149-519: A physician , medical practitioner ( British English ), medical doctor , or simply doctor is a health professional who practices medicine , which is concerned with promoting, maintaining or restoring health through the study , diagnosis , prognosis and treatment of disease , injury , and other physical and mental impairments. Physicians may focus their practice on certain disease categories, types of patients, and methods of treatment—known as specialities —or they may assume responsibility for
298-576: A West Germanic language that originated from the Anglo-Frisian dialects brought to Britain by Germanic settlers from various parts of what is now northwest Germany and the northern Netherlands. The resident population at this time was generally speaking Common Brittonic —the insular variety of Continental Celtic , which was influenced by the Roman occupation. This group of languages ( Welsh , Cornish , Cumbric ) cohabited alongside English into
447-500: A low unemployment rate of around 2.6%. Its poverty rate is the second highest among the G7 countries, and exceeds 15.7% of the population. Japan has the highest ratio of public debt to GDP among advanced economies, with a national debt estimated at 248% relative to GDP as of 2022 . The Japanese yen is the world's third-largest reserve currency after the US dollar and the euro. Japan
596-701: A security alliance . The United States is a major market for Japanese exports and a major source of Japanese imports, and is committed to defending the country, with military bases in Japan. In 2016, Japan announced the Free and Open Indo-Pacific vision, which frames its regional policies. Japan is also a member of the Quadrilateral Security Dialogue ("the Quad"), a multilateral security dialogue reformed in 2017 aiming to limit Chinese influence in
745-425: A "College of Physicians and Surgeons". All American states have an agency that is usually called the "Medical Board", although there are alternate names such as "Board of Medicine", "Board of Medical Examiners", "Board of Medical Licensure", "Board of Healing Arts" or some other variation. After graduating from a first-professional school, physicians who wish to practice in the US usually take standardized exams, such as
894-498: A DPM degree. After residency, one to two years of fellowship programs are available in plastic surgery, foot and ankle reconstructive surgery, sports medicine, and wound care. Podiatry residencies and/ or fellowships are not accredited by the ACGME . The overall scope of podiatric practice varies from state to state and is not similar to that of physicians holding an MD or DO degree. DPM is also available at one Canadian university, namely
1043-456: A basic medical qualification, and up to another nine years to become a specialist. In most jurisdictions, physicians (in either sense of the word) need government permission to practice. Such permission is intended to promote public safety, and often to protect government spending, as medical care is commonly subsidized by national governments. In some jurisdictions such as in Singapore , it
1192-719: A beneficial effect on their health and lifestyle. According to a study of male physicians in the United States, life expectancy is slightly higher for physicians (73 years for white and 69 years for black) than lawyers or many other highly educated professionals. Causes of death which are less likely to occur in physicians than the general population include respiratory disease (including pneumonia , pneumoconioses , COPD , but excluding emphysema and other chronic airway obstruction ), alcohol-related deaths, rectosigmoid and anal cancers , and bacterial diseases. Physicians do experience exposure to occupational hazards , and there
1341-559: A century as Received Pronunciation (RP). However, due to language evolution and changing social trends, some linguists argue that RP is losing prestige or has been replaced by another accent, one that the linguist Geoff Lindsey for instance calls Standard Southern British English. Others suggest that more regionally-oriented standard accents are emerging in England. Even in Scotland and Northern Ireland, RP exerts little influence in
1490-652: A country's commitment to environmental sustainability. Japan is the world's fifth-largest emitter of carbon dioxide . As the host and signatory of the 1997 Kyoto Protocol , Japan is under treaty obligation to reduce its carbon dioxide emissions and to take other steps to curb climate change. In 2020, the government of Japan announced a target of carbon-neutrality by 2050. Environmental issues include urban air pollution ( NOx , suspended particulate matter , and toxics ), waste management , water eutrophication , nature conservation , climate change , chemical management and international co-operation for conservation. Japan
1639-556: A feeling of decreased personal achievement, and others. A study by the Agency for Healthcare Research and Quality reported that time pressure was the greatest cause of burnout; a survey from the American Medical Association reported that more than half of all respondents chose "too many bureaucratic tasks" as the leading cause of burnout. Medical education and career pathways for doctors vary considerably across
SECTION 10
#17327647454861788-508: A greater movement, normally [əʊ], [əʉ] or [əɨ]. Dropping a morphological grammatical number , in collective nouns , is stronger in British English than North American English. This is to treat them as plural when once grammatically singular, a perceived natural number prevails, especially when applying to institutional nouns and groups of people. The noun 'police', for example, undergoes this treatment: Police are investigating
1937-545: A kingdom in central Japan in 660 BC, beginning a continuous imperial line . Japan first appears in written history in the Chinese Book of Han , completed in 111 AD. Buddhism was introduced to Japan from Baekje (a Korean kingdom) in 552, but the development of Japanese Buddhism was primarily influenced by China. Despite early resistance, Buddhism was promoted by the ruling class, including figures like Prince Shōtoku , and gained widespread acceptance beginning in
2086-491: A large cooperative sector, with three of the world's ten largest cooperatives, including the largest consumer cooperative and the largest agricultural cooperative as of 2018 . It ranks highly for competitiveness and economic freedom . Japan ranked sixth in the Global Competitiveness Report in 2019. It attracted 31.9 million international tourists in 2019, and was ranked eleventh in
2235-406: A lesser class or social status and often discounted or considered of a low intelligence. Another contribution to the standardisation of British English was the introduction of the printing press to England in the mid-15th century. In doing so, William Caxton enabled a common language and spelling to be dispersed among the entirety of England at a much faster rate. Samuel Johnson's A Dictionary of
2384-479: A major catalyst for further administrative reforms. These reforms culminated with the promulgation of the Taihō Code , which consolidated existing statutes and established the structure of the central and subordinate local governments. These legal reforms created the ritsuryō state, a system of Chinese-style centralized government that remained in place for half a millennium. The Nara period (710–784) marked
2533-554: A new constitution emphasizing liberal democratic practices. The Allied occupation ended with the Treaty of San Francisco in 1952, and Japan was granted membership in the United Nations in 1956. A period of record growth propelled Japan to become the second-largest economy in the world; this ended in the mid-1990s after the popping of an asset price bubble , beginning the " Lost Decade ". In 2011, Japan suffered one of
2682-465: A new system of taxation. The true aim of the reforms was to bring about greater centralization and to enhance the power of the imperial court, which was also based on the governmental structure of China. Envoys and students were dispatched to China to learn about Chinese writing, politics, art, and religion. The Jinshin War of 672, a bloody conflict between Prince Ōama and his nephew Prince Ōtomo , became
