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His object was to temporarily restore a damaged heart's pumping power without having to remove its chambers or cause a patient any deeper trauma.
The American invasion and its aftermath are but one layer of a much deeper trauma that started decades ago and was marked by Baath Party terror and the mass graves it generated, the devastating war with Iran and the international sanctions of the 1990s after Iraq's invasion of Kuwait.
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As Irina's and Aleksandr's lives intersect and Russia becomes their sole backdrop, there is a sense of deeper traumas playing out invisibly in a parallel past.
Nonetheless, there is deep trauma.
The village was in deep trauma.
There's deep trauma behind this irrational decision, which the show digs into with mordant wit.
"We as a people are kind of like a stammerer who has had a deep, deep trauma as a child.
What the last election showed us is what a deep trauma of vulnerability 9/11 etched on the American psyche.
"Because of this latest upsurge in violence 25,000 children are in deep trauma and need psycho-social support.
The unusual murders — three children from three different families — were also a deep trauma for a town small enough for only a degree or two of separation.
The opera's world is one of secrets, lies and evasions, and beneath its elegant surface lurk intimations of deep trauma.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com