rural estates. They were tolerated by officials because they had widespread support and were the link between elite physicians and distrustful peasants who needed help.

Protestantism closes the hospitals

The Protestant reformers, led by Martin Luther, rejected the notion that rich men could gain God's grace through good works—and thereby escape purgatory—by providing cash endowments to charitable institutions. They also rejected the Catholic idea that the poor patients earned grace and salvation through their suffering. Protestants generally closed all the convents and most of the hospitals, sending women home to become housewives, often against their will. On the other hand, local officials recognized the public value of hospitals, and some were continued in Protestant lands, but without monks or nuns and in the control of local governments.

In London, the crown allowed two hospitals to continue their charitable work, under nonreligious control of city officials. The convents were all shut down but Harkness finds that women—some of them former nuns—were part of a new system that delivered essential medical services to people outside their family. They were employed by parishes and hospitals, as well as by private families, and provided nursing care as well as some medical, pharmaceutical, and surgical services.

In the 16th century, Protestant reformers shut down the monasteries and convents, though they allowed a few to continue in operation. Those nuns who had been serving as nurses were given pensions or told to get married and stay home. Between 1600 and 1800, Protestant Europe had a few noticeable hospitals, but no regular system of nursing. The weakened public role of women left female practitioners restricted to assisting neighbors and family in an unpaid and unrecognized capacity.

Modern

Modern nursing began in the 19th century in Germany and Britain, and spread worldwide by 1900. 

Florence Nightingale, an 'angel of mercy', set up her nursing school in 1860

Deaconess

Phoebe, the nurse mentioned in the New Testament, was a deaconess. The role had virtually died out centuries before, but was revived in Germany in 1836 when Theodor Fliedner and his wife Friederike Münster opened the first deaconess motherhouse in Kaiserswerth on the Rhine. The diaconate was soon brought to England and Scandinavia, Kaiserswerth model. The women obligated themselves for 5 years of service, receiving room, board, uniforms, pocket money, and lifelong care. The uniform was the usual dress of the married woman. There were variations, such as an emphasis on preparing women for marriage through training in nursing, child care, social work and housework. In the Anglican Church, the diaconate was an auxiliary to the pastorate, and there were no mother houses. By 1890 there were over 5,000 deaconesses in Protestant Europe, chiefly Germany Scandinavia and England. In World War II, diaconates in war zones sustained heavy damage. As eastern Europe fell to communism, most diaconates were shut down, and 7000 deaconesses became refugees in West Germany. By 1957, in Germany there were 46,000 deaconesses and 10,000 associates. Other countries reported a total of 14,000 deaconesses, most of them Lutherans. In the United States and Canada 1550 women were counted, half of them in the Methodist Church.

William Passavant in 1849 brought the first four deaconesses to Pittsburgh, after visiting Kaiserswerth. They worked at the Pittsburgh Infirmary (now Passavant Hospital). Between 1880 and 1915, 62 training schools were opened in the United States. The lack of training had weakened Passavant's programs. However recruiting became increasingly difficult after 1910 as women preferred graduate nursing schools or the social work curriculum offered by state universities.

Nightingale's Britain

The Crimean War was a significant development in nursing history when English nurse Florence Nightingale laid the foundations of professional nursing with the principles summarised in the book Notes on Nursing. A fund was set up in 1855 by members of the public to raise money for Florence Nightingale and her nurses' work In 1856, £44,039 (equivalent to roughly over £2 million today) was pooled and with this Nightingale decided to use the money to lay the foundations for a training school at St Thomas' Hospital. In 1860, the training for the first batch of nurses began; upon graduation from the school, these nurses used to be called 'Nightingales'. Nightingale's contemporary, Mary Seacole, was a Jamaican "doctress" who also nursed soldiers who were wounded during the Crimean War, and in the tradition of Jamaican doctresses, Seacole practised the hygiene that was later adopted by Nightingale in her writings after the Crimean War.

Nightingale's revelation of the abysmal nursing care afforded soldiers in the Crimean War energized reformers. Queen Victoria in 1860 ordered a hospital to be built to train Army nurses and surgeons, the Royal Victoria Hospital. The hospital opened in 1863 in Netley and admitted and cared for military patients. Beginning in 1866, nurses were formally appointed to Military General Hospitals. The Army Nursing Service (ANS) oversaw the work of the nurses starting in 1881. These military nurses were sent overseas beginning with the First Boer War (often called Zulu War) from 1879 to 1881. They were also dispatched to serve during the Egyptian Campaign in 1882 and the Sudan War of 1883 to 1884. During the Sudan War members of the Army Nursing Service nursed in hospital ships on the Nile as well as the Citadel in Cairo. Almost 2000 nurses served during the second Boer War, the Anglo-Boer War of 1899 to 1902, alongside nurses who were part of the colonial armies of Australia, Canada and New Zealand. They served in tented field hospitals. 23 Army Nursing sisters from Britain lost their lives from disease outbreaks.

