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- (obsolete outside non-native speakers' English) superlative form of : most accurate
- 1899, Richard Garnett, The International Library of Famous Literature: Selections from the World's Great Writers, Ancient, Mediaeval, and Modern, with Biographical and Explanatory Notes and Critical Essays by Many Eminent Writers, Standard, page 3283:
- The printer dares not go beyond his licensed copy; so often then must the author trudge to his leave giver, that those his new insertions may be viewed, and many a jaunt will be made ere that licenser, for it must be the same man, can either be found, or found at leisure; meanwhile either the press must stand still, which is no small damage, or the author lose his accuratest thoughts, and send the book forth worse than he had made it, which to a diligent writer is the greatest melancholy and vexation that can befall.
- 1985, J. Fastrez; M. Marbaix; R. Rettmann; A. Lega, “Primary aortoduodenal fistula: apropos of 2 cases”, in Acta Chirurgica Belgica, volume 85, number 1, ISSN 0001-5458, pages 61-66:
- The characteristic clinical symptoms are abdominal aortic aneurysm, pain and gastrointestinal bleeding; recurrent bleeding is usual; endoscopy is the accuratest method of early diagnosis.