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Ernest Starling

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288:. In 1891, when he was 25, Starling married Florence Amelia Wooldridge, the widow of Leonard Charles Wooldridge, who had been his physiology teacher at Guy's and died at the age of 32. She was a great support to Starling as a sounding board, secretary, and manager of his affairs as well as mother of their four children. In 1893 Bayliss married Gertrude, Starling's sister, so the two were brothers-in-law. When Starling was appointed professor at UCL in 1899, the scientific family was even closer. Bayliss and Starling were in the newspaper's headlines when involved in the 33: 384:. He resigned from the army in June 1917 and finally was able to undertake war work that utilized his abilities. As chairman of the Royal Society Food (War) Committee, he was instrumental in setting up rationing that provided needed calories and also the nutritional supplements then known. Rationing actually improved nutrition in wartime Britain. Germany had a similar food shortage during the war, but coped with it disastrously. 1151: 393:
of classics themes: "After nine years, nine-tenths of the boys can read neither Latin nor Greek. They may have acquired a few catchwords or allusions to classical mythology, but they can give no account of the manner in which the Greeks lived, or the part played by Greek philosophy in the evolution of modern ideas, or in the way in which western government has been founded on Roman inventions."
436:. On this occasion, Johansson felt that Starling's hormone studies should have been rewarded. But by then the experiments had been done almost a quarter of a century before, and Johansson felt that the prize should be given for recent discoveries. He had forgotten that it was he who had put Starling's work on the back burner in 1913. Subsequent British Laureates (such as 380:, Starling first was involved in research into poison gases. As a commissioned officer he found the organization of the matter chaotic and on several occasions was very outspoken to his war office superiors. This did his prospects no good at all. Many of his distinguished contemporaries received knighthoods. Starling was awarded a 348:. Occupying two years of his life (1910–1912) his investigations examined how the heart increased its output in response to more blood entering the organ, which increases the size of the chambers during filling. For this work he made use of the anaesthetized dog, in an experimental arrangement known as the 392:
Starling returned to UCL at the end of the war. His wartime experiences had left him with a scathing vision on how the country was run, and in particular the educational system. He was especially outspoken on public (the British designation for private) school education. And particularly the teaching
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Commission) was set up to improve medical education, Starling was an enthusiastic contributor. One of the consequences of the commission was the establishment of medical units in London teaching hospitals: clinical practice supported by laboratory research is now taken for granted in every large
489:, "All had found him a generous comrade and leader, and it is impossible to think of physiology in the last thirty years without Starling as the central figure of inspiration … his courage was indomitable, his energy and his passion for knowledge flouted all restraint." 252:
function between 1893 and 1897. He showed that there are opposing forces across the capillary wall—an outward movement of water due to hydrostatic pressure (derived from the heart's contraction) and an inward movement, secondary to the osmotic pressure of the
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worked with Starling in his laboratory. In 1920, Starling was found to have colonic cancer, and the surgeon Arbuthnot Lane removed half of his colon. It seriously limited his exceptional physical activities: he gave up mountaineering, for example.
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heart. Frank showed that the longer the heart-muscle fibres were stretched the stronger the contraction. He did this with no interest in the circulation as a whole, so his findings have to be taken in parallel with Starling's, thus it became the
429:, a Danish physiologist was rewarded for his work on capillaries (his findings were not actually as significant as Starling's had been, twenty years before: but the significance of 'Starling forces' in the capillary had not become apparent). 425:(who won a Prize himself in 1936). Starling's subject was hormones, with secretin being prominent. The assessor, J. E. Johansson, decided that Starling should receive the prize, but not yet. No prize was given during World War I. In 1920 327:
Starling felt passionately about many subjects, one of which was medical education. He found the lack of science behind medical practice intolerable, and when in 1910 a Royal Commission (The
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who contributed many fundamental ideas to this subject. These ideas were important parts of the British contribution to physiology, which at that time led the world.
