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Surge in CT Scans for Patients with Minor Injuries

By MedImaging International staff writers
Posted on 07 Feb 2016

A new study reveals that almost twice as many patients with non-serious injuries are undergoing computerized tomography (CT) scans in the emergency department (ED) compared to a decade ago.

Researchers at the University of California, San Francisco (UCSF; USA) and Stanford University (CA, USA) conducted a retrospective analysis of the California Office of Statewide Health Planning and Development (Sacramento, USA) emergency department and ambulatory surgery data from 2005 to 2013. More...

A total of 8,535,831 adult patients were identified with an injury severity score lower than 9 who were discharged home. The primary outcome measure was prevalence of CT imaging for each year, and clinical and hospital-level factors related to CT use.

The results showed that 5.9% of the study population received at least one CT study during their ED visit, with the proportion of patients with at least one CT scan increasing from 3.51% in 2005 to 7.17% in 2013. Predictors for CT administration included age (18-24 years, or older than 45 years), Medicare and self-pay patients, fall injuries, motor vehicle collision injuries, and patients seen at level I/II trauma centers (39%), compared with 3% at low-level centers. The study was published on January 19, 2016, in the Journal of Surgical Research.

“The reasons for this increase are multifactorial,” said senior author Renee Hsia, MD, a professor of emergency medicine and health policy at UCSF. “They range from defensive medicine practices, the superior diagnostic accuracy of CT scans compared with X-rays, to their increased availability and convenience in emergency departments, and the demand to expedite discharge of patients.”

“The message for both patients and physicians is that there are long-term risks associated with radiation exposure and there may be situations where imaging is not definitively warranted or beneficial,” concluded Dr. Hsia. “We can't conclusively say which cases should not involve imaging, since every patient and every circumstance is different, but given that it is getting easier and easier to get CT scans, we need to be cautious in weighing their risks and benefits.”

Related Links:
University of California, San Francisco
Stanford University
California Office of Statewide Health Planning and Development

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63 (128.98445129395): 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

64 (601.05323791504): SELECT fid FROM jos_deeppockets WHERE id=294762616 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294762616 AND published='1' LIMIT 1

65 (51.975250244141): 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`

66 (99.897384643555): select jos_twitters.link from jos_twitters where cat=10

67 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

68 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

69 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

70 (64.13459777832): SELECT fid FROM jos_deeppockets WHERE id=294762616 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294762616 AND published='1' LIMIT 1

71 (39.100646972656): 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`

72 (467.06199645996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (339.98489379883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (46.014785766602): 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`

75 (85.115432739258): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (566.95938110352): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (437.02125549316): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 1306.0569763184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (349.99847412109): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (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`

92 (!!!!! 1595.0202941895): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (247.00164794922): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (399.11270141602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (470.16143798828): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (456.80999755859): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (299.93057250977): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (608.20579528809): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (601.05323791504): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1502.0370483398): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (993.01338195801): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (956.05850219727): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1174.9267578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (890.97023010254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

107 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

108 (86.069107055664): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (175.95291137695): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 2920.1507568359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

111 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

112 (262.97569274902): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (658.98895263672): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (787.01972961426): 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

115 (!!!!! 4476.0704040527): 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 (192.16537475586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

117 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

118 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

119 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

120 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

122 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

123 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

124 (576.97296142578): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 68043.947219849): 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

126 (731.9450378418): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762616 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762616 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 18835.067749023): ( 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

128 (67.949295043945): ( 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 (62.942504882812): 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

130 (40.054321289062): 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 (52.213668823242): 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

132 (33.140182495117): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

133 (406.02684020996): 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

134 (44.822692871094): 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 (36.954879760742): 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

136 (35.04753112793): 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 (718.11676025391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (484.22813415527): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (66.041946411133): SELECT name FROM jos_deeppockets WHERE id=211

140 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=211

141 (!!!!! 1094.8181152344): 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

142 (842.09442138672): 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 (!!!!! 2401.1135101318): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

144 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

145 (!!!!! 15673.875808716): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 3245.1152801514): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (169.03877258301): 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=294762616 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 2567.0528411865): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

151 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

152 (!!!!! 1565.9332275391): 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

153 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

154 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

155 (351.1905670166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762616 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762616 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (66.041946411133): 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)

157 (46.014785766602): 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 (82.969665527344): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (149.96528625488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

160 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762616 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762616 AND published='1' LIMIT 1

161 (75.101852416992): select jos_twitters.link from jos_twitters where cat=10

162 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

163 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

164 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

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