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CT Angiography Shows Risk of Cerebral Aneurysm Rupture Increases by Growth

By MedImaging International staff writers
Posted on 31 Jul 2013

Cerebral aneurysms of all sizes, even small ones below 7 mm, are 12 times more likely to rupture if they are growing in size, according to new research.

The new findings were published online July 2, 2013, in the journal Radiology. A cerebral aneurysm is a balloon-like bulge in a weakened blood vessel in the brain. If an aneurysm ruptures, blood is leaked into or around the brain, which can cause brain damage or death.

According to the Brain Aneurysm Foundation (Hannover, MA, USA), an estimated six million people in the United States have an unruptured brain aneurysm (1 in 50 people). Ruptured brain aneurysms occur in approximately 30,000 Americans annually and are fatal in about 40% of cases. Of those who survive, approximately two-thirds suffer some permanent neurologic deficit.

“Given what a devastating event a ruptured brain aneurysm is, we are very motivated to identify the real risk factors for rupture,” said the study’s lead author, J. Pablo Villablanca, MD, chief of diagnostic neuroradiology at the David Geffen School of Medicine at the University of California, Los Angeles (UCLA; USA).

In Dr. Villablanca’s study, 258 asymptomatic cerebral aneurysms identified either incidentally or during a baseline study of 165 patients (132 women, 33 men) were monitored over time (mean of 2.24 years) with computed tomography angiography (CTA), a noninvasive imaging study of the brain’s blood vessels. Patients were scanned with CTA at intervals of six or 12 months.

Over the study period, the researchers observed growth in 46 or almost 18% of all the intracranial aneurysms in a total of 38 patients. Three of the 39 growing saccular aneurysms ruptured, and of those, all were less than seven millimeters in size at study entry. “Our study shows that the size of the aneurysm is not as important as was once thought,” Dr. Villablanca said. “Any aneurysm is potentially capable of growth and thus requires follow-up imaging.”

Current guidelines based on research conducted by the International Study of Unruptured Intracranial Aneurysms and other studies suggest that known aneurysms less than 7 mm in size have a low risk of rupture and do not need to be monitored with imaging. Compared to the aneurysms that stayed the same size, the 46 growing aneurysms in the study were associated with a 12-fold higher risk of rupture. The researchers calculated the risk of rupture for growing aneurysms at 2.4% per patient-year, versus 0.2% for aneurysms without growth.

“Our data support the need to perform longitudinal follow-up imaging to monitor for possible growth in all incidental unruptured aneurysms, including small lesions,” Dr. Villablanca said.

The researchers also discovered that tobacco smoking and the initial size of the aneurysm were independent predictors of aneurysm growth. Together, these risk factors were associated with 78.4% of all aneurysm growth in the study. “The positive association between aneurysm growth, aneurysm size, and cigarette smoking suggests that the combination of these factors are associated with an increased risk of rupture and may influence the need for therapeutic intervention,” Dr. Villablanca said.

Observation was the treatment of choice for 194 of 212 (91%) stable aneurysms. When aneurysm growth was discovered by CTA imaging, 50% of the growing aneurysms were treated, while the remaining 50% continued to be observed.

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David Geffen School of Medicine at the University of California, Los Angeles

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61 (124.93133544922): 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 (641.1075592041): SELECT fid FROM jos_deeppockets WHERE id=294747518 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747518 AND published='1' LIMIT 1

63 (507.83157348633): 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 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (75.101852416992): select jos_google_plus.link from jos_google_plus where cat=10

67 (43.869018554688): select jos_linkedin.link from jos_linkedin where cat=10

68 (68.902969360352): SELECT fid FROM jos_deeppockets WHERE id=294747518 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747518 AND published='1' LIMIT 1

69 (121.11663818359): 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 (!!!!! 4146.0990905762): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 3952.0263671875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1635.0746154785): 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 (!!!!! 2456.9034576416): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (120.87821960449): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 2867.9370880127): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (98.943710327148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2738.9526367188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (110.86463928223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (55.074691772461): 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 (!!!!! 4343.0328369141): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 3982.0671081543): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 6659.0309143066): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 1416.9216156006): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (731.9450378418): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 4708.0516815186): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1553.0586242676): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 5092.1440124512): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

105 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

106 (85.830688476562): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (653.98216247559): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1085.0429534912): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

110 (123.97766113281): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (568.15147399902): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (739.09759521484): 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 (499.96376037598): 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 (665.18783569336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

115 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

116 (506.16264343262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

117 (202.17895507812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

118 (448.94218444824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

119 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

120 (638.00811767578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

121 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

122 (427.9613494873): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 58551.073074341): 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 (662.08839416504): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747518 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747518 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 19105.911254883): ( 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 (81.062316894531): ( 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 (419.13986206055): 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 (65.088272094727): 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 (397.92060852051): 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 (66.995620727539): 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 (!!!!! 2436.8762969971): 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 (65.088272094727): 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 (407.93418884277): 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 (52.928924560547): 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 (599.14588928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 2510.0708007812): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (387.90702819824): SELECT name FROM jos_deeppockets WHERE id=211

138 (60.081481933594): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1870.87059021): 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 (825.88195800781): 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 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

142 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

143 (!!!!! 11181.116104126): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 10854.005813599): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1748.0850219727): 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=294747518 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 5205.8696746826): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2978.0864715576): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

149 (461.10153198242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

150 (!!!!! 3398.8952636719): 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 (769.13833618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

152 (338.07754516602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

153 (!!!!! 1390.9339904785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747518 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747518 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (447.03483581543): 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 (!!!!! 5108.118057251): 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 (!!!!! 3710.0315093994): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (710.01052856445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

158 (491.14227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747518 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747518 AND published='1' LIMIT 1

159 (992.0597076416): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 1154.899597168): select jos_facebook.link from jos_facebook where cat=10

161 (67.949295043945): select jos_google_plus.link from jos_google_plus where cat=10

162 (56.028366088867): select jos_linkedin.link from jos_linkedin where cat=10

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