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New Research Backs Mammography Screening at 40

By MedImaging International staff writers
Posted on 15 Dec 2011

Women in their 40s with no family history of breast cancer are just as prone to develop invasive breast cancer, as are women with a family history of the disease, according to a recent research. These results indicate that women in this age group would benefit from yearly mammography screening.

The study’s findings were presented November 29, 2011, at the annual meeting of the Radiological Society of North America (RSNA), held in Chicago (IL, USA). The breast cancer screening guidelines issued by the US Preventive Services Task Force in November 2009 triggered a debate among physicians, patient advocacy groups, and the media. Much of the controversy focused on the recommendation against routine annual mammography screening for women in their 40s.

“We believe this study demonstrates the importance of mammography screening for women in this age group, which is in opposition to the recommendations issued by the task force,” said Stamatia V. Destounis, MD, radiologist and managing partner of Elizabeth Wende Breast Care, LLC (Rochester, NY, USA).

For the study, Dr. Destounis and colleagues performed a retrospective review to identify the number and type of cancers diagnosed among women between the ages of 40 and 49--with and without a family history of breast cancer--who underwent screening mammography at Elizabeth Wende Breast Care from 2000 to 2010. The researchers then compared the number of cancers, incidence of invasive disease and lymph node metastases between the two groups.

Of the 1,071 patients in the 40-49 age group with breast cancer, 373 were diagnosed as a result of screening. Of that 373, 39% had a family history of breast cancer, and 61% had no family history of breast cancer. In the family history group, 63.2% of the patients had invasive disease, and 36.8% had noninvasive disease. In the no family history group, 64% of the patients had invasive disease, and 36% had noninvasive disease. The respective lymph node metastatic rates were 31% and 29%.

“In the 40-49 age group, we found a significant rate of breast cancer and similar rates of invasive disease in women with and without family history,” Dr. Destounis said. “Additionally, we found the lymph node metastatic rate was similar.”

According to Dr. Destounis, these findings highlight the importance of early detection and annual screening mammography for women between the ages of 40 and 49 whether or not they have a family history of breast cancer.

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66 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.769577026367): select jos_linkedin.link from jos_linkedin where cat=10

68 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE id=294738488 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738488 AND published='1' LIMIT 1

69 (57.93571472168): 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 (525.95138549805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 6681.9190979004): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (138.99803161621): 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 (!!!!! 2734.899520874): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (576.01928710938): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (48.87580871582): 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 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (522.13668823242): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1179.9335479736): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (61.988830566406): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.114227294922): 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 (!!!!! 1492.977142334): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (205.99365234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (664.94941711426): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (456.80999755859): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (148.05793762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (127.07710266113): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (500.91743469238): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (133.99124145508): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (108.00361633301): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 5819.0822601318): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

105 (391.96014404297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

106 (339.98489379883): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1419.0673828125): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1265.0489807129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

109 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

110 (223.15979003906): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (720.02410888672): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1619.1005706787): 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 (627.04086303711): 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 (!!!!! 1302.0038604736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

115 (490.90385437012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

116 (710.01052856445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

117 (273.9429473877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

118 (!!!!! 1464.84375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

119 (478.98292541504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

120 (!!!!! 1148.9391326904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

121 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

122 (610.8283996582): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 84444.046020508): 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 (!!!!! 7761.9552612305): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738488 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738488 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 37281.99005127): ( 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 (!!!!! 6048.9177703857): ( 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 (!!!!! 8190.8702850342): 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 (!!!!! 7993.9365386963): 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 (!!!!! 7680.1776885986): 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 (!!!!! 7951.021194458): 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 (!!!!! 7916.9273376465): 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 (!!!!! 7985.1150512695): 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 (!!!!! 4599.0943908691): 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 (!!!!! 3434.1812133789): 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 (467.06199645996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (259.8762512207): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1662.9695892334): SELECT name FROM jos_deeppockets WHERE id=211

138 (!!!!! 4083.1565856934): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1188.0397796631): 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 (!!!!! 5256.8912506104): 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 (!!!!! 1219.0341949463): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

142 (!!!!! 3951.0726928711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

143 (!!!!! 27318.000793457): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3988.0275726318): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1507.9975128174): 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=294738488 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 3388.8816833496): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1138.9255523682): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (370.02563476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

149 (881.91032409668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

150 (!!!!! 2269.983291626): 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 (!!!!! 3802.0610809326): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

152 (!!!!! 3823.0419158936): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

153 (!!!!! 3898.8590240479): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738488 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738488 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 2720.1175689697): 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 (479.93659973145): 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 (315.90461730957): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (437.97492980957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

158 (271.08192443848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738488 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738488 AND published='1' LIMIT 1

159 (815.86837768555): select jos_twitters.link from jos_twitters where cat=10

160 (128.03077697754): select jos_facebook.link from jos_facebook where cat=10

161 (33.855438232422): select jos_google_plus.link from jos_google_plus where cat=10

162 (838.04130554199): select jos_linkedin.link from jos_linkedin where cat=10

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