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Earlier Mammography of Breast Cancer Leads to Better Prognosis in 40-49 Year-Olds

By MedImaging International staff writers
Posted on 07 Mar 2012

Based on a study of nearly 2,000 breast cancer patients, researchers reported that, in women between the ages of 40 and 49, breast tumors identified by mammography have a better prognosis.

The study was published in the March 2012 issue of the journal Radiology. “In our study, women aged 40 to 49 whose breast cancer was detected by mammography were easier to treat and had less recurring disease and mortality, because their cancer was found at an earlier stage,” said Judith A. Malmgren, PhD, president of HealthStat Consulting, Inc. (Seattle, WA, USA).

Dr. Malmgren and a team of researchers reviewed breast cancer-patient data from a dedicated registry at the Swedish Cancer Institute’s (Seattle, WA, USA) community cancer center. The researchers analyzed data on 1,977 breast cancer patients between the ages of 40 and 49 who were treated between 1990 and 2008. The researchers looked at method of diagnosis (detected by mammography, patient, or physician), stage at diagnosis (0-IV, confirmed by biopsy), treatment, and annual follow-up data, including recurrence of disease.

“Our goal was to assess the differences between mammography and non-mammography detected breast cancer, to determine whether earlier detection confers a treatment and morbidity advantage because the disease is found at an earlier stage,” Dr. Malmgren said.

The data analysis revealed a substantial increase in the percentage of mammography-detected breast cancer over the 18-year period: from 28% in 1990 to 58% in 2008. Over the same period, patient- and physician-detected breast cancer declined from 73% of all cases in 1990 to 42% in 2008. “The shift toward more mammography-detected breast cancer cases was accompanied by a shift toward diagnosis at an earlier stage of disease that required less treatment,” Dr. Malmgren said.

Over the 18-year period, the number of breast cancers detected at stage 0 increased by 66%, while the number of stage III breast cancers decreased by 66%. Most of stage 0 cancer instances were ductal carcinoma in situ (DCIS), a noninvasive cancer that is confined to a milk duct. The treatment of DCIS remains controversial, because not all experts agree that it is potentially life threatening.

Dr. Malmgren reported that another major finding of the study was the extent of treatment patients received. Compared with women whose cancer was self-detected or discovered by a physician, patients whose cancer was detected using mammography were more likely to have breast-conserving treatment and less likely to have chemotherapy. Specifically, they were more likely to undergo lumpectomy (67% versus 48%), less likely to undergo modified radical mastectomy (25% versus 47%), and less likely to die of breast cancer (4% versus 11%).

“The benefits of breast cancer treatment are accompanied by significant harms,” Dr. Malmgren said. “Chemotherapy may have long-lasting toxic effects on a woman’s body, and mastectomy and reconstructive surgery are difficult and expensive operations that can have a significant effect on body image.”

The American Cancer Society (Houston, TX, USA) and other medical organizations recommend that women should begin receiving annual mammograms to screen for breast cancer beginning at age 40. In 2009, the US Preventive Services Task Force issued controversial new guidelines that eliminated the longstanding recommendation for routine mammography screening for women between the ages of 40 and 49, stating that the benefits of screening were possibly outweighed by the harms of screening, such as false-positive findings.

“The objective of screening is to detect disease at an earlier, more treatable stage, which--based on our review--mammography accomplishes,” Dr. Malmgren concluded.

Related Links:
HealthStat Consulting
Swedish Cancer Institute

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61 (!!!!! 5776.1669158936): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

62 (!!!!! 2373.9337921143): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

63 (!!!!! 9714.8418426514): 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

64 (!!!!! 1434.0877532959): SELECT fid FROM jos_deeppockets WHERE id=294739658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739658 AND published='1' LIMIT 1

65 (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`

66 (286.10229492188): select jos_twitters.link from jos_twitters where cat=10

67 (250.10108947754): select jos_facebook.link from jos_facebook where cat=10

68 (880.00297546387): select jos_google_plus.link from jos_google_plus where cat=10

69 (55.074691772461): select jos_linkedin.link from jos_linkedin where cat=10

70 (!!!!! 5318.8800811768): SELECT fid FROM jos_deeppockets WHERE id=294739658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739658 AND published='1' LIMIT 1

71 (!!!!! 1114.8452758789): 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`

72 (696.89750671387): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (436.06758117676): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (889.06288146973): 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`

75 (!!!!! 7134.1991424561): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 7720.947265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 7921.9341278076): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 7936.954498291): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 7887.1250152588): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 4565.0005340576): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1526.1173248291): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 6047.0104217529): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (957.96585083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2307.1765899658): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (703.09638977051): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (674.00932312012): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (610.8283996582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (148.05793762207): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (174.99923706055): 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`

92 (!!!!! 4251.0032653809): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (655.8895111084): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 2949.9530792236): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (366.9261932373): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (375.98609924316): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (591.03965759277): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (316.14303588867): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (270.84350585938): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (310.89782714844): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (265.12145996094): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (247.95532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 1765.0127410889): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

107 (264.88304138184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

108 (787.97340393066): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 3578.9012908936): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 2431.8695068359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

111 (469.92301940918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

112 (311.85150146484): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 1074.0756988525): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 1170.1583862305): 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

115 (!!!!! 7105.1120758057): 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

116 (!!!!! 6422.9965209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

117 (!!!!! 5428.0757904053): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

118 (676.15509033203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

119 (358.10470581055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

120 (674.96299743652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

121 (!!!!! 1260.9958648682): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

122 (762.939453125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

123 (!!!!! 3022.9091644287): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

124 (!!!!! 6216.0491943359): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 99873.065948486): 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

126 (613.92784118652): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739658 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 45631.885528564): ( 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

128 (!!!!! 39668.083190918): ( 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

129 (73.909759521484): 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

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 = 294803337 LIMIT 1

131 (318.05038452148): 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

132 (40.054321289062): 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

133 (357.86628723145): 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

134 (35.04753112793): 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

135 (45.061111450195): 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

136 (30.994415283203): 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

137 (!!!!! 1246.9291687012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (723.12355041504): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (195.02639770508): SELECT name FROM jos_deeppockets WHERE id=211

140 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=211

141 (!!!!! 6613.9698028564): 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

142 (!!!!! 1385.9272003174): 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

143 (!!!!! 2502.2029876709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

144 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

145 (!!!!! 19755.840301514): TRUNCATE TABLE jos_trademed_module

146 (93.936920166016): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (887.87078857422): 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=294739658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 1391.1724090576): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (376.93977355957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

151 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

152 (!!!!! 2546.0720062256): 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

153 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

154 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

155 (!!!!! 3566.0266876221): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739658 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (166.89300537109): 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)

157 (87.02278137207): 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)

158 (336.88545227051): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (595.0927734375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

160 (223.87504577637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739658 AND published='1' LIMIT 1

161 (356.91261291504): select jos_twitters.link from jos_twitters where cat=10

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

163 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

164 (73.909759521484): select jos_linkedin.link from jos_linkedin where cat=10

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