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New CT Scanner Improves Noninvasive Diagnosis of Children

By MedImaging International staff writers
Posted on 26 May 2010

A new computed tomography (CT) scanner provides physicians with precise images of internal organs with a single rotation of the gantry.

The technology is now in operation at Stony Brook University Medical Center (SBUMC; Stony Brook, NY, USA), adding to the hospital's advanced scanner technology. The Toshiba Medical Systems (Tokyo, Japan) Aquilion One 320-detector row CT system with pediatric imaging capabilities is able to image an entire organ in a single rotation or over multiple rotations, showing real-time dynamic movement. The single rotation will result in lower doses of radiation, which is particularly important for children and teens still developing.

"That's the age group for which you want to conserve radiation exposure,” said Dr. Michael Poon, a world-renowned expert in cardiac CT and magnetic resonance imaging (MRI) and director of the Advanced Cardiovascular Imaging Program for adult and pediatric patients. Dr. Poon developed the advanced technique for diagnosing cardiovascular problems using CT scanning that exposes patients to the equivalent of just two chest X-rays.

A typical CT scan exposes patients to the radiation equivalent of 200 X-rays. Dr. Poon has performed more than 1,000 cardiac CT angiographies (CTAs) within the past year at SBUMC and used the low-dose radiation technique for the first time on two pediatric patients. "One of the kids was referred to me by a pediatric cardiologist because he suspected the patient had a congenital coronary anomaly. The only definitive noninvasive test to diagnose this condition is a cardiac CT, which he had been reluctant to use because of the radiation exposure. I was able to do the test in less than one minute, make a definitive diagnosis, and limit radiation exposure to this patient. As a result of getting the right diagnosis, we can treat this patient appropriately.”

Dr. Poon pointed out that the addition of this new CT technology will help SBUMC physicians diagnose disease more safely for infants, children, and adolescents because of the reduced radiation exposure. The technology will also help provide more flexibility in diagnosing many conditions of children and adults.

The new CT scanner will allow physicians to see not only a three-dimensional depiction of an organ, but also how the organ and blood flow are dynamically functioning or moving within and around the organ. The Aquilion ONE can perform uniquely comprehensive exams, including functional studies, that can reduce overall healthcare costs by replacing the need for multiple tests and invasive procedures, while reducing the amount of contrast material and radiation dose. Moreover, multiphase studies, such as perfusion of the brain, heart, and other organs, are possible with the system.

CT technology enables Dr. Poon and colleagues to view the entire structure of heart, the internal and external features, including the coronary vessels and structural components inside the heart, in order to diagnose cardiac disease or rule it out. The procedure is noninvasive, often leads to a definitive diagnosis, and prevents some patients from further noninvasive and invasive procedures such as nuclear stress test, cardiac catheterization, or coronary stenting.

Dr. Poon has pioneered many dose-saving methods to diagnose cardiovascular problems via CT scanning that use extremely low doses of radiation, thus greatly reducing risk of potential harmful effects from unnecessary high does or radiation exposure. Reduced radiation exposure is particularly important for younger patients and women

Dr. Poon's work with CTA, as well as other emerging, versatile, and powerful cardiac imaging technologies such as cardiac MRI and stress testing with MRI, which requires no exposure to radiation or kidney-toxic contrast agent, and takes less time to perform and complete than a conventional electrocardiogram (ECG) or nuclear stress test has been critical in diagnosing conditions ranging from congenital heart disease, ischemic heart disease, congestive heart failure, heart murmurs, to various types of vascular aneurysms and complicated cardiovascular diagnostic challenges.

Related Links:
Stony Brook University Medical Center
Toshiba Medical Systems

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61 (!!!!! 3695.9648132324): 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 (441.07437133789): SELECT fid FROM jos_deeppockets WHERE id=294729513 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294729513 AND published='1' LIMIT 1

63 (64.849853515625): 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 (41.961669921875): select jos_twitters.link from jos_twitters where cat=10

65 (28.133392333984): select jos_facebook.link from jos_facebook where cat=10

66 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294729513 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294729513 AND published='1' LIMIT 1

69 (30.040740966797): 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 (236.98806762695): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (169.03877258301): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (82.969665527344): 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 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.802322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.855438232422): 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 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

105 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

106 (102.04315185547): 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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3955.8410644531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

109 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

110 (56.982040405273): 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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (560.99891662598): 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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1088.8576507568): 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 (783.92028808594): 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 (886.91711425781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

115 (734.09080505371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

116 (310.18257141113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

117 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

118 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

119 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

120 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

121 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

122 (406.02684020996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 68700.075149536): 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 (502.8247833252): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729513 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729513 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (50.067901611328): ( 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 (37.908554077148): ( 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 (50.067901611328): 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 (32.901763916016): 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 (64.13459777832): 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 (33.855438232422): 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 (30.994415283203): 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 (30.994415283203): 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 (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

134 (35.04753112793): 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 (560.04524230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (370.97930908203): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=211

138 (39.815902709961): SELECT name FROM jos_deeppockets WHERE id=211

139 (535.96496582031): 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 (484.94338989258): 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 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

142 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

143 (!!!!! 10446.071624756): TRUNCATE TABLE jos_trademed_module

144 (98.943710327148): 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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (60.081481933594): 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=294729513 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (584.12551879883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

149 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

150 (!!!!! 1165.1515960693): 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 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

152 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

153 (38.14697265625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294729513 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294729513 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (35.04753112793): 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 (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)

156 (67.949295043945): 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=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

158 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294729513 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294729513 AND published='1' LIMIT 1

159 (37.193298339844): select jos_twitters.link from jos_twitters where cat=10

160 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

161 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

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