444:) were given the prize for work they had done twenty or thirty years before. But by this time Johansson was no longer involved with the awarding of the prize. 150: 470:
harbour he was found to be dead. He was apparently travelling by himself, and there were no friends or relations at his funeral—in pouring rain—in
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During the 1920s he was very busy doing experiments and his reputation attracted distinguished collaborators. Many of these involved the
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and Starling proposed that the body produces many secretin-like molecules, and in 1905 proposed that these substances should be called
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Vander Kloot, W. (2003). "Ernest Starling's analysis of the energy balance of the German people during the blockade, 1914–1919".
303:, which at that time was believed to be entirely under nervous control. They showed that whenever food or acid was put into the 1191: 965: 909: 534: 328: 261:. The inward and outward forces are often referred to as "Starling forces". They established him as a serious contributor. 169:
He made at least four significant contributions: 1. In the capillary, water is forced out through the pores in the wall by
209:, the anti-diuretic hormone. He also wrote the leading textbook of physiology in English, which ran through 20 editions. 94: 833: 381: 257:
within the capillary. Without awareness of these forces, the physician cannot begin to understand such conditions as
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Guy's had no physiological laboratories, but Starling's enthusiasm changed all this, and he published nine papers on
1155: 1181: 352:. This played an important role in subsequent experiments, when he was not primarily interested in blood flow. 205:. 4. Several fundamental observations on the action of the kidneys. These include evidence for the existence of 1186: 1119:
Bean, W B (1963), "Ernest Henry Starling, the clinician's physiologist, with an aside on wandering navels",
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Fye, W B (1983), "Ernest Henry Starling, his law and its growing significance in the practice of medicine",
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Starling's relationship with the Nobel Prize is of interest. He was first proposed for the prize in 1913 by
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physician. But the science behind medicine—physiology—attracted him much more; he spent a long vacation in
158: 441: 437: 356: 281: 221:, London, in 1882 (when he was 16). He had a brilliant career there and set his sights on becoming a 134: 307:
some blood-borne stimulus was released, causing the pancreas to secrete. They called this substance
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The exact circumstances of Starling's death are far from clear. He was on a pleasure cruise in the
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Katz, Arnold M (2002), "Ernest Henry Starling, his predecessors, and the "Law of the Heart"",
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His death marked the end of an outstanding contributor to medical science. In the words of
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Henriksen, Jens H (2005), "Ernest Henry Starling (1866–1927): the scientist and the man",
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Ernest Henry Starling, 1866-1927: Physician and Physiologist -- A Short Biography
277: 194: 315:. By doing this, he began a whole new biological subject, which became known as 984: 673:"The report of the Royal Commission in reference to medical teaching in London" 498: 254: 178: 1027:, vol. 106, no. 23 (published 3 December 2002), pp. 2986–2992, 1165: 1104: 1075: 333: 316: 265: 222: 720:
Starling, E. H. (1920). "The circulatory changes associated with exercise".
688: 1136: 1042: 1016: 992: 945: 927: 775: 767: 706: 657: 599: 426: 404:), the activity of insulin (with F. P. Knowlton), and renal function (with 401: 201:. 3. The analysis of the heart's activity as a pump, which is known as the 163: 32: 1112: 1084: 1069:, vol. 68, no. 5 (published November 1983), pp. 1145–1148, 1058: 457: 453: 377: 293: 285: 206: 104: 1009:
The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha
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The physiological discovery most often associated with Starling is the
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was performed, so the cause of his death— which one may presume to be
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In 1926, Starling was proposed again, this time for his work on the
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Katz, Arnold M (2004), "Ernest Henry Starling: medical educator",
185:). These opposing forces approximately balance; which is known as 475: 400:. It was used to investigate the control of blood pressure (with 312: 241:. At that time such a job description did not exist in Britain. 198: 355:
Starling was unaware of previous work by a German physiologist,
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New York Times: obituary of George W Corner: 1 October 1981.
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British Physiologists 1885–1914: A Biographical Dictionary
501:(born 1969) and Belinda Starling (1972–2006) are writers. 1123:, vol. 111 (published April 1963), pp. 403–5, 237:
formation and convinced himself that he could become a
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secondary to his colon tumour—was never established.