2831-415: A physician, in the broad sense). In Commonwealth countries, specialist pediatricians and geriatricians are also described as specialist physicians who have sub-specialized by age of patient rather than by organ system. Around the world, the combined term "physician and surgeon" is used to describe either a general practitioner or any medical practitioner irrespective of specialty. This usage still shows
2980-659: A process called T-glottalisation . National media, being based in London, have seen the glottal stop spreading more widely than it once was in word endings, not being heard as "no [ʔ] " and bottle of water being heard as "bo [ʔ] le of wa [ʔ] er". It is still stigmatised when used at the beginning and central positions, such as later , while often has all but regained /t/ . Other consonants subject to this usage in Cockney English are p , as in pa [ʔ] er and k as in ba [ʔ] er. In most areas of England and Wales, outside
3129-617: A professor of internal medicine . Hence, in the 16th century, physic meant roughly what internal medicine does now. Currently, a specialist physician in the United States may be described as an internist . Another term, hospitalist , was introduced in 1996, to describe US specialists in internal medicine who work largely or exclusively in hospitals. Such 'hospitalists' now make up about 19% of all US general internists , who are often called general physicians in Commonwealth countries. This original use, as distinct from surgeon,
SECTION 20
#17327647454863278-520: A regional accent or dialect. However, about 2% of Britons speak with an accent called Received Pronunciation (also called "the King's English", "Oxford English" and " BBC English" ), that is essentially region-less. It derives from a mixture of the Midlands and Southern dialects spoken in London in the early modern period. It is frequently used as a model for teaching English to foreign learners. In
3427-450: A significant cultural content, including conventional western medicine. Ayurveda , Unani medicine , and homeopathy are popular types of alternative medicine. Some commentators have argued that physicians have duties to serve as role models for the general public in matters of health, for example by not smoking cigarettes. Indeed, in most western nations relatively few physicians smoke, and their professional knowledge does appear to have
3576-465: A significant shift to urbanization. The early 20th century saw a period of Taishō democracy (1912–1926) overshadowed by increasing expansionism and militarization . World War I allowed Japan, which joined the side of the victorious Allies , to capture German possessions in the Pacific and China in 1920 . The 1920s saw a political shift towards statism , a period of lawlessness following
3725-528: A specialist in surgery ). This meaning of physician conveys a sense of expertise in treatment by drugs or medications, rather than by the procedures of surgeons . This term is at least nine hundred years old in English: physicians and surgeons were once members of separate professions, and traditionally were rivals. The Shorter Oxford English Dictionary , third edition, gives a Middle English quotation making this contrast, from as early as 1400: "O Lord, whi
3874-482: A three- or four-year degree, often in science) are usually four or five years in length. Hence, gaining a basic medical degree may typically take from five to eight years, depending on jurisdiction and university. Following the completion of entry-level training, newly graduated medical practitioners are often required to undertake a period of supervised practice before full registration is granted, typically one or two years. This may be referred to as an " internship ", as
4023-527: A variety of care and are therefore also referred to as general practitioners . Family medicine grew out of the general practitioner movement of the 1960s in response to the growing specialization in medicine that was seen as threatening to the doctor-patient relationship and continuity of care. In the United States, the American Podiatric Medical Association (APMA) defines podiatrists as physicians and surgeons who treat
4172-401: Is evidence-based medicine . Within conventional medicine, most physicians still pay heed to their ancient traditions: The critical sense and sceptical attitude of the citation of medicine from the shackles of priestcraft and of caste; secondly , the conception of medicine as an art based on accurate observation, and as a science, an integral part of the science of man and of nature; thirdly ,
4321-529: Is reclaimed land ( umetatechi ). Lake Biwa is an ancient lake and the country's largest freshwater lake. Japan is substantially prone to earthquakes , tsunami and volcanic eruptions because of its location along the Pacific Ring of Fire. It has the 17th highest natural disaster risk as measured in the 2016 World Risk Index. Japan has 111 active volcanoes. Destructive earthquakes, often resulting in tsunami, occur several times each century;
4470-430: Is 377,975.24 km (145,937.06 sq mi). Japan has the sixth-longest coastline in the world at 29,751 km (18,486 mi). Because of its far-flung outlying islands, Japan's exclusive economic zone is the eighth-largest in the world, covering 4,470,000 km (1,730,000 sq mi). The Japanese archipelago is 67% forests and 14% agricultural . The primarily rugged and mountainous terrain
4619-722: Is a unitary state and constitutional monarchy in which the power of the Emperor is limited to a ceremonial role . Executive power is instead wielded by the Prime Minister of Japan and his Cabinet , whose sovereignty is vested in the Japanese people. Naruhito is the Emperor of Japan, having succeeded his father Akihito upon his accession to the Chrysanthemum Throne in 2019. Japan's legislative organ
Physician - Misplaced Pages Continue
4768-465: Is a well-known aphorism that "doctors make the worst patients". Causes of death that are shown to be higher in the physician population include suicide among doctors and self-inflicted injury , drug-related causes, traffic accidents, and cerebrovascular and ischaemic heart disease. Physicians are also prone to occupational burnout . This manifests as a long-term stress reaction characterized by poorer quality of care towards patients, emotional exhaustion,
4917-725: Is also due to London-centric influences. Examples of R-dropping are car and sugar , where the R is not pronounced. British dialects differ on the extent of diphthongisation of long vowels, with southern varieties extensively turning them into diphthongs, and with northern dialects normally preserving many of them. As a comparison, North American varieties could be said to be in-between. Long vowels /iː/ and /uː/ are usually preserved, and in several areas also /oː/ and /eː/, as in go and say (unlike other varieties of English, that change them to [oʊ] and [eɪ] respectively). Some areas go as far as not diphthongising medieval /iː/ and /uː/, that give rise to modern /aɪ/ and /aʊ/; that is, for example, in
5066-525: Is based on British English, but has more influence from American English , often grouped together due to their close proximity. British English, for example, is the closest English to Indian English, but Indian English has extra vocabulary and some English words are assigned different meanings. Japan Japan is an island country in East Asia . It is located in the Pacific Ocean off
5215-469: Is begun immediately following completion of entry-level training, or even before. In other jurisdictions, junior medical doctors must undertake generalist (un-streamed) training for one or more years before commencing specialization. Hence, depending on the jurisdiction, a specialist physician (internist) often does not achieve recognition as a specialist until twelve or more years after commencing basic medical training—five to eight years at university to obtain
5364-546: Is common for physicians to inflate their qualifications with the title "Dr" in correspondence or namecards, even if their qualifications are limited to a basic (e.g., bachelor level) degree. In other countries such as Germany , only physicians holding an academic doctorate may call themselves doctor – on the other hand, the European Research Council has decided that the German medical doctorate does not meet
5513-553: Is common in most of the world including the United Kingdom and other Commonwealth countries (such as Australia , Bangladesh , India , New Zealand , Pakistan , South Africa , Sri Lanka , and Zimbabwe ), as well as in places as diverse as Brazil , Hong Kong , Indonesia , Japan , Ireland , and Taiwan . In such places, the more general English terms doctor or medical practitioner are prevalent, describing any practitioner of medicine (whom an American would likely call
