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Protocols for Low Dose CTA Pediatric Imaging Devised

By MedImaging International staff writers
Posted on 31 Aug 2010

Ensuring the safety of pediatric cardiovascular and vascular patients who require computed tomographic angiography (CTA) screening for diagnostic reasons means that employing methods of low dose CTA is crucial, according to a U.S. More...

pediatric imaging specialist.

Jeffrey C. Hellinger, M.D., from Stony Brook University Medical Center (Stonybrook, NY, USA), expanded on these techniques in a review article in the August 2010 early online edition of Radiologic Clinics of North America. He has developed CTA protocols that balance lower doses of radiation and clear diagnostic images when using CTA on infants and children. As principal author of the study, Dr. Hellinger detailed the appropriate and safe use of noninvasive CTA, in the framework of other potential cardiovascular imaging modalities, including radiography, echocardiography, vascular ultrasound, magnetic resonance imaging (MRI), and angiography (MRA), and invasive catheter angiography (CA).

"The use of any radiation in diagnostic methods carries a risk of causing cancer and of abnormal development, particularly in infants and children,” said Dr. Hellinger. "There is basically a medical necessity, if you are going to use radiation in your imaging, to use the lowest possible amount. I think it's a controversial topic as to how much radiation will lead to increased cancer risk over the lifetime of a patient. As physicians and imagers, with CT angiography, it is our goal to use the lowest possible radiation without compromising imaging quality. There is a balance between how low you can go with the technology and rendering a diagnosis. If the radiation dose is too low and the image is poor, you have wasted the radiation.”

Dr. Hellinger and coauthors presented in their article recommended low-dose pediatric CTA protocols and the necessary ancillary protocols to achieve high image quality, emphasizing that using complementary "gentle” cardiovascular CT scanning "can enhance the diagnosis and management of the pediatric patient with cardiovascular disease. Given the intrinsic dependencies upon radiation, utilizing this modality in pediatric patients mandates a commitment to dose reduction strategies, striving for ALARA [as low as reasonably achievable] in each cardiovascular CT examination.”

For each patient, Dr. Hellinger wrote, the risks, benefits, and alternatives to cardiovascular CT should be reviewed. "The pediatric CTA protocols are uniquely designed to maximize the table speed, image at the lowest possible voltage, and use the lowest possible weight-based tube current.”

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64 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

65 (138.99803161621): 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

66 (506.87789916992): SELECT fid FROM jos_deeppockets WHERE id=294730928 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730928 AND published='1' LIMIT 1

67 (44.822692871094): 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`

68 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

69 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

70 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

71 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

72 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE id=294730928 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294730928 AND published='1' LIMIT 1

73 (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`

74 (381.9465637207): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (298.02322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (41.007995605469): 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`

77 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (33.140182495117): 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`

94 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): 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 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

110 (54.121017456055): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (46.014785766602): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

113 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

114 (71.048736572266): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (498.77166748047): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (735.99815368652): 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 (478.98292541504): 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

118 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

119 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

120 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

121 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

122 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

123 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

124 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

125 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

126 (402.92739868164): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 21625.995635986): 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

128 (611.0668182373): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730928 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730928 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 8071.8994140625): ( 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 (87.02278137207): ( 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

131 (39.100646972656): 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 (32.186508178711): 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

133 (78.916549682617): 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 (37.908554077148): 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

135 (358.81996154785): 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 (76.055526733398): 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

137 (36.001205444336): 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 (28.848648071289): 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

139 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (351.90582275391): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=211

142 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

143 (617.02728271484): 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 (521.18301391602): 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

145 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

146 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

147 (!!!!! 8721.1132049561): TRUNCATE TABLE jos_trademed_module

148 (108.95729064941): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (73.909759521484): 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=294730928 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (722.88513183594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

153 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

154 (!!!!! 1170.8736419678): 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

155 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

156 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

157 (32.901763916016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294730928 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294730928 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (34.809112548828): 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 (33.140182495117): 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)

160 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

162 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294730928 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294730928 AND published='1' LIMIT 1

163 (35.04753112793): select jos_twitters.link from jos_twitters where cat=10

164 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

165 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

166 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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