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institution. For this, we must thank Starling's and
819: 953: 877:Martin, C. J. (1927). "Obituary: E. H. Starling". 828:. Manchester University Press. pp. 149–150. 1163: 1093:Triangle; the Sandoz Journal of Medical Science 621: 918:Fye, W Bruce (2006), "Ernest Henry Starling", 336:evidence given before the Haldane Commission. 738: 1011:, vol. 67, no. 4, pp. 14–21, 753: 553:(I ed.). London: J. & A. Churchill. 217:Ernest Starling became a medical student at 858:Dale, H. H. (1927). "Tribute to Starling". 162:(17 April 1866 – 2 May 1927) was a British 504:His daughter Muriel (born c1893), married 31: 1074: 1032: 974: 951: 935: 899: 743:. Stroud: Fonthill Media. pp. 49–73. 696: 647: 589: 524: 408:). In 1923–24 the American embryologist, 788: 719: 670: 622:Bayliss, W. M.; Starling, E. H. (1902). 563: 548: 624:"The mechanism of pancreatic secretion" 508:at St. Mary's Kilburn, London in 1919. 339: 212: 1197:Academics of University College London 1164: 960:. Copenhagen: Lægeforeningens forlag. 876: 416: 1091:"Ernest Henry Starling (1866–1927)", 1048: 280:(1860–1924), who was on the staff of 1129:10.1001/archinte.1963.03620280003001 1118: 1022: 1006: 857: 322: 276:Starling enjoyed collaborating with 1064: 917: 741:Great scientists wage the great war 13: 1034:10.1161/01.CIR.0000040594.96123.55 893: 299:Bayliss and Starling investigated 197:—and the introduction of the word 189:. 2. The discovery of the hormone 14: 1218: 1143: 518: 1207:Jodrell Professors of Physiology 1149: 497:Two of his great-grandchildren, 16:British physiologist (1866–1927) 870: 851: 842: 813: 782: 671:Starling, E. H. (31 May 1913). 264:He was elected a Fellow of the 95:Frank–Starling law of the heart 822:"Franklin Pattingall Knowlton" 791:"Natural science in education" 747: 732: 713: 664: 640:10.1113/jphysiol.1902.sp000920 615: 606: 582:10.1113/jphysiol.1896.sp000596 557: 551:Principles of human physiology 542: 492: 371: 1: 807:10.1016/s0140-6736(00)95777-5 511: 233:, studying the mechanisms of 1192:Fellows of the Royal Society 977:Journal of Medical Biography 292:, a controversy relating to 7: 952:Henriksen, Jens H. (2000). 722:J. Royal Army Medical Corps 387: 271: 10: 1223: 985:10.1177/096777200501300107 739:Van der Kloot, W. (2014). 612:Henderson, 2005, pp.62–68. 902:A life of Ernest Starling 527:A life of Ernest Starling 456:, but when his ship, the 282:University College London 193:—with his brother-in-law 140: 135:University College London 130: 120: 113: 100: 90: 82: 63: 42: 30: 23: 1076:10.1161/01.CIR.68.5.1145 900:Henderson, John (2005), 820:O'Connor, W. J. (1991). 789:Starling, E. H. (1918). 564:Starling, E. H. (1896). 549:Starling, E. H. (1912). 525:Henderson, John (2005), 447: 410:George Washington Corner 1049:Tucci, P J (1992), "", 756:Notes Rec. R. Soc. Lond 689:10.1136/bmj.1.2733.1063 1182:Scientists from London 928:10.1002/clc.4960290413 768:10.1098/rsnr.2003.0205 398:heart-lung preparation 350:heart-lung preparation 1187:English physiologists 359:, using the isolated 173:and driven in by the 147:Ernest Henry Starling 1158:at Wikimedia Commons 340:The law of the heart 301:pancreatic secretion 213:Rising to prominence 187:Starling's Principle 171:hydrostatic pressure 1202:Royal Medal winners 1051:Arq. Bras. Cardiol. 