5662-517: Is divided into 47 prefectures, each overseen by an elected governor and legislature. In the following table, the prefectures are grouped by region : 7. Fukushima 14. Kanagawa 23. Aichi 30. Wakayama 35. Yamaguchi 39. Kōchi 47. Okinawa A member state of the United Nations since 1956, Japan is one of the G4 countries seeking reform of
5811-730: Is governed by the Ministry of Defense , and primarily consists of the Japan Ground Self-Defense Force , the Japan Maritime Self-Defense Force , and the Japan Air Self-Defense Force . The deployment of troops to Iraq and Afghanistan marked the first overseas use of Japan's military since World War II. The Government of Japan has been making changes to its security policy which include the establishment of
5960-795: Is included in style guides issued by various publishers including The Times newspaper, the Oxford University Press and the Cambridge University Press . The Oxford University Press guidelines were originally drafted as a single broadsheet page by Horace Henry Hart, and were at the time (1893) the first guide of their type in English; they were gradually expanded and eventually published, first as Hart's Rules , and in 2002 as part of The Oxford Manual of Style . Comparable in authority and stature to The Chicago Manual of Style for published American English ,
6109-793: Is it so greet difference betwixe a cirugian and a physician." Henry VIII granted a charter to the London Royal College of Physicians in 1518. It was not until 1540 that he granted the Company of Barber-Surgeons (ancestor of the Royal College of Surgeons ) its separate charter. In the same year, the English monarch established the Regius Professorship of Physic at the University of Cambridge . Newer universities would probably describe such an academic as
Physician - Misplaced Pages Continue
6258-539: Is not heavy, but the islands usually develop deep snowbanks in the winter. In the Sea of Japan region on Honshu's west coast, northwest winter winds bring heavy snowfall during winter. In the summer, the region sometimes experiences extremely hot temperatures because of the Foehn . The Central Highland has a typical inland humid continental climate, with large temperature differences between summer and winter. The mountains of
6407-454: Is often termed biomedicine by medical anthropologists . Biomedicine "formulates the human body and disease in a culturally distinctive pattern", and is a world view learnt by medical students. Within this tradition, the medical model is a term for the complete "set of procedures in which all doctors are trained", including mental attitudes. A particularly clear expression of this world view, currently dominant among conventional physicians,
6556-455: Is partly from their extensive training requirements, and also because of their occupation's special ethical and legal duties. The term traditionally used by physicians to describe a person seeking their help is the word patient (although one who visits a physician for a routine check-up may also be so described). This word patient is an ancient reminder of medical duty, as it originally meant 'one who suffers'. The English noun comes from
6705-439: Is restricted for habitation. Thus the habitable zones, mainly in the coastal areas, have very high population densities: Japan is the 40th most densely populated country even without considering that local concentration. Honshu has the highest population density at 450 persons/km (1200/sq mi) as of 2010 , while Hokkaido has the lowest density of 64.5 persons/km as of 2016 . As of 2014 , approximately 0.5% of Japan's total area
6854-482: Is the National Diet , a bicameral parliament . It consists of a lower House of Representatives with 465 seats, elected by popular vote every four years or when dissolved, and an upper House of Councillors with 245 seats, whose popularly-elected members serve six-year terms. There is universal suffrage for adults over 18 years of age, with a secret ballot for all elected offices. The prime minister as
7003-571: Is the eleventh-most populous country . Its capital and largest city is Tokyo ; the Greater Tokyo Area is the largest metropolitan area in the world, with more than 38 million inhabitants as of 2016. Japan is divided into 47 administrative prefectures and eight traditional regions . About three-quarters of the country's terrain is mountainous and heavily forested, concentrating its agriculture and highly urbanized population along its eastern coastal plains . The country sits on
7152-592: Is the oldest unamended constitution in the world. Statutory law originates in the legislature, and the constitution requires that the emperor promulgate legislation passed by the Diet without giving him the power to oppose legislation. The main body of Japanese statutory law is called the Six Codes . Japan's court system is divided into four basic tiers: the Supreme Court and three levels of lower courts. Japan
7301-512: Is the result of history and is often confusing. These meanings and variations are explained below. In the United States and Canada, the term physician describes all medical practitioners holding a professional medical degree. The American Medical Association , established in 1847, as well as the American Osteopathic Association , founded in 1897, both currently use the term physician to describe members. However,
7450-565: Is the set of varieties of the English language native to the United Kingdom of Great Britain and Northern Ireland . More narrowly, it can refer specifically to the English language in England , or, more broadly, to the collective dialects of English throughout the British Isles taken as a single umbrella variety, for instance additionally incorporating Scottish English , Welsh English , and Northern Irish English . Tom McArthur in
7599-574: Is typically used in everyday speech and reflects shifts in Japanese phonology during the Edo period . The characters 日本 mean "sun origin", which is the source of the popular Western epithet "Land of the Rising Sun". The name "Japan" is based on Min or Wu Chinese pronunciations of 日本 and was introduced to European languages through early trade. In the 13th century, Marco Polo recorded
SECTION 50
#17327647454867748-571: Is very heavy, especially during the rainy season. The main rainy season begins in early May in Okinawa, and the rain front gradually moves north. In late summer and early autumn, typhoons often bring heavy rain. According to the Environment Ministry, heavy rainfall and increasing temperatures have caused problems in the agricultural industry and elsewhere. The highest temperature ever measured in Japan, 41.1 °C (106.0 °F),
7897-483: Is written using the kanji 日本 and is pronounced Nihon or Nippon . Before 日本 was adopted in the early 8th century, the country was known in China as Wa ( 倭 , changed in Japan around 757 to 和 ) and in Japan by the endonym Yamato . Nippon , the original Sino-Japanese reading of the characters, is favored for official uses, including on Japanese banknotes and postage stamps. Nihon
8046-899: The shōgun led to the Boshin War and the establishment of a centralized state nominally unified under the emperor (the Meiji Restoration ). Adopting Western political, judicial, and military institutions, the Cabinet organized the Privy Council , introduced the Meiji Constitution (November 29, 1890), and assembled the Imperial Diet . During the Meiji period (1868–1912), the Empire of Japan emerged as
8195-547: The Chambers Dictionary , and the Collins Dictionary record actual usage rather than attempting to prescribe it. In addition, vocabulary and usage change with time; words are freely borrowed from other languages and other varieties of English, and neologisms are frequent. For historical reasons dating back to the rise of London in the ninth century, the form of language spoken in London and
8344-521: The Université du Québec à Trois-Rivières ; students are typically required to complete an internship in New York prior to obtaining their professional degree. The World Directory of Medical Schools does not list US or Canadian schools of podiatric medicine as medical schools and only lists US-granted MD, DO, and Canadian MD programs as medical schools for the respective regions. Many countries in
