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125-543: The term "scullery" has fallen into disuse in North America , as laundry takes place in a utility room or laundry room . The term continues in use in its original sense in Britain and Ireland amongst the middle classes, or as an alternative term for kitchen in some regions of Britain, typically Northern Ireland and Scotland , or in designer kitchens. In United States military facilities and most commercial restaurants,

250-550: A writing system , built huge pyramids and temples , had a complex calendar , and developed the concept of zero around 400 CE. The first recorded European references to North America are in Norse sagas where it is referred to as Vinland . The earliest verifiable instance of pre-Columbian trans-oceanic contact by any European culture with the North America mainland has been dated to around 1000 CE. The site , situated at

375-529: A "scullery" refers to the section of a dining facility where pots and pans are scrubbed and rinsed (in an assembly line style). It is usually near the kitchen and the serving line. According to the Merriam-Webster Online Dictionary: Middle English squilerie, sculerie , department of household in charge of dishes, from Anglo-French esquilerie , from escuele, eskel bowl, from Latin scutella , drinking bowl. The scullery

500-636: A bed for the night and got it; Seacole was in Scutari en route to the Crimea to join her business partner and start their business. However, Seacole pointed out that when she tried to join Nightingale's group, one of Nightingale's colleagues rebuffed her, and Seacole inferred that racism was at the root of that rebuttal. Nightingale told her brother-in-law, in a private letter, that she was worried about contact between her work and Seacole's business, claiming that while "she

625-400: A drain, known as a soil pipe , would carry the dirty water outside of the house, the floors were likely to stay wet. The scullery maid , or person washing dishes at the sink, would stand on slatted wood mats near the sinks. The floor itself was often dug six inches or so (150mm) below the main house floor in case of leaks or flooding. In designing a scullery, architects would take care to place

750-455: A favourable reputation and became an icon of Victorian culture , especially in the persona of "The Lady with the Lamp" making rounds of wounded soldiers at night. Recent commentators have asserted that Nightingale's Crimean War achievements were exaggerated by the media at the time, but critics agree on the importance of her later work in professionalising nursing roles for women. In 1860, she laid

875-478: A feature is correct — but the whole effect is more expressive of spiritual grandeur than anything I could have imagined. It makes the impression upon one that thousands of voices do, uniting in one unanimous simultaneous feeling of enthusiasm or emotion, which is said to overcome the strongest man." At Thebes, she wrote of being "called to God", while a week later near Cairo she wrote in her diary (as distinct from her far longer letters that her elder sister Parthenope

1000-424: A little lamp in her hand, making her solitary rounds. The phrase was further popularised by Henry Wadsworth Longfellow 's 1857 poem "Santa Filomena": Lo! in that house of misery A lady with a lamp I see Pass through the glimmering gloom, And flit from room to room. Nightingale was nicknamed "the lady with the hammer" by the troops after using a hammer to break into locked storage to access medicine to treat

1125-718: A nursing pioneer in the US and Japan. By 1882, several Nightingale nurses had become matrons at several leading hospitals, including, in London ( St Mary's Hospital , Westminster Hospital, St Marylebone Workhouse Infirmary and the Hospital for Incurables at Putney ) and throughout Britain ( Royal Victoria Hospital , Netley ; Edinburgh Royal Infirmary ; Cumberland Infirmary and Liverpool Royal Infirmary), as well as at Sydney Hospital in New South Wales , Australia. In 1883, Nightingale became

1250-503: A peculiarly objectionable smell, thus drainage was of the utmost importance. "The most generally recommended arrangement for carrying away scullery sink water is to make the pipe pass through the scullery wall terminating a little above the ground and to discharge its contents into an open drain from which it is conducted by a pipe into the drain leading to the sewer." In the late 19th century, unsanitary conditions in sculleries and privies could lead to frequent bouts of infectious illness among

1375-648: A period of mountain building called the Laramide orogeny , between 80 and 55 mya. The formation of the Isthmus of Panama that connected the continent to South America arguably occurred approximately 12 to 15 mya, and the Great Lakes (as well as many other northern freshwater lakes and rivers) were carved by receding glaciers about 10,000 years ago. North America is the source of much of what humanity knows about geologic time periods. The geographic area that would later become

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1500-522: A politician who had been Secretary at War (1845–1846) who was on his honeymoon. He and Nightingale became lifelong close friends. Herbert would be Secretary of War again during the Crimean War when he and his wife would be instrumental in facilitating Nightingale's nursing work in Crimea. She became Herbert's key adviser throughout his political career, though she was accused by some of having hastened Herbert's death from Bright's disease in 1861 because of

1625-571: A powerful earthquake killed seven people in 2009. Volcanic eruptions are common in the region. In 1968, the Arenal Volcano , in Costa Rica, erupted and killed 87 people. Fertile soils from weathered volcanic lavas have made it possible to sustain dense populations in agriculturally productive highland areas. Central America has many mountain ranges ; the longest are the Sierra Madre de Chiapas ,

1750-562: A prolonged correspondence with Irish nun Mary Clare Moore , with whom she had worked in Crimea. Her most beloved confidante was Mary Clarke , an Englishwoman she met in Paris in 1837 and kept in touch with throughout her life. Some scholars of Nightingale's life believe that she remained chaste for her entire life, perhaps because she felt a religious calling to her career. Florence Nightingale died peacefully in her sleep in her room at 10  South Street, Mayfair , London, on 13 August 1910, at

1875-449: A scullery is the new white porcelain sink recently introduced with hot and cold water laid on. Care must be taken that the waste pipe has no direct communication with a closed drain otherwise foul air is certain to find its way into the hospital." North America North America is a continent in the Northern and Western Hemispheres . North America is bordered to the north by

2000-427: A strong desire to devote her life to the service of others. In her youth she was respectful of her family's opposition to her working as a nurse, only announcing her decision to enter the field in 1844. Despite the anger and distress of her mother and sister, she rejected the expected role for a woman of her status to become a wife and mother. Nightingale worked hard to educate herself in the art and science of nursing, in

