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Ultrasound Could Help Determine Fetuses at Increased Risk for Stillbirth

By MedImaging International staff writers
Posted on 17 Jul 2012

The smallest and the heaviest fetuses are at much higher risk of being stillborn than those of average weight, new ultrasound-imaging research has found.

Fetuses who are “severely small for gestational age,” or weigh below the bottom one percentile of all fetuses, disproportionately account for about 6% of all stillbirths, according to Canadian researchers. Fetuses that are “severely large for gestational age,” or weigh above the 99th percentile, account for nearly 1% of stillbirths.

“In this study of all registered live-born and stillborn infants in Ontario, extreme underweight and overweight states confer the highest risk of stillbirth,” said Drs. Joel Ray and Marcelo Urquia, from St. Michael’s Hospital (Toronto, Ontario, Canada), and authors of the article that was published in the July 2012 issue of the Journal of Perinatology.

Stillbirth is conventionally defined as the death of a fetus at more than 23 weeks of gestation weighing 500 g or more. However, Drs. Ray and Urquia included infants born beginning as early as 20 weeks of gestation on the grounds that maternal-fetal bonding is well established at that point, since most mothers-to-be have undergone a level 2 ultrasound detailing the unborn infant’s developing bones and organs.

Including those infants provides new data about the level to which low and high weights are linked with stillbirths, including those before the point of viability, according to Dr. Ray. That, then, may help clinicians better decide at which time it is better to allow a pregnancy to continue so the fetus can grow, or to deliver a premature baby who might otherwise die in the womb.

The rate of stillbirths in industrialized countries is approximately six per 1,000, of which half occur after 27 weeks of gestation. In poorer countries, the rate is up to five times higher. Stillbirths are more common than the death of a baby after birth, such as from prematurity or because of sudden infant death syndrome (SIDS). However, stillbirths have mostly been overlooked by medical professionals, especially in terms of their emotional effect on the mother, her partner, and extended family, according to Dr. Ray.

The researchers examined records of all 767,016 live births and all 4,697 stillbirths in Ontario between 2002 and 2007. They noted that because they looked at so many births, they could also make statistically precise estimations of the impact of extremely low birth weight on the risk of stillbirth.

The investigators discovered that 19% of stillbirths occur in fetuses under the tenth percentile of weight. But being below the first percentile of weight meant the fetus faced a 9.5 times higher risk of being stillborn than infants who are within the average weight range, between the 40th to 60th weight percentiles. Dr. Ray reported that when fetuses are severely small for gestational age, it typically means there is a problem with the placenta. Fetuses who are acutely large for gestational age are usually so because of the mom having diabetes or obesity.

The authors concluded that since more than 95% of women in the industrialized world receive a level 2 anatomic ultrasound scan before 22 weeks gestation, fetal weight should be estimated and reported at this time of the ultrasound, as a standard practice. In doing so, the early presence of a small or large fetus may help guide ongoing ultrasound monitoring for growth and well-being.

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58 (!!!!! 7693.0522918701): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

59 (!!!!! 6699.800491333): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

60 (!!!!! 7090.0917053223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

61 (!!!!! 2590.1794433594): 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 (!!!!! 1276.969909668): SELECT fid FROM jos_deeppockets WHERE id=294741629 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741629 AND published='1' LIMIT 1

63 (419.13986206055): 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 (64.13459777832): select jos_twitters.link from jos_twitters where cat=10

65 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 1604.0802001953): select jos_google_plus.link from jos_google_plus where cat=10

67 (564.0983581543): select jos_linkedin.link from jos_linkedin where cat=10

68 (312.08992004395): SELECT fid FROM jos_deeppockets WHERE id=294741629 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741629 AND published='1' LIMIT 1

69 (241.99485778809): 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 (!!!!! 1216.8884277344): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (585.07919311523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (370.97930908203): 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 (!!!!! 1378.059387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (409.84153747559): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 4283.1897735596): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (174.99923706055): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (702.85797119141): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (363.11149597168): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (350.9521484375): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (503.7784576416): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (438.92860412598): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (209.09309387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (236.03439331055): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (339.98489379883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (626.0871887207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2061.8438720703): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (334.02442932129): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (760.07843017578): 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 (!!!!! 1868.0095672607): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (166.17774963379): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 1751.184463501): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (387.19177246094): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (259.1609954834): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1327.0378112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1315.1168823242): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (468.01567077637): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (226.97448730469): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (525.95138549805): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 9815.9313201904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

105 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

106 (61.03515625): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1548.0518341064): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

109 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

110 (!!!!! 3726.0055541992): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 6732.9406738281): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1229.0477752686): 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 (!!!!! 1558.0654144287): 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 (912.18948364258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

115 (!!!!! 1287.9371643066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

116 (529.05082702637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

117 (704.05006408691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

118 (880.00297546387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

119 (588.17863464355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

120 (!!!!! 1685.8577728271): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

121 (930.0708770752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

122 (485.89706420898): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 49270.153045654): 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 (946.99859619141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741629 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741629 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (262.02201843262): ( 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 (97.036361694336): ( 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 (446.08116149902): 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 (50.783157348633): 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 (228.1665802002): 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 (36.001205444336): 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 (31.948089599609): 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 (94.890594482422): 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 (232.93495178223): 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 (38.14697265625): 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 (!!!!! 3746.9863891602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (514.03045654297): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (429.86869812012): SELECT name FROM jos_deeppockets WHERE id=214

138 (39.815902709961): SELECT name FROM jos_deeppockets WHERE id=214

139 (798.94065856934): 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 (805.85479736328): 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 (356.91261291504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

142 (261.78359985352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

143 (!!!!! 24891.138076782): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 7843.9712524414): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (907.89794921875): 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=294741629 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (387.90702819824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 2018.928527832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (696.89750671387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

149 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

150 (!!!!! 1737.8330230713): 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 (!!!!! 7972.0020294189): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

152 (!!!!! 3970.8614349365): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

153 (298.02322387695): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741629 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741629 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 1055.0022125244): 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 (891.92390441895): 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 (!!!!! 2686.9773864746): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1621.9615936279): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

158 (!!!!! 1821.0411071777): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741629 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741629 AND published='1' LIMIT 1

159 (!!!!! 5886.0778808594): select jos_twitters.link from jos_twitters where cat=10

160 (201.94053649902): select jos_facebook.link from jos_facebook where cat=10

161 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

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