8493-416: The 1923 Tokyo earthquake killed over 140,000 people. More recent major quakes are the 1995 Great Hanshin earthquake and the 2011 Tōhoku earthquake, which triggered a large tsunami. The climate of Japan is predominantly temperate but varies greatly from north to south. The northernmost region, Hokkaido, has a humid continental climate with long, cold winters and very warm to cool summers. Precipitation
8642-549: The American College of Physicians or the Royal College of Physicians in the United Kingdom, and such hard-won membership is itself a mark of status. While contemporary biomedicine has distanced itself from its ancient roots in religion and magic, many forms of traditional medicine and alternative medicine continue to espouse vitalism in various guises: "As long as life had its own secret properties, it
8791-491: The American College of Physicians , established in 1915, does not: its title uses physician in its original sense. The vast majority of physicians trained in the United States have a Doctor of Medicine degree, and use the initials M.D. A smaller number attend osteopathic medical schools and have a Doctor of Osteopathic Medicine degree and use the initials D.O. The World Directory of Medical Schools lists both MD and DO granting schools as medical schools located in
8940-463: The Asuka period (592–710). In 645, the government led by Prince Naka no Ōe and Fujiwara no Kamatari devised and implemented the far-reaching Taika Reforms . The Reform began with land reform, based on Confucian ideas and philosophies from China . It nationalized all land in Japan, to be distributed equally among cultivators, and ordered the compilation of a household registry as the basis for
9089-539: The Battle of Sekigahara in 1600. He was appointed shōgun by Emperor Go-Yōzei in 1603 and established the Tokugawa shogunate at Edo (modern Tokyo). The shogunate enacted measures including buke shohatto , as a code of conduct to control the autonomous daimyō , and in 1639 the isolationist sakoku ("closed country") policy that spanned the two and a half centuries of tenuous political unity known as
SECTION 60
#17327647454869238-519: The Chūgoku and Shikoku regions shelter the Seto Inland Sea from seasonal winds, bringing mild weather year-round. The Pacific coast features a humid subtropical climate that experiences milder winters with occasional snowfall and hot, humid summers because of the southeast seasonal wind. The Ryukyu and Nanpō Islands have a subtropical climate , with warm winters and hot summers. Precipitation
9387-546: The Early Mandarin Chinese pronunciation of the characters 日本國 as Cipangu . The old Malay name for Japan, Japang or Japun , was borrowed from a southern coastal Chinese dialect and encountered by Portuguese traders in Southeast Asia , who brought the word to Europe in the early 16th century. The first version of the name in English appears in a book published in 1577, which spelled
9536-658: The East Midlands became standard English within the Court, and ultimately became the basis for generally accepted use in the law, government, literature and education in Britain. The standardisation of British English is thought to be from both dialect levelling and a thought of social superiority. Speaking in the Standard dialect created class distinctions; those who did not speak the standard English would be considered of
9685-588: The Edo period (1603–1868). Modern Japan's economic growth began in this period, resulting in roads and water transportation routes, as well as financial instruments such as futures contracts , banking and insurance of the Osaka rice brokers . The study of Western sciences ( rangaku ) continued through contact with the Dutch enclave in Nagasaki . The Edo period gave rise to kokugaku ("national studies"),
9834-693: The Indo-Pacific region, along with the United States, Australia, and India. Japan is engaged in several territorial disputes with its neighbors. Japan contests Russia's control of the Southern Kuril Islands , which were occupied by the Soviet Union in 1945. South Korea's control of the Liancourt Rocks is acknowledged but not accepted as they are claimed by Japan. Japan has strained relations with China and Taiwan over
9983-434: The Kurils . The Allies (led by the United States) repatriated millions of Japanese settlers from their former colonies and military camps throughout Asia, largely eliminating the Japanese Empire and its influence over the territories it conquered. The Allies convened the International Military Tribunal for the Far East to prosecute Japanese leaders except the Emperor for Japanese war crimes . In 1947, Japan adopted
10132-421: The Latin word patiens , the present participle of the deponent verb , patior , meaning 'I am suffering', and akin to the Greek verb πάσχειν ( romanized : paschein , lit. to suffer) and its cognate noun πάθος ( pathos , suffering). Physicians in the original, narrow sense (specialist physicians or internists, see above) are commonly members or fellows of professional organizations, such as
10281-420: The National Security Council , the adoption of the National Security Strategy, and the development of the National Defense Program Guidelines. In May 2014, Prime Minister Shinzo Abe said Japan wanted to shed the passiveness it has maintained since the end of World War II and take more responsibility for regional security. In December 2022, Prime Minister Fumio Kishida further confirmed this trend, instructing
10430-520: The Oxford Guide to World English acknowledges that British English shares "all the ambiguities and tensions [with] the word 'British' and as a result can be used and interpreted in two ways, more broadly or more narrowly, within a range of blurring and ambiguity". Variations exist in formal (both written and spoken) English in the United Kingdom. For example, the adjective wee is almost exclusively used in parts of Scotland, north-east England, Northern Ireland, Ireland, and occasionally Yorkshire , whereas
10579-453: The Pacific War and two atomic bombings , Japan surrendered in 1945 and came under Allied occupation . After the war, the country underwent rapid economic growth , although its economy has stagnated since 1990 . Japan is a constitutional monarchy with a bicameral legislature, the National Diet . A great power and the only Asian member of the G7 , Japan has constitutionally renounced its right to declare war , but maintains one of
10728-493: The Royal Spanish Academy with Spanish. Standard British English differs notably in certain vocabulary, grammar, and pronunciation features from standard American English and certain other standard English varieties around the world. British and American spelling also differ in minor ways. The accent, or pronunciation system, of standard British English, based in southeastern England, has been known for over
10877-490: The Scots language or Scottish Gaelic ). Each group includes a range of dialects, some markedly different from others. The various British dialects also differ in the words that they have borrowed from other languages. Around the middle of the 15th century, there were points where within the 5 major dialects there were almost 500 ways to spell the word though . Following its last major survey of English Dialects (1949–1950),
11026-469: The Sea of Okhotsk to the East China Sea . The country's five main islands, from north to south, are Hokkaido , Honshu , Shikoku , Kyushu and Okinawa . The Ryukyu Islands , which include Okinawa, are a chain to the south of Kyushu. The Nanpō Islands are south and east of the main islands of Japan. Together they are often known as the Japanese archipelago . As of 2019 , Japan's territory
11175-597: The Security Council . Japan is a member of the G7 , APEC , and " ASEAN Plus Three ", and is a participant in the East Asia Summit . It is the world's fifth-largest donor of official development assistance , donating US$ 9.2 billion in 2014. In 2024, Japan had the fourth-largest diplomatic network in the world. Japan has close economic and military relations with the United States, with which it maintains
11324-720: The Senkaku Islands and the status of Okinotorishima . Japan is the third highest-ranked Asian country in the 2024 Global Peace Index . It spent 1.1% of its total GDP on its defence budget in 2022, and maintained the tenth-largest military budget in the world in 2022. The country's military (the Japan Self-Defense Forces) is restricted by Article 9 of the Japanese Constitution , which renounces Japan's right to declare war or use military force in international disputes. The military
