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3D Foot Scanner Could Change Way Foot and Ankle Problems Are Diagnosed and Treated

By MedImaging International staff writers
Posted on 17 Sep 2013

Image: The pedCAT system, intended to diagnose and treat foot and ankle problems (Photo courtesy of CurveBeam).

A new scanner may soon change the way clinicians diagnose and treat foot and ankle problems.

In the United Kingdom, this new technology for the first time will enable clinicians to view the foot and ankle in three-dimensions (3D) in a full weight-bearing position, and if necessary, in shoes--helping to identify the source of pain more effectively.

Royal National Orthopedic Hospital (RNOH; London, UK) consultant orthopedic surgeon and clinical lead of the foot and ankle unit, Dr. Dishan Singh, said, “Traditionally, we have used 2D [two-dimensional] X-rays to diagnose foot problems but this only gives us limited information. The new scanner allows us to clearly see how the foot and ankle looks and functions in a weight-bearing position, and this will help us treat patients earlier to prevent long term problems.”

University College London (UCL) specialists discovered that a number of their female patients (57%) admitted to experiencing severe foot pain caused by consistently wearing uncomfortable shoes. An additional 86% admitted that they found difficulty in finding shoes that could comfortably fit their feet.

Women who regularly wear high heels frequently experience f foot and ankle problems because body weight is transferred to the ball of the foot, adding pressure to sesamoids. Frequent wearing of high heels also squashes the toes, pushing the foot into an unnatural shape, which can cause extreme pain and possible long-term damage such as clawing of the toes.

“More than one in five GP [general practitioner] visits relates to musculoskeletal problems and many of these are for problems relating to the foot and ankle. There is an established link between high heels and foot pain, but for the first time we are able to see the effect of such shoes on feet in real time,” said RNOH consultant orthopaedic surgeon Dr. Andy Goldberg. “In moderation high heels are fine; it’s when worn day in day out that problems could develop.”

CurveBeam’s pedCAT can scan both feet, standing in shoes or out, in less than 60 seconds and with similar radiation levels to traditional X-rays. In its first month of use at RNOH the pedCAT has already been used to scan more than 80 patients and has helped to more effectively target a number of foot and ankle disorders, including bunions, dislocations, fractures, and arthritis.

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66 (108.00361633301): 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 (76.055526733398): select jos_twitters.link from jos_twitters where cat=10

68 (48.87580871582): select jos_facebook.link from jos_facebook where cat=10

69 (47.206878662109): select jos_google_plus.link from jos_google_plus where cat=10

70 (50.783157348633): select jos_linkedin.link from jos_linkedin where cat=10

71 (!!!!! 5295.0382232666): SELECT fid FROM jos_deeppockets WHERE id=294748256 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294748256 AND published='1' LIMIT 1

72 (149.96528625488): 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 (580.0724029541): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (540.97175598145): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (68.902969360352): 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 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 3955.8410644531): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (106.0962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (37.908554077148): 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 (79.870223999023): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

108 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

109 (72.002410888672): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (766.99256896973): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (220.06034851074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

112 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

113 (97.990036010742): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (860.92948913574): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 1192.8081512451): 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 (788.92707824707): 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 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

118 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

119 (147.10426330566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

120 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

121 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

122 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

123 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

124 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

125 (443.93539428711): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 69975.137710571): 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 (!!!!! 1461.0290527344): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748256 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748256 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 21075.963973999): ( 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 (221.01402282715): ( 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 (130.89179992676): 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 (121.8318939209): 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 (117.06352233887): 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 (225.06713867188): 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 (995.87440490723): 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 (167.8466796875): 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 (702.85797119141): 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 (105.85784912109): 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 (634.19342041016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (572.91984558105): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (75.101852416992): SELECT name FROM jos_deeppockets WHERE id=211

141 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=211

142 (811.10000610352): 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 (844.95544433594): 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 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

145 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

146 (!!!!! 9223.9379882812): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 2119.0643310547): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (135.89859008789): 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=294748256 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (483.03604125977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (224.82872009277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

152 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

153 (!!!!! 1899.0039825439): 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 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

155 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

156 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294748256 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294748256 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (41.007995605469): 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 (37.908554077148): 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 (56.028366088867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

161 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294748256 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294748256 AND published='1' LIMIT 1

162 (70.095062255859): select jos_twitters.link from jos_twitters where cat=10

163 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

164 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

165 (48.160552978516): select jos_linkedin.link from jos_linkedin where cat=10

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