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Molecular Imaging Relates Fibromyalgia Symptoms to Functional Brain Abnormalities

By MedImaging International staff writers
Posted on 17 Nov 2008

Utilizing single photon emission computed tomography (SPECT) imaging, French researchers were able to detect functional abnormalities in specific regions in the brains of patients diagnosed with fibromyalgia, supporting the theory that symptoms of the disorder are related to a dysfunction in those areas of the brain where pain is processed.

"Fibromyalgia is frequently considered an ‘invisible syndrome' since musculoskeletal imaging is negative,” said Eric Guedj, M.D., from the Service Central de Biophysique et de Médecine Nucléaire at AP-HM Timone (Marseille, France) and lead author of the study. "Past imaging studies of patients with the syndrome, however, have shown above-normal cerebral blood flow [brain perfusion] in some areas of the brain and below-normal in other areas. After performing whole-brain scans on the participants, we used a statistical analysis to study the relationship between functional activity in even the smallest area of the brain and various parameters related to pain, disability, and anxiety/depression.”

In the study, which was reported in the November 2008 issue of The Journal of Nuclear Medicine (JNM), 20 women diagnosed with fibromyalgia and 10 healthy women as a control group responded to questionnaires to determine levels of pain, disability, anxiety, and depression. SPECT was then performed, and positive and negative correlations were determined.

The researchers confirmed that patients with the syndrome exhibited brain perfusion abnormalities in comparison to the healthy subjects. Furthermore, these abnormalities were found to be directly correlated with the severity of the disease. An increase in perfusion (hyperperfusion) was found in that region of the brain known to discriminate pain intensity, and a decrease (hypoperfusion) within those areas thought to be involved in emotional responses to pain.

In the past, some researchers have thought that the pain reported by fibromyalgia patients was the result of depression rather than symptoms of a disorder. "Interestingly, we found that these functional abnormalities were independent of anxiety and depression status,” Dr. Guedj said.

According to Dr. Guedj, disability is frequently used in controlled clinical trials to assess response to treatment. Because molecular imaging techniques such as SPECT can help predict a patient's response to a specific treatment and evaluate brain-processing recovery during follow-up, it could prove useful when integrated into future pharmacologic controlled trials.

"Fibromyalgia may be related to a global dysfunction of cerebral pain-processing,” Dr. Guedj added. "This study demonstrates that these patients exhibit modifications of brain perfusion not found in healthy subjects and reinforces the idea that fibromyalgia is a ‘real disease/disorder.'”

According to the U.S. National Institute of Arthritis and Musculoskeletal and Skin Diseases, fibromyalgia syndrome is a common and chronic disorder characterized by widespread muscle pain, fatigue, and multiple tender points. Tender points are specific places--for example, on the neck, shoulders, back, hips, and upper and lower extremities--where individuals with fibromyalgia feel pain in response to slight pressure. The syndrome is one of the most common causes of musculoskeletal pain and disability and affects three to six million, or as many as one in 50, in the United States alone. Between 80 and 90% of those diagnosed are women.

Although fibromyalgia is often considered an arthritis-related condition, it does not cause inflammation or damage to the muscles, joints, or other tissues. Similar to arthritis, however, the considerable pain and fatigue caused by fibromyalgia can interfere with an individual's ability to carry out daily activities.

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62 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

63 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

64 (180.95970153809): 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

65 (752.21061706543): SELECT fid FROM jos_deeppockets WHERE id=294721087 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721087 AND published='1' LIMIT 1

66 (70.095062255859): 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=213 ORDER BY `ordering`

67 (74.863433837891): select jos_twitters.link from jos_twitters where cat=10

68 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

69 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

70 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

71 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE id=294721087 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721087 AND published='1' LIMIT 1

72 (57.93571472168): 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=213 ORDER BY `ordering`

73 (555.03845214844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (466.10832214355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (66.995620727539): 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`

76 (145.91217041016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (84.877014160156): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (49.114227294922): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (53.882598876953): 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`

93 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

108 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

109 (59.843063354492): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (51.021575927734): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (120.16296386719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

112 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

113 (48.87580871582): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (742.91229248047): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (633.00132751465): 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

116 (358.10470581055): 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

117 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

118 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

119 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

120 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

121 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

122 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

123 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

124 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

125 (358.81996154785): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 22386.074066162): 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

127 (576.01928710938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721087 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721087 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (96.797943115234): ( 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

129 (36.001205444336): ( 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

130 (36.954879760742): 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

131 (29.087066650391): 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

132 (51.021575927734): 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

133 (34.093856811523): 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

134 (28.848648071289): 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

135 (29.087066650391): 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

136 (28.848648071289): 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

137 (29.087066650391): 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

138 (489.95018005371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (419.85511779785): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (45.7763671875): SELECT name FROM jos_deeppockets WHERE id=213

141 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=213

142 (585.07919311523): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (479.93659973145): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

145 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

146 (!!!!! 9496.9272613525): TRUNCATE TABLE jos_trademed_module

147 (95.129013061523): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (61.03515625): 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=294721087 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (907.89794921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

152 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

153 (!!!!! 1272.2015380859): 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

154 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

155 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

156 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721087 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721087 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (66.041946411133): 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=213 or channel_id is null)

158 (58.889389038086): 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=213 or channel_id is null)

159 (72.002410888672): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

161 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721087 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721087 AND published='1' LIMIT 1

162 (38.14697265625): select jos_twitters.link from jos_twitters where cat=10

163 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

164 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

165 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

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