2125-540: A variety of reactions, including curiosity, trading, cooperation, resignation, and resistance. The indigenous population declined substantially following European arrival, primarily due to the introduction of Eurasian diseases, such as smallpox , to which the indigenous peoples lacked immunity, and because of violent conflicts with Europeans. Indigenous culture changed significantly and their affiliation with political and cultural groups also changed. Several linguistic groups died out , and others changed quite quickly. On

2250-640: Is a very large continent that extends from north of the Arctic Circle to south of the Tropic of Cancer . Greenland, along with the Canadian Shield , is tundra with average temperatures ranging from 10 to 20 °C (50 to 68 °F), but central Greenland is composed of a very large ice sheet. This tundra radiates throughout Canada, but its border ends near the Rocky Mountains (but still contains Alaska) and at

2375-511: Is an ancient craton which forms the geologic core of North America; it formed between 1.5 and 1.0 billion years ago during the Proterozoic eon. The Canadian Shield is the largest exposure of this craton. From the Late Paleozoic to Early Mesozoic eras, North America was joined with the other modern-day continents as part of the supercontinent Pangaea , with Eurasia to its east. One of

2500-483: Is famous for usage of the polar area diagram , also called the Nightingale rose diagram, which is equivalent to a modern circular histogram . This diagram is still regularly used in data visualisation . Nightingale was a prodigious and versatile writer. In her lifetime, much of her published work was concerned with spreading medical knowledge. Some of her tracts were written in simple English so that they could easily be understood by those with poor literary skills. She

2625-535: Is in present-day Panama at the Darien Gap on the Colombia -Panama border, placing almost all of Panama within North America. Alternatively, some geologists physiographically locate its southern limit at the Isthmus of Tehuantepec , Mexico, with Central America extending southeastward to South America from this point. The Caribbean islands, or West Indies, are considered part of North America. The continental coastline

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2750-630: Is long and irregular. The Gulf of Mexico is the largest body of water indenting the continent, followed by Hudson Bay . Others include the Gulf of Saint Lawrence and the Gulf of California . Before the Central American isthmus formed, the region had been underwater. The islands of the West Indies delineate a submerged former land bridge , which had connected North and South America via what are now Florida and Venezuela . There are several islands off

2875-548: Is part of North America geographically. In a geologic sense, Bermuda is not part of the Americas, but an oceanic island that was formed on the fissure of the Mid-Atlantic Ridge over 100 million years ago (mya). The nearest landmass to it is Cape Hatteras , North Carolina . However, Bermuda is often thought of as part of North America, especially given its historical, political and cultural ties to Virginia and other parts of

3000-507: Is recognised as the knowledge which every one ought to have – distinct from medical knowledge, which only a profession can have". Notes on Nursing also sold well to the general reading public and is considered a classic introduction to nursing. Nightingale spent the rest of her life promoting and organising the nursing profession. In the introduction to the 1974 edition, Joan Quixley of the Nightingale School of Nursing wrote: "The book

3125-463: Is sometimes said to have denied the theory of infection for her entire life, a 2008 biography disagrees, saying that she was simply opposed to a precursor of germ theory known as contagionism . This theory held that diseases could only be transmitted by touch. Before the experiments of the mid-1860s by Pasteur and Lister , hardly anyone took germ theory seriously; even afterwards, many medical practitioners were unconvinced. Bostridge points out that in

3250-686: Is the Morrison Formation of the western U.S. Canada is geologically one of the oldest regions in the world, with more than half of the region consisting of Precambrian rocks that have been above sea level since the beginning of the Palaeozoic era. Canada's mineral resources are diverse and extensive. Across the Canadian Shield and in the north there are large iron, nickel, zinc , copper, gold, lead, molybdenum , and uranium reserves. Large diamond concentrations have been recently developed in

3375-516: Is the humid subtropical climate . This area has the wettest cities in the contiguous U.S. , with annual precipitation reaching 67 in (1,700 mm) in Mobile, Alabama . Stretching from the borders of the humid continental and subtropical climates, and going west to the Sierra Nevada , south to the southern tip of Durango , north to the border with tundra climate, the steppe / desert climates are

3500-705: The Americas at least 20,000 years ago, but various evidence points to possibly earlier dates. The Paleo-Indian period in North America followed the Last Glacial Period, and lasted until about 10,000 years ago when the Archaic period began. The classic stage followed the Archaic period, and lasted from approximately the 6th to 13th centuries. Beginning in 1000 AD, the Norse were the first Europeans to begin exploring and ultimately colonizing areas of North America. In 1492,

3625-892: The Arctic Ocean , to the east by the Atlantic Ocean , to the southeast by South America and the Caribbean Sea , and to the west and south by the Pacific Ocean . The region includes the Bahamas , Bermuda , Canada , the Caribbean , Central America , Clipperton Island , Greenland , Mexico , Saint Pierre and Miquelon , Turks and Caicos Islands , and the United States . North America covers an area of about 24,709,000 square kilometers (9,540,000 square miles), representing approximately 16.5% of

3750-551: The Bering Strait during the Early-Middle Holocene . Prior to the arrival of European explorers and colonists in North America, the natives of North America were divided into many different polities, ranging from small bands of a few families to large empires. They lived in several culture areas , which roughly correspond to geographic and biological zones that defined the representative cultures and lifestyles of

3875-576: The British Columbia Coast , Western Canada , and Northern Canada . In the U.S., they include New England , the Mid-Atlantic , South Atlantic states , East North Central states , West North Central states , East South Central states , West South Central states , Mountain states , and Pacific states . The Great Lakes region and the Pacific Northwest include areas in both Canada and

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4000-863: The Caribbean Plate , whereas the Juan de Fuca Plate and Cocos Plate border the North American Plate on its western frontier. The continent can be divided into four great regions (each of which contains many subregions): the Great Plains stretching from the Gulf of Mexico to the Canadian Arctic ; the geologically young, mountainous west, including the Rocky Mountains , the Great Basin , California , and Alaska ;

