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
Acid mine drainage suitable for relatively small flows or less complex acid mine drainage. A calcium silicate feedstock, made from processed steel slag, can also be used to neutralize active acidity in AMD systems by removing free hydrogen ions from the bulk solution, thereby increasing pH. As the silicate anion captures H ions (raising the pH), it forms monosilicic acid (HSiO), a neutral solute. Monosilicic acid remains in the bulk solution to play many roles in correcting the adverse effects of acidic conditions. In the bulk solution, the silicate anion is very active in neutralizing H cations in the soil solution. While its