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Undesirable Aspects of Cancer Radiotherapy Outlined in Report

By MedImaging International staff writers
Posted on 28 Mar 2012

The number of cancer survivors in the United States has tripled since 1971; however, increases in survival have come at the expense of second malignancies and cardiovascular disease, according to a recent report by a US national scientific committee.

The report was chaired by Lois B. Travis, MD, ScD, from the University of Rochester Medical Center (URMC; NY, USA). The Journal of the National Cancer Institute published a detailed summary online on March 13, 2012. The expert scientific committee, which was convened by the US National Council on Radiation Protection and Measurements (NCRP; Bethesda, MD, USA), deliberated intensely for five years as they considered some of the most important repercussions of radiation treatments and made several important conclusions and recommendations.

Their comprehensive, 425-page report will be made available in the spring of 2012. Before reports are approved and published by the NCRP, they undergo extensive peer review by an outside panel of experts, who provide substantial and key comments that are addressed by the scientific committee. The revised report is then reviewed by all members of the NCRP before final revision and publication.

“For many survivors the successes of treatment have been offset by the late effects of cancer and its therapy,” said Dr. Travis, a professor in the department of radiation oncology and director of the Rubin Center for Cancer Survivorship at the James P. Wilmot Cancer Center at URMC. “Although many complex factors influence the risk of second malignancies and other health issues after cancer treatment--including lifestyle choices such as diet, exercise, alcohol and tobacco use, as well as genetics, age, and immune system function--it is vital that we develop the best possible long-term risk estimates and prediction models, and that we establish research priorities and identify concrete ways to prevent serious additional health problems among cancer survivors.”

The committee’s focus was on the consequences of radiation therapy, which is a cornerstone of cancer treatment and used in approximately 50% of all cancer cases. (Chemotherapy is addressed to a lesser degree, when it is used in combination with radiation.)

Louis S. Constine, MD, professor and vice-chair of the URMC department of radiation oncology, was a member of the NCRP scientific committee and echoed Dr. Travis’ thoughts. He added that although radiation can be a life-saving therapy, it is critical that physicians and patients be alert to long-term side effects and plan appropriately for follow-up. As clinical director of the Wilmot Cancer Center’s survivorship division, he is working with others to develop a program that will provide patients with a comprehensive plan for their post-cancer care.

The NCRP’s key findings include (1) Newer radiotherapy-treatment methods and techniques result in a different distribution of the radiation to organs and tissue than older treatment regimens. However, the current models used to assess risk of second malignancies and cardiovascular diseases are frequently based on older treatment regimens. Newer risk-prediction models should be based on the dose absorbed by the organ and the type of radiation prescribed. (2) Once a patient develops a second primary cancer, few studies have explained survival after the diagnosis of the second malignancies. Establishing a research infrastructure that can be used by the many disciplines involved in the care of survivors is important. Specifically, follow-up studies of cancer survivors should evaluate populations treated with modern radiotherapy methods such as tomotherapy and the cyber knife, and at decreased field sizes and lower dosages. (3) More studies are needed to examine all aspects of the relationship between radiation dose and risk of second malignancies and heart disease, according to the researchers. Long-term, large-scale studies are required to track cancer survivors of all ages, but especially those who are adolescents and young adults, and characterize their risks as they age. Studies are needed to determine the molecular and genetic foundations of radiotherapy-associated late health effects, with a specific emphasis on patients who develop two or more primary cancers after radiation treatment. (4) The latest radiation techniques and lower doses results in a much smaller risk of cardiovascular difficulties for patients. However, a significant noncancer cause of death for some survivors is radiation-related heart disease, including pericardial disease, coronary artery disease, stroke, valvular dysfunction, and conduction abnormalities. Lastly, (5) more research is needed to predict the high complication rates in specific populations of cancer patients, according to the authors of the report.

Related Links:
University of Rochester Medical Center
US National Council on Radiation Protection and Measurements

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58 (815.86837768555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

59 (!!!!! 10539.770126343): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

60 (555.99212646484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

61 (!!!!! 8533.0009460449): 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

62 (!!!!! 7260.0841522217): SELECT fid FROM jos_deeppockets WHERE id=294739970 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739970 AND published='1' LIMIT 1

63 (!!!!! 6105.1845550537): 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 (!!!!! 5274.0573883057): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 8229.0172576904): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 4534.9597930908): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 7300.1384735107): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 7663.9652252197): SELECT fid FROM jos_deeppockets WHERE id=294739970 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739970 AND published='1' LIMIT 1

69 (!!!!! 8229.9709320068): 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 (!!!!! 7473.9456176758): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 8235.9313964844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 4405.9753417969): 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 (605.10635375977): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (203.13262939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (481.84394836426): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (560.04524230957): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (266.07513427734): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (340.93856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (153.0647277832): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (174.99923706055): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (379.08554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3871.9177246094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (514.03045654297): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (449.89585876465): 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 (!!!!! 3385.7822418213): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (227.92816162109): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (190.01960754395): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (306.84471130371): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 1305.8185577393): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (375.98609924316): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (297.06954956055): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (524.04403686523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (209.09309387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (177.86026000977): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1121.0441589355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

105 (241.04118347168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

106 (430.82237243652): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 2588.9873504639): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (817.06047058105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

109 (215.05355834961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

110 (208.13941955566): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (704.05006408691): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1508.9511871338): 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 (!!!!! 1240.9687042236): 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 (!!!!! 2258.0623626709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

115 (870.94306945801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

116 (923.15673828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

117 (320.1961517334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

118 (354.05158996582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

119 (236.98806762695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

120 (!!!!! 1759.0522766113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

122 (468.01567077637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 62824.010848999): 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 (!!!!! 2024.1737365723): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739970 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739970 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (969.88677978516): ( 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 (708.81843566895): ( 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 (45.061111450195): 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 (34.093856811523): 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 (836.13395690918): 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 (!!!!! 1250.9822845459): 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 (38.862228393555): 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 (30.994415283203): 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 (550.0316619873): 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 (48.87580871582): 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 (!!!!! 1000.8811950684): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (794.88754272461): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 4225.9693145752): SELECT name FROM jos_deeppockets WHERE id=211

138 (!!!!! 2535.1047515869): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1203.0601501465): 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 (766.03889465332): 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 (!!!!! 2799.0341186523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

142 (254.15420532227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

143 (!!!!! 14592.885971069): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4990.1008605957): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (528.09715270996): 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=294739970 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 2140.998840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (288.96331787109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1100.0633239746): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

149 (252.00843811035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

150 (!!!!! 3978.0139923096): 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 (!!!!! 1297.9507446289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

152 (267.98248291016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

153 (!!!!! 1180.1719665527): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739970 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739970 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (564.0983581543): 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 (51.021575927734): 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 (36.954879760742): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 4431.0092926025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

158 (324.01084899902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739970 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739970 AND published='1' LIMIT 1

159 (928.87878417969): select jos_twitters.link from jos_twitters where cat=10

160 (189.06593322754): select jos_facebook.link from jos_facebook where cat=10

161 (530.00450134277): select jos_google_plus.link from jos_google_plus where cat=10

162 (427.9613494873): select jos_linkedin.link from jos_linkedin where cat=10

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