4125-553: The Cordillera Isabelia , and the Cordillera de Talamanca . Between the mountain ranges lie fertile valleys that are suitable for the people; in fact, most of the population of Honduras, Costa Rica, and Guatemala live in valleys. Valleys are also suitable for the production of coffee, beans, and other crops. The indigenous peoples of the Americas have many creation myths , based on which they assert that they have been present on

4250-781: The Crimean War , which became her central focus when reports got back to Britain about the horrific conditions for the wounded at the military hospital on the Asiatic side of the Bosporus , opposite Constantinople , at Scutari (modern-day Üsküdar in Istanbul ). Britain and France entered the war against Russia on the side of the Ottoman Empire . On 21 October 1854, she and the staff of 38 women volunteer nurses including her head nurse Eliza Roberts and her aunt Mai Smith, and 15 Catholic nuns (mobilised by Henry Edward Manning ) were sent (under

4375-498: The Earth 's land area and 4.8% of its total surface area. It is the third-largest continent by size after Asia and Africa , and the fourth-largest continent by population after Asia, Africa, and Europe . As of 2021 , North America's population was estimated as over 592 million people in 23 independent states , or about 7.5% of the world's population. In human geography , the terms "North America" and "North American" can refer to Canada,

4500-459: The East Coast to eastern North Dakota , and stretching down to Kansas , is the humid continental climate featuring intense seasons, with a large amount of annual precipitation, with places like New York City averaging 50 in (1,300 mm). Starting at the southern border of the humid continental climate and stretching to the Gulf of Mexico (whilst encompassing the eastern half of Texas)

4625-608: The Inuit of the high Arctic arrived in North America much later than other native groups, evidenced by the disappearance of Dorset culture artifacts from the archaeological record and their replacement by the Thule people . During the thousands of years of native habitation on the continent, cultures changed and shifted. One of the oldest yet discovered is the Clovis culture (c. 9550–9050 BCE) in modern New Mexico . Later groups include

4750-694: The Mississippian culture and related Mound building cultures, found in the Mississippi River valley and the Pueblo culture of what is now the Four Corners . The more southern cultural groups of North America were responsible for the domestication of many common crops now used around the world, such as tomatoes, squash , and maize . As a result of the development of agriculture in the south, many other cultural advances were made there. The Mayans developed

4875-480: The first official name given to Mexico. North America includes several regions and subregions, each of which have their own respective cultural, economic, and geographic regions. Economic regions include several regions formalized in 20th- and 21st-century trade agreements, including NAFTA between Canada , Mexico , and the United States , and CAFTA between Central America , the Dominican Republic , and

5000-537: The pie chart , which had first been developed by William Playfair in 1801. While common now, it was at the time a relatively novel method of presenting data. Indeed, Nightingale is described as "a true pioneer in the graphical representation of statistics" and is especially well known for her usage of a polar area diagram , or occasionally the Nightingale rose diagram , equivalent to a modern circular histogram , to illustrate seasonal sources of patient mortality in

5125-453: The 1490s, building cities, putting the resident indigenous populations to work, raising crops for Spanish settlers and panning gold to enrich the Spaniards. Much of the indigenous population died due to disease and overwork, spurring the Spaniards on to claim new lands and peoples. An expedition under the command of Spanish settler, Hernán Cortés , sailed westward in 1519 to what turned out to be

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5250-615: The Arctic, making Canada one of the world's largest producers. Throughout the Shield, there are many mining towns extracting these minerals. The largest, and best known, is Sudbury , Ontario. Sudbury is an exception to the normal process of forming minerals in the Shield since there is significant evidence that the Sudbury Basin is an ancient meteorite impact crater . The nearby, but less-known Temagami Magnetic Anomaly has striking similarities to

5375-664: The BBC released documentaries that were critical of Nightingale's performance in the Crimean War, as were some follow-up articles published in The Guardian and the Sunday Times . Nightingale scholar Lynn McDonald has dismissed these criticisms as "often preposterous", arguing they are not supported by the primary sources. Nightingale still believed that the death rates were due to poor nutrition, lack of supplies, stale air, and overworking of

5500-635: The Caribbean islands. France took the western half of Hispaniola and developed Saint-Domingue as a cane sugar producing colony worked by black slave labor. Britain took Barbados and Jamaica , and the Dutch and Danes took islands previously claimed by Spain. Britain did not begin settling on the North American mainland until a hundred years after the first Spanish settlements, since it sought first to control nearby Ireland . The first permanent English settlement

5625-616: The Cod fish", in reference to the abundance of cod fish on the East Coast . Waldseemüller used the Latin version of Vespucci's name, Americus Vespucius, in its feminine form of "America", following the examples of "Europa", "Asia", and "Africa". Americus originated from Medieval Latin Emericus (see Saint Emeric of Hungary ), coming from the Old High German name Emmerich . Map makers later extended

5750-476: The Lamp" from a phrase in a report in The Times : She is a "ministering angel" without any exaggeration in these hospitals, and as her slender form glides quietly along each corridor, every poor fellow's face softens with gratitude at the sight of her. When all the medical officers have retired for the night and silence and darkness have settled down upon those miles of prostrate sick, she may be observed alone, with

5875-419: The North America's southeastern coast, Spanish explorer Juan Ponce de León , who had accompanied Columbus's second voyage, visited and named in 1513 La Florida . As the colonial period unfolded, Spain, England, and France appropriated and claimed extensive territories in North America eastern and southern coastlines. Spain established permanent settlements on the Caribbean islands of Hispaniola and Cuba in

6000-894: The Rhine, for the Practical Training of Deaconesses, etc. was her first published work. She also received four months of medical training at the institute, which formed the basis for her later care. On 22 August 1853, Nightingale took the post of superintendent at the Institute for the Care of Sick Gentlewomen in Upper Harley Street , London, a position she held until October 1854. Her father had given her an annual income of £500 (roughly £40,000/US$ 65,000 in present terms), which allowed her to live comfortably and to pursue her career. Florence Nightingale's most famous contribution came during

