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Visual System Changes May Provide Biomarkers for PD

By MedImaging International staff writers
Posted on 10 Jul 2017

Researchers have found that visual system changes may provide an early indication of Parkinson’s disease and help clinicians monitor the disease.

Such changes could become apparent ten years before the motor symptoms of the disease, and may include a change in visual acuity, an inability to perceive colors, and a decrease in the rate of blinking. More...

Visual symptoms may appear more than 10 years before motor symptoms.

The researchers from the University Vita-Salute San Raffaele (Milan, Italy) published the results of their research online in the July 11, 2017, issue of the journal Radiology. The study included 11 men and 9 women, all newly diagnosed, but not yet treated for Parkinson’s disease (PD), and age- and gender-matched healthy control group of 20 people. The research team included ophthalmology, neurology and neuroradiology specialists.

The researchers used a Magnetic Resonance Imaging (MRI) Diffusion Weighted Imaging (DWI) to scan both the patients and the healthy controls. The patients were scanned within four weeks of their diagnosis to assess changes in the grey and white matter concentration of the brain, as well as Voxel-Based Morphometry (VBM). All participants of the study also underwent ophthalmologic examinations.

The results indicated significant abnormalities in the visual system brain structures of the Parkinson’s disease patients including a reduction of white matter concentration, alterations of optic radiations, and less optic chiasm volume.

Lead researcher, Dr. Alessandro Arrigo, MD, a resident in ophthalmology, said, "Although Parkinson’s disease is primarily considered a motor disorder, several studies have shown non-motor symptoms are common across all stages of the disease. These non-motor Parkinson’s symptoms may precede the appearance of motor signs by more than a decade. The study in depth of visual symptoms may provide sensitive markers of Parkinson’s disease. Visual processing metrics may prove helpful in differentiating Parkinsonism disorders, following disease progression, and monitoring patient response to drug treatment."

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University Vita-Salute San Raffaele

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62 (125.16975402832): 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 (515.93780517578): SELECT fid FROM jos_deeppockets WHERE id=294769933 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294769933 AND published='1' LIMIT 1

64 (56.982040405273): 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 (64.849853515625): select jos_twitters.link from jos_twitters where cat=10

66 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

67 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

68 (33.140182495117): select jos_linkedin.link from jos_linkedin where cat=10

69 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294769933 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294769933 AND published='1' LIMIT 1

70 (34.093856811523): 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 (392.91381835938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (363.11149597168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (59.843063354492): 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 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (81.062316894531): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (43.153762817383): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (45.061111450195): 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 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

106 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

107 (68.187713623047): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.041946411133): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

110 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

111 (77.009201049805): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (774.14512634277): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (754.83322143555): 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 (404.11949157715): 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 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

116 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

118 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

119 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

120 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

121 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

122 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

123 (355.00526428223): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 24191.14112854): 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 (605.10635375977): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769933 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769933 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 8400.9170532227): ( 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 (72.956085205078): ( 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 (52.213668823242): 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 (34.093856811523): 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 (62.942504882812): 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 (32.186508178711): 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 (329.97131347656): 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 (50.783157348633): 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 (41.961669921875): 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 (34.093856811523): 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 (451.08795166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (375.98609924316): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=212

139 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=212

140 (557.89947509766): 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 (492.09594726562): 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 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

143 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

144 (!!!!! 8635.0440979004): TRUNCATE TABLE jos_trademed_module

145 (147.81951904297): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (78.916549682617): 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=294769933 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (962.0189666748): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

150 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

151 (!!!!! 1430.9883117676): 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 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

153 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

154 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294769933 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294769933 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (37.908554077148): 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 (35.04753112793): 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 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

159 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294769933 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294769933 AND published='1' LIMIT 1

160 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

161 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

162 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

163 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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