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Marcia Crocker Noyes
(1869 – 1946)
Further to my comment on old books and research that started with an interesting bookplate (Ex-Libris). I continued my research and found that the person in charge of the Osler library bookplate was a fascinating individual that today maybe a ghost in the MedChi library and building in Baltimore... This is certainly an article that can be called "A Moment in History"
Marcia Crocker Noyes was the librarian at The Maryland State Medical Society from 1896 to 1946 and was a founding member of the Medical Library Association.[1][2][3]
Sir William Osler, MD. a famous Johns Hopkins surgeon was a noted bibliophile and had a large personal collection of books on various topics. When he became the President of MedChi in 1896, he was dismayed at the condition of the library and knew that with the right person and some stewardship, it could become a significant collection. Sir William asked his friend, Dr. Bernard Steiner, a physician and President of the Enoch Pratt Free Library in Baltimore for suggestions of a librarian, and Dr. Steiner recommended Marcia Crocker Noyes. A native of New York, and a graduate of Hunter College, Marcia had moved to Baltimore for a lengthy visit with her sister, and took a “temporary” position at the Pratt Library, which turned into three years. Although she had no medical experience or background, she was enthusiastic, and most importantly, she was willing to move into the apartment provided for the librarian, who needed to be available 24 hours a day.
The image in this article is Ms. Noyes on her first year on the job. Marcia developed a book classification system for medical books, based on the Index Medicus, and called it the Classification for Medical Literature. The system uses the alphabet with capital letters for the major divisions of medicine and lower-case ones for the sub-sections. The system was used for many years, but it's now dated and the Faculty's original shelving scheme was never changed. The card catalogs still reflect her classification and many of the cards are written in Marcia's back-slanting handwriting.
Marcia knew enough to ask the Faculty's members about medical questions, terminology and literature. She gradually won over the predominantly male membership and they became her greatest allies; Sir William at the start, and then for nearly 40 years, Dr. John Ruhräh, a wealthy pediatrician with no immediate family of his own. She made a point of attending almost every Faculty function, and in 1904, under guidelines from the American Medical Association, Marcia was made the Faculty Secretary. For much of her first 10 years, she was the Faculty's only full-time employee, only being assisted by Mr. Caution, the Faculty's janitor. Later in life Marcia would say that she hired him because of his name!
Within ten years, the library had outgrown its space, and plans, spearheaded by Marcia and Sir William before his move to Oxford, were made to build a headquarters building, mainly to house the library's growing collection of medical books and journals.
Marcia was instrumental in the design and building of the new headquarters. She travelled to Philadelphia, New York and Boston to look at their medical society buildings, and eventually, the Philadelphia architectural firm, Ellicott & Emmart was selected to design and build the new Faculty building. Every detail of the building held her imprimatur, from the graceful staircase, to the light-filled reading room, and all of the myriad details of the millwork, marble tesserae, and most of all, the four-story cast iron stacks. She was on-site, climbing up unfinished staircases, checking out the progress of the building, which was built in less than one year at a cost of $90,000.
Among the features of the new building was a fourth-floor apartment for her. She referred to it as the "first penthouse in Baltimore" and it had a garden and rooftop terrace. The library collection eventually grew to more than 65,000 volumes from medical and specialty societies around the world. Journals were traded back and forth, and physicians eagerly anticipated the arrival of each new issue. At the same time, Marcia was involved in the Medical Library Association as one of eight founding members. The MLA promotes medical libraries and the exchange of information. One of the earliest mandates of the MLA was the Exchange, a distribution and trade service for those who had duplicates or little-used books in their collections. Initially, the Exchange was run out of the Philadelphia medical society, but in 1900 it was moved to Baltimore and Marcia oversaw it. Several hundred periodicals and journals were received and sent each month, a huge amount of work for a tiny staff. In 1904, the Faculty had run out of room to manage the Exchange, so it was moved to the Medical Society of the Kings County (Brooklyn). But without Marcia's excellent administrative skills, it floundered and in 1908, the MLA asked Marcia to take charge once again.
