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Generally, refined means elegant and cultured in appearance, manner or taste, or with impurities removed.
Moving and talking images are much richer in information about a performer's appearance, manner, and tone of voice, and they give us the impression that we know more about her health and mood, too.
Instead of being treated as drug seekers because they report high pain levels, but are then seen laughing or smiling, or because their outward appearance (manner of dress, makeup, etc). is carefully calibrated to mask their symptoms, medical professionals will recognize that years of dealing with severe discomfort has resulted in a higher tolerance for and ability to conceal true pain.
Something about my appearance, manner, or speech may have made her feel uncomfortable.
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Updated update: Wages of wisealeckery...In my original opening for this post, I joked, in pretty fatuous bad taste, it does appear, about John McCain's physical appearance and manner.
Describes Greers youthful appearance, his manner and his drumming style.
Nicknamed the "Emerald Archer" for his Robin Hood-like appearance and manner, the character first appeared in More Fun Comics no.
Linda's date was enchanted with her gaudy appearance & manner.
Though Howe had a lugubrious appearance and manner, he was a profoundly funny man.
Given his off-putting appearance and manner, does he ever get groupies?
"In appearance and manner he is more American than English," the report read.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com