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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
fluctuating course
Grammar usage guide and real-world examplesUSAGE SUMMARY
The phrase "fluctuating course" is correct and usable in written English.
It can be used to describe a situation or path that is changing or varying over time, often in a metaphorical sense. Example: "The project has taken a fluctuating course, with many unexpected challenges and changes in direction."
✓ Grammatically correct
Science
News & Media
Alternative expressions(1)
Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Human-verified examples from authoritative sources
Exact Expressions
60 human-written examples
Briefly, CAM evaluates the four key delirium features: (1) acute onset and fluctuating course; (2) inattention; (3) disorganized thinking; and (4) altered level of consciousness.
Science
Using a structured format, this tool evaluates four features, namely, acute onset or fluctuating course, inattention, disorganized thinking, and altered level of consciousness.
Science
In addition to predisposing DNA sequence variants, epigenetic misregulation may play an etiological role in BD and account for monozygotic twin discordance, parental origin effects, and fluctuating course of BD.
The order of assessments by the research team was determined to check both the patient's eligibility and the presence of some CAM-ICU and ICDSC features (i.e., fluctuating course of mental status assessed by RASS ratings).
Science
Monitoring and detection of delirium after surgery remain inconsistent, due to fluctuating course and high prevalence of hypoactive manifestations.
Spline regression is, of course, an approximation of the true, rather fluctuating, course of pain during the 18 weeks.
This study is also the first, to our knowledge, to demonstrate fluctuating course in inflammation-induced cognitive dysfunction.
The CAM includes four features: 1) acute onset and fluctuating course, 2) inattention, 3) disorganization of thinking and 4) altered level of consciousness.
Science
This diagnostic algorithm assesses four characteristics: (1) acute onset and fluctuating course, (2) inattention, (3) disorganised thinking and (4) altered level of consciousness.
Science
30, 31 The CAM algorithm consists of four clinical criteria: (1) acute onset and fluctuating course, (2) inattention, (3) disorganized thinking, and (4) altered level of consciousness.
This method assesses four features: (1) acute onset and fluctuating course, (2) inattention, (3) disorganized thinking, and (4) altered level of consciousness [ 2].
Expert writing Tips
Best practice
When describing medical conditions, use "fluctuating course" to accurately represent symptoms or disease progression that varies in intensity over time. This provides a more nuanced understanding than a simple 'improving' or 'worsening' description.
Common error
Avoid using "fluctuating course" to imply complete randomness or unpredictability. While it indicates variability, it often suggests discernible patterns or influences, even if complex. If the behavior is truly random, consider terms like 'unpredictable' or 'stochastic'.
Source & Trust
83%
Authority and reliability
4.5/5
Expert rating
Real-world application tested
Linguistic Context
The phrase "fluctuating course" functions as an adjective-noun combination, where 'fluctuating' modifies 'course'. It describes a state or path that is characterized by irregular variations and changes. This is evident from Ludwig's examples, particularly in medical contexts like delirium or disease progression, as also mentioned by Ludwig AI.
Frequent in
Science
70%
News & Media
15%
Formal & Business
10%
Less common in
Encyclopedias
1%
Wiki
2%
Reference
2%
Ludwig's WRAP-UP
In summary, "fluctuating course" is a grammatically sound and frequently used phrase, as confirmed by Ludwig, to describe something that changes or varies over time. It finds common application within scientific and medical domains, denoting unpredictable trajectories. While versatile, it avoids implying randomness and often indicates discernible trends. For those looking for alternative expressions, options like "variable trajectory" or "erratic pattern" offer comparable meanings. Remember that accuracy in describing patterns will enhance clarity in communication, Ludwig AI agrees on the frequent use in specialized contexts.
More alternative expressions(10)
Phrases that express similar concepts, ordered by semantic similarity:
variable trajectory
Replaces "course" with "trajectory", focusing on the path or progression being changeable.
erratic pattern
Substitutes "fluctuating" with "erratic" and "course" with "pattern", highlighting irregularity.
unstable progression
Uses "unstable" instead of "fluctuating" and "progression" for "course", emphasizing a lack of steadiness.
wavering path
Replaces "fluctuating" with "wavering" and "course" with "path", suggesting an unsteady route.
inconsistent development
Employs "inconsistent" for "fluctuating" and "development" for "course", stressing a lack of uniformity in growth.
shifting trend
Swaps "fluctuating" for "shifting" and "course" for "trend", indicating a changing direction.
sporadic movement
Uses "sporadic" to replace "fluctuating" and "movement" for "course", highlighting irregular activity.
oscillating rhythm
Replaces "fluctuating" with "oscillating" and "course" with "rhythm", focusing on a back-and-forth motion.
intermittent flow
Substitutes "fluctuating" with "intermittent" and "course" with "flow", emphasizing a start-and-stop pattern.
uneven process
Employs "uneven" instead of "fluctuating" and "process" for "course", stressing a lack of uniformity.
FAQs
How can I describe a disease with a "fluctuating course"?
When a disease has a "fluctuating course", its symptoms or severity vary over time. You might say the patient experiences periods of improvement followed by relapses, or that the condition is marked by ups and downs. You can use alternatives like "variable trajectory" or "erratic pattern".
What does "fluctuating course" mean in the context of delirium?
In the context of delirium, "fluctuating course" refers to the variability in the patient's mental state. The level of confusion and awareness can change throughout the day, distinguishing it from conditions with a more consistent presentation. It’s one of the key diagnostic criteria for delirium.
Can "fluctuating course" apply to non-medical situations?
Yes, "fluctuating course" can describe any situation that experiences ups and downs or inconsistent progress. For instance, a project's development or a relationship might have a "fluctuating course", marked by periods of advancement and setbacks. You could consider alternatives such as "unstable progression".
What is the difference between "fluctuating course" and "chronic condition"?
A "chronic condition" is persistent or long-lasting, while a "fluctuating course" describes how a condition's symptoms or severity change over time. A chronic condition may have a stable course, a progressively worsening course, or a "fluctuating course". The "variable trajectory" is the key factor in this scenario.
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Table of contents
Usage summary
Human-verified examples
Expert writing tips
Linguistic context
Ludwig's wrap-up
Alternative expressions
FAQs
Source & Trust
83%
Authority and reliability
4.5/5
Expert rating
Real-world application tested