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2003

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Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri Nov 2003

Is There A Need To Involve Doctors In Management Of Health Care In Saudi Arabia, Ali M. Al-Shehri

Saudi Medical Journal

Recently, the role of doctors and managers in health care management has become a hot topic in the newspapers and public magazine in the Kingdom of Saudi Arabia. The aim of this paper is to contribute constructively and scientifically to this topical issue by emphasizing that commonality and interaction between medicine and management dictate more involvement of doctors in management. Although one may argue that doctors are usually not well trained in resources management, scientific evidence supports the need for more involvement of doctors in managing health care system. In addition, government needs to make a strategic shift towards high …

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A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani Nov 2003

A New Era For Preventive Genetic Programs In The Arabian Peninsula, Ali N. Al-Odaib, Khaled K. Abu-Amero, Pinar T. Ozand, Ali M. Al-Hellani

Saudi Medical Journal

In the Arabian Peninsula, high percentages of consanguineous marriages and the tribal nature of marriages have resulted in high incidence of genetically based disorders. The successful management of these disorders incurs a high financial cost, which is a great burden on the health care system. The practical solution to this problem is through prevention. Prevention of genetic disorders should be the utmost public health concern especially where these disorders are prevalent. Preventive genetics became possible with the advent of biochemical and molecular technologies. Biochemical neonatal screening based on tandem mass spectrometry technology and molecular technologies such as sequencing, DNA microarray …

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Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri Nov 2003

Source Of Job Stress For Nurses In Public Hospitals, Ahmed S. Al-Aameri

Saudi Medical Journal

OBJECTIVE: This study aims at assessing the different sources of job stress for nurses in a number of public hospitals in Riyadh city, Kingdom of Saudi Arabia. In addition, it intends to find out the most and least perceived sources of stress, and the effect of demographic factors on nurses perception of these sources. METHODS: Four-hundred and twenty-four nurses working in a number of public hospitals in Riyadh city were the sample size. A questionnaire was used as a method of data collection. It was distributed through the first half of year 2002. Validity and reliability were examined and the …

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Students Perception Of The Various Teaching Methods Used In The Primary Health Care Course In The Abha , College Of Medicine, Ismail Abdelmoneim Nov 2003

Students Perception Of The Various Teaching Methods Used In The Primary Health Care Course In The Abha , College Of Medicine, Ismail Abdelmoneim

Saudi Medical Journal

OBJECTIVE: To describe students perception of the various teaching methods used in the Primary Health Care (PHC) course concerning the scientific material presented, information processing as well as motivation and importance attached by the students to each method. METHODS: A self-administered anonymous questionnaire was filled by the students of the sixth year (n=51) at the end of the course. This was structured into 3 main parts: a general part addressing the objectives of the course, the suitability of the course contents, the references and the importance of the course for the future career. The second part dealt with the suitability …

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Quick Gene Expression Profiling Of Promyelocytic Cell Line Hl-60, Syed S. Hussain, Hala S. Khalil, Tala M. Bakheet Nov 2003

Quick Gene Expression Profiling Of Promyelocytic Cell Line Hl-60, Syed S. Hussain, Hala S. Khalil, Tala M. Bakheet

Saudi Medical Journal

OBJECTIVE: A number of techniques have been developed to perform gene expression profiling. We report preliminary results from our exploratory study, using sequential analysis of gene expression (SAGE) technique, to profile the undifferentiated and differentiated HL-60 cells in line with our interest to characterize the cancer phenotype. The aim of the study is to evaluate the technique and to understand the molecular bases of these 2 states of cells. METHODS: HL-60 cells were differentiated after treatment with dimethyl sulfoxide. Tag libraries were prepared from the messenger RNAs of the undifferentiated and differentiated cells according to the SAGE protocol. The search …

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Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi Nov 2003

Pitfalls Of Inhalation Technique In Chronic Asthmatics. Effect Of Education Program And Correlation With Peak Expiratory Flow, Omer S. Alamoudi

Saudi Medical Journal

OBJECTIVE: To determine the pattern of pitfalls of inhalation technique in chronic asthmatics; to assess whether an educational program can reduce the pitfalls of inhalation technique; and to evaluate whether reduction of the pitfalls could have a positive correlation with peak expiratory flow (PEF) measurements. METHODS: The pitfalls of inhalation technique in 106 chronic asthmatics using either metered dose inhaler (MDI) (65%) or turbuhaler (35%) were studied prospectively. The pitfalls of inhalation technique and PEF measurement were recorded before and after an educational program at first and second visit. It was performed in the outpatients asthma clinic of the King …

