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Phase Transitions02:31

Phase Transitions

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Whether solid, liquid, or gas, a substance's state depends on the order and arrangement of its particles (atoms, molecules, or ions). Particles in the solid pack closely together, generally in a pattern. The particles vibrate about their fixed positions but do not move or squeeze past their neighbors. In liquids, although the particles are closely spaced, they are randomly arranged. The position of the particles are not fixed—that is, they are free to move past their neighbors to...
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Properties of Transition Metals02:58

Properties of Transition Metals

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Transition metals are defined as those elements that have partially filled d orbitals. As shown in Figure 1, the d-block elements in groups 3–12 are transition elements. The f-block elements, also called inner transition metals (the lanthanides and actinides), also meet this criterion because the d orbital is partially occupied before the f orbitals.
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Cooperative Allosteric Transitions01:58

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Cooperative allosteric transitions can occur in multimeric proteins, where each subunit of the protein has its own ligand-binding site. When a ligand binds to any of these subunits, it triggers a conformational change that affects the binding sites in the other subunits; this can change the affinity of the other sites for their respective ligands. The ability of the protein to change the shape of its binding site is attributed to the presence of a mix of flexible and stable segments in the...
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Phase Transitions: Vaporization and Condensation02:39

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The physical form of a substance changes on changing its temperature. For example, raising the temperature of a liquid causes the liquid to vaporize (convert into vapor). The process is called vaporization—a surface phenomenon. Vaporization occurs when the thermal motion of the molecules overcome the intermolecular forces, and the molecules (at the surface) escape into the gaseous state. When a liquid vaporizes in a closed container, gas molecules cannot escape. As these gas phase molecules...
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S.M.A.R.T. Transitions: A Program Evaluation.

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    Summary
    This summary is machine-generated.

    Evaluating the Duke Complex Care Clinic revealed high compliance with transition readiness standards but low patient confidence in successful healthcare transitions. Further assessment of patient beliefs is recommended.

    Keywords:
    Adolescentsprogram evaluationspecial health care needstransition programyoung adult

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    Area of Science:

    • Pediatric to adult healthcare transition
    • Specialized care for youth with chronic conditions
    • Health services research

    Background:

    • Effective programs for transitioning youth with special healthcare needs (YSHCN) to adult care are limited.
    • Few transition programs undergo rigorous evaluation.
    • The Duke Complex Care Clinic aims to improve this transition process.

    Purpose of the Study:

    • To systematically evaluate the Duke Complex Care Clinic's transition program.
    • To assess patient and parent readiness for transition using the social-ecological model of adolescent and young adult readiness for transition (SMART).

    Main Methods:

    • Cross-sectional data collection via surveys from 23 patient/parent dyads.
    • Retrospective chart reviews for 50 patients.
    • Implementation of a pilot transition readiness tracking tool post-evaluation.

    Main Results:

    • High documentation of compliance with SMART domains was observed.
    • Patients and parents reported high satisfaction with the clinic.
    • Despite satisfaction, many dyads expressed low confidence in successful transition to adult care.

    Conclusions:

    • Transition beliefs and expectations require further assessment and integration into transition care visits.
    • Modifications to the patient tracking tool and clinic workflow may enhance patient transition outcomes.