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Poor Public Awareness Reaffirms Radiotherapy's "Cinderella” Status

By MedImaging International staff writers
Posted on 29 Sep 2010

Only 1 in 10 people in the United Kingdom know that radiotherapy helps cure 40% of cancer patients according to new research. The survey of more than 2,000 people from across the United Kingdom also reveals just 14% are aware that half of all cancer patients could benefit from radiotherapy as part of their treatment.

The survey was compiled and published September 7, 2010, by Cancer Research U.K. (London, UK). The survey showed that the public rate other cancer treatments--surgery, chemotherapy, or targeted drugs--higher than radiotherapy as cutting-edge treatments. Cancer Research UK believes lack of public awareness about radiotherapy's significance in treating cancer is having a serious impact on providing excellent treatment for the United Kingdom. A Cancer Research UK report estimates that only 38% of cancer patients in England are getting radiotherapy although research revealed that up to 50% might benefit.

Differences in staffing levels and equipment means UK healthcare trusts are failing to offer equal opportunities for patients to receive radiotherapy. For those patients who are being offered radiotherapy many suffer unacceptably long waiting times before receiving their treatment.

As the population ages, cancer rates are expected to increase. Planning for the future is critical if the health service is going to meet the increased demand for radiotherapy. The United Kingdom is also lagging behind America and Europe in introducing new, more targeted radiotherapy technology. Techniques and equipment such as intensity-modulated radiotherapy (IMRT) or image-guided radiotherapy (IGRT) are more typically available in these other health systems.

IMRT uses computers to control the radiotherapy machine to vary the intensity of the radiation beams, helping to match closely the three-dimensional shape of the tumor. It provides very precise doses to a cancer or to specific areas within the tumor while minimizing the dose to nearby tissues.

IGRT captures images of the cancer before and during radiotherapy so the clinician can make sure the treatment is precise and accurate. The number of people receiving radiotherapy in the United Kingdom, however, has increased by 75% since 2000 and the number of radiographers providing treatment rose by 40% between 2000 and 2006.

However, the U.K. Government has acknowledged that more must be done.

Prof. Gillies McKenna, director of the Gray Institute for Radiation Oncology and Biology at the University of Oxford, said, "Radiotherapy is a critical part of cancer treatment. We know that around 20% of cancer patients receive a new type of modulated radiotherapy [IMRT] in Europe, while the U.K. is only delivering IMRT to 7% of patients. This newer type of radiotherapy is more effective in delivering targeted treatment, minimizing side-effects to other parts of the body.”

Harpal Kumar, Cancer Research UK's chief executive, said, "Radiotherapy has a key part to play in treating and curing around 40% of cancers so it's vital there is good, fast access to this service.” "Radiotherapy has improved substantially over the last 10 years but there are vital areas that need to be addressed to help deliver the best treatment for patients. Raising awareness of the importance of radiotherapy is the first step to improving services for this undervalued treatment. Radiotherapy needs the same level of public support that new drugs have. We have seen awareness helping steer priorities with other treatments and believe this should happen with radiotherapy. It's important that all areas of the U.K. offer the same opportunities for patients to have radiotherapy wherever they live. Careful and sustained planning is needed across the U.K. if we are to build a world-class service for radiotherapy for the future,” Mr. Kumar added.

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62 (565.0520324707): SELECT fid FROM jos_deeppockets WHERE id=294731359 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731359 AND published='1' LIMIT 1

63 (301.83792114258): 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 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (37.908554077148): 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 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE id=294731359 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731359 AND published='1' LIMIT 1

69 (41.961669921875): 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 (317.81196594238): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (302.07633972168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (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`

73 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (32.901763916016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): 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 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

105 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

106 (54.836273193359): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (49.829483032227): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

109 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

110 (46.968460083008): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (589.13230895996): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (733.1371307373): 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 (459.19418334961): 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 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

115 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

116 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

117 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

119 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

120 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

121 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

122 (357.15103149414): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 23513.078689575): 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 (776.05247497559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731359 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731359 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (89.168548583984): ( 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 (56.028366088867): ( 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 (56.982040405273): 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 (43.153762817383): 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 (61.03515625): 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 (43.869018554688): 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 (41.961669921875): 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 (40.054321289062): 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 (53.882598876953): 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 (42.200088500977): 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 (!!!!! 1484.1556549072): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (377.89344787598): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (182.15179443359): SELECT name FROM jos_deeppockets WHERE id=211

138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=211

139 (730.99136352539): 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 (597.95379638672): 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 (446.08116149902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

142 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

143 (!!!!! 13303.04145813): TRUNCATE TABLE jos_trademed_module

144 (418.90144348145): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (91.075897216797): 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=294731359 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 3351.9268035889): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (135.18333435059): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

149 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

150 (!!!!! 1645.0881958008): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

152 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

153 (58.889389038086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731359 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731359 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.961669921875): 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 (32.186508178711): 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 (35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

158 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731359 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731359 AND published='1' LIMIT 1

159 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

160 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

161 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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