Coupled with these factors is the loss of the complex interactions among the muscles that can change the route of airflow from nose to mouth.

与这些因素相结合的是肌肉之间复杂的相互作用的丧失，这种相互作用可以改变从鼻子到嘴的气流路线。

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This is then coupled to a school's picture of what a diverse class should look like, with the result that passport, ethnic origin and sex can all become influencing factors.

这个再加上学校对多元化班级看起来应该是怎么样的定义，结果是护照、种族和性别都可能成为影响因素。

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Coupled with this fact is the warning that soon we will no longer have a work force to fill the many jobs that require properly educated personnel.

这一事实伴随着警告，很快我们将没有劳动力来填补许多工作岗位，这些工作需要受过适当教育的人员。

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"We are confident the surge in U.S.military support, coupled with the increase in civilian and developmental assistance, is the best way forward,".

VOA: standard.2009.09.29

There is nothing wrong with self-confidence - when it is coupled with restraint, modesty and willingness to accept guidance from those with more experience even if you don't feel you need it.

BBC: Young people and self-esteem: Your views

You put tax-deductible money into an HSA, same as you would into an IRA. The HSA is coupled with a health insurance policy with a high deductible--and the amount you can put into the account is exactly equal to the deductible on the insurance, up to a limit.

FORBES: Saving for Your Health

It may be little consolation to Mr Bush junior, but strong growth coupled with tepid hiring is doing marvellous things to the productivity numbers.

ECONOMIST: The not-quite-so-jobless recovery