In 1909, when the new Faculty building opened, there was enough room to run the Exchange and with the help of MLA Treasurer, noted bibliophile and close friend, Dr. John Ruhräh, it once again became successful. Additionally, Marcia and Dr. Ruhräh combined forces to revive the MLA's bulletin, which had all but ceased publication in 1908, taking the Exchange with it. This duo maintained editorial control from 1911 until 1926. In 1934, around the time of Dr. Ruhräh's death, Marcia became the first “unmedicated” professional to head the MLA. During her tenure, the MLA incorporated, the first seal was adopted, and the annual meeting was held in Baltimore. Marcia wanted to write the history of the MLA once she retired from full-time work at the Faculty, but her health was beginning to fail. She had back problems and had suffered a serious burn on her shoulder as a young woman, possibly from her time running a summer camp, Camp Seyon, for young ladies in the Adirondack Mountains. In 1946, a celebration was planned to honor Marcia's 50 years at the Faculty. But she was adamant that the physicians wait until November, the actual date of her 50 years. However, they knew she was gravely ill, and might not make it until then, so a huge party was held in April. More than 250 physicians attended the celebration, but the ones she was closest to in the early years, were long gone. She was presented with a suitcase, a sum of money to use for travelling, and her favorite painting of Dr. John Philip Smith, a founder of the Medical College in Winchester, Virginia. It was painted by Edward Caledon Smith, a Virginia painter who had been a student of the painter Thomas Sully.[4] She adored this painting and vowed, jokingly, to take it with her wherever she went.
The painting was not to stay with her for very long, for she died in November 1946, and left it to the Faculty in her will. Her funeral was held in the Faculty's Osler Hall, named for her dear friend. More than 60 physicians served as her pallbearers, and she was buried at Baltimore's Green Mount Cemetery. In 1948, the MLA decided to establish an award in the name of Marcia Crocker Noyes. It was for outstanding achievement in medical library field and was to be awarded every two years, or when a truly worthy candidate was submitted. In 2014, the Faculty began giving a bouquet of flowers to the winner of the award in Marcia's name, and in honor of her work. Much evidence exists for this tradition, as we know that the physicians, especially Drs. Osler and Ruhräh, frequently gave her bouquets of flowers. Marcia also cultivated flower gardens at the Faculty and decorated the rooms with her work.
Today, the MedChi building is open for tours and if the rumors are to be believed Ms. Marcia Crocker Noyes is still at work in her beloved library as the "resident ghost" [1][5]
NOTE: This article has been modified from the original Wikipedia article on Marcia Crocker Noyes. The article itself is well-written with interesting images of the subject. I would encourage you to visit it. The second insert is from book 00736 in my personal library and shows in pencil, the incredibly small handwriting of Marsha C. Noyes.
Sources:
1. "Marcia, Marcia, Marcia" MedChi Archives blog.
2. "Marcia C. Noyes, Medical Librarian" (PDF). Bulletin of the Medical Library Association. 35 (1): 108–109. 1947. PMC 194645
3. Smith, Bernie Todd (1974). "Marcia Crocker Noyes, Medical Librarian: The Shaping of a Career" (PDF). Bulletin of the Medical Library Association. 62 (3): 314–324. PMC 198800Freely accessible. PMID 4619344.
4. Edward Caledon BRUCE (1825-1901)"
5. Behind the scenes tour MedChiBuilding
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These two terms are opposite, yet they need to be reviewed together. The word [antegrade] is Latin and means "to go before" or in a variation of the term, [anterograde] meaning "to go anterior or moving forward". The word [retrograde] is also Latin and means "to go or move behind (or posterior)". Based on their etymology, these words are of no use and confusing.
Now, if we use these words in the context of "proximal and distal" then the story changes. Based on our working definition of proximal and distal, the definition would be as follows:
Antegrade: Moving or in a relationship of proximal to distal. In the case of a hollow organ containing a moving fluid, it would mean "going with the flow"
Retrograde: Moving or in a relationship of distal to proximal. In the case of a hollow organ containing a moving fluid, it would mean "going against the flow"
The confusion caused by the lack of proper definition can be illustrated by this Letter to the Editor, published in The American Journal of Sports Medicine.
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The prefix [-iso-] originates from the Greek [ίσος] meaning "equal". In medical terminology it is used to mean "same". Applications of this prefix include:
- Isometric: Same length. An isometric muscular contraction occurs when the muscle contracts, but the length of the muscle is the same, it does not change
- Isotonic: Equal or same tension. Refers to solutions that have the same osmotic pressure
- Isomorphous: Same shape or form
- Isosceles: Equal legs. An isosceles triangle is formed by three "legs" that have the same length
Note: The links to Google Translate in these articles include an icon that will allow you to hear the Greek or Latin pronunciation of the word.
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The word [cingulum] is Latin and means "belt" or "girdle". The term was also used by Roman soldiers to denote a sword belt. The short sword of the Romans was called a "gladius" and this was the earlier name for the sternum. The plural Latin form for cingulum is "cingula".
The adjectival form for this word is [cingulate] and means "belted", "girdled", or "shaped like a belt"
In human anatomy the term [cingulum] or cingulate gyrus is used to describe a brain gyrus found deep in the medial aspect of the brain hemisphere, hugging the corpus callosum like a girdle. The cingulate gyrus (in green in the accompanying image) is part of the limbic system.
