Note that <em> and <strong> could be read with different "accent" by a text-to-speech system (i.e., they're not just visual markup). I often resort to just using <em> for anything italic, but with some careful markup (in an ideal world) I could use:
<em>: for an emphasized word: I am not going out with you.
<span class="title">: for a title: Have you read The Hobbit already?
<span class="name">: for a ship or dog name: And then The Invincible arrived.
<span class="foreign" xml:lang="fr">: for foreign words: This is so suffissant of you.
<strong>: for strong emphasis: No, no, no, NO!
And then something like:
em, span.title, span.name, span.foreign { font-style: italic; }
strong { font-weight: normal; font-variant: smallcaps; text-transform: lowercase; }
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