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PET Scan Could Help Diagnose Head Trauma Damage

By MedImaging International staff writers
Posted on 28 Sep 2016

Image: A PET scan of a brain with suspected CTE; red and yellow indicate abnormal brain protein (Photo courtesy of UCLA).

Proteins are deposited in a characteristic pattern in the brains of athletes suffering from in chronic traumatic encephalopathy (CTE), according to a new study.

Researchers at the University of California, Los Angeles (UCLA; USA), NorthShore University Health System (NSUHS; Evanston, IL, USA), and other institutions conducted a study in 14 retired national football league (NFL) football players, all of whom sustained at least one concussion during their career. Study participants underwent a positron emission tomography (PET) scan using a chemical marker called FDDNP, which binds to deposits of neurofibrillary tau tangles and amyloid beta plaques. The PET scans were also compared to those of 28 men and women with healthy brains, and 24 men and women with Alzheimer’s disease (AD), all of similar ages.

The results revealed that the retired football players showed tau deposit patterns consistent with those previously observed in autopsy studies of people with CTE, which indicated that brainstem white matter tracts undergo early axonal damage and cumulative axonal injuries along subcortical, limbic, and cortical brain circuitries supporting mood, emotions, and behavior. The deposition pattern was different from the progressive pattern of neuropathology in AD, which typically begins in the medial temporal lobe and progresses along the cortical default mode network, with minimal involvement of subcortical structures.

In addition, the areas in the brain where the patterns occurred were also consistent with the types of symptoms experienced by some of the study participants. When compared with healthy people, the former athletes had higher levels of FDDNP in the amygdala and subcortical regions of the brain, while people with AD had higher levels of FDDNP in areas of the cerebral cortex. Athletes who suffered more concussions also had higher FDDNP levels. The study was published in the June 2016 issue of Proceedings of the National Academy of Science (PNAS).

“We found that the imaging pattern in people with suspected CTE differs significantly from healthy volunteers and those with Alzheimer’s dementia,” said study author Julian Bailes, MD, director of the Brain Injury Research Institute at NSUHS. “These results suggest that this brain scan may also be helpful as a test to differentiate trauma-related cognitive issues from those caused by Alzheimer’s disease.”

CTE is thought to cause memory loss, confusion, progressive dementia, depression, suicidal behavior, personality changes, and abnormal gaits and tremor. Currently, it can only be diagnosed definitively following autopsy. To help identify the disease, doctors look for an accumulation of tau in the regions of the brain that control mood, cognition, and motor function. Tau is also one of the abnormal protein deposits found in the brains of people with AD, although in a distribution pattern that is different from that found in CTE.

Related Links:
University of California, Los Angeles
NorthShore University Health System

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61 (784.87396240234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

62 (!!!!! 10029.077529907): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

63 (610.1131439209): SELECT fid FROM jos_deeppockets WHERE id=294766204 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294766204 AND published='1' LIMIT 1

64 (72.956085205078): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

65 (822.06726074219): select jos_twitters.link from jos_twitters where cat=10

66 (56.028366088867): select jos_facebook.link from jos_facebook where cat=10

67 (48.160552978516): select jos_google_plus.link from jos_google_plus where cat=10

68 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

69 (83.208084106445): SELECT fid FROM jos_deeppockets WHERE id=294766204 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294766204 AND published='1' LIMIT 1

70 (163.07830810547): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

71 (!!!!! 1057.8632354736): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (461.81678771973): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 3288.0306243896): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

74 (621.08039855957): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 2323.8658905029): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (243.18695068359): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (460.14785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 1770.01953125): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (496.14906311035): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (!!!!! 1441.0018920898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (508.06999206543): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (135.18333435059): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (!!!!! 2975.9407043457): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (111.81831359863): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 3249.1683959961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

106 (139.95170593262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

107 (98.943710327148): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (772.95303344727): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 3732.9196929932): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

110 (!!!!! 2088.0699157715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

111 (874.04251098633): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (990.86761474609): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (928.87878417969): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

114 (735.04447937012): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

116 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

117 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

118 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

119 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

120 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

121 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

122 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

123 (487.08915710449): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 62957.048416138): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

125 (810.86158752441): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766204 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766204 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 23611.068725586): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

127 (101.08947753906): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (88.930130004883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (50.783157348633): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (91.075897216797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (509.97734069824): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (60.796737670898): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (54.836273193359): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (622.03407287598): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (496.14906311035): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (73.19450378418): SELECT name FROM jos_deeppockets WHERE id=212

139 (243.9022064209): SELECT name FROM jos_deeppockets WHERE id=212

140 (!!!!! 4052.1621704102): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 3948.9269256592): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (!!!!! 1279.1156768799): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

143 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

144 (!!!!! 24970.054626465): TRUNCATE TABLE jos_trademed_module

145 (!!!!! 8493.9002990723): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (935.07766723633): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294766204 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (636.10076904297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

150 (!!!!! 1946.9261169434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

151 (!!!!! 1786.9472503662): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

153 (!!!!! 3197.193145752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

154 (!!!!! 3688.8122558594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294766204 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294766204 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (136.13700866699): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

156 (57.93571472168): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=212 or channel_id is null)

157 (92.983245849609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

159 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294766204 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294766204 AND published='1' LIMIT 1

160 (98.943710327148): select jos_twitters.link from jos_twitters where cat=10

161 (!!!!! 3242.9695129395): select jos_facebook.link from jos_facebook where cat=10

162 (70.810317993164): select jos_google_plus.link from jos_google_plus where cat=10

163 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

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