New Zealand

New Zealand was the first country to regulate nurses nationally, with adoption of the Nurses Registration Act on the 12 September 1901. It was here in New Zealand that Ellen Dougherty became the first registered nurse.

Canada

Nursing sisters at a Canadian military hospital in France voting in the Canadian federal election, 1917.
 
Canadian nursing dates all the way back to 1639 in Quebec with the Augustine nuns. These nuns were trying to open up a mission that cared for the spiritual and physical needs of patients. The establishment of this mission created the first nursing apprenticeship training in North America.

In the nineteenth century there were some Catholic orders of nursing that were trying to spread their message across Canada. These women had only an occasional consultations with a physician. Towards the end of the nineteenth century hospital care and medical services had been improved and expanded. Much of this was due to the Nightingale model, which prevailed in English Canada. In 1874 the first formal nursing training program was started at the General and Marine Hospital in St. Catharines in Ontario. Many programs popped up in hospitals across Canada after this one was established. Graduates and teachers from these programs began to fight for licensing legislation, nursing journals, university training for nurses, and for professional organizations for nurses.

The first instance of Canadian nurses and the military was in 1885 with the Northwest Rebellion. Some nurses came out to aid the wounded. In 1901 Canadian nurses were officially part of the Royal Canadian Army Medical Corps. Georgina Fane Pope and Margaret C. MacDonald were the first nurses officially recognized as military nurses.

Canadian missionary nurses were also of great importance in Henan, China as a part of the North China Mission starting in 1888.

In the late nineteenth and early twentieth centuries women made inroads into various professions including teaching, journalism, social work, and public health. These advances included the establishment of a Women's Medical College in Toronto (and in Kingston, Ontario) in 1883, attributed in part to the persistence of Emily Stowe, the first female doctor to practice in Canada. Stowe's daughter, Augusta Stowe-Gullen, became the first woman to graduate from a Canadian medical school.

Apart from a token few, women were outsiders to the male-dominated medical profession. As physicians became better organized, they successfully had laws passed to control the practice of medicine and pharmacy and banning marginal and traditional practitioners. Midwifery—practiced along traditional lines by women—was restricted and practically died out by 1900. Even so, the great majority of childbirths took pace at home until the 1920s, when hospitals became preferred, especially by women who were better educated, more modern, and more trusting in modern medicine.

Prairie provinces

In the Prairie provinces, the first homesteaders relied on themselves for medical services. Poverty and geographic isolation empowered women to learn and practice medical care with the herbs, roots, and berries that worked for their mothers. They prayed for divine intervention but also practiced supernatural magic that provided as much psychological as physical relief. The reliance on homeopathic remedies continued as trained nurses and doctors and how-to manuals slowly reached the homesteaders in the early 20th century.

After 1900 medicine and especially nursing modernized and became well organized.

The Lethbridge Nursing Mission in Alberta was a representative Canadian voluntary mission. It was founded, independent of the Victorian Order of Nurses, in 1909 by Jessie Turnbull Robinson. A former nurse, Robinson was elected as president of the Lethbridge Relief Society and began district nursing services aimed at poor women and children. The mission was governed by a volunteer board of women directors and began by raising money for its first year of service through charitable donations and payments from the Metropolitan Life Insurance Company. The mission also blended social work with nursing, becoming the dispenser of unemployment relief.