11473-739: The USMLE for a Doctor in Medicine. Most countries have some method of officially recognizing specialist qualifications in all branches of medicine, including internal medicine. Sometimes, this aims to promote public safety by restricting the use of hazardous treatments. Other reasons for regulating specialists may include standardization of recognition for hospital employment and restriction on which practitioners are entitled to receive higher insurance payments for specialist services. The issue of medical errors , drug abuse, and other issues in physician professional behavior received significant attention across
11622-515: The University of Leeds has started work on a new project. In May 2007 the Arts and Humanities Research Council awarded a grant to Leeds to study British regional dialects. The team are sifting through a large collection of examples of regional slang words and phrases turned up by the "Voices project" run by the BBC , in which they invited the public to send in examples of English still spoken throughout
11771-610: The West Country and other near-by counties of the UK, the consonant R is not pronounced if not followed by a vowel, lengthening the preceding vowel instead. This phenomenon is known as non-rhoticity . In these same areas, a tendency exists to insert an R between a word ending in a vowel and a next word beginning with a vowel. This is called the intrusive R . It could be understood as a merger, in that words that once ended in an R and words that did not are no longer treated differently. This
11920-401: The end of the shogunate and the restoration of imperial power in 1868. In the Meiji period , the Empire of Japan pursued rapid industrialization and modernization , as well as militarism and overseas colonization . In 1937, Japan invaded China , and in 1941 attacked the United States and European colonial powers, entering World War II as an Axis power . After suffering defeat in
12069-411: The head of government has the power to appoint and dismiss Ministers of State , and is appointed by the emperor after being designated from among the members of the Diet. Shigeru Ishiba is Japan's prime minister; he took office after winning the 2024 Liberal Democratic Party leadership election . The broadly conservative Liberal Democratic Party has been the dominant party in the country since
12218-754: The samurai . In 1185, following the defeat of the Taira clan by the Minamoto clan in the Genpei War , samurai Minamoto no Yoritomo established a military government at Kamakura . After Yoritomo's death, the Hōjō clan came to power as regents for the shōgun . The Zen school of Buddhism was introduced from China in the Kamakura period (1185–1333) and became popular among the samurai class. The Kamakura shogunate repelled Mongol invasions in 1274 and 1281 but
12367-503: The "foundation" years in the UK, or as "conditional registration". Some jurisdictions, including the United States, require residencies for practice. Medical practitioners hold a medical degree specific to the university from which they graduated. This degree qualifies the medical practitioner to become licensed or registered under the laws of that particular country, and sometimes of several countries, subject to requirements for an internship or conditional registration. Specialty training
12516-513: The 1923 Great Tokyo Earthquake , the passing of laws against political dissent , and a series of attempted coups . This process accelerated during the 1930s, spawning several radical nationalist groups that shared a hostility to liberal democracy and a dedication to expansion in Asia. In 1931, Japan invaded China and occupied Manchuria , which led to the establishment of puppet state of Manchukuo in 1932; following international condemnation of
12665-664: The 1950s, often called the 1955 System . Historically influenced by Chinese law , the Japanese legal system developed independently during the Edo period through texts such as Kujikata Osadamegaki . Since the late 19th century, the judicial system has been largely based on the civil law of Europe, notably Germany. In 1896, Japan established a civil code based on the German Bürgerliches Gesetzbuch , which remains in effect with post–World War II modifications. The Constitution of Japan , adopted in 1947,
12814-629: The 21st century. RP, while long established as the standard English accent around the globe due to the spread of the British Empire , is distinct from the standard English pronunciation in some parts of the world; most prominently, RP notably contrasts with standard North American accents. In the 21st century, dictionaries like the Oxford English Dictionary , the Longman Dictionary of Contemporary English ,
12963-836: The English Language (1755) was a large step in the English-language spelling reform , where the purification of language focused on standardising both speech and spelling. By the early 20th century, British authors had produced numerous books intended as guides to English grammar and usage, a few of which achieved sufficient acclaim to have remained in print for long periods and to have been reissued in new editions after some decades. These include, most notably of all, Fowler's Modern English Usage and The Complete Plain Words by Sir Ernest Gowers . Detailed guidance on many aspects of writing British English for publication
13112-666: The Germanic schwein ) is the animal in the field bred by the occupied Anglo-Saxons and pork (like the French porc ) is the animal at the table eaten by the occupying Normans. Another example is the Anglo-Saxon cu meaning cow, and the French bœuf meaning beef. Cohabitation with the Scandinavians resulted in a significant grammatical simplification and lexical enrichment of the Anglo-Frisian core of English;
13261-761: The National Police Agency is administered by the National Public Safety Commission . The Special Assault Team comprises national-level counter-terrorism tactical units that cooperate with territorial-level Anti-Firearms Squads and Counter-NBC Terrorism Squads . The Japan Coast Guard guards territorial waters surrounding Japan and uses surveillance and control countermeasures against smuggling, marine environmental crime , poaching, piracy, spy ships, unauthorized foreign fishing vessels, and illegal immigration. The Firearm and Sword Possession Control Law strictly regulates
13410-558: The Order of Physicians to practice medicine. In some countries, including the United Kingdom and Ireland, the profession largely regulates itself, with the government affirming the regulating body's authority. The best-known example of this is probably the General Medical Council of Britain. In all countries, the regulating authorities will revoke permission to practice in cases of malpractice or serious misconduct. In
13559-799: The Oxford Manual is a fairly exhaustive standard for published British English that writers can turn to in the absence of specific guidance from their publishing house. British English is the basis of, and very similar to, Commonwealth English . Commonwealth English is English as spoken and written in the Commonwealth countries , though often with some local variation. This includes English spoken in Australia , Malta , New Zealand , Nigeria , and South Africa . It also includes South Asian English used in South Asia, in English varieties in Southeast Asia , and in parts of Africa. Canadian English
13708-589: The Pacific Ring of Fire , making its islands prone to destructive earthquakes and tsunamis . The first known habitation of the archipelago dates to the Upper Paleolithic , with the beginning Japanese Paleolithic dating to c. 36,000 BC . Between the fourth and sixth centuries, its kingdoms were united under an emperor in Nara , and later Heian-kyō . From the 12th century, actual power
13857-624: The Pacific . Throughout areas occupied by Japan during the war, numerous abuses were committed against local inhabitants, with many forced into sexual slavery . After Allied victories during the next four years, which culminated in the Soviet invasion of Manchuria and the atomic bombings of Hiroshima and Nagasaki in 1945, Japan agreed to an unconditional surrender . The war cost Japan millions of lives and its colonies , including de jure parts of Japan such as Korea , Taiwan , Karafuto , and
