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Neuroimaging May Reveal How Alzheimer's Disease Develops

By MedImaging International staff writers
Posted on 02 Feb 2010

Current Alzheimer's disease (AD) research indicates that accumulation of amyloid-beta (Aß) protein plaques in the brain is central to the development of AD. Unfortunately, presence of these plaques is typically confirmed only at autopsy. Researchers are now utilizing positron emission tomography (PET) to image these plaques during life. This approach provides researchers with an opportunity to assess the amyloid hypothesis as it occurs in living patients.

In a review article in the journal Behavioral Neurology, 2009; Vol. 21, Issues 1-2, Dr. Gil Rabinovici and Dr. William Jagust from the University of California, San Francisco (UCSF; USA) and the University of California, Berkeley (USA), summarized the results of experiments from their laboratories and others using the Aß tracer Pittsburgh Compound-B (PIB). This compound binds to Aß protein and allows the mapping of plaques in the brains of AD and non-AD volunteer participants.

The investigators reported that PIB-PET can detect Aß deposits in a significant proportion of cognitively normal older subjects and that these deposits are associated with brain atrophy even in the absence of cognitive symptoms. By the time patients develop mild cognitive impairment (MCI), amyloid load in the brain appears to have reached a plateau. As patients progress to dementia, neurodegeneration and, cognitive decline proceed independently of further amyloid accumulation.

The authors interpret these results as consistent with a model in which amyloid deposition plays a critical early role on the path to AD, beginning years before onset of symptoms and triggering a series of events, which ultimately leads to cognitive decline and dementia.

While the use of PIB-PET is currently limited to research centers because of the compound's very short radioactive half-life (20 minutes), new amyloid imaging agents with longer half-lives are under development for more widespread use. Amyloid imaging is already playing an important role in the development of amyloid-based therapies for AD, and Dr. Rabinovici and Dr. Jagust speculated that in the future amyloid imaging would help clinicians in identifying patients with mild or atypical symptoms who may be candidates for antiamyloid treatments.

Writing in the article, the authors stated, "PIB-PET has provided us with our first in vivo glance at the dynamic relationship between amyloid deposition, clinical symptoms, and structural and functional changes in the brain in the continuum between normal aging and AD…In the future, Aß imaging will likely supplement clinical evaluation in selecting patients for antiamyloid therapies both during drug development and in the clinic.”

Related Links:
University of California, San Francisco
University of California, Berkeley

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66 (50.067901611328): select jos_google_plus.link from jos_google_plus where cat=10

67 (190.97328186035): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 4132.9860687256): SELECT fid FROM jos_deeppockets WHERE id=294727718 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727718 AND published='1' LIMIT 1

69 (65.088272094727): 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`

70 (667.09518432617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 2577.0664215088): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (95.129013061523): 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`

73 (!!!!! 5738.0199432373): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (609.15946960449): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (436.06758117676): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (274.1813659668): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (380.9928894043): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (595.0927734375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (60.081481933594): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (341.89224243164): 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`

90 (!!!!! 1012.8021240234): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (339.98489379883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (262.97569274902): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 3001.9283294678): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (634.90867614746): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (379.80079650879): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2835.9889984131): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

105 (222.20611572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

106 (400.06637573242): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (831.12716674805): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2008.9149475098): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

109 (640.869140625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

110 (313.99726867676): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (790.11917114258): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1041.1739349365): 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

113 (!!!!! 7843.017578125): 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 (!!!!! 1163.9595031738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

115 (574.82719421387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

116 (!!!!! 2137.8993988037): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

117 (406.02684020996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

118 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

119 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

120 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

121 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

122 (!!!!! 5596.1608886719): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 78169.107437134): 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

124 (982.99980163574): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727718 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727718 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1101.016998291): ( 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

126 (80.82389831543): ( 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 (89.883804321289): 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

128 (52.928924560547): 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 (!!!!! 1899.9576568604): 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

130 (76.055526733398): 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 (54.121017456055): 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

132 (!!!!! 1096.9638824463): 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 (96.08268737793): 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

134 (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

135 (!!!!! 1207.8285217285): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (422.00088500977): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (543.11752319336): SELECT name FROM jos_deeppockets WHERE id=213

138 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=213

139 (854.0153503418): 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

140 (862.12158203125): 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

141 (!!!!! 1476.0494232178): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

142 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

143 (!!!!! 30997.037887573): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 10061.979293823): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 7392.1680450439): 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=294727718 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1536.1309051514): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 4010.9157562256): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 3439.18800354): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

149 (595.8080291748): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

150 (!!!!! 2246.1414337158): 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

151 (!!!!! 4407.1674346924): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

152 (720.97778320312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

153 (!!!!! 1878.023147583): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727718 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727718 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (281.09550476074): 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)

155 (50.067901611328): 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)

156 (881.91032409668): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1146.0781097412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

158 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727718 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727718 AND published='1' LIMIT 1

159 (67.949295043945): select jos_twitters.link from jos_twitters where cat=10

160 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

161 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

162 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10

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