Richardson (1998) examines the social, political, economic, class, and professional factors that contributed to ideological and practical differences between leaders of the Alberta Association of Graduate Nurses (AAGN), established in 1916, and the United Farm Women of Alberta (UFWA), founded in 1915, regarding the promotion and acceptance of midwifery as a recognized subspecialty of registered nurses. Accusing the AAGN of ignoring the medical needs of rural Alberta women, the leaders of the UFWA worked to improve economic and living conditions of women farmers. Irene Parlby, the UFWA's first president, lobbied for the establishment of a provincial Department of Public Health, government-provided hospitals and doctors, and passage of a law to permit nurses to qualify as registered midwives. The AAGN leadership opposed midwife certification, arguing that nursing curricula left no room for midwife study, and thus nurses were not qualified to participate in home births. In 1919 the AAGN compromised with the UFWA, and they worked together for the passage of the Public Health Nurses Act that allowed nurses to serve as midwives in regions without doctors. Thus, Alberta's District Nursing Service, created in 1919 to coordinate the province's women's health resources, resulted chiefly from the organized, persistent political activism of UFWA members and only minimally from the actions of professional nursing groups clearly uninterested in rural Canadians' medical needs.

The Alberta District Nursing Service administered health care in the predominantly rural and impoverished areas of Alberta in the first half of the 20th century. Founded in 1919 to meet maternal and emergency medical needs by the United Farm Women (UFWA), the Nursing Service treated prairie settlers living in primitive areas lacking doctors and hospitals. Nurses provided prenatal care, worked as midwives, performed minor surgery, conducted medical inspections of schoolchildren, and sponsored immunization programs. The post-Second World War discovery of large oil and gas reserves resulted in economic prosperity and the expansion of local medical services. The passage of provincial health and universal hospital insurance in 1957 precipitated the eventual phasing out of the obsolete District Nursing Service in 1976.

Recent trends

After World War II, the health care system expanded and was nationalized with medicare. Currently there are 260,000 nurses in Canada but they face the same difficulties as most countries, as technology advances and the aging population requires more nursing care.

Mexico

Elena Arizmendi Mejia and volunteers of the Mexican Neutral White Cross, 1911
 
During most of Mexico's wars in the nineteenth and early twentieth centuries, camp followers known as soldaderas nursed soldiers wounded in warfare. During the Mexican Revolution (1910-1920) care of soldiers in northern Mexico was also undertaken by the Neutral White Cross, founded by Elena Arizmendi Mejia after the Mexican Red Cross refused to treat revolutionary soldiers. The Neutral White Cross treated soldiers regardless of their faction.

France

Professionalization of nursing in France came in the late 19th and early 20th century. In 1870 France's 1,500 hospitals were operated by 11,000 Catholic sisters; by 1911 there were 15,000 nuns representing over 200 religious orders. Government policy after 1900 was to secularize public institutions, and diminish the role the Catholic Church. The lay staff was enlarged from 14,000 in 1890 to 95,000 in 1911. This political goal came in conflict with the need to maintain better quality of medical care in antiquated facilities. Many doctors, while personally anti-clerical, realized their dependence on the Catholic sisters. Most lay nurses came from peasant or working-class families and were poorly trained. Faced with the long hours and low pay, many soon married and left the field, while the Catholic sisters had renounced marriage and saw nursing as their God-given vocation. New government-operated nursing schools turned out nonreligous nurses who were slated for supervisory roles. During the World War, an outpouring of patriotic volunteers brought large numbers of untrained middle-class women into the military hospitals. They left when the war ended but the long-term effect was to heighten the prestige of nursing. In 1922 the government issued a national diploma for nursing.

United States

Portrait of Lillian Wald, pioneer of public health nursing, by William Valentine Schevill, National Portrait Gallery in Washington, D.C.
 
Saint Marianne Cope was among many Catholic nuns to influence the development of modern hospitals and nursing.
 
World War II Recruiting poster for the United States Army Nurse Corps (founded 1901)
 
Nursing professionalized rapidly in the late 19th century as larger hospitals set up nursing schools that attracted ambitious women from middle- and working-class backgrounds. Agnes Elizabeth Jones and Linda Richards established quality nursing schools in the U.S. and Japan; Linda Richards was officially America's first professionally trained nurse, having been trained at Florence Nightingale's training school, and subsequently graduating in 1873 from the New England Hospital for Women and Children in Boston.

In the early 1900s, the autonomous, nursing-controlled, Nightingale-era schools came to an end. Despite the establishment of university-affiliated nursing schools, such as Columbia and Yale, hospital training programs were dominant. Formal "book learning" was discouraged in favor of clinical experience through an apprenticeship. In order to meet a growing demand, hospitals used student nurses as cheap labor at the expense of quality formal education.

