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New Chernobyl Disaster Findings May Help Estimate Cancer Risk from Low-Dose Exposures from CT Scans

By MedImaging International staff writers
Posted on 19 Nov 2012

A 20-year study has been conducted that tracked 110,645 Ukrainian workers who helped clean up after the 1986 Chernobyl nuclear power plant accident. The new findings revealed that the workers share a considerable increased chance of developing leukemia. The new findings may help scientists better determine cancer risks associated with low doses of radiation from diagnostic imaging procedures that utilize radiation such as computed tomography (CT) scans and other sources.

In the November 8, 2012, issue of the journal Environmental Health Perspectives, an international team led by scientists from the University of California, San Francisco (UCSF; USA) and the Chernobyl Research Unit at the Radiation Epidemiology Branch of the National Cancer Institute describes the increased risks of leukemia among these workers between 1986 and 2006. The risk included a greater-than-expected number of cases of chronic lymphocytic leukemia, which many specialists did not consider to be linked with radiation exposure in the past.

The new study is the longest and largest study to date involving Chernobyl cleanup workers who worked at or near the nuclear complex in the aftermath of the accident. Overall, there were 137 cases of leukemia among the workers over the 20-year span of the study, and 16% of those cancers were attributable to the Chernobyl radiation exposure, the investigators found.

The findings offer clues into on the thorny issue of estimating cancer risk from low doses of radiation --a matter of importance to nuclear workers, miners, and anyone who is chronically exposed to low levels of radiation at work or patients who receive substantial radiation doses when undergoing medical diagnostic tests. “Low doses of radiation are important,” said the lead researcher Lydia Zablotska, MD, PhD, an associate professor of epidemiology and biostatistics at UCSF. “We want to raise awareness of that.”

The nearly 111,000 Ukrainian workers in the study were among the more than 500,000 former Soviet [USSR] citizens who worked directly on the nuclear complex site in the aftermath of Chernobyl disaster, which was the worst nuclear accident of the 20th century followed by the 2011 Fukushima disaster in Japan. On April 26, 1986, a planned test of a backup system for running cooling pumps went haywire. A combination of unsafe reactor design and human error and led to the cascading generation of heat in Chernobyl’s reactor no. 4, which rapidly caused two massive explosions, ruptured the reactor, crushed the building, drizzled radioactive debris around the compound, and spread fallout through the atmosphere over the Soviet Union and Europe.

Many of the Ukrainian workers were exposed to high levels of radiation because they were part of the heroic groups that helped clean up contaminated wreckage from the immediate area--much of which was highly radioactive. Some of them, in fact, reached lifetime limits of radiation exposure within a few hours. Even though an elevated radiation-related risk of leukemia was not unexpected, given the degree of exposure among many of these workers, what did surprise Dr. Zablotska and her colleagues was the increased risk of chronic lymphocytic leukemia (CLL), which was similar in size to the risk estimated for non-CLL leukemia.

Clinicians have known for a long time that X-ray source ionizing radiation or generated by the decay of radioactive elements can cause leukemia, because it can penetrate the body, expose bone marrow to the radiation, and impair DNA. However, whereas scientists have understood specifics about this basic process, how much leukemia risk is associated with moderate or low doses of radiation have been difficult to assess.

For many years, the best estimates came from long-term studies involving survivors of the 1945 atomic bomb explosions over Nagasaki and Hiroshima, Japan, during World War II. People in the close vicinity of the blasts were exposed to various levels of radiation, and in the years afterward, their health was monitored and the increase in cancer tracked.

From those cancer risk evaluations, scientists estimated risks from lower doses by extrapolating the data down. But there have always been snags with this approach, according to Dr. Zablotska. Atomic bomb survivors were immersed in neutron or gamma rays, where when patients undergo CT scanning in the United States, they are exposed to X-rays, a different sort of radiation. Moreover, deducing risks for Japanese population to Western population is additionally muddled by disparities in lifestyle, genetics, and diet between the two.

