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
PH indicator cabbage, to form a crude pH indicator is a popular introductory chemistry demonstration. Litmus, used by alchemists in the Middle Ages and still readily available, is a naturally occurring pH indicator made from a mixture of lichen species, particularly "Roccella tinctoria". The word "litmus" is literally from 'colored moss' in Old Norse (see Litr). The color changes between red in acid solutions and blue in alkalis. The term 'litmus test' has become a widely used metaphor for any test that purports to distinguish authoritatively between alternatives. "Hydrangea macrophylla" flowers can change color depending on soil acidity. In acid soils, chemical