920:Clinical Cardiology 683:(2733): 1168–1172. 458:Elders & Fyffes 442:Charles Sherrington 417:The Nobel Committee 1121:Arch. Intern. Med. 366:Frank–Starling law 203:Frank–Starling law 1154:Media related to 967:978-87-7891-010-3 911:978-0-19-517780-0 536:978-0-19-517780-0 472:Kingston, Jamaica 323:Medical education 144: 143: 115:Scientific career 1214: 1153: 1139: 1115: 1099:(5): 165, 1966, 1087: 1078: 1061: 1045: 1036: 1019: 1003: 971: 959: 948: 939: 914: 887: 886: 874: 868: 867: 855: 849: 846: 840: 839: 817: 811: 810: 786: 780: 779: 751: 745: 744: 736: 730: 729: 717: 711: 710: 700: 668: 662: 661: 651: 619: 613: 610: 604: 603: 593: 561: 555: 554: 546: 540: 539: 522: 506:Sydney Patterson 346:Law of the Heart 290:Brown Dog affair 183:oncotic pressure 175:osmotic pressure 161: 109: 75:Kingston Harbour 70: 52: 50: 35: 21: 20: 1222: 1221: 1217: 1216: 1215: 1213: 1212: 1211: 1162: 1161: 1156:Ernest Starling 1146: 1090: 968: 912: 896: 894:Further reading 891: 890: 875: 871: 856: 852: 847: 843: 836: 818: 814: 787: 783: 752: 748: 737: 733: 718: 714: 669: 665: 620: 616: 611: 607: 562: 558: 547: 543: 537: 523: 519: 514: 495: 450: 438:Gowland Hopkins 419: 390: 374: 342: 334:William Osler's 325: 278:William Bayliss 274: 255:plasma proteins 227:Wilhelm KĂĽhne's 215: 195:William Bayliss 179:plasma proteins 149: 107: 78: 72: 68: 59: 54: 48: 46: 38: 37:Ernest Starling 26: 25:Ernest Starling 17: 12: 11: 5: 1220: 1210: 1209: 1204: 1199: 1194: 1189: 1184: 1179: 1174: 1160: 1159: 1145: 1144:External links 1142: 1141: 1140: 1116: 1088: 1062: 1046: 1020: 1004: 972: 966: 949: 915: 910: 895: 892: 889: 888: 869: 850: 841: 834: 812: 781: 762:(2): 185–190. 746: 731: 712: 663: 634:(5): 325–353. 614: 605: 576:(4): 312–326. 556: 541: 535: 516: 515: 513: 510: 499:Boris Starling 494: 491: 449: 446: 418: 415: 389: 386: 373: 370: 341: 338: 324: 321: 273: 270: 229:laboratory in 219:Guy's Hospital 214: 211: 142: 141: 138: 137: 132: 128: 127: 122: 118: 117: 111: 110: 102: 98: 97: 92: 91:Known for 88: 87: 84: 80: 79: 73: 71:(aged 61) 65: 61: 60: 55: 44: 40: 39: 36: 28: 27: 24: 15: 9: 6: 4: 3: 2: 1219: 1208: 1205: 1203: 1200: 1198: 1195: 1193: 1190: 1188: 1185: 1183: 1180: 1178: 1175: 1173: 1170: 1169: 1167: 1157: 1152: 1148: 1147: 1138: 1134: 1130: 1126: 1122: 1117: 1114: 1110: 1106: 1102: 1098: 1094: 1089: 1086: 1082: 1077: 1072: 1068: 1063: 1060: 1056: 1052: 1047: 1044: 1040: 1035: 1030: 1026: 1021: 1018: 1014: 1010: 1005: 1002: 998: 994: 990: 986: 982: 978: 973: 969: 963: 958: 957: 950: 947: 943: 938: 933: 929: 925: 921: 916: 913: 907: 903: 898: 897: 884: 880: 873: 865: 861: 854: 845: 837: 835:9780719032820 831: 827: 823: 816: 808: 804: 800: 796: 792: 785: 777: 773: 769: 765: 761: 757: 750: 742: 735: 727: 723: 716: 708: 704: 699: 694: 690: 686: 682: 678: 674: 667: 659: 655: 650: 645: 641: 637: 633: 629: 625: 618: 609: 601: 597: 592: 587: 583: 579: 575: 