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Coronary Calcium Distribution Associated with Risk of Heart Attack

By MedImaging staff writers
Posted on 24 Jun 2008

A new calcium scoring method may better predict an individual's risk of heart attack, according to a new study. Calcium coverage scoring takes into account not only the amount of calcified plaque accumulation in the coronary arteries, but also its distribution.

The multicenter study was published in the June 2008 issue of the journal Radiology. "Now we know that the location of the calcium in the arteries is particularly important in estimating a patient's potential risk,” said the study's lead author Elizabeth Brown, Sc.D., a research assistant professor in the department of biostatistics at the University of Washington (Seattle, WA, USA).

Heart disease is the leading cause of death in the United States. The most common form of heart disease in the United States is coronary artery disease, which is caused by a build-up of calcific plaque in the coronary arteries leading to the heart. The current standard of coronary calcium measurement assesses only the amount of calcium present in the arteries, not its spatial distribution.

"Currently, physicians only see the result in terms of an overall score designed to measure the amount of calcified plaque,” Dr. Brown said. "This new approach will provide physicians with a measure of the proportion of the arteries affected.”

The Multi-Ethnic Study of Atherosclerosis (MESA) began in July 2000. The prospective study included 6,814 men and women between the ages of 45 and 84. The researchers compared computed tomography (CT) image data for 3,252 participants with calcific plaque to data collected from 3,416 patients without calcific plaque. (Due to lack of sufficient CT image data, 146 additional MESA participants were excluded from this analysis.) A calcium coverage score was developed to estimate the percentage of coronary arteries affected by plaque. The patients were then followed-up for a median period of 41 months to determine if there was a relationship between the distribution of calcium shown in the CT images and the likelihood heart attack or other cardiac event.

The results showed that diabetes, hypertension, and dyslipidemia (abnormal concentrations of lipids [fats] or lipoproteins in the blood) were highly associated with calcium coverage score. The study also found that the calcium coverage score--which takes into account the location of the calcium--was a better predictor of future cardiac events than presently used measures that gauge only the amount of calcium present. On average, compared to patients without diabetes, patients with diabetes had 44% more of their coronary arteries affected by plaque. A twofold increase in calcium coverage score indicated a 34% increase in risk of heart attack or other serious cardiac event and a 52% increase in the risk of any cardiac event.

"Calcium coverage scoring has the potential to improve our estimate of a patient's risk for adverse clinical outcomes, such as heart attacks or death,” Dr. Brown said.

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66 (102.04315185547): 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=211 ORDER BY `ordering`

67 (100.85105895996): select jos_twitters.link from jos_twitters where cat=10

68 (51.975250244141): select jos_facebook.link from jos_facebook where cat=10

69 (60.081481933594): select jos_google_plus.link from jos_google_plus where cat=10

70 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

71 (97.990036010742): SELECT fid FROM jos_deeppockets WHERE id=287180000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=287180000 AND published='1' LIMIT 1

72 (79.154968261719): 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=211 ORDER BY `ordering`

73 (503.0632019043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (462.05520629883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=287180000 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 (96.08268737793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (102.99682617188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (53.882598876953): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (56.028366088867): 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 (159.97886657715): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (55.789947509766): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

108 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

109 (97.990036010742): 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=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (132.08389282227): 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=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

112 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

113 (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.id=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (833.98818969727): 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=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (583.17184448242): 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 (387.90702819824): 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 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

119 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

120 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

121 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

122 (!!!!! 1296.9970703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

123 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

124 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

125 (355.00526428223): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 28779.983520508): 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 (660.89630126953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=287180000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=287180000 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 10138.988494873): ( 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 (112.77198791504): ( 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 (75.101852416992): 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 (44.107437133789): 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 (102.99682617188): 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 (41.007995605469): 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 (460.86311340332): 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 (60.081481933594): 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 (54.121017456055): 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 (43.869018554688): 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 (679.01611328125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (554.08477783203): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (72.956085205078): SELECT name FROM jos_deeppockets WHERE id=211

141 (200.03318786621): SELECT name FROM jos_deeppockets WHERE id=211

142 (905.99060058594): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (!!!!! 2657.8903198242): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

145 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

146 (!!!!! 12110.948562622): TRUNCATE TABLE jos_trademed_module

147 (159.02519226074): 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=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (87.976455688477): 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=287180000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (670.19462585449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

152 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

153 (!!!!! 1923.0842590332): 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 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

155 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

156 (64.13459777832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=287180000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=287180000 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (68.902969360352): 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=211 or channel_id is null)

158 (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=211 or channel_id is null)

159 (56.982040405273): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

161 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=287180000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=287180000 AND published='1' LIMIT 1

162 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

163 (43.869018554688): select jos_facebook.link from jos_facebook where cat=10

164 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

165 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

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