6125-424: The Sanitary Commission had to be sent out by the British government to Scutari in March 1855, almost six months after Nightingale had arrived. The commission flushed out the sewers and improved ventilation. Death rates were sharply reduced, but she never claimed credit for helping to reduce the death rate. Head Nurse Eliza Roberts nursed Nightingale through her critical illness of May 1855. In 2001 and 2008

6250-416: The Sudbury Basin. Its magnetic anomalies are very similar to the Sudbury Basin, and so it could be a second metal-rich impact crater. The Shield is also covered by vast boreal forests that support an important logging industry. The United States can be divided into twelve main geological provinces: Each province has its own geologic history and unique features. The geology of Alaska is typical of that of

6375-410: The U.S. North America occupies the northern portion of the landmass generally referred to as the New World, the Western Hemisphere , the Americas, or simply America, which, in many countries, is considered a single continent with North America a subcontinent . North America is the third-largest continent by area after Asia and Africa . North America's only land connection to South America

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6500-429: The United States has been the source of more varieties of dinosaurs than any other modern country. According to paleontologist Peter Dodson, this is primarily due to stratigraphy, climate and geography, human resources, and history. Much of the Mesozoic Era is represented by exposed outcrops in the many arid regions of the continent. The most significant Late Jurassic dinosaur-bearing fossil deposit in North America

6625-452: The United States, Mexico, and Greenland or, alternatively, Canada, Greenland and the US (Mexico being classified as part of Latin America ) or simply Canada and the US (Greenland being classified as either Arctic or European (due to its political status as a part of Denmark) and Mexico classified as Latin American). It is unknown with certainty how and when first human populations first reached North America. People were known to live in

6750-550: The United States, and Mexico. France , Italy , Portugal , Spain , Romania , Greece , and the countries of Latin America use a six-continent model , with the Americas viewed as a single continent and North America designating a subcontinent comprising Canada , the United States , Mexico, and Saint Pierre and Miquelon (politically part of France), and often including Greenland and Bermuda . North America has historically been known by other names, including Spanish North America, New Spain , and América Septentrional,

6875-527: The United States. North America is divided linguistically and culturally into two primary regions, Anglo-America and Latin America . Anglo-America includes most of North America, Belize , and Caribbean islands with English -speaking populations. There are also regions, including Louisiana and Quebec , with large Francophone populations; in Quebec , French is the official language. . The southern portion of North America includes Central America and non-English speaking Caribbean nations. The north of

7000-404: The age of 90. The offer of burial in Westminster Abbey was declined by her relatives and she is buried in the churchyard of St Margaret's Church in East Wellow , Hampshire, near Embley Park with a memorial with just her initials and dates of birth and death. She left a large body of work, including several hundred notes that were previously unpublished. A memorial monument to Nightingale

7125-492: The annual International Nurses Day is celebrated on her birthday. Her social reforms included improving healthcare for all sections of British society, advocating better hunger relief in India, helping to abolish prostitution laws that were harsh for women, and expanding the acceptable forms of female participation in the workforce. Nightingale was an innovator in statistics; she represented her analysis in graphical forms to ease drawing conclusions and actionables from data. She

7250-435: The area had shifted to the Aztec Empire , whose capital city Tenochtitlan was located further north in the Valley of Mexico . The Aztecs were conquered in 1521 by Hernán Cortés . During the so-called Age of Discovery , Europeans explored overseas and staked claims to various parts of North America, much of which was already settled by indigenous peoples. Upon Europeans' arrival in the " New World ", indigenous peoples had

7375-443: The authorisation of Sidney Herbert) to the Ottoman Empire . On the way, Nightingale was assisted in Paris by her friend Mary Clarke . The volunteer nurses worked about 295 nautical miles (546 km; 339 mi) away from the main British camp across the Black Sea at Balaklava , in the Crimea . Nightingale arrived at Selimiye Barracks in Scutari early in November 1854. Her team found that poor care for wounded soldiers

7500-404: The authority of Nightingale. The two were to remain friends for the rest of their lives. The second wave, headed by Mary Francis Bridgeman met with a cooler reception as Bridgeman refused to give up her authority over her Sisters to Nightingale while at the same time not trusting Nightingale, whom she regarded as ambitious. During the Crimean War, Nightingale gained the nickname "The Lady with

7625-424: The case of the Nightingale family and Florence in particular. She and Florence were to remain close friends for 40 years despite their 27-year age difference. Clarke demonstrated that women could be equal to men, an idea that Florence had not learnt from her mother. Nightingale underwent the first of several experiences that she believed were calls from God in February 1837 while at Embley Park , prompting

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7750-669: The cause. Most authorities today accept that Nightingale suffered from a particularly extreme form of brucellosis, the effects of which only began to lift in the early 1880s. Despite her symptoms, she remained phenomenally productive in social reform. During her bedridden years, she also did pioneering work in the field of hospital planning, and her work propagated quickly across Britain and the world. Nightingale's output slowed down considerably in her last decade. She wrote very little during that period due to blindness and declining mental abilities, though she still retained an interest in current affairs. Although much of Nightingale's work improved

7875-432: The continent maintains recognized regions as well. In contrast to the common definition of North America, which encompasses the whole North American continent, the term "North America" is sometimes used more narrowly to refer only to four nations, Canada, Greenland, Mexico, and the U.S. The U.S. Census Bureau includes Saint Pierre and Miquelon, but excludes Mexico from its definition. The term Northern America refers to

8000-452: The continent's coasts; principally, the Arctic Archipelago, the Bahamas , Turks and Caicos , the Greater and Lesser Antilles , the Aleutian Islands (some of which are in the Eastern Hemisphere proper), the Alexander Archipelago , the many thousand islands of the British Columbia Coast, and Newfoundland. Greenland , a self-governing Danish island, and the world's largest , is on the same tectonic plate (the North American Plate ) and

