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CT Clues Offer New Diagnostic Criteria for Chest Tumors

By MedImaging International staff writers
Posted on 06 Sep 2015
The results of a recent study are providing new diagnostic criteria to help clinicians diagnose mediastinal masses in children, and differentiate between a fungal infection histoplasmosis, and cancer.

Until now no one symptom, test or CT imaging exam has been able to distinguish between benign and cancerous masses, and this often resulted in unnecessary biopsies. The study was led by researchers from St. Jude Children’s Research Hospital (Memphis, TN, USA) and was published in the July 22, 2015, issue of the Journal of Pediatrics.

The researchers analyzed symptoms, Computed Tomography (CT) scans, and laboratory tests of 131 children with chest masses, and were able to diagnose cancers earlier and reduce the need for biopsies. Symptoms included fever, night sweats, weight loss, cough, chest pain, headaches, swelling of the neck, and physical discomfort. Laboratory tests included blood tests, and CT exams included evidence of enlarged lymph nodes and chest masses. The researchers found that in 104 children, the chest masses were benign.

Elisabeth Adderson, MD, the lead researcher, said, “The problem has been that there are both benign and malignant causes of mediastinal masses. Sometimes the malignant masses are rapidly progressive and life-threatening, and therefore it is important to make a prompt diagnosis. In contrast, the benign causes, principally the fungus histoplasmosis, are often self-limiting or respond to drugs. Like previous investigators, we found that there was no single clinical, laboratory or radiologic feature that was good enough by itself to distinguish malignant from benign masses. But the unique feature that we identified, not previously recognized, was that the presence of lymphopenia and of enlarged cervical lymph nodes on CT scans was more suggestive of a malignant diagnosis.”