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Penicillin Resistance In Serogroups/Serotypes Of Streptococcus Pneumoniae Causing Invasive Infections In Central Saudi Arabia, Kingsley Twum-Danso, Abdulrahman M. Al-Mazrou, Abdel-Mageed M. Kambal, Fahad A. Al-Zamil Nov 2003

Penicillin Resistance In Serogroups/Serotypes Of Streptococcus Pneumoniae Causing Invasive Infections In Central Saudi Arabia, Kingsley Twum-Danso, Abdulrahman M. Al-Mazrou, Abdel-Mageed M. Kambal, Fahad A. Al-Zamil

Saudi Medical Journal

OBJECTIVE: To determine the minimum inhibitory concentrations (MICs) of penicillin, ceftriaxone and vancomycin of serogroups/serotypes of Streptococcus pneumoniae (S. pneumoniae) from invasive diseases in all age groups from major hospitals in Riyadh, Kingdom of Saudi Arabia (KSA). METHODS: All isolates of S. pneumoniae from patients with invasive pneumococcal infections between February 2000 and November 2001 were prospectively collected from 8 major hospitals in Riyadh, KSA. The isolates were confirmed as S. pneumoniae at the King Khalid University Hospitals, Riyadh, KSA and then serogrouped/serotyped using the agglutination method. The MICs for penicillin, ceftriaxone and vancomycin were carried out using the E-test. …

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Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam Nov 2003

Risk Factors, Knowledge And Health Status In Diabetic Patients, Syed S. Habib, Mohammad Aslam

Saudi Medical Journal

OBJECTIVE: This study aimed to assess the prevalence of risk factors, knowledge and awareness in Pakistani patients with type 2 diabetes mellitus (DM). METHODS: We studied 120 DM patients at the Diabetes Center in Rawalpindi, Pakistan, from February 2001 to July 2001. Structured questionnaires, clinical and laboratory assessments were used to determine the prevalence of dyslipidemia, glycemic control, hypertension, self monitoring of blood glucose, treatment for hyperglycemia, smoking and modes of diagnosis. The patients knowledge was assessed as regards to the laboratory investigations and treatment of DM that they are receiving. Fasting blood samples were analyzed for serum total cholesterol, …

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The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai Nov 2003

The Outcome Of Pregnancy In Elderly Primigravidas, Haifa A. Al-Turki, Adel T. Abu-Heija, Mohammed H. Al-Sibai

Saudi Medical Journal

OBJECTIVE: To investigate the effect of advancing age of 35 years and more (elderly primigravida) on the outcome of pregnancy in nulliparous women and to compare the type of complications observed in this group of women to those in the age of 20-34 years. METHODS: This was a retrospective analysis of 2517 primigravidas delivered at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia between 1996-2000. All were consecutive patients. The data were collected from the records of the labor room and the medical records were screened for maternal age, antenatal complications, gestational age, birth-weight of the neonate, …

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Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel Nov 2003

Incidence Of Intraoperative Hypothermia, Ali S. Al-Qahtani, Farouk M. Messahel

Saudi Medical Journal

OBJECTIVE: To determine the incidence of hypothermia during surgical procedures when adequate methods of preserving normothermia are applied. METHODS: A prospective study in which patients ASA I-IV presented for surgery at the Armed Forces Hospital, Wadi Al-Dawasir, Kingdom of Saudi Arabia during the period from July 2000 until February 2003, in whom body core temperature was between 35-37 degree, were included. Ambient temperature of the operating room was thermostatically adjusted to record 26 degree and 24 degree if patients were less than 10 year-old or above. Depending on type of surgery; the patients were provided with space blankets and were …

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Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani Nov 2003

Prevalence Of Medically Compromised Patients Referred For Periodontal Treatment To A Teaching Hospital In Central Saudi Arabia, Khalid Almas, Fatin A. Awartani

Saudi Medical Journal

OBJECTIVE: Many patients seeking dental care have a significant medical condition that may alter both the course of their oral disease and the treatment provided. The aim of this study was to assess the systemic diseases profile of patients with periodontal diseases for specialized periodontal treatment. METHODS: Seven hundred and forty-three patient9s medical records were screened from the Periodontal Clinics and referred to the College of Dentistry, King Saud University, a teaching hospital in Riyadh, Kingdom of Saudi Arabia for a special care during the period from January 2002 to June 2002. RESULTS: One hundred and sixty-seven were males while …

