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Breakthrough Treats Breast Cancer Patients in Single Dose

By MedImaging International staff writers
Posted on 21 Dec 2009

Radiation therapy breakthrough treats breast cancer patients in one day, as opposed to the current average of six weeks.

The new technology is being installed for Cancer Treatment Centers of America (CTCA) in Philadelphia, PA, USA. CTCA will become the first in the United States to offer this treatment option using the Novac7 system. Intraoperative radiation therapy (IORT) technology allows patients to receive radiation treatment, delivered with the same power and precision as other sophisticated radiation techniques, while still in the operating room undergoing surgery, frequently without any additional outpatient radiation treatment visits, and with fewer side effects. IORT also offers patients better cosmetic results and improved quality of life as the need for additional radiation treatment is minimized or eliminated altogether.

"Women in Italy have had access to the therapeutic and quality of life benefits of IORT for years, but until this point, traditional breast cancer treatments in the United States involved surgery followed by five to six weeks of radiation or chemotherapy,” said director of radiation oncology Pablo Lavagnini, M.D. "Sadly, many women don't have access to radiation treatments and those who do are left struggling to juggle a demanding treatment regimen with work and family obligations at home. IORT offers a possible solution.”

IORT requires a team approach. While most women with early stage breast cancer are eligible for this procedure, the first step is determining that the patient is a candidate for surgery and IORT. After the surgeon has removed the tumor with a partial mastectomy or lumpectomy, the radiation team will enter the operating room and deliver a single dose of radiation using a mobile linear accelerator. In two to three minutes, the radiation is precisely delivered to the area where the tumor was removed, shielding or protecting normal tissues from potential radiation damage, allowing a full dose of radiation to be delivered where needed and sparing the surrounding structures.

While IORT will offer considerable medical and quality of life benefits for breast cancer patients, it will also be a beneficial application for many patients battling other cancer types including: head and neck, stomach, pancreas, rectum, gynecologic, prostate, and soft tissue sarcomas (especially retroperitoneal). For patients who must receive additional radiation therapy following surgery, they can receive a "boost” of radiation during IORT, shielding the surrounding tissues from radiation damage while allowing a higher dose to the area requiring treatment.

Cancer Treatment Centers of America in Philadelphia expects to begin treating breast cancer patients with IORT by the end of January 2010, as the latest addition to the hospital's fully integrative model of care.

Cancer Treatment Centers of America is a national network of hospitals providing a comprehensive, fully integrative approach to cancer treatment. CTCA serves patients with advanced cancer from all 50 states at facilities located in suburban Chicago, IL, USA Philadelphia, PA, USA, Tulsa, OK, and suburban Phoenix, AZ, USA.

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66 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 3696.9184875488): SELECT fid FROM jos_deeppockets WHERE id=294726995 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294726995 AND published='1' LIMIT 1

69 (109.91096496582): 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`

70 (506.87789916992): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (327.11029052734): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (54.121017456055): 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 (!!!!! 9238.0046844482): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (108.95729064941): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (83.92333984375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (!!!!! 4884.9582672119): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 1699.2092132568): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (232.93495178223): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 3705.9783935547): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 2333.8794708252): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (626.0871887207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

105 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

106 (85.115432739258): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (620.12672424316): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

109 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

110 (80.108642578125): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (686.8839263916): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (927.92510986328): 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 (579.1187286377): 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 (861.16790771484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

115 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

116 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

117 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

118 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

119 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

120 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

121 (!!!!! 1468.8968658447): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

122 (443.93539428711): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 63644.170761108): 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 (!!!!! 2047.061920166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726995 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726995 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 40908.098220825): ( 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 (!!!!! 3026.9622802734): ( 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 (102.04315185547): 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 (55.074691772461): 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 (665.90309143066): 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 (47.922134399414): 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 (474.92980957031): 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 (59.127807617188): 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 (52.213668823242): 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 (458.95576477051): 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 (445.12748718262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (372.88665771484): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=211

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=211

139 (673.05564880371): 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

140 (787.01972961426): 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

141 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

142 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

143 (!!!!! 14189.004898071): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1087.9039764404): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (82.015991210938): 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=294726995 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (371.93298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (209.09309387207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

149 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

150 (!!!!! 1307.9643249512): 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 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

152 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

153 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294726995 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294726995 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (31.948089599609): 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)

155 (29.087066650391): 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)

156 (31.948089599609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

158 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294726995 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294726995 AND published='1' LIMIT 1

159 (96.797943115234): select jos_twitters.link from jos_twitters where cat=10

160 (82.015991210938): select jos_facebook.link from jos_facebook where cat=10

161 (153.0647277832): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

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