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Frequent Dental X-Rays Tied to Most Common Brain Tumor

By MedImaging International staff writers
Posted on 23 Apr 2012

Individuals who in the past received frequent dental X-rays have an increased risk of developing the most commonly diagnosed primary brain tumor in the United States. Although dental X-rays are needed in many cases, these findings suggest that moderate use of this form of imaging may be more beneficial to some patients.

The study’s findings were published April 2012 online in Cancer, a journal of the American Cancer Society. Ionizing radiation is the chief environmental risk factor for developing meningioma, which is the most frequently diagnosed primary brain tumor in the United States. Dental X-rays are the most common artificial source of exposure to ionizing radiation for individuals living in the United States.

To evaluate the relationship between dental X-rays and the risk of developing meningioma, Elizabeth Claus, MD, PhD, from the Yale University School of Medicine (New Haven, CT, USA) and Brigham and Women’s Hospital (Boston, MA, USA) and her colleagues studied information from 1,433 patients who were diagnosed with the disease between the ages of ages 20 and 79 years and were residents of the US states of Connecticut, Massachusetts, North Carolina, the San Francisco Bay Area, and eight counties in Houston, Texas, between May 1, 2006, and April 28, 2011. The investigators also studied information from a control group of 1,350 individuals who had similar characteristics but who had not been diagnosed with a meningioma.

Over a lifetime, patients with meningioma were more than twice as likely as controls to report having ever had a bitewing exam, which uses an X-ray film held in position by a tab between the teeth. Individuals who reported receiving bitewing exams on a yearly or more frequent basis were 1.4 to 1.9 times as likely to develop meningioma as controls. (Risks differed depending on the age at which the exams were performed.)

An increased risk of meningioma was also linked with panorex exams taken at a young age or on a yearly or more frequent basis. Individuals who reported receiving these exams when they were younger than 10 years old had a 4.9 times increased risk of developing meningioma. Those who reported receiving them on a yearly or more frequent basis were 2.7 to 3.0 times (depending on age) as likely to develop meningioma as controls.

The researchers noted that today’s dental patients are exposed to lower doses of radiation than in the past. Nevertheless, “the study presents an ideal opportunity in public health to increase awareness regarding the optimal use of dental X-rays, which unlike many risk factors is modifiable,” said Dr. Claus. “Specifically, the American Dental Association’s guidelines for healthy persons suggest that children receive one X-ray every one-to-two years, teens receive one X-ray every 1.5-3 years, and adults receive one X-ray every two-to-three years. Widespread dissemination of this information allows for increased dialogue between patients and their healthcare providers,” she added.

A 2006 statement by the American Dental Association highlighted the need for dentists to examine the risks and benefits of dental X-rays and confirmed that there is little evidence to support the use of dental X-rays of all teeth in patients who do not experience any symptoms.

Related Links:
Yale University School of Medicine
Brigham and Women’s Hospital

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63 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

64 (157.11784362793): 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

65 (794.88754272461): SELECT fid FROM jos_deeppockets WHERE id=294740303 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740303 AND published='1' LIMIT 1

66 (102.99682617188): 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`

67 (109.91096496582): select jos_twitters.link from jos_twitters where cat=10

68 (60.081481933594): select jos_facebook.link from jos_facebook where cat=10

69 (56.028366088867): select jos_google_plus.link from jos_google_plus where cat=10

70 (66.995620727539): select jos_linkedin.link from jos_linkedin where cat=10

71 (130.89179992676): SELECT fid FROM jos_deeppockets WHERE id=294740303 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740303 AND published='1' LIMIT 1

72 (66.041946411133): 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`

73 (598.90747070312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (419.85511779785): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (75.101852416992): 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`

76 (83.92333984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (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`

93 (91.791152954102): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (125.16975402832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

108 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

109 (121.11663818359): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (128.98445129395): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

112 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

113 (89.883804321289): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 2332.9257965088): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (941.03813171387): 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 (655.17425537109): 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

117 (200.98686218262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

118 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

119 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

120 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

121 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

122 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

123 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

124 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

125 (456.09474182129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 33685.922622681): 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

127 (864.98260498047): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740303 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740303 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 11902.809143066): ( 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 (136.13700866699): ( 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

130 (88.930130004883): 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 (47.922134399414): 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

132 (83.92333984375): 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 (50.067901611328): 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

134 (638.96179199219): 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 (66.041946411133): 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

136 (72.956085205078): 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 (39.100646972656): 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

138 (622.98774719238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (568.86672973633): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (154.01840209961): SELECT name FROM jos_deeppockets WHERE id=211

141 (58.889389038086): SELECT name FROM jos_deeppockets WHERE id=211

142 (927.20985412598): 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 (839.9486541748): 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

144 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

145 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

146 (!!!!! 13597.965240479): TRUNCATE TABLE jos_trademed_module

147 (222.92137145996): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (92.029571533203): 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=294740303 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (649.92904663086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

152 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

153 (!!!!! 1817.9416656494): 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

154 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

155 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

156 (66.041946411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740303 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740303 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (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)

158 (44.822692871094): 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)

159 (60.081481933594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

161 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740303 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740303 AND published='1' LIMIT 1

162 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

163 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

164 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

165 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

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