14006-712: The South East, there are significantly different accents; the Cockney accent spoken by some East Londoners is strikingly different from Received Pronunciation (RP). Cockney rhyming slang can be (and was initially intended to be) difficult for outsiders to understand, although the extent of its use is often somewhat exaggerated. Londoners speak with a mixture of accents, depending on ethnicity, neighbourhood, class, age, upbringing, and sundry other factors. Estuary English has been gaining prominence in recent decades: it has some features of RP and some of Cockney. Immigrants to
14155-550: The UK in recent decades have brought many more languages to the country and particularly to London. Surveys started in 1979 by the Inner London Education Authority discovered over 125 languages being spoken domestically by the families of the inner city's schoolchildren. Notably Multicultural London English , a sociolect that emerged in the late 20th century spoken mainly by young, working-class people in multicultural parts of London . Since
14304-514: The US state-level depend upon continuing education to maintain competence. Through the utilization of the National Practitioner Data Bank , Federation of State Medical Boards ' disciplinary report, and American Medical Association Physician Profile Service, the 67 State Medical Boards continually self-report any adverse/disciplinary actions taken against a licensed physician in order that the other Medical Boards in which
14453-576: The United Kingdom , as well as within the countries themselves. The major divisions are normally classified as English English (or English as spoken in England (which is itself broadly grouped into Southern English , West Country , East and West Midlands English and Northern English ), Northern Irish English (in Northern Ireland), Welsh English (not to be confused with the Welsh language ), and Scottish English (not to be confused with
14602-417: The United States (9.9 percent), and Australia (9.8 percent). Japan's main imports are machinery and equipment, fossil fuels, foodstuffs, chemicals, and raw materials for its industries. The Japanese variant of capitalism has many distinct features: keiretsu enterprises are influential, and lifetime employment and seniority-based career advancement are common in the Japanese work environment . Japan has
14751-609: The United States. After completion of medical school , physicians complete a residency in the specialty in which they will practice. Subspecialties require the completion of a fellowship after residency. Both MD and DO physicians participate in the National Resident Matching Program (NRMP) and attend ACGME -accredited residencies and fellowships across all medical specialties to obtain licensure. All boards of certification now require that physicians demonstrate, by examination, continuing mastery of
14900-465: The West Scottish accent. Phonological features characteristic of British English revolve around the pronunciation of the letter R, as well as the dental plosive T and some diphthongs specific to this dialect. Once regarded as a Cockney feature, in a number of forms of spoken British English, /t/ has become commonly realised as a glottal stop [ʔ] when it is in the intervocalic position, in
15049-410: The adjective little is predominant elsewhere. Nevertheless, there is a meaningful degree of uniformity in written English within the United Kingdom, and this could be described by the term British English . The forms of spoken English, however, vary considerably more than in most other areas of the world where English is spoken and so a uniform concept of British English is more difficult to apply to
15198-479: The art or craft of the profession. Both the role of the physician and the meaning of the word itself vary around the world. Degrees and other qualifications vary widely, but there are some common elements, such as medical ethics requiring that physicians show consideration, compassion, and benevolence for their patients . Around the world, the term physician refers to a specialist in internal medicine or one of its many sub-specialties (especially as opposed to
15347-488: The award of the grant in 2007, Leeds University stated: that they were "very pleased"—and indeed, "well chuffed"—at receiving their generous grant. He could, of course, have been "bostin" if he had come from the Black Country , or if he was a Scouser he would have been well "made up" over so many spondoolicks, because as a Geordie might say, £460,000 is a "canny load of chink". Most people in Britain speak with
15496-476: The capital, settling on Heian-kyō (modern-day Kyoto ) in 794. This marked the beginning of the Heian period (794–1185), during which a distinctly indigenous Japanese culture emerged. Murasaki Shikibu 's The Tale of Genji and the lyrics of Japan's national anthem " Kimigayo " were written during this time. Japan's feudal era was characterized by the emergence and dominance of a ruling class of warriors,
15645-550: The civilian ownership of guns, swords, and other weaponry. According to the United Nations Office on Drugs and Crime , among the member states of the UN that report statistics as of 2018 , the incidence rates of violent crimes such as murder, abduction, sexual violence, and robbery are very low in Japan. Japanese society traditionally places a strong emphasis on collective harmony and conformity , which has led to
15794-533: The core knowledge and skills for a chosen specialty. Recertification varies by particular specialty between every seven and every ten years. Primary care physicians guide patients in preventing disease and detecting health problems early while they are still treatable. They are divided into two types: family medicine doctors and internal medicine doctors. Family doctors, or family physicians, are trained to care for patients of any age, while internists are trained to care for adults. Family doctors receive training in
15943-622: The country. The BBC Voices project also collected hundreds of news articles about how the British speak English from swearing through to items on language schools. This information will also be collated and analysed by Johnson's team both for content and for where it was reported. "Perhaps the most remarkable finding in the Voices study is that the English language is as diverse as ever, despite our increased mobility and constant exposure to other accents and dialects through TV and radio". When discussing
16092-527: The developing world have the problem of too few physicians. In 2015, the Association of American Medical Colleges warned that the US will face a doctor shortage of as many as 90,000 by 2025. Within Western culture and over recent centuries, medicine has become increasingly based on scientific reductionism and materialism . This style of medicine is now dominant throughout the industrialized world, and
16241-628: The emergence of a Japanese state centered on the Imperial Court in Heijō-kyō (modern Nara ). The period is characterized by the appearance of a nascent literary culture with the completion of the Kojiki (712) and Nihon Shoki (720), as well as the development of Buddhist-inspired artwork and architecture . A smallpox epidemic in 735–737 is believed to have killed as much as one-third of Japan's population. In 784, Emperor Kanmu moved
16390-761: The first time, initiating direct commercial and cultural exchange between Japan and the West. Oda Nobunaga used European technology and firearms to conquer many other daimyō ; his consolidation of power began what was known as the Azuchi–Momoyama period . After the death of Nobunaga in 1582, his successor, Toyotomi Hideyoshi , unified the nation in the early 1590s and launched two unsuccessful invasions of Korea in 1592 and 1597 . Tokugawa Ieyasu served as regent for Hideyoshi's son Toyotomi Hideyori and used his position to gain political and military support. When open war broke out, Ieyasu defeated rival clans in
16539-504: The foot, ankle, and associated structures of the leg. Podiatrists undergo training with the Doctor of Podiatric Medicine (DPM) degree. The American Medical Association (AMA), however, advocates for the definition of a physician as "an individual possessing degree of either a Doctor of Medicine or Doctor of Osteopathic Medicine ." In the US, podiatrists are required to complete three to four years of podiatry residency upon graduating with
