Esophageal pH monitoring developed a dependable external reference electrode. Using this technique to monitor esophageal acid exposure patients for periods up to 24 hours, DeMeester and Johnson were able to identify the most important parameters of esophageal acid exposure, and they developed a composite pH score to quantify gastroesophageal reflux. The initial 24-hour pH studies required hospitalization until the introduction of microcircuits in the 1980s that allowed portable esophageal pH monitoring in an outpatient setting. Gastroesophageal reflux disease (GERD) is a common disease in western countries. In the United States, 7% of the population experiences heartburn daily and 44% at least once a
Alkali as a subset of the bases. One of two subsets is commonly chosen. The second subset of bases is also called an "Arrhenius base". Alkali salts are soluble hydroxides of alkali metals and alkaline earth metals, of which common examples are: Soils with pH values that are higher than 7.3 are usually defined as being alkaline. These soils can occur naturally, due to the presence of alkali salts. Although many plants do prefer slightly basic soil (including vegetables like cabbage and fodder like buffalo grass), most plants prefer a mildly acidic soil (with pHs between 6.0 and 6.8), and alkaline