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Metallothionein Expression In Human Prostate Gland, Ziad M. Bataineh, Mohamad K. Nusier Nov 2003

Metallothionein Expression In Human Prostate Gland, Ziad M. Bataineh, Mohamad K. Nusier

Saudi Medical Journal

OBJECTIVE: This study is conducted to detect metallothionein (MT) distribution in the epithelial cells of prostate gland from patients with benign prostatic hypertrophy and adenocarcinoma. METHODS: Prostatic tissues from patients with benign prostatic hypertrophy and adenocarcinoma were processed for immunocytochemistry using indirect peroxidase antiperoxidase procedure and primary antibody against MT. The samples were collected over a period of 2-3 years and were processed at Jordan University of Science and Technology, Irbid, Jordan in the year 2002. RESULTS: All prostatic tissues showed a positive reaction for MT. In benign prostatic hypertrophy, MT was mainly localized in the nuclei of epithelial cells …

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Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi Nov 2003

Successful Pregnancy In A Patient With Takayasus Arteritis, Aisha A. Al-Ghamdi

Saudi Medical Journal

This report describes a case of Takayasus arteritis in a 19-year-old Palestinian female. She conceived after diagnosis. Her pregnancy was complicated by uncontrolled hypertension, which was not associated with other markers of disease activity. Despite aggressive medical treatment, cesarean section had to be carried out at 34 weeks of pregnancy because of uncontrolled hypertension. A live fetus was borne, and her blood pressure was subsequently controlled with a single antihypertensive agent.

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The Pathological Expressions Of Brunners Gland Hyperplasia Into Adenoma And Hamartoma, Fayek A. Al-Hilli, Ashok K. Malik, Sarah M. George Nov 2003

The Pathological Expressions Of Brunners Gland Hyperplasia Into Adenoma And Hamartoma, Fayek A. Al-Hilli, Ashok K. Malik, Sarah M. George

Saudi Medical Journal

The terms Brunners gland adenoma and hamartoma are 2 pathological expressions of hyperplasia of these glands. We report 3 patients and review the recent literature to support our hypothesis of common pathology. Awareness of the existence and character of Brunners gland lesions will increase the possibility of their accurate diagnosis.

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Bilateral Simultaneous Hip Fractures Secondary To An Epileptic Seizure, Mustafiz M. Rahman, Adnan Awada Nov 2003

Bilateral Simultaneous Hip Fractures Secondary To An Epileptic Seizure, Mustafiz M. Rahman, Adnan Awada

Saudi Medical Journal

A 30-year-old man sustained bilateral simultaneous displaced subcapital fractures of neck of femur during an epileptic tonic-clonic seizure. After admission to the hospital approximately 18 hours later, internal fixation of the fractures with dynamic hip screw was undertaken. Post operatively, he was managed by early motion and weight bearing on the second day. Despite the severity of the fractures and delayed surgery, satisfactory union of the fractures was noted at 6 months when bone densitometry was normal. At 3 years follow up, there was no sign of avascular necrosis of the femoral heads.

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Erythrokeratoderma Variabilis, Iqbal A. Bukhari, Nawal A. Juma'a Nov 2003

Erythrokeratoderma Variabilis, Iqbal A. Bukhari, Nawal A. Juma'a

Saudi Medical Journal

Erythrokeratoderma variabilis is a rare autosomal dominant genodermatosis of variable expressivity. In this report, we describe the clinical features and microscopic findings in one of our patients born to unaffected parents. We also briefly review the literature on this disorder.

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Preference Of Medical Students In Clinical Year, Nadia M. Fida Nov 2003

Preference Of Medical Students In Clinical Year, Nadia M. Fida

Saudi Medical Journal

No abstract provided.

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Does Tuberculin Skin Test Predict Tuberculosis In Patients With End-Stage Liver Disease?, Mohamed S. Al-Moamary, Salah Al-Baz, Adel Alothman, Ziad Memish, Hamdan Al-Jahdali, Abdulmajeed Al-Abdulkareem Nov 2003

Does Tuberculin Skin Test Predict Tuberculosis In Patients With End-Stage Liver Disease?, Mohamed S. Al-Moamary, Salah Al-Baz, Adel Alothman, Ziad Memish, Hamdan Al-Jahdali, Abdulmajeed Al-Abdulkareem

Saudi Medical Journal

No abstract provided.

