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Neuroimaging Offers Early Detection of Parkinson's Disease

By MedImaging International staff writers
Posted on 18 Oct 2010

Rapid eye movement (REM) sleep disturbances were found by investigators in 2006 to constitute an early marker of neurodegenerative diseases. A new study published September 15, 2010, in the early online publication of the journal the Lancet Neurology by the same researchers applies neuroimaging techniques to identify patients with REM sleep disturbances who will develop neurodegenerative disorders over the short term.

The first author of both article is Dr. Alex Iranzo, a physician in the neurology department of the Hospital Clinic in Barcelona (Spain), who is also an investigator of the Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS; Barcelona, Spain), and a member of the Multidisciplinary Sleep Disturbances Unit. The study has been carried out in the setting of the Neurodegenerative Diseases CIBER (Centro de Investigación Biomédica en Red, Enfermedades Neurodegenerativas [CIBERNED]; Seville, Spain), and has received the collaboration of the neurology department of the Innsbruck Medical University (Austria).

One of the challenges of modern medicine is the diagnosis of diseases before they develop clinical manifestations such as tremor or dementia. Neurodegenerative disorders begin in latent periods during which the cells suffer degeneration but clinical manifestations are not yet observed. In this context, the degenerative process advances, and neuropathological changes affect the nervous system. The new data contributed by the investigators of the Hospital Clínic-IDIBAPS make it possible to identify the disease at preclinical stages in patients with REM sleep disturbances.

In earlier research of this same team, 45% of the patients studied had developed a neurodegenerative disorder five years after diagnosis of the sleep disturbance. All of them were over 60 years of age and presented REM sleep disturbances in the form of nightmares in which they called out, cried, or showed body movements. The new study goes beyond this point and presents the data relating to the tracking of 43 new patients during two years and a half after undergoing the neuroimaging tests. The 123I-fluoropropyl (FP)-carbomethoxy-iodophenyl-tropan (CIT) single photon emission computed tomography (SPECT) imaging technique makes it possible to identify striatal dopamine dysfunctions typical of brain substantia nigra pathology, which can degenerate towards Parkinson's disease. Transcranial ultrasound identifies structural alterations of the substantia nigra such as increased iron presence, before Parkinsonism gives rise to clinical manifestations.

The study described how 19% of the patients had developed a neurodegenerative disorder in the two and a half years following the neuroimaging tests. Of these subjects, five developed Parkinson's disease, two developed Lewy body dementia, and one patient developed multisystemic atrophy. All of them belonged to the group of 27 patients (62.8%) showing low FP-CIT uptake at SPECT and/or hyperechogenicity in the substantia nigra in transcranial ultrasound. In other words, none of them had yielded normal results in the neuroimaging tests. In turn, the patients with normal neuroimaging findings revealed no neurologic disorders after 2.5 years of follow-up.

The investigators concluded that the neuroimaging methods make it possible to identify patients with REM sleep disturbances who are at high risk of early development of a neurodegenerative disorder such as Parkinson's disease. This will help improve tracking the progression of these diseases and test drugs that might modify their course and initiate early therapy, once the clinical diagnosis is established.

Related Links:
Institut d'Investigacions Biomèdiques August Pi i Sunyer
Innsbruck Medical University
Centro de Investigación Biomédica en Red, Enfermedades Neurodegenerative

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60 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

61 (120.16296386719): 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

62 (649.92904663086): SELECT fid FROM jos_deeppockets WHERE id=294731608 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731608 AND published='1' LIMIT 1

63 (46.014785766602): 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`

64 (89.883804321289): select jos_twitters.link from jos_twitters where cat=10

65 (51.021575927734): select jos_facebook.link from jos_facebook where cat=10

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

67 (47.922134399414): select jos_linkedin.link from jos_linkedin where cat=10

68 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE id=294731608 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731608 AND published='1' LIMIT 1

69 (53.882598876953): 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 (529.05082702637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (463.96255493164): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (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`

73 (96.08268737793): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (50.783157348633): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (94.175338745117): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): 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 (91.791152954102): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (45.7763671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

105 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

106 (94.890594482422): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (84.877014160156): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

109 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

110 (157.83309936523): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1404.0470123291): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (643.01490783691): 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 (444.17381286621): 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 (229.1202545166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

115 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

116 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

117 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

119 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

120 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

121 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

122 (336.88545227051): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21644.830703735): 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 (541.92543029785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731608 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731608 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (92.983245849609): ( 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 (42.915344238281): ( 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 (48.87580871582): 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 (39.100646972656): 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 (77.009201049805): 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 (43.869018554688): 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 (32.901763916016): 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 (30.040740966797): 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 (43.153762817383): 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 (37.908554077148): 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 (592.94700622559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (377.89344787598): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (62.942504882812): SELECT name FROM jos_deeppockets WHERE id=213

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=213

139 (705.00373840332): 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 (612.02049255371): 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 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

142 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

143 (!!!!! 11667.013168335): TRUNCATE TABLE jos_trademed_module

144 (150.91896057129): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (85.830688476562): 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=294731608 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (585.79444885254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

149 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

150 (!!!!! 1862.0491027832): 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 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

152 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

153 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731608 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731608 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (48.87580871582): 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 (46.968460083008): 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 (55.789947509766): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

158 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731608 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731608 AND published='1' LIMIT 1

159 (54.836273193359): select jos_twitters.link from jos_twitters where cat=10

160 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

161 (56.982040405273): select jos_google_plus.link from jos_google_plus where cat=10

162 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

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