8125-410: The continent. The vast majority of North America is on the North American Plate. Parts of western Mexico, including Baja California, and of California , including the cities of San Diego , Los Angeles , and Santa Cruz , lie on the eastern edge of the Pacific Plate , with the two plates meeting along the San Andreas Fault . The southernmost portion of the continent and much of the West Indies lie on

8250-604: The cordillera, while the major islands of Hawaii consist of Neogene volcanics erupted over a hot spot . Central America is geologically active with volcanic eruptions and earthquakes occurring from time to time. In 1976 Guatemala was hit by a major earthquake , killing 23,000 people; Managua, the capital of Nicaragua, was devastated by earthquakes in 1931 and 1972, the last one killing about 5,000 people; three earthquakes devastated El Salvador, one in 1986 and two in 2001; one earthquake devastated northern and central Costa Rica in 2009, killing at least 34 people; in Honduras

8375-405: The cornerstone of the curriculum at the Nightingale School and other nursing schools, though it was written specifically for the education of those nursing at home. Nightingale wrote, "Every day sanitary knowledge, or the knowledge of nursing, or in other words, of how to put the constitution in such a state as that it will have no disease, or that it can recover from disease, takes a higher place. It

8500-514: The cultures of the region commonly reflect Western traditions . However, relatively small parts of North America in Canada, the United States, Mexico, and Central America have indigenous populations that continue adhering to their respective pre-European colonial cultural and linguistic traditions. The Americas were named after the Italian explorer Amerigo Vespucci by German cartographers Martin Waldseemüller and Matthias Ringmann . Vespucci explored South America between 1497 and 1502, and

8625-468: The death rate from 42% to 2%, either by making improvements in hygiene herself, or by calling for the Sanitary Commission. For example, Nightingale implemented handwashing in the hospital where she worked. During her first winter at Scutari, 4,077 soldiers died there. Ten times more soldiers died from illnesses such as typhus , typhoid , cholera , and dysentery than from battle wounds. With overcrowding, defective sewers and lack of ventilation,

8750-527: The dinner-plates, etc., in a tub placed within the sink, the sink itself is to be used for that purpose, then instead of fixing a sink of non-elastic material, as stoneware or fire-clay, a wood sink lined with tinned copper should be fixed, copper being sufficiently elastic to prevent the breakage of crockery ware, and its surface being smoother and therefore cleaner than lead. In addition to washing dishes and preparing foods for roasting and boiling, such as cleaning vegetables and dressing poultry, game, and fish,

8875-447: The driest in the U.S. Highland climates cut from north to south of the continent, where subtropical or temperate climates occur just below the tropics, as in central Mexico and Guatemala . Tropical climates appear in the island regions and in the subcontinent's bottleneck, found in countries and states bathed by the Caribbean Sea or to the south of the Gulf of Mexico and the Pacific Ocean . Precipitation patterns vary across

9000-834: The early 1880s Nightingale wrote an article for a textbook in which she advocated strict precautions designed, she said, to kill germs. Nightingale's work served as an inspiration for nurses in the American Civil War . The Union government approached her for advice in organising field medicine. Her ideas inspired the volunteer body of the United States Sanitary Commission . Nightingale advocated autonomous nursing leadership, and that her new style of matrons had full control and discipline over their nursing staff. The infamous " Guy's Hospital dispute" in 1879–1880 between matron Margaret Burt and hospital medical staff highlighted how doctors sometimes felt that their authority

9125-463: The end of the Canadian Shield, near the Great Lakes . Climate west of the Cascade Range is described as being temperate weather with average precipitation 20 inches (510 millimeters). Climate in coastal California is described to be Mediterranean , with average temperatures in cities like San Francisco ranging from 57 to 70 °F (14 to 21 °C) over the course of the year. Stretching from

9250-589: The exploratory voyages of Christopher Columbus led to a transatlantic exchange , including migrations of European settlers during the Age of Discovery and the early modern period . Present-day cultural and ethnic patterns reflect interactions between European colonists, indigenous peoples , enslaved Africans , immigrants from Europe, Asia, and descendants of these respective groups. Europe's colonization in North America led to most North Americans speaking European languages, such as English , Spanish , and French , and

9375-562: The face of opposition from her family and the restrictive social code for affluent young English women. As a young woman, Nightingale was described as attractive, slender, and graceful. While her demeanour was often severe, she was said to be very charming and to possess a radiant smile. Her most persistent suitor was the politician and poet Richard Monckton Milnes , but after a nine-year courtship, she rejected him, convinced that marriage would interfere with her ability to follow her calling to nursing. In Rome in 1847, she met Sidney Herbert ,

9500-544: The first American inhabitants sailed from Beringia some 13,000 years ago, with widespread habitation of the Americas during the end of the Last Glacial Period , in what is known as the Late Glacial Maximum , around 12,500 years ago. The oldest petroglyphs in North America date from 15,000 to 10,000 years before present. Genetic research and anthropology indicate additional waves of migration from Asia via

9625-997: The first nursing school, the Nightingale Training School, at St Thomas' Hospital on 9 July 1860. The first trained Nightingale nurses began work on 16 May 1865 at the Liverpool Workhouse Infirmary. Now called the Florence Nightingale Faculty of Nursing and Midwifery , the school is part of King's College London . In 1866 she said the Royal Buckinghamshire Hospital in Aylesbury near her sister's home Claydon House would be "the most beautiful hospital in England", and in 1868 called it "an excellent model to follow". Nightingale wrote Notes on Nursing (1859). The book served as

9750-780: The first recipient of the Royal Red Cross . In 1904, she was appointed a Lady of Grace of the Order of St John (LGStJ) . In 1907, she became the first woman to be awarded the Order of Merit . In the following year she was given the Honorary Freedom of the City of London . Her birthday is now celebrated as International May 12th Awareness Day . From 1857 onwards, Nightingale was intermittently bedridden and suffered from depression. A recent biography cites brucellosis and associated spondylitis as