Jamaica

Mary Seacole came from a long line of Jamaican nurses, or "doctresses", who worked at healing British soldiers and sailors at the Jamaican military base of Port Royal. These doctresses of the eighteenth century used good hygiene and herbal remedies to nurse their clients back to health. In the eighteenth century, these doctresses included Seacole's mother, who was a mixed-race woman who was most likely a child of a slave, and who acquired medical knowledge of herbal remedies from West African ancestors. Another eighteenth century doctress was Cubah Cornwallis, who nursed back to health famous sailors such as the young Horatio Nelson, 1st Viscount Nelson and Sailor Bill, who later became William IV of the United Kingdom.

Hospitals

The number of hospitals grew from 149 in 1873 to 4,400 in 1910 (with 420,000 beds) to 6,300 in 1933, primarily because the public trusted hospitals more and could afford more intensive and professional care.

They were operated by city, state and federal agencies, by churches, by stand-alone non-profits, and by for-profit enterprises run by a local doctor. All the major denominations built hospitals; in 1915, the Catholic Church ran 541, staffed primarily by unpaid nuns. The others sometimes had a small cadre of deaconesses as staff. Most larger hospitals operated a school of nursing, which provided training to young women, who in turn did much of the staffing on an unpaid basis. The number of active graduate nurses rose rapidly from 51,000 in 1910 to 375,000 in 1940 and 700,000 in 1970.[63]
The Protestant churches reentered the health field, especially by setting up orders of women, called deaconesses who dedicated themselves to nursing services.

The modern deaconess movement began in Germany in 1836 when Theodor Fliedner and his wife opened the first deaconess motherhouse in Kaiserswerth on the Rhine. It became a model and within a half century were over 5,000 deaconesses in Europe. The Chursh of England named its first deaconess in 1862. The North London Deaconess Institution trained deaconesses for other dioceses and some served overseas.

William Passavant in 1849 brought the first four deaconesses to Pittsburgh, in the United States, after visiting Kaiserswerth. They worked at the Pittsburgh Infirmary (now Passavant Hospital).

The American Methodists – the largest Protestant denomination—engaged in large-scale missionary activity in Asia and elsewhere in the world, making medical services a priority as early as the 1850s. Methodists in America took note, and began opening their own charitable institutions such as orphanages and old people's homes after 1860. In the 1880s, Methodists began opening hospitals in the United States, which served people of all religious backgrounds beliefs. By 1895 13 hospitals were in operation in major cities. well.
 
In 1884, U.S. Lutherans, particularly John D. Lankenau, brought seven sisters from Germany to run the German Hospital in Philadelphia.

By 1963, the Lutheran Church in America had centers for deaconess work in Philadelphia, Baltimore, and Omaha.

Public health


February 1918 drawing by Marguerite Martyn of a public-health nurse in St. Louis, Missouri, with medicine and babies
 
In the U.S., the role of public health nurse began in Los Angeles in 1898, by 1924 there were 12,000 public health nurses, half of them in the 100 largest cities. Their average annual salary in larger cities was $1,390. In addition, there were thousands of nurses employed by private agencies handling similar work. Public health nurses supervised health issues in the public and parochial schools, to prenatal and infant care, handled communicable diseases and tuberculosis and dealt with an aerial diseases.

During the Spanish–American War of 1898, medical conditions in the tropical war zone were dangerous, with yellow fever and malaria endemic. The United States government called for women to volunteer as nurses. Thousands did so, but few were professionally trained. Among the latter were 250 Catholic nurses, most of them from the Daughters of Charity of St. Vincent de Paul.

Nursing schools

Sporadic progress was made on several continents, where medical pioneers established formal nursing schools. But even as late as the 1870s, "women working in North American urban hospitals typically were untrained, working class, and accorded lowly status by both the medical profession they supported and society at large". Nursing had the same status in Great Britain and continental Europe before World War I.

Hospital nursing schools in the United States and Canada took the lead in applying Nightingale's model to their training programmers:
standards of classroom and on-the-job training had risen sharply in the 1880s and 1890s, and along with them the expectation of decorous and professional conduct
In late the 1920s, the women's specialties in health care included 294,000 trained nurses, 150,000 untrained nurses, 47,000 midwives, and 550,000 other hospital workers (most of them women).

In recent decades, professionalization has moved nursing degrees out of RN-oriented hospital schools and into community colleges and universities. Specialization has brought numerous journals to broaden the knowledge base of the profession.

