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 atoms or molecules. Indeed, transferring of protons between chemicals is the basis of acid-base chemistry. Also unique is hydrogen's ability to form hydrogen bonds, which are an effect of charge-transfer, electrostatic, and electron correlative contributing phenomena. While analogous lithium bonds are also known, they are mostly electrostatic. Nevertheless, hydrogen can take on the same structural role as the alkali metals in some molecular crystals, and has a close relationship with the lightest alkali metals (especially lithium). The ammonium ion () has very similar properties to the heavier alkali metals, acting as an alkali metal intermediate between potassium and rubidium, and