Interesting side notes: The Latin word cingulum evolved into the Spanish "cincha" used to refer to a strong leather belt, while in English it evolved into "cinch"... so when you are in "a cinch" you are basically "tied up" or "in a girdle". Also, the Greek equivalent term for cingulum is zoster, which explains why the pathology is called "herpes zoster", as the presentation of the pathology is in a tight, belt-like abdominothoracic rash.
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This article is part of the series "A Moment in History" where we honor those who have contributed to the growth of medical knowledge in the areas of anatomy, medicine, surgery, and medical research.

Bernhard Siegfried Albinus
Bernhard Siegfried Albinus (1697-1770). German-Dutch physician, surgeon, and anatomist, Albinus was born in Frankfurt an der Oder, but lived most of his life in Leyden, in Holland, his adopted country. His real name was Bernhard Siegfried Weiss, which means “white” in German, the Latin version of which is “albus”, from where derives his Latinized name “Albinus”.
His father was also a physician, Bernard (or Bernhard) Weiss (1653 – 1721). He also took the last name Albinus, which makes following their history and genealogy a bit difficult.
Albinus moved to Leyden (Leiden) when he was only five years old, excelling at his studies and entering the University of Leyden at 12. He later moved to Paris, France to continue his studies on anatomy and surgery. He received his medical degree in 1719.
He began work at the University of Leyden as a Professor of Anatomy and Surgery, where he continued working until his death in 1770. He is considered one the most well-known anatomists of the 18th century.
Because of his work with his colleague Herman Boerhaave (1668-1738), Albinus came in contact with Jan Wandelaar (1690-1759) an artist and engraver. It was this collaboration and the art of Jan Wandelaar which have made Albinus’ books and illustration famous. Albinus was criticized for the luscious, detailed, and sometimes strange backgrounds of his anatomical images, yet he defended Jan Wandelaar and his artistic expression. Albinus and Jan Wandelaar were dedicated to the faithful reproduction of anatomy in their publications, developing a grid system to reduce errors in production and printing.
During his tenure, Albinus was twice appointed Rector of the University and President of the College of Surgeons of Leyden. During this time, he became aware of the discovery of the copper plates created by Eustachius’ and lost for over a hundred years. In 1744 he published the plates in the book “Explanation of the Anatomical Tables of Eustachius “with his comments, stressing the fact that these images were better than those of Vesalius, published in 1543. This is no surprise, as Vesalius’ images were woodcuts, done before the technique of printing with copper plates became popular.
Although not well-known, Albinus’ name is eponymically attached to the risorius and scalenus minimus muscles. His famous publications include “Historia musculorum hominis” in 1734), “Icones ossium foetus humani” in 1737, “Tabulæ sceleti et musculorum corporis humani” in 1749, etc.
Some of Albinus and Jan Wandelaar images can be seen here. Click on the image to see a larger depiction:
Sources:
1. "Bernard Siegfried Albinus (1697-1770), German-Dutch anatomist" JAMA (1966), 196 (10): 910
2.“Bartholomeo Eustachio – The Third Man: Eustachius Published By Albinus” Fahrer, M. Ann Anat 187 (2005) 555—573
3. “Attic perfection in anatomy: Bernhard Siegfried Albinus (1697–1770) and Samuel Thomas Soemmerring (1755–1830)” Hildebrand, R. Ann Anat 187 (2005) 555—573
4. “Two Conceptions of the Human Form: Bernard Siegfried Albinus and Andreas Vesalius” Elkins, J. Artibus et Historiae, 7:14 (1986) 91-106
5. “Bartolomeo Eustachio: His Influence on Albinus and the Anatomical Models at La Specola, Florence” Hilloowala, R. J Hist Med All Sci (1986); 41 (4): 442 -462
Portrait and all other images in this article are in the public domain. Courtesy of Wikipedia. The links to read the books online courtesy of Archive.org.
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The word [canthus] arises from the Greek [kanthos] meaning "angle". It was later adopted into New Latin as [canthus]. The Latin plural form is [canthi].
In human anatomy it is used to describe the angles in the eye formed by the joining of the superior and inferior eyelids.
Each eye has a lateral and a medial canthus. At the medial canthus there is a small elevation of mucosa called the caruncle.
As an interesting note, the lateral canthal lines are a fancy way to refer to "crow's feet", the wrinkles that diverge from the lateral canthus.
Image modified from the original. Public domain. Courtesy of Wikipedia.
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The word [fovea] is Latin, and means a "small pit" or a "small depression", a small round fossa. There are two plural forms in use. The first is the Latin form [foveae] and the second one is the English form [foveas]. In human anatomy foveae are usually round in shape.
There are several foveae described in the human body. One of them is the fovea centralis of the eye, a small round depression in the retina characterized by the presence of a large number of cone cells and responsible for highest visual acuity.







