That was due largely to the quiet yet forceful maneuvering of Italy's president, Giorgio Napolitano, an 86-year-old former member of the Italian Communist Party and respected elder statesman who is now overseeing the most significant political transition in Italy in 20 years.
From this ready position, tilt your head to an angle above the revealed portion of your Nintendo and give a forceful blow, maneuvering any loose particles of dust up to your face.
Attacked by Byron and demonized by generations of his admirers as "a virtuous monster," Annabella emerges here as a kind, intelligent, and forceful presence who deftly maneuvered her way out of an abusive marriage.
The forceful "snorting" and intentional Valsalva maneuver produced following nasal insufflation of cocaine is believed to cause pneumomediastinum by a similar mechanism [8].
In the editorial to the paper by Soubrier and colleagues, de Backer and Pinsky discussed whether manipulation of the intrathoracic pressure by a Valsalva maneuver – that is, a forceful expiration against a resistance – could be used to generate arterial pressure variations that could predict fluid responsiveness [ 20].
In cocaine users, it is believed that an increase in pressure occurs after smoking, either due to forceful coughing or intentional production of a Valsalva maneuver to increase the absorption and maximize the effect of the drug.
Manual hyperinflation is a frequently used maneuver that intends to mimic a forceful cough in critically ill intubated and mechanically ventilated patients.
Such a cautious approach, Mr. Pastor suggested, reflects "his personality, which isn't inclined to show forceful leadership, as well as his awareness that, whatever his aims, there's very little room to maneuver in this European crisis".
