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CT Images Show Facial Aging is More than Skin Deep

By MedImaging International staff writers
Posted on 19 May 2010

Facelifts and other wrinkle-reducing procedures have long been sought by people wanting to stave off the signs of aging, but new research suggests that it takes more than tightening loose skin to restore a youthful look. A new imaging study indicates that significant changes in facial bones--particularly the jawbone--occur as people age and contribute to an aging appearance.

Presented at the American Association of Plastic Surgeons annual meeting in San Antonio, TX, USA, on March 23, 2010, and published in the Journal of Plastic and Reconstructive Surgery, the study, conducted by investigators from the University of Rochester Medical Center (Rochester, NY, USA) suggests that the future approach to facial rejuvenation may be two-fold, first restoring structure underneath before performing skin-tightening procedures.

Reviewing a collection of 120 facial computed tomography (CT) scans taken for other, unrelated medical reasons, plastic surgeons measured alterations that occurred to facial bones over time. The CT scans were divided equally by gender and age, 20 men and 20 women in each of three age groups: young (ages 20-36), middle (41 to 64), and old (65 and older). Researchers utilized a computer program to measure the length, width, and angle of the mandible, or jawbone, for each scan, and compare the results for each group. Using CT scans for this study allowed for accurate three-dimensional (3D) reconstruction and increased accuracy of measurements, disputing previous research that relied on conventional head X-rays and suggested that the jawbone expands with age.

The angle of the jaw increases markedly with age, which results in a loss of definition of the lower border of the face, according to the study. Jaw length decreases significantly in comparisons between the young and middle age groups, whereas the decline in jaw height from the middle to old group was noteworthy.

"The jaw is the foundation of the lower face, and changes to it affect facial aesthetics,” said Howard N. Langstein, M.D., professor and chief of plastic and reconstructive surgery at the University of Rochester Medical Center. "These measurements indicate a significant decline in the jaw's volume as a person ages, and therefore less support of soft tissue of the lower face and neck.”

This loss of bony volume may contribute sagging facial skin, decreased chin projection, and loss of jaw-line definition. As jaw volume decreases, soft tissue of the lower face has less support, resulting in a softer, oval appearance to the lower face and sagging skin, which also affects the aging appearance of the neck.

"Physicians have long been taught that facial aging is caused by soft tissue descent and loss of elasticity,” Dr. Langstein said. "Though we have always known that bones change over time, until now, the extent to which it causes an aged appearance was not appreciated.”

The study by Dr. Langstein and plastic surgery resident Robert Shaw, M.D., gives evidence that facial bones are constantly subjected to forces that remodel them. Understanding there are predictable changes in facial bone structure as people age gives physicians new insight into procedures that may successfully restore youthful appearance. Drs. Shaw and Langstein led the three-institution collaboration, which also involved Stanford University (Stanford, CA, USA) and Harvard University (Cambridge, MA, USA).

"The future of facial cosmetic procedures to restore a youthful look may include methods to suspend soft tissue--such as chin and cheek implants--to rebuild the structure that time has worn away, in addition to lifting and reducing excess skin,” Dr. Shaw concluded.

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63 (461.10153198242): 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 (80.108642578125): select jos_twitters.link from jos_twitters where cat=10

65 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

66 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (58.889389038086): SELECT fid FROM jos_deeppockets WHERE id=294729426 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294729426 AND published='1' LIMIT 1

69 (48.87580871582): 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 (520.94459533691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (596.04644775391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1932.1441650391): 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 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (75.817108154297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (63.180923461914): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.021575927734): 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 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

105 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

106 (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 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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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_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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

109 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

110 (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 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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (613.92784118652): 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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1037.1208190918): 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 (790.11917114258): 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 (682.11555480957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

115 (190.01960754395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

116 (!!!!! 2786.1595153809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

117 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

118 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

119 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

120 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

121 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

122 (339.03121948242): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 69374.084472656): 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 (!!!!! 3137.8269195557): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729426 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729426 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 23184.061050415): ( 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 (!!!!! 4174.9477386475): ( 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 (!!!!! 4970.0736999512): 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 (930.0708770752): 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 (!!!!! 2522.9454040527): 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 (522.13668823242): 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 (190.97328186035): 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 (192.88063049316): 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 (!!!!! 4606.0085296631): 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 (!!!!! 2748.0125427246): 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 (!!!!! 4094.123840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1026.8688201904): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (383.13865661621): SELECT name FROM jos_deeppockets WHERE id=211

138 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=211

139 (797.03330993652): 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 (!!!!! 1060.962677002): 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 (!!!!! 7261.9915008545): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

142 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

143 (!!!!! 21509.885787964): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3395.0805664062): 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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (958.91952514648): 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=294729426 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (653.02848815918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

149 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

150 (!!!!! 3661.1557006836): 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 (!!!!! 4679.9182891846): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

152 (!!!!! 2245.9030151367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

153 (!!!!! 3277.063369751): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729426 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729426 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 2735.1379394531): 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 (76.055526733398): 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 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2382.0400238037): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

158 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729426 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729426 AND published='1' LIMIT 1

159 (87.02278137207): select jos_twitters.link from jos_twitters where cat=10

160 (166.89300537109): select jos_facebook.link from jos_facebook where cat=10

161 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

162 (118.97087097168): select jos_linkedin.link from jos_linkedin where cat=10

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