9875-570: The foundation of professional nursing with the establishment of her nursing school at St Thomas' Hospital in London. It was the first secular nursing school in the world and is now part of King's College London . In recognition of her pioneering work in nursing, the Nightingale Pledge taken by new nurses, and the Florence Nightingale Medal , the highest international distinction a nurse can achieve, were named in her honour, and

10000-579: The fund and the Duke of Cambridge was chairman. In her 1856 letters she described spas in the Ottoman Empire , detailing the health conditions, physical descriptions, dietary information, and other vital details of patients whom she directed there. She noted that the treatment there was significantly less expensive than in Switzerland. Nightingale had £45,000 at her disposal from the Nightingale Fund to set up

10125-843: The geographic center of either the 50 states, the conterminous United States, or the North American continent." Nonetheless, there is a 4.6-meter (15 ft) field stone obelisk in Rugby claiming to mark the center. The North American continental pole of inaccessibility is located 1,650 km (1,030 mi) from the nearest coastline, between Allen and Kyle, South Dakota at 43°22′N 101°58′W  /  43.36°N 101.97°W  / 43.36; -101.97  ( Pole of Inaccessibility North America ) . Canada can be divided into roughly seven physiographic divisions: The lower 48 U.S. states can be divided into roughly eight physiographic divisions: Mexico can be divided into roughly fifteen physiographic divisions: North America

10250-459: The home's occupants. A writer in an 1898 edition of the medical journal The Lancet , observed: A private house in this neighbourhood rented at 4 a week was pointed out to me because its inmates had suffered a good deal of sickness, scarlet fever, measles, etc. Here in the back yard measuring about 10 ft by 5 ft I found that the privy was only separated from the scullery by a wall four and a half inches thick and that it stood nine inches higher than

10375-419: The indigenous people who lived there, including the bison hunters of the Great Plains and the farmers of Mesoamerica . Native groups also are classified by their language families , which included Athapascan and Uto-Aztecan languages. Indigenous peoples with similar languages did not always share the same material culture , however, and were not necessarily always allies. Anthropologists speculate that

10500-460: The land since its creation, but there is no evidence that humans evolved there. The specifics of the initial settlement of the Americas by ancient Asians are subject to ongoing research and discussion. The traditional theory has been that hunters entered the Bering Land Bridge between eastern Siberia and present-day Alaska from 27,000 to 14,000 years ago. A growing viewpoint is that

10625-754: The lot of women everywhere, Nightingale believed that women craved sympathy and were not as capable as men. She criticised early women's rights activists for decrying an alleged lack of careers for women at the same time that lucrative medical positions, under the supervision of Nightingale and others, went perpetually unfilled. She preferred the friendship of powerful men, insisting they had done more than women to help her attain her goals, writing: "I have never found one woman who has altered her life by one iota for me or my opinions." She often referred to herself as, for example, "a man of action" and "a man of business". However, she did have several important and long-lasting friendships with women. Later in life, she kept up

10750-640: The mainland in Mexico. With local indigenous allies, the Spanish conquered the Aztec empire in central Mexico in 1521. Spain then established permanent cities in Mexico, Central America, and Spanish South America in the sixteenth century. Once Spaniards conquered the high civilization of the Aztecs and Incas, the Caribbean was a backwater of the Spanish empire. Other European powers began to intrude on areas claimed by Spain, including

10875-912: The middle into the main range of the Rockies and the coast ranges in California , Oregon , Washington , and British Columbia , with the Great Basin—a lower area containing smaller ranges and low-lying deserts—in between. The highest peak is Denali in Alaska. The U.S. Geographical Survey (USGS) states that the geographic center of North America is "6 miles [10 km] west of Balta, Pierce County, North Dakota " at about 48°10′N 100°10′W  /  48.167°N 100.167°W  / 48.167; -100.167 , about 24 kilometers (15 mi) from Rugby, North Dakota . The USGS further states that "No marked or monumented point has been established by any government agency as

11000-401: The military field hospital she managed. While frequently credited as the creator of the polar area diagram, it is known to have been used by André-Michel Guerry in 1829 and Léon Louis Lalanne by 1830. Nightingale called a compilation of such diagrams a " coxcomb ", but later that term would frequently be used for the individual diagrams. She made extensive use of coxcombs to present reports on

11125-450: The name America to North America. In 1538, Gerardus Mercator used the term America on his world map of the entire Western Hemisphere . On his subsequent 1569 map , Mercator called North America "America or New India" ( America sive India Nova ). The Spanish Empire called its territories in North and South America "Las Indias", and the name given to the state body that oversaw the region

11250-493: The northernmost countries and territories of North America: the U.S., Bermuda , Canada, Greenland, and St. Pierre and Miquelon. Although the term does not refer to a unified region, Middle America includes Mexico, Central America, and the Caribbean. North America's largest countries by land area are Canada and the U.S., both of which have well-defined and recognized subregions. In Canada, these include (from east to west) Atlantic Canada , Central Canada , Canadian Prairies ,

11375-440: The northernmost extent of the island named Newfoundland , has provided unmistakable evidence of Norse settlement. Norse explorer Leif Erikson (c. 970–1020 CE) is thought to have visited the area. Erikson was the first European to make landfall on the continent (excluding Greenland). The Mayan culture was still present in southern Mexico and Guatemala when the Spanish conquistadors arrived, but political dominance in

11500-541: The other hand, Seacole told the French chef Alexis Soyer that "You must know, M Soyer, that Miss Nightingale is very fond of me. When I passed through Scutari, she very kindly gave me board and lodging." The arrival of two waves of Irish nuns, the Sisters of Mercy , to assist with nursing duties at Scutari met with different responses from Nightingale. Mary Clare Moore headed the first wave and placed herself and her Sisters under

11625-593: The owl Athena. Nightingale often carried the owl in her pocket, until the pet died (shortly before Nightingale left for Crimea). Her writings on Egypt, in particular, are testimony to her learning, literary skill, and philosophy of life. Sailing up the Nile as far as Abu Simbel in January 1850, she wrote of the Abu Simbel temples , "Sublime in the highest style of intellectual beauty, intellect without effort, without suffering ... not

