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
Soil pH pH of soils through various acid-base reactions. Calcium silicate neutralizes active acidity in the soil by reacting with H ions to form monosilicic acid (HSiO), a neutral solute. The pH of an alkaline soil can be reduced by adding acidifying agents or acidic organic materials. Elemental sulfur (90–99% S) has been used at application rates of 300–500 kg/ha – it slowly oxidizes in soil to form sulfuric acid. Acidifying fertilizers, such as ammonium sulfate, ammonium nitrate and urea, can help to reduce the pH of a soil because ammonium oxidises to form nitric acid. Acidifying organic materials include peat or