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These latter painful impacts that the "r-word" has on those with disabilities is the impetus behind the Special Olympics campaign "Spread the word to end the word" to persuade individuals to stop using it, "as a starting point toward creating more accepting attitudes and communities for all people".
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"It's had a deeper, more painful impact than the World Trade Center attack," he says.
It is essential that the painful impact of David Cameron's decisions is minimised wherever possible.
He says that benefit cuts, delays and sanctions are having an increasingly painful impact.
The markets are responding to the extraordinary blow of the terrorist attacks, and the painful impact of that blow on American confidence and optimism will eventually dissipate.
The lack of action may have a direct and painful impact on the chief source of revenue at investment banks on both sides of the Atlantic.
While Labour would repeal the bedroom tax, the Tories are set on those £12bn of cuts to social security, cuts that will have a concrete and painful impact on real lives.
In remarks that took about ten minutes, Mr. Obama sought to describe the painful impact of a government shutdown, not only on federal employees but also on people who depend on services that the government would stop providing.
"Those who committed yesterday's crime, which will have a painful impact on the peaceful nature of our nation, are not only the suicide bombers," he wrote, "but also everyone who instigated or justified the attacks, everyone who called them mujahedeen, even everyone who ignored this irregular direction in our religion and nature, or tried to find excuses for it".
DealBook » For Wall Street, Real Pain When the Fed Fails to Act | A lack of new stimulus moves by the Federal Reserve and the European Central Bank this week may have a direct and painful impact on the chief source of revenue at investment banks on both sides of the Atlantic.
But some people in Louisiana are still feeling the painful impact of the spill, with oyster fishermen especially hard hit.
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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