Related Links:
St. Jude Children’s Research Hospital


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(97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
52
(632.04765319824): SELECT name FROM jos_deeppockets WHERE id=294760292 LIMIT 1
53
(221.96769714355): SELECT name FROM jos_deeppockets_archive WHERE id=294760292 LIMIT 1
54
(366.9261932373): SELECT a.*
 FROM jos_components AS a
 WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' )
 AND a.option = 'com_syndicate'
55
(72.956085205078): 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=294760292
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
56
(686.1686706543): 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=294760292
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
57
(!!!!! 1495.1229095459): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
58
(736.95182800293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
59
(!!!!! 7347.1069335938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
60
(!!!!! 5230.9036254883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
61
(!!!!! 6616.1155700684): 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
(!!!!! 7882.1182250977): SELECT fid FROM jos_deeppockets WHERE id=294760292 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760292 AND published='1'  LIMIT 1
63
(!!!!! 7805.8242797852): 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
(!!!!! 7812.0231628418): select jos_twitters.link from jos_twitters where cat=10
65
(!!!!! 7768.8694000244): select jos_facebook.link from jos_facebook where cat=10
66
(!!!!! 7972.9557037354): select jos_google_plus.link from jos_google_plus where cat=10
67
(!!!!! 6958.0078125): select jos_linkedin.link from jos_linkedin where cat=10
68
(!!!!! 5262.1364593506): SELECT fid FROM jos_deeppockets WHERE id=294760292 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294760292 AND published='1'  LIMIT 1
69
(906.94427490234): 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
(!!!!! 6435.8711242676): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294760292
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 1
71
(!!!!! 7378.101348877): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
72
(!!!!! 4974.1268157959): 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
(!!!!! 5074.0242004395): SELECT show_live FROM jos_com_show_setting LIMIT 1
74
(264.16778564453): SELECT show_live FROM jos_com_show_setting LIMIT 1
75
(369.07196044922): SELECT show_live FROM jos_com_show_setting LIMIT 1
76
(257.96890258789): SELECT show_live FROM jos_com_show_setting LIMIT 1
77
(38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1
78
(30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1
79
(!!!!! 1109.1232299805): SELECT show_live FROM jos_com_show_setting LIMIT 1
80
(174.99923706055): SELECT show_live FROM jos_com_show_setting LIMIT 1
81
(597.00012207031): SELECT show_live FROM jos_com_show_setting LIMIT 1
82
(37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1
83
(59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1
84
(41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1
85
(483.03604125977): SELECT show_live FROM jos_com_show_setting LIMIT 1
86
(45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
87
(!!!!! 1173.0194091797): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294760292
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 1
88
(301.12266540527): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
89
(597.00012207031): 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
(496.86431884766): SELECT show_live FROM jos_com_show_setting LIMIT 1
91
(!!!!! 3061.056137085): SELECT show_live FROM jos_com_show_setting LIMIT 1
92
(!!!!! 3918.8861846924): SELECT show_live FROM jos_com_show_setting LIMIT 1
93
(!!!!! 1377.8209686279): SELECT show_live FROM jos_com_show_setting LIMIT 1
94
(!!!!! 2067.0890808105): SELECT show_live FROM jos_com_show_setting LIMIT 1
95
(810.86158752441): SELECT show_live FROM jos_com_show_setting LIMIT 1
96
(49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1
97
(322.10350036621): SELECT show_live FROM jos_com_show_setting LIMIT 1
98
(285.14862060547): SELECT show_live FROM jos_com_show_setting LIMIT 1
99
(119.92454528809): SELECT show_live FROM jos_com_show_setting LIMIT 1
100
(272.03559875488): SELECT show_live FROM jos_com_show_setting LIMIT 1
101
(243.18695068359): SELECT show_live FROM jos_com_show_setting LIMIT 1
102
(40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1
103
(!!!!! 1785.0399017334): SELECT show_live FROM jos_com_show_setting LIMIT 1
104
(!!!!! 3907.9189300537): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
105
(849.96223449707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
106
(811.10000610352): 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=294760292
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
107
(!!!!! 3449.9168395996): 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=294760292
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
108
(!!!!! 4568.8152313232): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
109
(650.16746520996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
110
(936.98501586914): 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=294760292
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
111
(!!!!! 1423.8357543945): 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=294760292
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
112
(!!!!! 4997.0149993896): 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
(!!!!! 6688.117980957): 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
(!!!!! 4247.9038238525): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
115
(!!!!! 7853.9848327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
116
(!!!!! 3225.0881195068): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
117
(!!!!! 4304.1706085205): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
118
(485.89706420898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
119
(174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
120
(213.1462097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
121
(621.08039855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
122
(!!!!! 1329.8988342285): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
123
(!!!!! 206290.96031189): 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
(!!!!! 7600.0690460205): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760292 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760292 AND type='deeppockets_item' AND published='1'  LIMIT 1
125
(!!!!! 6360.0540161133): (
				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
(102.04315185547): (
				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
(178.09867858887): 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
(54.836273193359): 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
(126.83868408203): 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
(154.97207641602): 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
(51.021575927734): 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
(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
133
(293.97010803223): 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
(216.00723266602): 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
(!!!!! 3954.8873901367): SELECT *
                            FROM jos_deeppockets
                            WHERE 1=1 
                              AND id=294760292
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1
136
(!!!!! 1244.068145752): SELECT *
                            FROM jos_deeppockets_archive
                            WHERE 1=1 
                              AND id=294760292
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1
137
(295.16220092773): SELECT name FROM jos_deeppockets WHERE id=211
138
(290.1554107666): SELECT name FROM jos_deeppockets WHERE id=211
139
(871.89674377441): 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((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3
140
(967.02575683594): SELECT *,
    DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
    DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
    FROM jos_events
    WHERE state=1
    AND publish_up > NOW()
    and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3
141
(921.01097106934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
142
(188.82751464844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
143
(!!!!! 38822.889328003): TRUNCATE TABLE jos_trademed_module
144
(!!!!! 1127.0046234131): 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=294760292
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1
145
(258.9225769043): 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=294760292
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1
146
(!!!!! 1156.0916900635): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294760292
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
147
(463.96255493164): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294760292
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
148
(!!!!! 1188.0397796631): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
149
(65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
150
(!!!!! 3776.7887115479): 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
(!!!!! 4405.9753417969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
152
(!!!!! 4012.1078491211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
153
(268.93615722656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294760292 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294760292 AND type='deeppockets_item' AND published='1'  LIMIT 1
154
(39.100646972656): 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
(255.10787963867): 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
(316.14303588867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
157
(!!!!! 1050.9490966797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
158
(651.83639526367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294760292 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294760292 AND published='1'
		LIMIT 1
159
(!!!!! 1182.0793151855): select jos_twitters.link from jos_twitters where cat=10
160
(291.10908508301): select jos_facebook.link from jos_facebook where cat=10
161
(154.01840209961): select jos_google_plus.link from jos_google_plus where cat=10
162
(355.95893859863): select jos_linkedin.link from jos_linkedin where cat=10