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Learning How and Why Lung Cancer Patients First Get Diagnosed

By MedImaging International staff writers
Posted on 14 Jan 2013

Researchers are looking into the widespread implementation of computed tomography (CT) scanning for the early detection of lung cancer in a public heath environment, trying to determine two key problems: without screening, why and how do patients with lung cancer get diagnosed with the disease at first and what percentage of these cases would be identified by screening efforts?

Dr. David Gerber, an oncologist and assistant professor of internal medicine at the University of Texas (UT) Southwestern Medical Center (Dallas, USA), has used the electronic medical records (EMRs) data of more than 400 patients in a single-center study that is further exploring results from the US National Lung Screening Trial (NLST) released in 2010. The NLST already showed a reduction in lung cancer mortality may result in widespread CT-based screening of select populations. This population was strictly defined according to age (55 to 74 years) and smoking history (at least 30 years of one-pack-a-day smoking).

Dr. Gerber and his coworkers, in a study published January 3, 2013, in PLoS ONE--the Public Library of Science’s online journal, reviewed the records of patients who were diagnosed with stage 1 or stage 2 non-small-cell lung cancer over a recent 10-year period, and found that the proportion of cases identified by CT scan (without an earlier chest radiograph) increased nearly 50% during this period. Simultaneously, the percentage of patients who underwent initial chest imaging to evaluate symptoms declined more than 30%. Finally, the researchers found that only half of early-stage lung cancer cases would meet NLST criteria for lung cancer screening.

“Our results suggest that a substantial proportion of patients currently presenting with early-stage lung cancer would continue to do so independently of radiographic screening if such a program were implemented according to NLST criteria,” Dr. Gerber said. “The possibility of frequent detection of early-stage disease outside of a screening context seems more likely with lung cancer than with other malignancies, as chest imaging is a more common practice in nonscreening clinical care than are mammograms, Pap smears, and colonoscopies.”

Whether radiographic screening for lung cancer should be extended to a wider population is not yet known. “Adhering to specific guidelines may be challenging for clinicians,” Dr. Gerber said. “For instance, in our sample, almost 25% of patients with early-stage disease would be ineligible for screening because they are too old under NLST criteria.”

Dr. Gerber noted that specific professional organizations, such as the National Comprehensive Cancer Network, have neglected a maximum age cut-off from their screening recommendations. “Until there is sufficient evidence to offer screening to a broader population,” Dr. Gerber said, “clinicians should remain aware of the diverse reasons for and circumstances of early-stage lung cancer presentation to expedite further evaluation and potentially curative treatment.”

Related Links:
University of Texas Southwestern Medical Center

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65 (543.11752319336): SELECT fid FROM jos_deeppockets WHERE id=294744225 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294744225 AND published='1' LIMIT 1

66 (123.97766113281): 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 (181.91337585449): select jos_twitters.link from jos_twitters where cat=10

68 (138.0443572998): select jos_facebook.link from jos_facebook where cat=10

69 (140.90538024902): select jos_google_plus.link from jos_google_plus where cat=10

70 (375.03242492676): select jos_linkedin.link from jos_linkedin where cat=10

71 (141.14379882812): SELECT fid FROM jos_deeppockets WHERE id=294744225 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294744225 AND published='1' LIMIT 1

72 (!!!!! 3523.8265991211): 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 (!!!!! 1232.8624725342): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (538.82598876953): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (69.856643676758): 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 (100.13580322266): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (478.02925109863): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 2361.0591888428): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (62.942504882812): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (60.081481933594): 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 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

108 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

109 (70.095062255859): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (56.028366088867): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

112 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

113 (77.962875366211): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (666.85676574707): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (758.88633728027): 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 (511.88468933105): 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 (159.02519226074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

118 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

119 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

120 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

121 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

122 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

124 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

125 (331.16340637207): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 24027.824401855): 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 (647.06802368164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294744225 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294744225 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (87.976455688477): ( 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 (48.160552978516): ( 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 (47.206878662109): 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 (42.915344238281): 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 (80.108642578125): 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 (33.140182495117): 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 (56.982040405273): 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 (32.186508178711): 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 (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 (29.087066650391): 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 (602.00691223145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (435.82916259766): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=211

141 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=211

142 (709.05685424805): 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 (643.01490783691): 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 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

145 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

146 (!!!!! 9755.8498382568): TRUNCATE TABLE jos_trademed_module

147 (138.99803161621): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (82.969665527344): 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=294744225 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (961.0652923584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

152 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

153 (!!!!! 1554.9659729004): 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 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

155 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

156 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294744225 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294744225 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (40.054321289062): 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 (34.093856811523): 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 (54.836273193359): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

161 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294744225 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294744225 AND published='1' LIMIT 1

162 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

163 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

164 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

165 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

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