ratchet

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ratchet

a steplocking device on surgical instruments. As the handles are closed the jaws are also closed and the ratchet holds them in a locked position. The ratchet consists of a notched bar on each handle, the notches facing and overriding when the handles are closed.
References in periodicals archive ?
The drug achieves both effects by ratcheting down production of dihydrotestosterone, a hormone linked to male pattern baldness and enlargement of the prostate.
Builders are wisely ratcheting down the pace of new construction to a rate that's more sustainable under the current conditions of economic and geopolitical uncertainty," said Kent Conine, president of NAHB.
This June the California Air Resources Board, which sets air pollution standards for engines, will consider ratcheting down mowers' emissions levels again - by another 50 percent.
The report also stated that "As a result of the state's persistent ratcheting down of Medicaid rates throughout the 1990s, most Medicaid-certified nursing facilities now receive daily Medicaid rates that average fifteen to twenty dollars per day below allowable cost.
Mr Armitage said the Indian leadership might return some diplomats to Islamabad and had discussed 'some ratcheting down of some sort of military tension.
The Indians ``are talking about some diplomatic actions, which could include the return of some people to diplomatic postings in Islamabad and some ratcheting down of some sort of military tension.
He said India was taking "some diplomatic actions, which could include the return of some people to diplomatic postings in Islamabad and some ratcheting down of military tension".
Instead of ratcheting down, we kept it at the same level," said Paul, whose news service also distributes material from non-Times papers.
We're a life care community, so ratcheting down our acuity levels is not something we can or would do," says Mohn.
Instead of ratcheting down remuneration, managed care companies are focusing on expanding their pharmacy networks and services.
Given the limited application of the proposed scheme to most of the companies represented by TEI's membership - and the seeming "inevitability" of the ratcheting down of the safe-harbor percentage as the means of "paying for" the new system (if a funding mechanism is necessary) - the Institute has not previously commented on the proposed regulations.
HB 855 would phase out the UAF over a three year period by capping this year's disbursements at $9 million and ratcheting down disbursements to $6 million in 2013 and $3 million in 2014, before ultimately eliminating the program.