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CT Angiography Improves Detection of Heart Disease in African Americans

By MedImaging International staff writers
Posted on 26 Jul 2011

Researchers may have discovered one more clue into why African Americans are at increased risk for heart attacks and other cardiovascular events.

According to a new study published online June 2011 in the journal Radiology, African Americans have increased levels of noncalcified plaque, which consists of accumulation of soft deposits deep in the walls of the arteries that are not detected by some cardiac tests. Noncalcified plaque is more susceptible to rupturing and causing a blood clot, which could lead to a heart attack or other cardiovascular event.

According to the US Department of Health and Human Services (Washington DC, USA), African American adults are more likely to be diagnosed with coronary heart disease and are at greater risk of death from heart disease than white adults are. In 2007, African American men were 30% more likely than non-Hispanic white men to die from heart disease were.

“For a long time, physicians have searched for explanations as to why African Americans have higher rates of heart disease and higher cardiac death rates, but less coronary artery calcium than Caucasians,” said U. Joseph Schoepf, MD, professor of radiology and medicine and director of cardiovascular imaging at Medical University of South Carolina (Charleston, USA; www.musc.edu). “We show that one possible explanation for the discrepancy may be found in the higher rate of less stable, noncalcified plaque in the heart vessels of African Americans.”

Calcium scoring with CT is a typical screening application for patients at risk for cardiovascular disease, because increased levels of calcified plaque in the coronary arteries generally correlates with a greater risk of heart attack or other cardiovascular event. However, calcium scoring does not detect noncalcified plaque.

For the study, researchers compared 301 patients who underwent both calcium scoring with CT and contrast-enhanced coronary CT angiography (cCTA). cCTA provides a more complete image of the arteries, including the presence of noncalcified and mixed plaques. The study group comprised 50% each of African American and white patients, 33% of whom were male (mean age 55).

Calcium scoring revealed that calcified plaque was much more prevalent in the coronary arteries of white patients than in the African Americans (45%, versus 26%). The cCTA revealed that, compared with the white patients, many more African American patients had noncalcified plaque (64%, versus 41%), and in greater amounts. The median volume of noncalcified plaque among the African American patients was 2.2 ml, compared with 1.4 ml among white patients.

Based on these results, the researchers suggest that the value of calcium scoring as a screening tool for African Americans should be reexamined. “The results of coronary artery calcium scoring studies are to be treated with caution in African Americans, because they may not reflect the true extent of cardiovascular disease,” Dr. Schoepf said.

While cCTA does expose patients to ionizing radiation, according to Dr. Schoepf, the effective dose of this procedure has been considerably reduced over the past few years, making it a viable screening option, if other prerequisites of a successful screening test are also met. “For African American patients, coronary CT angiography may be a more appropriate screening tool for cardiovascular risk,” he said.

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63 (493.04962158203): 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 (83.92333984375): select jos_twitters.link from jos_twitters where cat=10

65 (39.815902709961): select jos_facebook.link from jos_facebook where cat=10

66 (43.869018554688): select jos_google_plus.link from jos_google_plus where cat=10

67 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

68 (54.836273193359): SELECT fid FROM jos_deeppockets WHERE id=294736267 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294736267 AND published='1' LIMIT 1

69 (45.061111450195): 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 (429.86869812012): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (397.92060852051): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (66.995620727539): 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 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (92.029571533203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (51.975250244141): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (53.882598876953): 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 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (119.20928955078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

105 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

106 (186.92016601562): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (97.036361694336): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

109 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

110 (74.863433837891): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (747.9190826416): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (831.12716674805): 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 (632.04765319824): 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 (216.00723266602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

115 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

116 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

117 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

118 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

119 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

120 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

122 (479.93659973145): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 28662.204742432): 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 (777.9598236084): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736267 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736267 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10442.018508911): ( 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 (163.79356384277): ( 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 (501.15585327148): 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 (77.962875366211): 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 (397.92060852051): 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 (118.97087097168): 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 (357.15103149414): 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 (62.942504882812): 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 (324.96452331543): 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 (55.074691772461): 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 (556.94580078125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (530.00450134277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (236.03439331055): SELECT name FROM jos_deeppockets WHERE id=211

138 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=211

139 (784.15870666504): 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 (777.00614929199): 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 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

142 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

143 (!!!!! 9541.9883728027): TRUNCATE TABLE jos_trademed_module

144 (133.03756713867): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (82.969665527344): 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=294736267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (673.05564880371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

149 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

150 (!!!!! 1300.0965118408): 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 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

152 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

153 (39.815902709961): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294736267 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294736267 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (36.954879760742): 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 (32.901763916016): 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 (37.193298339844): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

158 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294736267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294736267 AND published='1' LIMIT 1

159 (167.8466796875): select jos_twitters.link from jos_twitters where cat=10

160 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

161 (47.922134399414): select jos_google_plus.link from jos_google_plus where cat=10

162 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10

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