recognition; acknowledgement; acknowledgment; approval; consent; agreement
down-train; train heading toward the ending point of its route; down-slope; downward going; downbound (esp. away from Tokyo); downstream
for the first time; only after ... is it ...; only when ... do you ...; first time; (one's) first
to receive; to get; to eat; to drink; to be crowned with; to wear (on one's head)
total (money); full amount; sum
large hospital; major hospital
reason; grounds; pretext; excuse; motive
medical world; medical circles; medical community
lead; leading; leading (in points, goals, etc.); getting ahead; lead (from a base); lead (of an article); lede
to approach; to draw near; to get close; to get acquainted with; to get closer to; to get to know
to step forward; to step forth; to advance; to start; to embark on; to set forth on
beginning; start; outset; at first; at the beginning; initially
flaw; defect; problem; inconvenient
main; principal; main dish; main course; main part; principal part
as (much) as possible; as (much) as one can; wherever practicable; if possible
correspondence (to); equivalence; suitability; coordination; dealing with; coping with
barrier; checkpoint; gateway; hurdle; obstacle; trial
proof; testimony; demonstration; verification; certification
prefix for forming ordinal numbers
leaving (a decision, job, etc.) to someone else; entrusting; leaving the choice of a meal to the chef; omakase
management reorganization; management reorganisation
plan; protocol; manifest; program
plan; scheme; (payment) plan; package; deal
operating rate; utilization rate; occupancy rate; availability factor
to accompany; to go hand in hand with; to be consequent upon; to be accompanied by; to bring with; to take with
tremendous; rapid; dramatic
cleaning; clean-up; garbage collection; scavenging
hospital food; hospital meals
business; work; operations; service; duties
trader; dealer; businessperson; fellow trader; people in the same trade
ordering (materials); placing an order; order
thoroughness; completeness; consistency; thorough enforcement; seeing to it that a policy, etc. is carried out without exception
out-sourcing; outsourcing
practical use; application; making good use of; conjugation; inflection
moving into the black; becoming profitable
to ask; to enquire; to inquire; to search; to look for; to look into
prior; beforehand; in advance; before the fact; ex ante
to notify; to advise; (arch.) to know; (arch.) to reign; (arch.) to govern (a country)
accurate; precise; exact; appropriate; apt; right
barrier; obstacle; difficulty; hurdle; deadlock
staff member; employee; worker; personnel
guidance; leadership; instruction; shido (minor penalty in judo)
performing without rehearsal; doing impromptu