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Women Advised to Get Yearly Mammograms Starting at Age 40

By MedImaging International staff writers
Posted on 08 Jan 2015

Image: bilateral mediolateral oblique (MLO) views from screening mammography (Photo courtesy of RSNA).

Image: A spot magnification view demonstrates an irregular spiculated mass with associated calcifications in the upper outer left breast (Photo courtesy of RSNA).

Image: Screening mammogram demonstrating calcifications in the upper outer left breast. Bilateral cranio-caudal views shown (Photo courtesy of RSNA).

A study of breast tumors identified with screening mammography revealed that a strong family history and dense breast tissue were typically absent in women between the ages of 40 and 49 diagnosed with breast cancer.

The study’s findings were presented at the annual meeting of the Radiological Society of North America (RSNA), held November 30 to December 4, 2014, in Chicago (IL, USA). “Screening recommendations for this age group continue to be debated,” said Bonnie N. Joe, MD, PhD, associate professor in residence and chief of women’s imaging at the University of California, San Francisco (UCSF; USA). “Recent publications have suggested risk-based screening based on family history and breast density. However, our study shows that this approach would miss a significant percentage of invasive cancers and could potentially be dangerous.”

The retrospective study, conducted at UCSF, included 136 women between the ages of 40 and 49 with breast cancer identified by screening mammography between 1997 and 2012. Symptomatic patients undergoing diagnostic mammography and those with a personal history of breast cancer were excluded from the study. Patient family history, breast density, type of malignancy, lymph node status, and tumor receptor status were logged. “Notably, we found that almost 90% of the invasive cancers we would have missed using risk-based triage had positive receptor status, meaning they were very treatable and worth finding early,” Dr. Joe said.

Of the 136 breast cancer cases identified, 50% were diagnosed as invasive, and 50% were diagnosed as ductal carcinoma in situ (DCIS), an early noninvasive form of breast cancer, although 88% of DCIS cases were intermediate or high grade. A very strong family history was absent in 90% of patients, and extremely dense breast tissue was absent in 86%. Seventy-eight percent of patients had neither a strong family history nor extremely dense breasts, including 79% of the cases of invasive disease.

“Our results show that by exclusively using a risk-based approach to screening mammography, we could potentially miss more than 75% of breast cancers in women in their 40s, thereby eliminating most of the survival benefit from screening mammography that has been previously shown in randomized controlled trials,” Dr. Joe commented.

Dr. Joe advises advocates of risk-based screening to continue research to find more effective ways of risk-based triage. “Neither family history nor breast density in combination or alone are sufficient risk factors to safely triage patients in risk-based screening,” she explained.

Regular annual screening mammography has traditionally been recommended by organizations such as the American Cancer Society (ACS) and the American Medical Association (AMA) for all women beginning at age 40. In 2009, the United States Preventive Services Task Force (USPSTF) issued controversial new guidelines recommending screening with mammography every two years beginning at age 50. “Based on our current knowledge and evidence shown in previous trials, it is still safest to get annual mammograms starting at age 40 in order to maximize the survival benefit of screening mammography,” Dr. Joe concluded.

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60 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

61 (!!!!! 7456.0642242432): 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 (813.00735473633): SELECT fid FROM jos_deeppockets WHERE id=294756572 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756572 AND published='1' LIMIT 1

63 (191.92695617676): 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 (432.96813964844): select jos_twitters.link from jos_twitters where cat=10

65 (169.99244689941): select jos_facebook.link from jos_facebook where cat=10

66 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

67 (180.95970153809): select jos_linkedin.link from jos_linkedin where cat=10

68 (180.95970153809): SELECT fid FROM jos_deeppockets WHERE id=294756572 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756572 AND published='1' LIMIT 1

69 (!!!!! 2727.9853820801): 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 (!!!!! 3809.928894043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (484.94338989258): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (54.121017456055): 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 (!!!!! 4261.9705200195): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (55.789947509766): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (185.96649169922): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (260.82992553711): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (341.89224243164): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (271.08192443848): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (336.88545227051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (736.95182800293): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (49.829483032227): 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 (!!!!! 5071.8784332275): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (174.04556274414): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (280.14183044434): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (272.03559875488): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 2453.088760376): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 4020.9293365479): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 3829.9560546875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (108.00361633301): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 1012.0868682861): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2164.1254425049): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

105 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

106 (68.187713623047): 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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (591.03965759277): 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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 4513.0252838135): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

109 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

110 (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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (698.08959960938): 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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (653.02848815918): 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 (!!!!! 1565.9332275391): 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 (!!!!! 2954.0061950684): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

115 (115.87142944336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

116 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

117 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

118 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

119 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

120 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

121 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

122 (386.95335388184): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 61165.09437561): 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 (!!!!! 1009.9411010742): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756572 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756572 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (275.1350402832): ( 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 (51.021575927734): ( 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 (522.85194396973): 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 (45.7763671875): 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 (!!!!! 1482.9635620117): 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 (427.0076751709): 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 (247.95532226562): 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 (662.80364990234): 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 (!!!!! 1518.9647674561): 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 (627.99453735352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (673.05564880371): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1883.9836120605): SELECT name FROM jos_deeppockets WHERE id=211

138 (59.127807617188): SELECT name FROM jos_deeppockets WHERE id=211

139 (808.9542388916): 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 (988.00659179688): 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 (845.90911865234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

142 (434.87548828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

143 (!!!!! 19659.996032715): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 5497.932434082): 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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (608.92105102539): 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=294756572 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 4852.0565032959): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (267.02880859375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1003.9806365967): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

149 (215.05355834961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

150 (!!!!! 3700.9716033936): 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 (!!!!! 7597.9232788086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

152 (!!!!! 8327.9609680176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

153 (!!!!! 8220.911026001): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756572 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756572 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 7329.9407958984): 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 (!!!!! 7968.9025878906): 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 (!!!!! 7801.0559082031): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 8530.1399230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

158 (!!!!! 7557.8689575195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756572 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756572 AND published='1' LIMIT 1

159 (!!!!! 7796.049118042): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 3942.0127868652): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 2655.9829711914): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 1553.0586242676): select jos_linkedin.link from jos_linkedin where cat=10

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