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PET Reveals First Image of Amyloid Deposits with Alzheimer's Disease

By MedImaging International staff writers
Posted on 11 Jan 2011

Image: Positron emission tomography (PET) scans of the brain of a patient with Alzheimer's disease [senile dementia] (photo courtesy US Department of Energy).

A Swedish medical university study provides clues into the pathologic course of Alzheimer's disease (AD). The brain of the first Alzheimer's patient to display amyloids demonstrable with a positron emission tomography (PET) scanner has been studied, both during progression of the disease and after death.

One pathologic characteristic of AD is the accumulation in the brain of beta-amyloid proteins to form amyloid plaques. However, it is not known how early the plaques form in the brain, whether they are the primary cause of the disease, or what pathogenic role is played by other changes in the brain.

The very first PET scan in the world of amyloid plaque in a living patient with the amyloid-binding compound ¹¹C-PIB (Pittsburgh compound B) was performed in 2002 by Prof. Agneta Nordberg, from the Karolinska Institutet (Stockholm, Sweden) , and provides insights into the pathologic course of AD on the brain of the first on a 56-year old Alzheimer's patient. The researchers then monitored the patient as the disease progressed with routine PET scans and memory tests. After the patient died, the investigators performed pathologic and neurochemical analyses of the brain tissue.

The combined result analyses, which was published online December 14, 2010, in the journal Brain, give a detailed picture of how Alzheimer's disease develops. For example, the results reveal that high concentrations of amyloid plaques were discovered at an early stage of the disease when the patient suffered slight memory loss. The levels remained unchanged during the course of the disease, in contrast to the increasingly declining energy metabolism in the brain, which was also measured using PET as the patient's memory gradually worsened.

One formerly unknown connection that was discovered in the study is that the greater accumulation of plaque is accompanied by a decrease in the number of neuronal nicotinic receptors in the brain. These receptors are vital to memory function, and this new evidence demonstrates that the receptors are affected early on in the disease development. Furthermore, inflammatory changes were measured in brain regions with low levels of plaques, which suggest that the neuroinflammation related to AD might have a different cause and evolve at different stage of the disease compared to that of amyloid accumulation. Studies on this are currently being carried out on living patients using PET imaging technology.

Today, over 1,000 patients around the world have undergone PET scans for measuring amyloid concentrations in the brain. PIB-PET was recently recommended as the earliest clinical diagnostic biomarker for discovering AD, following the diagnostic guidelines provided by the American Alzheimer's Association (Chicago, IL, USA). However, if clinicians are to gain additional insight into the importance of these PET examinations, a follow up of the results obtained from conducted PET studies should be performed in the brain tissue of deceased patients.

"If we combine different examinations, we will be able to affirm that complex changes take place at the same time in the brain during the development of Alzheimer's disease,” said Prof. Nordberg. "Our study shows that new, modern imaging technology known as molecular imaging makes it possible to discover the disease at an early stage. This opens up new opportunities for early diagnosis and for understanding the causes of the disease and identifying patients who can be expected to respond well to future Alzheimer's therapy.”

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61 (!!!!! 5669.116973877): 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 (728.13034057617): SELECT fid FROM jos_deeppockets WHERE id=294732892 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294732892 AND published='1' LIMIT 1

63 (61.03515625): 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 (52.213668823242): select jos_twitters.link from jos_twitters where cat=10

65 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

66 (34.093856811523): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294732892 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294732892 AND published='1' LIMIT 1

69 (33.855438232422): 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 (437.97492980957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (283.95652770996): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (61.03515625): 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 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.114227294922): 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 (646.11434936523): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (135.89859008789): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (335.9317779541): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (738.85917663574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

105 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

106 (55.074691772461): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (765.08522033691): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1299.8580932617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

109 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

110 (186.92016601562): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (725.03089904785): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (832.08084106445): 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 (669.95620727539): 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 (212.9077911377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

115 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

116 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

117 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

118 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

119 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

120 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

121 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

122 (344.99168395996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 58684.825897217): 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 (815.86837768555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732892 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732892 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21217.107772827): ( 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 (137.0906829834): ( 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 (108.00361633301): 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 (51.975250244141): 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 (82.969665527344): 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 (55.074691772461): 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 (473.97613525391): 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 (43.153762817383): 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 (51.021575927734): 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 (46.014785766602): 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 (928.16352844238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (622.98774719238): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (831.12716674805): SELECT name FROM jos_deeppockets WHERE id=213

138 (44.822692871094): SELECT name FROM jos_deeppockets WHERE id=213

139 (646.11434936523): 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 (659.94262695312): 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 (888.82446289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

142 (!!!!! 1322.9846954346): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

143 (!!!!! 13466.119766235): TRUNCATE TABLE jos_trademed_module

144 (967.97943115234): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (185.96649169922): 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=294732892 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1394.9871063232): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (182.8670501709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2531.0516357422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

149 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

150 (!!!!! 1744.9855804443): 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 (286.10229492188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

152 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

153 (344.99168395996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294732892 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294732892 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 (46.014785766602): 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 (211.00044250488): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (313.99726867676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

158 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294732892 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294732892 AND published='1' LIMIT 1

159 (391.96014404297): select jos_twitters.link from jos_twitters where cat=10

160 (43.153762817383): select jos_facebook.link from jos_facebook where cat=10

161 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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