16688-415: The government and industrial corporations; as a result, environmental pollution was widespread in the 1950s and 1960s. Responding to rising concerns, the government introduced environmental protection laws in 1970. The oil crisis in 1973 also encouraged the efficient use of energy because of Japan's lack of natural resources. Japan ranks 20th in the 2018 Environmental Performance Index , which measures
16837-633: The government to increase spending by 65% until 2027. Recent tensions, particularly with North Korea and China, have reignited the debate over the status of the JSDF and its relation to Japanese society. Domestic security in Japan is provided mainly by the prefectural police departments , under the oversight of the National Police Agency . As the central coordinating body for the Prefectural Police Departments,
16986-603: The high moral ideals, expressed in that most "memorable of human documents" (Gomperz), the Hippocratic oath ; and fourthly , the conception and realization of medicine as the profession of a cultivated gentleman. In this Western tradition, physicians are considered to be members of a learned profession , and enjoy high social status , often combined with expectations of a high and stable income and job security . However, medical practitioners often work long and inflexible hours, with shifts at unsociable times. Their high status
17135-458: The idea of two different morphemes, one that causes the double negation, and one that is used for the point or the verb. Standard English in the United Kingdom, as in other English-speaking nations, is widely enforced in schools and by social norms for formal contexts but not by any singular authority; for instance, there is no institution equivalent to the Académie française with French or
17284-834: The international standards of a PhD research degree. Among the English-speaking countries, this process is known either as licensure as in the United States, or as registration in the United Kingdom , other Commonwealth countries, and Ireland . Synonyms in use elsewhere include colegiación in Spain , ishi menkyo in Japan , autorisasjon in Norway , Approbation in Germany , and άδεια εργασίας in Greece. In France , Italy and Portugal , civilian physicians must be members of
17433-574: The large English-speaking federations ( United States , Canada , Australia ), the licensing or registration of medical practitioners is done at a state or provincial level, or nationally as in New Zealand. Australian states usually have a "Medical Board", which has now been replaced by the Australian Health Practitioner Regulation Agency (AHPRA) in most states, while Canadian provinces usually have
17582-578: The largest earthquakes in its recorded history - the Tōhoku earthquake - triggering the Fukushima Daiichi nuclear disaster . On May 1, 2019, after the historic abdication of Emperor Akihito , his son Naruhito became Emperor, beginning the Reiwa era. Japan comprises 14,125 islands extending along the Pacific coast of Asia. It stretches over 3000 km (1900 mi) northeast–southwest from
17731-523: The last southern Midlands accent to use the broad "a" in words like bath or grass (i.e. barth or grarss ). Conversely crass or plastic use a slender "a". A few miles northwest in Leicestershire the slender "a" becomes more widespread generally. In the town of Corby , five miles (8 km) north, one can find Corbyite which, unlike the Kettering accent, is largely influenced by
17880-518: The later Norman occupation led to the grafting onto that Germanic core of a more elaborate layer of words from the Romance branch of the European languages. This Norman influence entered English largely through the courts and government. Thus, English developed into a "borrowing" language of great flexibility and with a huge vocabulary . Dialects and accents vary amongst the four countries of
18029-457: The mass internal migration to Northamptonshire in the 1940s and given its position between several major accent regions, it has become a source of various accent developments. In Northampton the older accent has been influenced by overspill Londoners. There is an accent known locally as the Kettering accent, which is a transitional accent between the East Midlands and East Anglian . It is
18178-463: The modern period, but due to their remoteness from the Germanic languages , influence on English was notably limited . However, the degree of influence remains debated, and it has recently been argued that its grammatical influence accounts for the substantial innovations noted between English and the other West Germanic languages. Initially, Old English was a diverse group of dialects, reflecting
18327-625: The most developed state in Asia and as an industrialized world power that pursued military conflict to expand its sphere of influence. After victories in the First Sino-Japanese War (1894–1895) and the Russo-Japanese War (1904–1905), Japan gained control of Taiwan, Korea and the southern half of Sakhalin , and annexed Korea in 1910. The Japanese population doubled from 35 million in 1873 to 70 million by 1935, with
18476-546: The name as Giapan in a translation of a 1565 Portuguese letter. Modern humans arrived in Japan around 38,000 years ago (~36,000 BC), marking the beginning of the Japanese Paleolithic . This was followed from around 14,500 BC (the start of the Jōmon period ) by a Mesolithic to Neolithic semi-sedentary hunter-gatherer culture characterized by pit dwelling and rudimentary agriculture. Clay vessels from
18625-497: The northeast coast of the Asian mainland , and is bordered on the west by the Sea of Japan and extends from the Sea of Okhotsk in the north to the East China Sea in the south. The Japanese archipelago consists of four major islands— Hokkaido , Honshu , Shikoku , and Kyushu —and thousands of smaller islands , covering 377,975 square kilometres (145,937 sq mi). Japan has a population of nearly 124 million as of 2024, and
18774-565: The northern islands. Japan has over 90,000 species of wildlife as of 2019 , including the brown bear , the Japanese macaque , the Japanese raccoon dog , the small Japanese field mouse , and the Japanese giant salamander . There are 53 Ramsar wetland sites in Japan. Five sites have been inscribed on the UNESCO World Heritage List for their outstanding natural value. In the period of rapid economic growth after World War II, environmental policies were downplayed by
18923-982: The occupation , it resigned from the League of Nations in 1933. In 1936, Japan signed the Anti-Comintern Pact with Nazi Germany ; the 1940 Tripartite Pact made it one of the Axis powers . The Empire of Japan invaded other parts of China in 1937, precipitating the Second Sino-Japanese War (1937–1945). In 1940, the Empire invaded French Indochina , after which the United States placed an oil embargo on Japan. On December 7–8, 1941, Japanese forces carried out surprise attacks on Pearl Harbor , as well as on British forces in Malaya , Singapore , and Hong Kong , among others, beginning World War II in
19072-415: The original meaning of physician and preserves the old difference between a physician, as a practitioner of physic , and a surgeon. The term may be used by state medical boards in the United States, and by equivalent bodies in Canadian provinces, to describe any medical practitioner. In modern English, the term physician is used in two main ways, with relatively broad and narrow meanings respectively. This
19221-410: The period are among the oldest surviving examples of pottery. The Japonic -speaking Yayoi people entered the archipelago from the Korean Peninsula, intermingling with the Jōmon ; the Yayoi period saw the introduction of practices including wet-rice farming , a new style of pottery , and metallurgy from China and Korea. According to legend, Emperor Jimmu (descendant of Amaterasu ) founded
19370-426: The physician holds or is applying for a medical license will be properly notified so that corrective, reciprocal action can be taken against the offending physician. In Europe, as of 2009 the health systems are governed according to various national laws, and can also vary according to regional differences similar to the United States. British English British English (abbreviations: BrE , en-GB , and BE )
19519-399: The provision of continuing and comprehensive medical care to individuals, families, and communities—known as general practice . Medical practice properly requires both a detailed knowledge of the academic disciplines , such as anatomy and physiology , underlying diseases , and their treatment, which is the science of medicine, and a decent competence in its applied practice, which is
