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
Chromic acid that it can be ignored at pH > 4. Loss of the second proton occurs in the pH range 4–8, making the ion [HCrO] a weak acid. Molecular chromic acid could in principle be made by adding chromium trioxide to water ("cf." manufacture of sulfuric acid). but in practice the reverse reaction occurs when molecular chromic acid is dehydrated. This is what happens when concentrated sulfuric acid is added to a dichromate solution. At first the colour changes from orange (dichromate) to red (chromic acid) and then deep red crystals of chromium trioxide precipitate from the mixture, without further colour