The new study helps to close this discrepancy because the doses received by the Ukrainian cleanup workers fell between the high level received by the Japanese atomic bomb victims and the lower levels received by people who undergo extensive medical scans. It also challenges the hypothesis that chronic lymphocytic leukemia is not linked to radiation exposure--something that earlier research of atomic bomb survivors had appeared to backup.

The genetic composition of the Japanese population may have hidden any increased risk, according to Dr. Zablotska, because they are much less likely to develop this type of cancer. Chronic lymphocytic leukemia accounts for only 3% of all cases of leukemia in Japan—in contrast to approximately one-third of all leukemia cases in the United States and 40% of all cases of leukemia in Ukraine.

Other authors on this study are associated with the National Research Center for Radiation Medicine (Kyiv, Ukraine), the US National Cancer Institute (Bethesda, MD, USA), Robert Wood Johnson Medical School (Camden, NJ, USA), Columbia University (New York, NY, USA), and Burnasyan Federal Medical Biophysical Center (Moscow, Russia).

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56 (546.21696472168): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 44803.142547607): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

58 (!!!!! 3983.9744567871): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

59 (!!!!! 6551.0272979736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

60 (!!!!! 2805.9482574463): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

61 (!!!!! 35472.15461731): 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 (!!!!! 7753.849029541): SELECT fid FROM jos_deeppockets WHERE id=294743466 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743466 AND published='1' LIMIT 1

63 (136.8522644043): 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 (!!!!! 8689.8803710938): select jos_twitters.link from jos_twitters where cat=10

65 (121.8318939209): select jos_facebook.link from jos_facebook where cat=10

66 (51.021575927734): select jos_google_plus.link from jos_google_plus where cat=10

67 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 14233.827590942): SELECT fid FROM jos_deeppockets WHERE id=294743466 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743466 AND published='1' LIMIT 1

69 (111.10305786133): 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 (572.91984558105): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (359.77363586426): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (44.107437133789): 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 (979.18510437012): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 1212.8353118896): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (76.055526733398): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1096.9638824463): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 1088.1423950195): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 5464.0769958496): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2353.9066314697): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 3620.1477050781): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (113.96408081055): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 32345.056533813): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 1756.9065093994): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (163.07830810547): 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 (!!!!! 10619.163513184): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (396.9669342041): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (213.1462097168): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 14729.022979736): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (606.06002807617): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (231.02760314941): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4417.896270752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

105 (349.99847412109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

106 (180.00602722168): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 5177.9747009277): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 32227.039337158): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

109 (359.05838012695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

110 (242.94853210449): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (788.21182250977): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 16987.085342407): 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 (771.99935913086): 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 (!!!!! 8292.9134368896): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

115 (!!!!! 6237.9837036133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

116 (586.98654174805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

117 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

118 (298.97689819336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

119 (!!!!! 5656.0039520264): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

120 (!!!!! 6827.1160125732): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

121 (!!!!! 3862.1425628662): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

122 (276.08871459961): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 56879.043579102): 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 (!!!!! 14137.029647827): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743466 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743466 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21955.013275146): ( 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 (!!!!! 13594.86579895): ( 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 (303.98368835449): 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 (200.98686218262): 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 (!!!!! 1890.1824951172): 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 (158.07151794434): 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 (799.89433288574): 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 (43.153762817383): 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 (!!!!! 5870.1038360596): 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 (76.055526733398): 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 (!!!!! 3201.961517334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (719.07043457031): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 2032.0415496826): SELECT name FROM jos_deeppockets WHERE id=211

138 (236.98806762695): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1140.1176452637): 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 (641.1075592041): 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 (!!!!! 17318.0103302): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

142 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

143 (!!!!! 25345.802307129): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 11079.072952271): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1613.1401062012): 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=294743466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 14782.190322876): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 4547.8343963623): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

149 (273.9429473877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

150 (!!!!! 18826.961517334): 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 (!!!!! 15359.878540039): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

152 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

153 (617.02728271484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743466 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743466 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (970.84045410156): 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 (61.988830566406): 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 (!!!!! 2378.9405822754): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1237.154006958): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

158 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743466 AND published='1' LIMIT 1

159 (413.89465332031): select jos_twitters.link from jos_twitters where cat=10

160 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

161 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

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

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