19668-401: The spoken language. Globally, countries that are former British colonies or members of the Commonwealth tend to follow British English, as is the case for English used by European Union institutions. In China, both British English and American English are taught. The UK government actively teaches and promotes English around the world and operates in over 200 countries . English is
19817-402: The study of Japan by the Japanese. The United States Navy sent Commodore Matthew C. Perry to force the opening of Japan to the outside world. Arriving at Uraga with four " Black Ships " in July 1853, the Perry Expedition resulted in the March 1854 Convention of Kanagawa . Subsequent similar treaties with other Western countries brought economic and political crises. The resignation of
19966-578: The suppression of individual rights . Japan's constitution prohibits racial and religious discrimination, and the country is a signatory to numerous international human rights treaties. However, it lacks any laws against discrimination based on race, ethnicity, religion, sexual orientation, or gender identity and does not have a national human rights institution. Japan has faced criticism for its gender inequality , not allowing same-sex marriages , use of racial profiling by police, and allowing capital punishment . Other human rights issues include
20115-433: The theft of work tools worth £500 from a van at the Sprucefield park and ride car park in Lisburn. A football team can be treated likewise: Arsenal have lost just one of 20 home Premier League matches against Manchester City. This tendency can be observed in texts produced already in the 19th century. For example, Jane Austen , a British author, writes in Chapter 4 of Pride and Prejudice , published in 1813: All
20264-403: The traditional accent of Newcastle upon Tyne , 'out' will sound as 'oot', and in parts of Scotland and North-West England, 'my' will be pronounced as 'me'. Long vowels /iː/ and /uː/ are diphthongised to [ɪi] and [ʊu] respectively (or, more technically, [ʏʉ], with a raised tongue), so that ee and oo in feed and food are pronounced with a movement. The diphthong [oʊ] is also pronounced with
20413-403: The treatment of marginalized groups, such as ethnic minorities , refugees and asylum seekers . Japan has the world's fourth-largest economy by nominal GDP , after that of the United States, China and Germany; and the fifth-largest economy by PPP-adjusted GDP . As of 2021 , Japan's labor force is the world's eighth-largest , consisting of over 68.6 million workers. As of 2022 , Japan has
20562-577: The varied origins of the Anglo-Saxon kingdoms of England. One of these dialects, Late West Saxon , eventually came to dominate. The original Old English was then influenced by two waves of invasion: the first was by speakers of the Scandinavian branch of the Germanic family, who settled in parts of Britain in the eighth and ninth centuries; the second was the Normans in the 11th century, who spoke Old Norman and ultimately developed an English variety of this called Anglo-Norman . These two invasions caused English to become "mixed" to some degree (though it
20711-501: The world are good and agreeable in your eyes. However, in Chapter 16, the grammatical number is used. The world is blinded by his fortune and consequence. Some dialects of British English use negative concords, also known as double negatives . Rather than changing a word or using a positive, words like nobody, not, nothing, and never would be used in the same sentence. While this does not occur in Standard English, it does occur in non-standard dialects. The double negation follows
20860-416: The world in 2019 for inbound tourism . The 2021 Travel and Tourism Competitiveness Report ranked Japan first in the world out of 117 countries. Its international tourism receipts in 2019 amounted to $ 46.1 billion. The Japanese agricultural sector accounts for about 1.2% of the country's total GDP as of 2018 . Only 11.5% of Japan's land is suitable for cultivation. Because of this lack of arable land,
21009-569: The world's strongest militaries . A developed country with one of the world's largest economies by nominal GDP , Japan is a global leader in science and technology and the automotive , robotics , and electronics industries . It has one of the world's highest life expectancies , though it is undergoing a population decline . Japan's culture is well known around the world, including its art , cuisine , film , music , and popular culture , which includes prominent comics , animation , and video game industries. The name for Japan in Japanese
21158-415: The world, in particular following a critical 2000 report which "arguably launched" the patient-safety movement. In the US, as of 2006 there were few organizations that systematically monitored performance. In the US, only the Department of Veterans Affairs randomly drug tests physicians, in contrast to drug testing practices for other professions that have a major impact on public welfare. Licensing boards at
21307-439: The world. In all developed countries, entry-level medical education programs are tertiary -level courses , undertaken at a medical school attached to a university . Depending on jurisdiction and university, entry may follow directly from secondary school or require pre-requisite undergraduate education . The former commonly takes five or six years to complete. Programs that require previous undergraduate education (typically
21456-425: Was eventually overthrown by Emperor Go-Daigo . Go-Daigo was defeated by Ashikaga Takauji in 1336, beginning the Muromachi period (1336–1573). The succeeding Ashikaga shogunate failed to control the feudal warlords ( daimyō ) and a civil war began in 1467 , opening the century-long Sengoku period ("Warring States"). During the 16th century, Portuguese traders and Jesuit missionaries reached Japan for
21605-413: Was held by military dictators ( shōgun ) and feudal lords ( daimyō ), and enforced by warrior nobility ( samurai ). After rule by the Kamakura and Ashikaga shogunates and a century of warring states , Japan was unified in 1600 by the Tokugawa shogunate , which implemented an isolationist foreign policy . In 1853, a United States fleet forced Japan to open trade to the West , which led to
21754-422: Was never a truly mixed language in the strictest sense of the word; mixed languages arise from the cohabitation of speakers of different languages, who develop a hybrid tongue for basic communication). The more idiomatic, concrete and descriptive English is, the more it is from Anglo-Saxon origins. The more intellectual and abstract English is, the more it contains Latin and French influences, e.g. swine (like
21903-755: Was possible to have sciences and medicines based on those properties". The US National Center for Complementary and Alternative Medicine (NCCAM) classifies complementary and alternative medicine therapies into five categories or domains, including: alternative medical systems, or complete systems of therapy and practice; mind-body interventions, or techniques designed to facilitate the mind's effect on bodily functions and symptoms; biologically based systems including herbalism ; and manipulative and body-based methods such as chiropractic and massage therapy. In considering these alternate traditions that differ from biomedicine (see above), medical anthropologists emphasize that all ways of thinking about health and disease have
22052-405: Was recorded on July 23, 2018, and repeated on August 17, 2020. Japan has nine forest ecoregions which reflect the climate and geography of the islands. They range from subtropical moist broadleaf forests in the Ryūkyū and Bonin Islands , to temperate broadleaf and mixed forests in the mild climate regions of the main islands, to temperate coniferous forests in the cold, winter portions of
22201-431: Was the world's fifth-largest exporter and fourth-largest importer in 2022. Its exports amounted to 18.2% of its total GDP in 2021. As of 2022 , Japan's main export markets were China (23.9 percent, including Hong Kong) and the United States (18.5 percent). Its main exports are motor vehicles, iron and steel products, semiconductors, and auto parts. Japan's main import markets as of 2022 were China (21.1 percent),
#485514