著者

原口 増穂 牧山 和也 千住 雅博 船津 史郎 長部 雅之 田中 俊郎 橘川 桂三 井手 孝 小森 宗治 福田 博英 森 理比古 村田 育夫 田中 義人 原 耕平 関根 一郎

出版者

The Japan Society of Coloproctology

雑誌

日本大腸肛門病学会雑誌 (ISSN:00471801)

巻号頁・発行日

vol.40, no.1, pp.45-49, 1987 (Released:2009-06-05)

参考文献数

11

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高アミラーゼ血症を伴ったクローン病の1例を経験した.症例は27歳の男性で上腹部痛を主訴に受診高アミラーゼ血症がみられたため膵炎として治療したが約3カ月にわたって高アミラーゼ値は持続した.アミラーゼ値の正常化後も腹痛が続くためにさらに精査を進め,小腸造影での縦走潰瘍などの典型的な所見と生検によるサルコイド様肉芽腫の証明によりクローン病の確診を得た.高アミラーゼ血症については,ERP,CT,USにて膵炎を疑わせる膵管あるいは膵実質の器質的変化がみられないこと,高アミラーゼ値の持続期間が長いこと,腹痛とアミラーゼ値の相関が乏しいことなどより膵由来のものではないと考えられた.したがって本症例はクローン病に膵炎が合併したものではなく,高アミラーゼ血症を伴ったことについては他の機序,たとえば腸管アミラーゼの関与などが示唆され,興味ある症例と思われ,文献的考察を加え報告した.

著者

田中 俊郎

出版者

慶應義塾大学

雑誌

法學研究 (ISSN:03890538)

巻号頁・発行日

vol.68, no.11, pp.51-84, 1995-11-28

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松本三郎教授退職記念号一 はじめに二 対外関係の構造三 歴史的展開四 新アジア戦略五 おわりに

著者

田中 俊郎

出版者

日本EU学会

雑誌

日本EU学会年報 (ISSN:18843123)

巻号頁・発行日

vol.2007, no.27, pp.15-28,323, 2007-08-30 (Released:2010-05-21)

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The year 2005 may be record in future as the European Union had turned a corner from the age of the Internal Market and the revival of new dynamism in European integration to the age of inward-looking and “enhanced cooperation”.The previous year, 2004 was full of rosy pictures on the developments of the EU. On May 1, ten states joined the EU and on October 29, the Treaty and the Final Act establishing a Constitution for Europe was signed in Rome.But, seven months later, the French and the Dutch voters rejected the European Constitutional Treaty. These events show that there are four dilemmas which the EU is now facing. The first is the dilemma between “neo-liberal Europe” and “social Europe”. The most important message of the “White Paper on Internal Market” of 1985 and “Single European Act” of 1986 was competition. However, the message of French voters and lesser extent in the case of Dutch voters was “no more social dumping with free movement of workers from less developed European countries” and more “social Europe”.The second is the dilemma of enlargement. To enlarge the area of peace, prosperity, stability and democracy to the rest of Europe will surely be good thing, but it will cost more for the existing members because rich countries like Switzerland and Norway stay away from the EU and possible candidates are relatively poorer. Bulgaria and Romania became member on January 1, 2007 to end the Fifth enlargement. But, further enlargement will be more delicate and more cautious issue especially for Turkey. With the rise of argument on the EU's absorption capacity, the EU may become less eager for enlargement in future.The Third is the dilemma of democracy. The more direct democracy for citizens, the more risk for the political leaders. Referendum is very democratic mean to hear voice of the citizens on the certain issue directly. But, at the same time, referendum is very risky mean, because the voters do not necessarily vote on the pros and cons of the specific issue. Once politicians rely on referendum, they cannot go forward without another referendum. France has to go to referendum on any European issue in future, including Turkey' entry to the EU.The fourth dilemma is unanimity or “enhanced cooperation”. There are some member states which want to deepen integration further but there are member states which do not want. The inclusions of “closer cooperation”, “enhanced cooperation” and “structured cooperation” seem to strengthen the deepening of integration but there are also tendency to strengthen national power by the mutual recognition of standards and use of Open Method of Coordination (OMC).