A review of this assertion, published later the same year, determined that medical homes are associated with better health,... with lower overall costs of care and with reductions in disparities in health.. By 2005, the American College of Physicians had developed an advanced medical home model.
5. striker-the part of a mechanical device that strikes something. clapper, tongue-metal striker that hangs inside a bell and makes a sound by hitting the side. firing pin-striker that ignites the charge by striking the primer. hammer-a striker that is covered in felt and that causes the piano strings to vibrate. hammer, cock-the part of a gunlock that strikes the percussion cap when the trigger is pulled.
A retarder is a device used to augment or replace some of the functions of primary friction-based braking systems, usually on heavy vehicles. Retarders serve to slow vehicles, or maintain a steady speed while traveling down a hill, and help prevent the vehicle from running away by accelerating down the hill. They are not usually capable of bringing vehicles to a standstill, as their effectiveness diminishes as vehicle speed lowers.