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First Cancer Patients Treated in Latin America Using Advanced Radiotherapy Technology

By MedImaging International staff writers
Posted on 22 Jan 2010

Four patients with head and neck, rectal, and recurring prostate cancer are first in Latin America to benefit from new technology for fast delivery of image-guided intensity-modulated radiotherapy (IMRT), which potentially enables doctors to improve outcomes while extending modern care to more patients.

Physicians from Hope International Centro de Radioterapia of Guatemala (Guatemala City) are now treating four patients using RapidArc radiotherapy technology developed by Varian Medical Systems, Inc. (Palo Alto, CA, USA), one with recurring prostate cancer, one with a nasal cavity tumor, one with rectal cancer, and one with recurring glioblastoma multiforme--an aggressive type of brain tumor.

Clinicians at the center, which treats patients from across Central America, performed the first treatment for a 66-year-old attorney whose prostate cancer recurred a year after it was first treated using robotic surgery. His first RapidArc treatment was delivered in 3.16 minutes using two arcs, or rotations, of the machine around the patient. By comparison, conventional IMRT treatments would have taken eight to ten minutes.

Using the image-guidance technology that is integral to the RapidArc treatment process, clinicians were able to detect a 2 mm - 3 mm displacement of the targeted tumor after they positioned the patient for his first treatment. "We could then make a very fine adjustment in the patient's position, to ensure that we were accurately targeting the tumor and sparing surrounding tissues to the greatest extent possible,” said Luis A. Linares, M.D., medical director.

Dr. Linares and his medical team generated traditional IMRT treatment plans as well as RapidArc plans for all four patients, in order to compare and choose the one most likely to result in the best possible outcome. "In every case, the RapidArc plans were superior, as far as quality of the dose distribution was concerned,” Dr. Linares said. "We saw better coverage of the targeted tumor, and better normal tissue-sparing. For the rectal cancer patient, doses to the bladder and femoral heads were significantly lower with the RapidArc plan. For the prostate cancer patient, RapidArc did a better job of protecting both the bladder and the rectum. And for the patient with recurrent glioblastoma, we saw a definite advantage to the RapidArc plan, in terms of protecting the optic nerve and optic chiasm.”

RapidArc delivers a precise and efficient treatment in single or multiple arcs of the treatment machine around the patient and makes it possible to deliver advanced image-guided IMRT up to eight times faster than is possible with conventional IMRT. RapidArc technology directs the treatment beam at a tumor while continuously rotating around the patient. Traditional IMRT treatments are slower because they target tumors using a complex sequence of fixed beams from multiple angles. "Faster treatments have the potential to be even more precise, since there is less chance of the patient or tumor moving during treatment,” Dr. Linares said.

"We are pleased to hear that the first RapidArc treatments have now been delivered at this important cancer treatment facility in Central America,” said James Miles, Varian's director of operations for Latin American and the Caribbean. "RapidArc is enabling more and more cancer centers around the world to offer patients the most modern treatments available.”

Previous studies have demonstrated improved outcomes for prostate and head and neck cancer patients treated with IMRT as compared with other forms of radiotherapy, and revealed the magnitude of tumor motion that can take place during a prostate cancer treatment.

Related Links:
Hope International Centro de Radioterapia of Guatemala
Varian Medical Systems

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62 (473.97613525391): SELECT fid FROM jos_deeppockets WHERE id=294727553 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727553 AND published='1' LIMIT 1

63 (44.107437133789): 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`

64 (54.836273193359): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

68 (37.193298339844): SELECT fid FROM jos_deeppockets WHERE id=294727553 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727553 AND published='1' LIMIT 1

69 (32.186508178711): 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 (411.03363037109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (250.81634521484): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): 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 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (43.869018554688): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.186508178711): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

105 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

106 (!!!!! 2561.092376709): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (121.11663818359): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

109 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

110 (49.114227294922): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (530.95817565918): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (787.97340393066): 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 (553.13110351562): 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 (158.07151794434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

115 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

116 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

117 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

119 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

122 (576.01928710938): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 26597.97668457): 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 (528.09715270996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727553 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727553 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7462.0246887207): ( 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 (70.810317993164): ( 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 (41.007995605469): 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 (30.040740966797): 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 (40.054321289062): 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 (28.848648071289): 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 (320.9114074707): 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 (46.968460083008): 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 (34.093856811523): 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 (27.894973754883): 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 (530.00450134277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (354.05158996582): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (48.160552978516): SELECT name FROM jos_deeppockets WHERE id=211

138 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

139 (699.99694824219): 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 (482.08236694336): 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 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

142 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

143 (!!!!! 10169.02923584): TRUNCATE TABLE jos_trademed_module

144 (279.90341186523): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (66.995620727539): 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=294727553 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (381.9465637207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

149 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

150 (!!!!! 1442.1939849854): 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 (103.23524475098): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

152 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

153 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727553 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727553 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (37.193298339844): 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 (34.093856811523): 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 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

158 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727553 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727553 AND published='1' LIMIT 1

159 (49.114227294922): select jos_twitters.link from jos_twitters where cat=10

160 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

161 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

162 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

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