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Ultrasound Helps in Evaluating Urinary Tract Infections in Children

By MedImaging International staff writers
Posted on 02 Jun 2011

For infants and young children with urinary tract infection (UTI) seen in the emergency room (ER), a simple ultrasound examination may eliminate the need for more complicated X-ray tests, according to a new report.

The report's findings were published in the May 2011 issue of the Pediatric Infectious Disease Journal. The study also finds that many children diagnosed with their first UTI are infected with antibiotic-resistant bacteria. The lead author was Dr. Khalid Ismaili, from the Hôpital Universitaire des Enfants-Reine Fabiola (Brussels, Belgium).

The researchers analyzed data on 209 children seen at their hospital's emergency department with fever and UTI. Sixty-three percent of the patients were girls; three-fourths were less than two years old when UTI was diagnosed. In more than 90% of children, the infection was caused by the intestinal bacteria Escherichia coli. Many of these children were infected with antibiotic-resistant strains of E coli bacteria. This included a 58% rate of bacteria resistant to ampicillin--a penicillin antibiotic widely used as initial treatment for UTI.

The study also found that ultrasound could play an important role in detecting (VUR; "backwards" flow of urine from the bladder upwards toward the kidney). It is critical to identify and treat VUR--a common cause of UTI that can put children at risk of long-term kidney damage. In the study, all patients first underwent a simple ultrasound examination, followed by an X-ray test called voiding cystourethrography (VCUG) in which dye is injected into the bladder.

The study's findings revealed VUR (mostly mild) in 25% of the children. All but a few of these cases were also detected on ultrasound. Therefore, the much-simpler ultrasound test provided useful information on the probability of VUR and related abnormalities--including possible birth defects of the urinary tract. "The presence or absence of abnormal ultrasound represents the key for deciding about VCUG studies," Dr. Ismaili and coauthors wrote.

Eleven percent of the children in the study had recurrent infections at up to two-and-a-half years' follow-up. All of the children with recurrent infections had normal ultrasound and VCUG results.

Urinary tract infection is one of the most common types of infection in children--8% of girls and 2% of boys have at least one UTI before age 7. The new study provides healthcare providers with important new information on the "characteristics and clinical evolution" of infants and young children with their first UTI.

The findings demonstrated that most children experiencing their first UTI are girls under two years old. Many of these infections are caused by antibiotic-resistant bacteria, which may require modifications to treatment.

The study's findings also suggested that about one-fourth of young children with UTIs have VUR, which can be effectively detected by a simple ultrasound examination. Dr. Ismaili and colleagues concluded, "Ultrasound is an excellent screening tool that allows avoidance of unjustified VCUG studies."

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59 (!!!!! 7391.9296264648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

60 (372.88665771484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

61 (!!!!! 3556.9667816162): 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 (!!!!! 1110.0769042969): SELECT fid FROM jos_deeppockets WHERE id=294735393 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735393 AND published='1' LIMIT 1

63 (464.91622924805): 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=214 ORDER BY `ordering`

64 (!!!!! 2146.9593048096): select jos_twitters.link from jos_twitters where cat=10

65 (56.028366088867): select jos_facebook.link from jos_facebook where cat=10

66 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (320.9114074707): SELECT fid FROM jos_deeppockets WHERE id=294735393 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294735393 AND published='1' LIMIT 1

69 (268.93615722656): 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=214 ORDER BY `ordering`

70 (!!!!! 2156.9728851318): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 3525.972366333): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (71.048736572266): 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 (!!!!! 3870.0103759766): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 1276.0162353516): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (541.92543029785): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (528.09715270996): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (142.09747314453): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1011.1331939697): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (277.04238891602): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (540.97175598145): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (893.83125305176): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 4971.981048584): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (77.009201049805): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (160.21728515625): 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 (!!!!! 3204.1072845459): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (732.1834564209): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (720.97778320312): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (900.0301361084): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (551.93901062012): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (572.91984558105): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (567.19779968262): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 2768.0397033691): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (74.863433837891): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2467.8707122803): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

105 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

106 (540.01808166504): 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1065.0157928467): 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2970.9339141846): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

109 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

110 (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 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1186.8476867676): 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1390.9339904785): 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 (!!!!! 1410.0074768066): 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 (988.96026611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

115 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

116 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

117 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

118 (!!!!! 2600.1930236816): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

119 (339.98489379883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

120 (!!!!! 1018.0473327637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

121 (401.97372436523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

122 (!!!!! 1102.9243469238): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 263480.1864624): 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 (867.12837219238): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735393 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735393 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 5331.0394287109): ( 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 (63.896179199219): ( 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 (73.909759521484): 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 (46.968460083008): 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 (71.048736572266): 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 (67.949295043945): 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 (282.04917907715): 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 (!!!!! 4393.8159942627): 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 (!!!!! 1020.9083557129): 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 (!!!!! 1868.0095672607): 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 (513.07678222656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (435.82916259766): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (63.896179199219): SELECT name FROM jos_deeppockets WHERE id=214

138 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=214

139 (792.02651977539): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (694.03648376465): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

142 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

143 (!!!!! 26051.044464111): TRUNCATE TABLE jos_trademed_module

144 (209.09309387207): 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (94.890594482422): 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=294735393 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (724.07722473145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

150 (!!!!! 1578.0925750732): 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 (!!!!! 1322.0310211182): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

152 (305.8910369873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

153 (282.76443481445): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294735393 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294735393 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (530.95817565918): 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=214 or channel_id is null)

155 (306.12945556641): 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=214 or channel_id is null)

156 (197.8874206543): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

158 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294735393 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294735393 AND published='1' LIMIT 1

159 (86.069107055664): select jos_twitters.link from jos_twitters where cat=10

160 (424.86190795898): select jos_facebook.link from jos_facebook where cat=10

161 (220.06034851074): select jos_google_plus.link from jos_google_plus where cat=10

162 (317.09671020508): select jos_linkedin.link from jos_linkedin where cat=10

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