World War I

Britain

By the beginning of World War I, military nursing still had only a small role for women in Britain; 10,500 nurses enrolled in Queen Alexandra's Imperial Military Nursing Service (QAIMNS) and the Princess Mary's Royal Air Force Nursing Service. These services dated to 1902 and 1918, and enjoyed royal sponsorship. There also were Voluntary Aid Detachment (VAD) nurses who had been enrolled by the Red Cross. The ranks that were created for the new nursing services were Matron-in-Chief, Principal Matron, Sister and Staff Nurses. Women joined steadily throughout the War. At the end of 1914, there were 2,223 regular and reserve members of the QAIMNS and when the war ended there were 10,404 trained nurses in the QAIMNS.

Grace McDougall (1887–1963) was the energetic commandant of the First Aid Nursing Yeomanry (FANY), which had formed in 1907 as an auxiliary to the home guard in Britain. McDougall at one point was captured by the Germans but escaped. The British army wanted nothing to do with them so they drove ambulances and ran hospitals and casualty clearing stations for the Belgian and French armies.

Canada

When Canadian nurses volunteered to serve during World War I, they were made commissioned officers by the Canadian Army before being sent overseas, a move that would grant them some authority in the ranks, so that enlisted patients and orderlies would have to comply with their direction. Canada was the first country in the world to grant women this privilege. At the beginning of the War, nurses were not dispatched to the casualty clearing stations near the front lines, where they would be exposed to shell fire. They were initially assigned to hospitals a safe distance away from the front lines. As the war continued, however, nurses were assigned to casualty clearing stations. They were exposed to shelling, and caring for soldiers with "shell shock" and casualties suffering the effects of new weapons such as poisonous gas, as Katherine Wilson-Sammie recollects in Lights Out! A Canadian Nursing Sister’s Tale. World War I was also the first war in which a clearly marked hospital ship evacuating the wounded was targeted and sunk by an enemy submarine or torpedo boat, an act that had previously been considered unthinkable, but which happened repeatedly. Nurses were among the casualties. 

Canadian women volunteering to serve overseas as nurses overwhelmed the army with applications. A total of 3,141 Canadian "nursing sisters" served in the Canadian Army Medical Corps and 2,504 of those served overseas in England, France and the Eastern Mediterranean at Gallipoli, Alexandria and Salonika. By the end of the First World War, 46 Canadian Nursing Sisters had died. In addition to these nurses serving overseas with the military, others volunteered and paid their own way over with organizations such as the Canadian Red Cross, the Victorian Order of Nurses, and St. John Ambulance. The sacrifices made by these nurses during the War in fact gave a boost to the women's suffrage movement in many of the countries that fought in the war. The Canadian Army nursing sisters were among the first women in the world to win the right to vote in a federal election; the Military Voters Act of 1917 extended the vote to women in the service such as Nursing Sisters.

Australia

Sister Grace Wilson of the 3rd Australian General Hospital on Lemnos. She sailed from Sydney, New South Wales on board RMS Mooltan on 15 May 1915.
 
Australian nurses served in the war as part of the Australian General Hospital. Australia established two hospitals at Lemnos and Heliopolis Islands to support the Dardanelles campaign at Gallipoli. Nursing recruitment was sporadic, with some reserve nurses sent with the advance parties to set up the transport ship HMAS Gascoyne while others simply fronted to Barracks and were accepted, while still others were expected to pay for their passage in steerage. Australian nurses from this period became known as "grey ghosts" because of their drab uniforms with starched collar and cuffs.

During the course of the war, Australian nurses were granted their own administration rather than working under medical officers. Australian Nurses hold the record for the maximum number of triage cases processed by a casualty station in a twenty-four-hour period during the battle of Passchendale. Their work routinely included administering ether during haemostatic surgery and managing and training medical assistants (orderlies).

Some 560 Australian army nurses served in India during the war, where they had to overcome a debilitating climate, outbreaks of disease, insufficient numbers, overwork and hostile British Army officers.

Interwar

Surveys in the U.S. showed that nurses often got married a few years after graduation and quit work; other waited 5 to 10 years for marriage; careerists some never married. By the 1920s increasing numbers of married nurses continued to work. The high turnover meant that advanvcement could be rapid; the average age of a nursing supervisor in a hospital was only 26 years. Wages for private duty nurses were high in the 1920s—$1,300 a year when working full-time in patients' homes or at their private rooms in hospitals. This was more than double what a woman could earn as a teacher or in office work. Rates fell sharply when the Great Depression came in 1929, and continuous work was much harder to find.