11750-632: The poor condition of the facilities, the British Government commissioned Isambard Kingdom Brunel to design a prefabricated hospital that could be built in England and shipped to the Dardanelles . The result was Renkioi Hospital , a civilian facility that, under the management of Edmund Alexander Parkes , had a death rate less than one tenth of that of Scutari. Stephen Paget in the Dictionary of National Biography asserted that Nightingale reduced

11875-506: The pressure her programme of reform placed on him. Nightingale also much later had strong relations with academic Benjamin Jowett , who may have wanted to marry her. Nightingale continued her travels (now with Charles and Selina Bracebridge ) as far as Greece and Egypt. While in Athens, Greece, Nightingale rescued a juvenile little owl from a group of children who were tormenting it, and she named

12000-586: The raised but relatively flat plateau of the Canadian Shield in the northeast; and the varied eastern region, which includes the Appalachian Mountains, the coastal plain along the Atlantic seaboard, and the Florida peninsula. Mexico, with its long plateaus and cordilleras , falls largely in the western region, although the eastern coastal plain does extend south along the Gulf. The western mountains are split in

12125-500: The region, and as such rainforest , monsoon , and savanna types can be found, with rains and high temperatures throughout the year. Notable North American fauna include the bison , black bear , jaguar , cougar , prairie dog , turkey , pronghorn , raccoon , coyote , and monarch butterfly . Notable plants that were domesticated in North America include tobacco , maize , squash , tomato , sunflower , blueberry , avocado , cotton , chile pepper , and vanilla . Laurentia

12250-478: The results of the formation of Pangaea was the Appalachian Mountains , which formed some 480 mya, making it among the oldest mountain ranges in the world. When Pangaea began to rift around 200 mya, North America became part of Laurasia , before it separated from Eurasia as its own continent during the mid- Cretaceous period. The Rockies and other western mountain ranges began forming around this time from

12375-413: The room adjacent to the kitchen with a door leading directly outside to conveniently obtain water. However, for sanitation purposes (since so much slop was processed in the scullery) no doors led from there to the pantry or store rooms. Scullery sinks came in pairs, one for hot water and the other for cold water. They were square or rectangular in shape, shallow, and made of non-absorbent materials, such as

12500-483: The sanitary design of hospitals and the introduction of sanitation in working-class homes (see Statistics and Sanitary Reform ). According to some secondary sources, Nightingale had a frosty relationship with her fellow nurse Mary Seacole , who ran a hotel/hospital for officers. Seacole's own memoir, Wonderful Adventures of Mrs. Seacole in Many Lands , records only one, friendly, meeting with her, when she asked her for

12625-426: The scullery floor. By the privy and forming part of it was an open ashpit full of disgusting filth. The rain keeps this filth in a constant state of moisture, so that the excremental matter percolates through the rotting wall of the scullery, and yet against this wall there are shelves where cooking utensils are placed. On the morning of my visit, some potatoes, ready peeled for cooking, were piled up against that part of

12750-416: The scullery was used for boiling water and doing laundry , which necessitated the following equipment: Sanitation was a special concern for house owners, whose sculleries could be the source of illness if they were not properly drained or kept clean. Grease, which abounded in scullery sink water, could choke up a soil pipe and start stinking up the house (see fatberg ). Water from green vegetables also has

12875-459: The slate sinks at Chawton House or lined with copper to protect delicate dishes. Per the 1891 instruction manual, Principles and Practice of Plumbing : The general sink in the scullery, into which all kinds of liquids and matter are emptied, from green-water to greasy matters, should be made of a non-absorbent material, such as stoneware or fire-clay. Or if the sink is to answer the double purpose of receiver and washer, i.e., if instead of washing

13000-581: The soldiers. After she returned to Britain and began collecting evidence before the Royal Commission on the Health of the Army, she came to believe that most of the soldiers at the hospital were killed by poor living conditions. This experience influenced her later career when she advocated sanitary living conditions as of great importance. Consequently, she reduced peacetime deaths in the army and turned her attention to

13125-544: The standard of care in his 1842–1843 published novel Martin Chuzzlewit in the figure of Sarah Gamp as being incompetent, negligent, alcoholic and corrupt. According to Caroline Worthington, director of the Florence Nightingale Museum , "When she [Nightingale] started out there was no such thing as nursing. The Dickens character Sarah Gamp, who was more interested in drinking gin than looking after her patients,

13250-459: The wall which was permeated with the moisture from the privy. When it rains the amount of water coming through the wall from the privy and into the scullery is much greater and the scullery is only separated from the living room by a door which generally remains open. For maximum sanitation, the 19th century English nurse, Florence Nightingale , recommended that porcelain sinks should be used in sculleries attached to hospital wards. "The best sink for

13375-459: The wounded. However, Russell thought the behaviour was unladylike, and invented an alternative, leading to "The Lady with the Lamp". In the Crimea on 29 November 1855, the Nightingale Fund was established for the training of nurses during a public meeting to recognise Nightingale for her work in the war. There was an outpouring of generous donations. Sidney Herbert served as honorary secretary of

13500-531: Was a back kitchen located adjacent to the main kitchen, frequently to the rear of the house nearest the water supply, such as a public fountain or a well , or near a barrel that collected rain water, which was the preferred water for washing dishes. In houses built prior to indoor plumbing, scullery sinks were located against an outside wall. Since sculleries were used for washing and great quantities of water had to be carried inside, they were made with solid floors of brick, stone, terracotta tiles, or concrete. Although

13625-532: Was also a pioneer in data visualisation with the use of infographics , using graphical presentations of statistical data in an effective way. Much of her writing, including her extensive work on religion and mysticism , has only been published posthumously. Florence Nightingale was born on 12 May 1820 into a wealthy and well-connected British family at the Villa Colombaia , in Florence , Tuscany, Italy, and

13750-461: Was being challenged by these new style Nightingale matrons. This was not an isolated episode and other matrons experienced similar issues, such as Eva Luckes . In the 1870s, Nightingale mentored Linda Richards , "America's first trained nurse", and enabled her to return to the United States with adequate training and knowledge to establish high-quality nursing schools. Richards went on to become

