and answers Yes, with Effort.

并且也给出了这样一个答案：“是的，但需要付出努力”。

He spoke in English with effort.

他努力地用英语讲。

His brow again furrowed with effort.

他又皱起了眉头。

Thee tide can be turned with effort.

但这种趋势是可以通过努力加以扭转的。

Sometimes people have nothing to do with effort.

有时人用尽心力也是一无所获。