571: 567: 560: 552: 545: 538: 532: 528: 521: 517: 509: 507: 502: 500: 490: 488: 483: 481: 477: 473: 469: 466:, tied up in 465: 462: 459: 455: 445: 443: 439: 435: 430: 428: 424: 414: 411: 407: 403: 399: 394: 385: 383: 379: 378:1914–1918 war 369: 367: 362: 358: 353: 351: 347: 337: 335: 330: 320: 318: 317:endocrinology 314: 310: 306: 302: 297: 295: 291: 287: 283: 279: 269: 267: 266:Royal Society 262: 260: 256: 251: 247: 242: 240: 236: 232: 228: 224: 223:Harley Street 220: 210: 208: 204: 200: 196: 192: 188: 184: 180: 176: 172: 167: 165: 160: 156: 152: 148: 139: 136: 133: 129: 126: 123: 119: 116: 112: 106: 103: 99: 96: 93: 89: 85: 81: 76: 66: 62: 58: 53:17 April 1866 45: 41: 34: 29: 22: 19: 1120: 1096: 1092: 1066: 1050: 1024: 1008: 976: 955: 919: 901: 882: 878: 872: 863: 859: 853: 844: 825: 815: 798: 794: 784: 759: 755: 749: 740: 734: 725: 721: 715: 680: 676: 666: 631: 627: 617: 608: 573: 569: 559: 550: 544: 526: 520: 503: 496: 484: 463: 451: 431: 427:August Krogh 420: 406:E. 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Physiol 512:References 487:Henry Dale 423:Otto Loewi 357:Otto Frank 231:Heidelberg 125:Physiology 67:2 May 1927 49:1866-04-17 1105:0041-2597 268:in 1899. 250:capillary 77:, Jamaica 1137:13969932 1043:12460884 1017:15625946 1001:24810062 993:15682229 946:16649731 776:12848187 707:20766645 658:16992627 600:16992325 468:Kingston 464:Ariguani 388:Post-war 313:hormones 309:secretin 305:duodenum 272:Hormones 191:secretin 1113:5328520 1085:6352082 1059:1340699 937:6653901 698:2299186 649:1540572 591:1512609 476:autopsy 329:Haldane 199:hormone 86:English 1135:  1111:  1103:  1083:  1057:  1041:  1015:  999:  991:  964:  944:  934:  908:  866:: 905. 832:  795:Lancet 774:  705:  695:  656:  646:  598:  588:  533:  480:cancer 434:kidney 121:Fields 108:(1913) 101:Awards 57:London 997:S2CID 474:. No 448:Death 259:edema 246:lymph 235:lymph 157: 153: 1133:PMID 1109:PMID 1101:ISSN 1081:PMID 1055:PMID 1039:PMID 1013:PMID 989:PMID 962:ISBN 942:PMID 906:ISBN 830:ISBN 772:PMID 703:PMID 654:PMID 596:PMID 531:ISBN 440:and 361:frog 248:and 181:(or 155:FRCP 64:Died 43:Born 1125:doi 1071:doi 1029:doi 981:doi 932:PMC 924:doi 803:doi 764:doi 693:PMC 685:doi 644:PMC 636:doi 586:PMC 578:doi 382:CMG 177:of 159:FRS 151:CMG 1168:: 1131:, 1107:, 1095:, 1079:, 1037:, 995:, 987:, 940:, 930:, 881:. 864:19 862:. 824:. 797:. 793:. 770:. 760:57 758:. 726:34 724:. 701:. 691:. 679:. 675:. 652:. 642:. 632:28 630:. 626:. 594:. 584:. 574:19 572:. 568:. 368:. 319:. 296:. 1127:: 1097:7 1073:: 1031:: 983:: 970:. 926:: 883:1 838:. 809:. 805:: 799:2 778:. 766:: 709:. 687:: 681:1 660:. 638:: 602:. 580:: 51:) 47:(

Index


London
Kingston Harbour
Frank–Starling law of the heart
Royal Medal
Physiology
University College London
CMG
FRCP
FRS
physiologist
hydrostatic pressure
osmotic pressure
plasma proteins
oncotic pressure
Starling's Principle
secretin
William Bayliss
hormone
Frank–Starling law
vasopressin
Guy's Hospital
Harley Street
Wilhelm KĂĽhne's
Heidelberg
lymph
physiologist
lymph
capillary
plasma proteins

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