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The tools inefficiencies are mainly due to missing entries in UMLS; furthermore, concepts' relationships, multi-words concepts entries, words with punctuation and spelling mistakes in text are not recognized and dealt with.
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In fact, Google is downplaying traditional factors for success in SEO marketing such as keyword rankings and "entry words," keyword searches that lead people to your site.
Years were entered as two-digit values (nobody worried about Y2K back in the 60s), and entry-words were selected from lists and typically represented by a single digit.
The chefs weren't given any constraints on how to describe their farewell feasts, and the entries, printed word for word, provide as illuminating a glimpse into their psyches as they do into their stomachs.
Some of the songs from Morissette's breakthrough album, Jagged Little Pill came from her journal, actual journal entries, sometimes word for word.
In some entries, the words of John Raven, author of "A Botanist's Garden" (1971), now out of print, conspire with Lloyd's own words.
I just love those entries where words can be misread or misparsed to have other meanings, don't you?
The document was made up of three long mimeographed pages covered with categories, check marks, triple-column entries, and words like "Average, "Cooperation," "Coordination," and "Accomplishments"...
To celebrate the centenary of Roald Dahl's birth, the OED is also publishing new and revised entries for words the author used in his writing, including Oompa Loompa, scrumdiddlyumptious and human bean.
Upper gastrointestinal haemorrhage was coded by searching the "Indications" text entries for words including "haematemesis", "bleeding", "melaena", "vomiting blood", "suspected bleeding varices", or "suspected Mallory-Weiss".
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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