World War II

Canada

Over 4000 women served as nurses in uniform in the Canadian Armed Forces during the Second World War. They were called "Nursing Sisters" and had already been professionally trained in civilian life. However, in military service they achieved an elite status well above what they had experienced as civilians. The Nursing Sisters had much more responsibility and autonomy, and had more opportunity to use their expertise, then civilian nurses. They were often close to the front lines, and the military doctors – all men – delegated significant responsibility to the nurses because of the high level of casualties, the shortages of physicians, and extreme working conditions.

Australia

Centaur poster
 
In 1942, sixty five front line nurses from the General Hospital Division in British Singapore were ordered aboard the Vyner Brook and Empire Star for evacuation, rather than caring for wounded. The ships were strafed with machine gun fire by Japanese planes. Sisters Vera Torney and Margaret Anderson were awarded medals when they could find nothing else on the crowded deck and covered their patients with their own bodies. A version of this action was honoured in the film Paradise Road. The Vyner Brook was bombed and sank quickly in shallow water of the Sumatra Strait and all but twenty-one were lost at sea, presumed drowned. The remaining nurses swam ashore at Mentok, Sumatra. The twenty-one nurses and some British and Australian troops were marched into the sea and killed with machine gun fire in the Banka Island massacre. Sister Vivian Bullwinkel was the only survivor. She became Australia's premier nursing war hero when she nursed wounded British soldiers in the jungle for three weeks, despite her own flesh wound. She survived on the charity provided by Indonesian locals, but eventually hunger and the privations of hiding in mangrove swamp forced her to surrender. She remained imprisoned for the remainder of the war.

At around the same time, another group of twelve nurses stationed at the Rabaul mission in New Guinea were captured along with missionaries by invading Japanese troops and interred at their camp for two years. They cared for a number of British, Australian and American wounded. Toward the end of the war, they were transferred to a concentration camp in Kyoto and imprisoned under freezing conditions and forced into hard labour. 

Australian sisters

United States

As Campbell (1984) shows, the nursing profession was transformed by World War Two. Army and Navy nursing was highly attractive and a larger proportion of nurses volunteered for service higher than any other occupation in American society.

The public image of the nurses was highly favorable during the war, as the simplified by such Hollywood films as "Cry 'Havoc'" which made the selfless nurses heroes under enemy fire. Some nurses were captured by the Japanese, but in practice they were kept out of harm's way, with the great majority stationed on the home front. However, 77 were stationed in the jungles of the Pacific, where their uniform consisted of "khaki slacks, mud, shirts, mud, field shoes, mud, and fatigues." The medical services were large operations, with over 600,000 soldiers, and ten enlisted men for every nurse. Nearly all the doctors were men, with women doctors allowed only to examine the WAC.

President Franklin D. Roosevelt hailed the service of nurses in the war effort in his final "Fireside Chat" of January 6, 1945. Expecting heavy casualties in the invasion of Japan, he called for a compulsory draft of nurses. The casualties never happened and there was never a draft of American nurses.

Britain

During World War II, nurses belonged to Queen Alexandra's Imperial Military Nursing Service (QAIMNS), as they had during World War I, and as they remain today. (Nurses belonging to the QAIMNS are informally called "QA"s.) Members of the Army Nursing Service served in every overseas British military campaign during World War II, as well as at military hospitals in Britain. At the beginning of World War II, nurses held officer status with equivalent rank, but were not commissioned officers. In 1941, emergency commissions and a rank structure were created, conforming with the structure used in the rest of the British Army. Nurses were given rank badges and were now able to be promoted to ranks from Lieutenant through to Brigadier. Nurses were exposed to all dangers during the War, and some were captured and became prisoners of war.

Germany

Germany had a very large and well organized nursing service, with three main organizations, one for Catholics, one for Protestants, and the DRK (Red Cross). In 1934 the Nazis set up their own nursing unit, the Brown Nurses, absorbing one of the smaller groups, bringing it up to 40,000 members. It set up kindergartens, hoping to seize control of the minds of the younger Germans, in competition with the other nursing organizations. Civilian psychiatric nurses who were Nazi party members participated in the killings of invalids, although the process was shrouded in euphemisms and denials.

Military nursing was primarily handled by the DRK, which came under partial Nazi control. Front line medical services were provided by male medics and doctors. Red Cross nurses served widely within the military medical services, staffing the hospitals that perforce were close to the front lines and at risk of bombing attacks. Two dozen were awarded the highly prestigious Iron Cross for heroism under fire. They are among the 470,000 German women who served with the military.

Operator (computer programming)

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