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 metal similar to the alkali metals in their large size and weak polarising power. The element hydrogen, with one electron per neutral atom, is usually placed at the top of Group 1 of the periodic table for convenience, but hydrogen is not normally considered to be an alkali metal; when it is considered to be an alkali metal, it is because of its atomic properties and not its chemical properties. Under typical conditions, pure hydrogen exists as a diatomic gas consisting of two atoms per molecule (H); however, the alkali metals only form diatomic molecules (such as dilithium, Li) at high