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Prescribing For Asthmatic Children In Primary Care, Abdullah Al-Mobeireek, Noha A. Dashash Nov 2003

Prescribing For Asthmatic Children In Primary Care, Abdullah Al-Mobeireek, Noha A. Dashash

Saudi Medical Journal

No abstract provided.

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Frustrated Fertility: Infertility And Psychological Distress Among Women, Julia Mcquillan, Arthur L. Greil, Lynn K. White, Mary Casey Jacob Nov 2003

Frustrated Fertility: Infertility And Psychological Distress Among Women, Julia Mcquillan, Arthur L. Greil, Lynn K. White, Mary Casey Jacob

Bureau of Sociological Research: Faculty Publications

Using a random sample of 580 Midwestern women, we test the hypothesis that women who have experienced infertility report higher psychological distress. Approximately one third of our sample reports having experienced infertility sometime in their lives, although the majority of the infertile now have biological children. Drawing hypotheses from identity and stress theories, we examine whether roles or resources condition the effects of infertility or whether its effects are limited to childless women. Infertility combined with involuntary childlessness (including biological and social) is associated with significantly greater distress. For women in this category, the risk of distress is substantial.

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Fum9 Is Required For C-5 Hydroxylation Of Fumonisins And Complements The Meitotically Defined Fum3 Locus In Gibberella Moniliformis, Robert A. E. Butchko, Ronald D. Plattner, Robert H. Proctor Nov 2003

Fum9 Is Required For C-5 Hydroxylation Of Fumonisins And Complements The Meitotically Defined Fum3 Locus In Gibberella Moniliformis, Robert A. E. Butchko, Ronald D. Plattner, Robert H. Proctor

United States Department of Agriculture-Agricultural Research Service / University of Nebraska-Lincoln: Faculty Publications

Deletion of the Gibberella moniliformis FUM9 gene resulted in mutants that produce only fumonisins that lack a C-5 hydroxyl group. This phenotype is identical to that of previously described mutants with defective alleles at the meiotically defined Fum3 locus. Transformation with a wild-type FUM9 gene into a Fum3- defective mutant restored wild-type fumonisin production. These results indicate that the FUM9 protein catalyzes the C-5 hydroxylation of fumonisins and that FUM9 and the Fum3 locus are the same gene.

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Comparative Pathogenicity Of Escherichia Coli O157 And Intimin-Negative Non-O157 Shiga Toxin-Producing E. Coli Strains In Neonatal Pigs, Evelyn A. Dean-Nystrom, Angela R. Melton-Celsa, Joachim F. L. Pohlenz, Harley W. Moon, Alison D. O’Brien Nov 2003

Comparative Pathogenicity Of Escherichia Coli O157 And Intimin-Negative Non-O157 Shiga Toxin-Producing E. Coli Strains In Neonatal Pigs, Evelyn A. Dean-Nystrom, Angela R. Melton-Celsa, Joachim F. L. Pohlenz, Harley W. Moon, Alison D. O’Brien

United States Department of Agriculture-Agricultural Research Service / University of Nebraska-Lincoln: Faculty Publications

We compared the pathogenicity of intimin-negative non-O157:H7 Shiga toxin (Stx)-producing Escherichia coli (STEC) O91:H21 and O104:H21 strains with the pathogenicity of intimin-positive O157:H7 and O157:H- strains in neonatal pigs. We also examined the role of Stx2d-activatable genes and the large hemolysinencoding plasmid of O91:H21 strain B2F1 in the pathogenesis of STEC disease in pigs. We found that all E. coli strains that made wild-type levels of Stx caused systemic illness and histological lesions in the brain and intestinal crypts, whereas none of the control Stx-negative E. coli strains evoked comparable central nervous system signs or intestinal lesions. By contrast, …

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Sublime Hunger: A Consideration Of Eating Disorders Beyond Beauty, Sheila Lintott Nov 2003

Sublime Hunger: A Consideration Of Eating Disorders Beyond Beauty, Sheila Lintott

Faculty Journal Articles

n this paper, I argue that one of the most intense ways women are encouraged to enjoy sublime experiences is via attempts to control their bodies through excessive dieting. If this is so, then the societal-cultural contributions to the problem of eating disorders exceed the perpetuation of a certain beauty ideal to include the almost universal encouragement women receive to diet, coupled with the relative shortage of opportunities women are afforded to experience the sublime.

