Although most of the technological advances and foreign ventures are known, their combined impact is only now becoming clear.

The combined impact of the three lowered the Dow by 8.06 points.

The firm also tracked several program trades yesterday, whose combined impact on the market was to lower the Dow by 26.61 points.

The combined impact dislodged the gun and sent it flying through the air.

The combined impact of these trends was powerful and decisive.

The combined impact pulled the Dow lower by 29.97 points.

Do a serious and urgent assessment on the combined impact.

Several struck at once, so that the combined impacts grew ever larger and brighter.

Thomas was distraught from the combined impact of both personal and professional strife.

We must also maximize the combined impact of all available strategies for prevention.