1. With an effort she restrained herself. 
   她使劲控制住了自己。
2. Only with an immense effort did she check her tears. 
   她使了好大劲才止住自己的眼泪。
3. he got an A for effort; they managed only with great exertion. 
   他的努力得到了好成绩的回报。
4. With an effort, she wrenched herself from his hold and ran off. 
   她用力挣脱他跑掉了。
5. To reason earnestly with someone in an effort to dissuade or correct; remonstrate. 
   规劝，告诫对某人认真地说明道理以达到劝阻或改正的目的；告诫

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• 1. 努力地
  with a smile 微笑着...with an effort 努力地...as a result 因此
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• 2. 费力地
  to make an effort to do sth : 努力做某事...with an effort : 费力地...Status :
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• 3. 微笑着
  smile...微笑着 with an effort...努力地
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• 4. 努力
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