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男，48岁，搬运重物，疝脱出至阴囊，此次不能回复，伴疼痛，发热、呕吐、停止排便排气。手术治疗，术中关键在于
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女，55岁。腹痛3天，恶心、呕吐，不排便。查体：肥胖，右侧腹股沟区较左侧饱满伴压痛。腹部透视见腹部胀气有数个液平段。诊断应首先考虑
Americans today don"t place a very high value on intellect. Our heroes are athletes, entertainers, and entrepreneurs, not scholars.【F1】Even our schools are where we send our children to get a practical education—not to pursue knowledge for the sake of knowledge.Symptoms of pervasive anti-intellectualism in our schools aren"t difficult to find. "Schools have always been in a society where practical is more important than intellectual," says education writer Diane Ravitch. "Schools could be a counterbalance." Ravitch"s latest book, Left Back: A Century of Failed School Reforms, traces the roots of anti-intellectualism in our schools, concluding they are anything but a counterbalance to the American distaste for intellectual pursuits. But they could and should be. Encouraging kids to reject the life of the mind leaves them vulnerable to exploitation and control.【F2】Without the ability to think critically, to defend their ideas and understand the ideas of others, they cannot fully participate in our democracy."Continuing along this path," says writer Earl Shorris, "We will become a second-rate country. We will have a less civil society.""Intellect is resented as a form of power or privilege," writes historian and professor Richard Hofstadter in Anti-Intellectualism in American Life, a Pulitzer-Prize winning book on the roots of anti-intellectualism in US politics, religion, and education. From the beginning of our history, says Hofstadter, our democratic and populist urges have driven us to reject anything that smells of elitism.【F3】Practicality, common sense, and native intelligence have been considered more noble qualities than anything you could learn from a book.Ralph Waldo Emerson and other Transcendentalist philosophers thought schooling and rigorous book learning put unnatural restraints on children, "【F4】We are shut up in schools and college recitation rooms for 10 or 15 years and come out at last with a bellyful of words and do not know a thing."Mark Twain"s Huckleberry Finn exemplified American anti-intellectualism. Its hero avoids being civilized—going to school and learning to read—so he can preserve his innate goodness.Intellect, according to Hofstadter, is different from native intelligence, a quality we reluctantly admire. Intellect is the critical, creative, and contemplative side of the mind.【F5】Intelligence seeks to grasp, manipulate, re-order, and adjust, while intellect examines, ponders, wonders, theorizes, criticizes and imagines.School remains a place where intellect is mistrusted. Hofstadter says our country" s educational system is in the grips of people who "joyfully and militantly proclaim their hostility to intellect and their eagerness to identify with children who show the least intellectual promise." 【F1】
2012年5月5日，甲公司因中标一项桥梁工程向乙公司订制一批特种水泥预制构件。双方在合同中约定;图纸和钢筋由甲公司提供;水泥由乙公司提供;加工费为150万元，甲公司预付50万元;交货日期为2012年9月1日;交付地点为甲公司的工地。合同签订后，甲公司签发了一张金额为50万元、到期日为2012年9月1日、经A银行承兑汇票交给乙公司。 2012年5月15日，乙公司持有甲公司签发的汇票不慎丢失，后被张某在厂区内捡到，张某伪造了乙公司的签章代表乙公司持该汇票到外地的B银行申请贴现，B银行未经过法定贴现审查程序而直接批准了贴现要求，张某便将伪造乙公司的签章盖在该汇票“背书人栏”中，同时在“被背书人栏”中记载了B银行名称，B银行取得汇票后又在到期前将该汇票向善意的C银行贴现，C银行依法进行贴现后向B银行支付了贴现款。 2012年6月11日，乙公司为了购买水泥，欲将持有甲公司签发的汇票背书转让，但发现该汇票已经丢失，于是当天立即向A银行申请挂失止付，银行当天收到乙公司的止付通知书。乙公司于6月13日向A银行所在地人民法院提出公示催告申请。人民法院当天受理后向A银行通知停止支付款项，人民法院6月14日依法发出公告，确定该汇票的公示催告期间为6月14 日～8月31日。 2012年9月5日，C银行向A银行提示付款时遭到A银行拒绝，A银行出具的退票理由书中注明“该汇票已于6月13日被人民法院通知停止支付”。要求：根据上述内容，分别回答下列问题。 假设人民法院没有作出除权判决，C银行可以依票据法向谁行使追索权并说明理由。
成人腹股沟斜疝的发病机制不包括
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