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Eagleville Times Vol. 1, Iss. 4, Debbie Ryan Nov 2003

Eagleville Times Vol. 1, Iss. 4, Debbie Ryan

Eagleville Times

Local Newspapers

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Neutron Radiography Study Of Water Transport In An Operating Fuel Cell: Effects Of Diffusion Media And Cathode Channel Properties, Jon Owejan Nov 2003

Neutron Radiography Study Of Water Transport In An Operating Fuel Cell: Effects Of Diffusion Media And Cathode Channel Properties, Jon Owejan

Theses

In a polymer electrolyte membrane fuel cell, effective water management is required for optimal cell performance. While membrane hydration is needed for effective proton conduction, an excess of water, particularly on the cathode side, hinders transport of oxygen to the catalyst sites and lowers cell voltage. This study utilized neutron radiography to reveal the presence of liquid water while operating the PEMFC. These insitu experiments investigated both rectangular and triangular flow field geometries, various flow field surface energies, and several gas diffusion media samples. Correlations were drawn between accumulated water mass and performance data collected during the imaging process. The …

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Nativity, So Young Park Nov 2003

Nativity, So Young Park

Theses

None provided.

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Tendencies Versus Boundaries: Levels Of Generality In Behavioral Law And Economics, Gregory Mitchell Nov 2003

Tendencies Versus Boundaries: Levels Of Generality In Behavioral Law And Economics, Gregory Mitchell

Vanderbilt Law Review

When evidence on the truth or falsity of a proposition is ambiguous and open to multiple interpretations, psychologists warn about "biased assimilation" of the evidence to support pre-existing theories, beliefs, and attitudes. Therefore, when a skeptic about the public policy implications of psychological research examines the complex mix of evidence on human rationality, he may find much to support his skepticism about the use of psychology to reform the law. Likewise, an optimist about the public policy contributions of psychology may find within this same body of evidence much to bolster his optimistic view that psychological research can be used …

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Chicago Man, K-T Man, And The Future Of Behavioral Law And Economics, Robert A. Prentice Nov 2003

Chicago Man, K-T Man, And The Future Of Behavioral Law And Economics, Robert A. Prentice

Vanderbilt Law Review

Most law is aimed at shaping human behavior, encouraging that which is good for society and discouraging that which is bad.' Nonetheless, for most of the history of our legal system, laws were passed, cases were decided, and academics pontificated about the law based on nothing more than common sense assumptions about how people make decisions. A quarter century or more ago, the law and economics movement replaced these common sense assumptions with a well-considered and expressly stated assumption-that man is a rational maximizer of his expected utilities. Based on this premise, law and economics has dominated interdisciplinary thought in …

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War And American Constitutional Order, Mark E. Brandon Nov 2003

War And American Constitutional Order, Mark E. Brandon

Vanderbilt Law Review

In their introduction to a fine new edition of Alexis de Tocqueville's Democracy in America, Harvey C. Mansfield and Delba Winthrop claim that "[i]f the twentieth century has been an American century, it is because the work of America... has been to keep democracy strong where it is alive and to promote it where it is weak or nonexistent." By "democracy" they doubtless intend something akin to "constitutional democracy," "liberal democracy," or "republican government." I take each of these to be a rough proxy for a constitutionalist system that includes (1) institutions authorized by and accountable to the people (both …

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Unfit To Serve: Permanently Barring People From Serving As Officers And Directors Of Publicly Traded Companies After The Sarbanes-Oxley Act, Philip F.S. Berg Nov 2003

Unfit To Serve: Permanently Barring People From Serving As Officers And Directors Of Publicly Traded Companies After The Sarbanes-Oxley Act, Philip F.S. Berg

Vanderbilt Law Review

On June 4, 2003, lifestyle guru Martha Stewart was indicted on multiple criminal and civil charges by the Securities and Exchange Commission (SEC or Commission). The charges, including obstruction of justice and civil insider trading, stemmed from Stewart's sale of ImClone stock shortly before the Food and Drug Administration rejected a drug produced by ImClone and sent the company's stock price tumbling. Although Stewart could face a number of serious penalties under her criminal indictment, the primary remedy sought by the SEC for her civil insider trading charges is rather uncommon-a bar from serving as a director of Martha Stewart …

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