13875-417: Was being delivered by overworked medical staff in the face of official indifference. Medicines were in short supply, hygiene was being neglected, and mass infections were common, many of them fatal. There was no equipment to process food for the patients: This frail young woman ... embraced in her solicitude the sick of three armies. After Nightingale sent a plea to The Times for a government solution to

14000-540: Was called the Council of the Indies . The United Nations and its statistics division recognize North America as including three regions: Northern America, Central America , and the Caribbean . "Northern America" is a distinct term from "North America", excluding Central America, which itself may or may not include Mexico . In the limited context of regional trade agreements, the term is used to reference three nations: Canada,

14125-567: Was created in Carrara marble by Francis William Sargant in 1913 and placed in the cloister of the Basilica of Santa Croce , in Florence, Italy. Florence Nightingale exhibited a gift for mathematics from an early age and excelled in the subject under the tutelage of her father. Later, Nightingale became a pioneer in the visual presentation of information and statistical graphics . She used methods such as

14250-790: Was in Jamestown, Virginia in 1607, followed by additional colonial establishments on the east coast from present-day Georgia in the south to Massachusetts in the north, forming the Thirteen Colonies of British America. The English did not establish settlements north or east of the St. Lawrence Valley in present-day Canada until after the conclusion of the American Revolutionary War . Britain's early settlements in present-day Canada included St. John's, Newfoundland in 1630 and Halifax, Nova Scotia in 1749. The first permanent French settlement

14375-586: Was in Quebec City, Quebec in 1608 Florence Nightingale Florence Nightingale ( / ˈ n aɪ t ɪ ŋ ɡ eɪ l / ; 12 May 1820 – 13 August 1910) was an English social reformer , statistician and the founder of modern nursing . Nightingale came to prominence while serving as a manager and trainer of nurses during the Crimean War , in which she organised care for wounded soldiers at Constantinople . She significantly reduced death rates by improving hygiene and living standards. Nightingale gave nursing

14500-439: Was incapable of boring anyone." Her behaviour was said to be exasperating and eccentric and she had little respect for upper-class British women, whom she regarded generally as inconsequential. She said that if given the choice between being a woman or a galley slave, then she would choose the freedom of the galleys. She generally rejected female company and spent her time with male intellectuals. Clarke made an exception, however, in

14625-627: Was named after the city of her birth. Florence's older sister Frances Parthenope had similarly been named after her place of birth, Parthenope , a Greek settlement now part of the city of Naples . The family moved back to England in 1821, with Nightingale being brought up in the family's homes at Embley, Hampshire , and Lea Hurst, Derbyshire . Florence inherited a liberal-humanitarian outlook from both sides of her family. Her parents were William Edward Nightingale, born William Edward Shore (1794–1874) and Frances ("Fanny") Nightingale ( née Smith; 1788–1880). William's mother Mary ( née Evans)

14750-407: Was only a mild exaggeration. Hospitals were places of last resort where the floors were laid with straw to soak up the blood. Florence transformed nursing when she got back [from Crimea]. She had access to people in high places and she used it to get things done. Florence was stubborn, opinionated, and forthright but she had to be those things in order to achieve all that she did." Though Nightingale

14875-468: Was the first European to suggest that the Americas represented a landmass not then known to the Europeans. In 1507, Waldseemüller published a world map, and placed the word "America" on the continent of present-day South America. The continent north of present-day Mexico was then referred to as Parias. On a 1553 world map published by Petrus Apianus , North America was called "Baccalearum", meaning "realm of

15000-413: Was the first of its kind ever to be written. It appeared at a time when the simple rules of health were only beginning to be known, when its topics were of vital importance not only for the well-being and recovery of patients, when hospitals were riddled with infection, when nurses were still mainly regarded as ignorant, uneducated persons. The book has, inevitably, its place in the history of nursing, for it

15125-599: Was the more academic of the two girls, displayed an extraordinary ability for collecting and analysing data which she would use to great effect in later life." In 1838, her father took the family on a tour in Europe where she was introduced to the English-born Parisian hostess Mary Clarke , with whom Florence bonded. She recorded that "Clarkey" was a stimulating hostess who did not care for her appearance, and while her ideas did not always agree with those of her guests, "she

15250-562: Was the niece of Peter Nightingale, under the terms of whose will William inherited his estate at Lea Hurst, and assumed the name and arms of Nightingale. Fanny's father (Florence's maternal grandfather) was the abolitionist and Unitarian William Smith . Nightingale's father educated her. A BBC documentary reported that "Florence and her older sister Parthenope benefited from their father's advanced ideas about women's education. They studied history, mathematics, Italian, classical literature, and philosophy, and from an early age Florence, who

15375-573: Was to print after her return): "God called me in the morning and asked me would I do good for him alone without reputation." Later in 1850, she visited the Lutheran religious community at Kaiserswerth-am-Rhein in Germany, where she observed Pastor Theodor Fliedner and the deaconesses working for the sick and the deprived. She regarded the experience as a turning point in her life and issued her findings anonymously in 1851; The Institution of Kaiserswerth on

15500-465: Was very kind to the men and, what is more, to the Officers – and did some good (she) made many drunk". Nightingale reportedly wrote, "I had the greatest difficulty in repelling Mrs. Seacole's advances, and in preventing association between her and my nurses (absolutely out of the question!) ... Anyone who employs Mrs. Seacole will introduce much kindness – also much drunkenness and improper conduct". On

15625-610: Was written by the founder of modern nursing". As Mark Bostridge has demonstrated, one of Nightingale's signal achievements was the introduction of trained nurses into the workhouse system in Britain from the 1860s onwards. This meant that sick paupers were no longer being cared for by other, able-bodied paupers, but by properly trained nursing staff. In the first half of the 19th century, nurses were usually former servants or widows who found no other job and therefore were forced to earn their living by this work. Charles Dickens caricatured

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