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Plan to Expand Breast, Obstetric Imaging Programs in Underserved Region of Uganda

By MedImaging International staff writers
Posted on 23 Apr 2013

Radiologists are in the process of implementing a program in an underserved region of Uganda for diagnosing and treating women with palpable breast masses.

The program combines a unique diagnostic algorithm along with targeted community outreach, reported medical student Chris Duncan working with the organization Imaging the World (Ntinda, Uganda). Imaging the World, a nonprofit organization focused on bringing diagnostic imaging to underserved areas worldwide, has multiple obstetrical imaging programs currently operating in Uganda and plans to expand both the obstetric imaging and breast imaging programs.

“We just returned from a trip to Kamuli, Uganda, where we laid the groundwork for implementation of the diagnostic algorithm,” said Mr. Duncan, a fourth-year medical student at the University of Vermont (Burlington, USA). “Our team met with local stakeholders, determined available treatments, and identified potential barriers,” he said. “The meetings helped ensure that we can create appropriate local resources prior to our program roll-out this summer.”

The diagnostic algorithm is devised to be simpler and more effective than the current course of breast cancer diagnosis and treatment for women in Uganda, a region where most breast-cancer patients are diagnosed with late stage breast cancer, noted Mr. Duncan.

The algorithm focuses on breast ultrasound as an initial diagnostic application for assessing palpable breast masses. The breast ultrasound exam is performed by minimally trained personnel who follow a standardized scanning methodology. The ultrasound images are then compressed, uploaded to a server through a cellular network, and interpreted at another location by an imaging expert. In the United States, research continues to evaluate the quality of the images gathered using the algorithm, with early findings suggesting that the images are more than sufficient for assessing breast masses, according to Mr. Duncan.

After the images are interpreted, the findings are sent back to the clinic where the ultrasound was performed. If the results indicate the need for a biopsy, the patient is referred to the district referral hospital. “We have trained local surgeons to perform both fine-needle and core biopsies using ultrasound guidance,” said Mr. Duncan. If the biopsy is positive for cancer, the patient is referred to the major tertiary referral hospital in the capital city for treatment. “We are hiring a patient care navigator to assist women in the complicated and daunting process of receiving breast cancer care,” said Mr. Duncan. “We are also working on obtaining funding for a lodging area where the women can stay during their treatment period in the capital city.”

Patient education is vital, stressed Mr. Duncan. There are some individuals in the community that believe that cancer is contagious, that surgery spreads cancer throughout the body or that cancer is due to evil spirits, curses, and various other supernatural beliefs. “We hope that our education campaign will help to eradicate these myths, opening the path to early diagnosis and effective care for these women,” said Mr. Duncan.

The Uganda breast imaging program details were presented April 16, 2013, in an electronic exhibit featured at the American Roentgen Ray Society (ARRS) annual meeting, held in Washington DC (USA).

Related Links:
Imaging the World
University of Vermont

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60 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

61 (!!!!! 1700.8781433105): 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 (530.95817565918): SELECT fid FROM jos_deeppockets WHERE id=294745890 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745890 AND published='1' LIMIT 1

63 (44.822692871094): 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 (37.908554077148): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE id=294745890 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745890 AND published='1' LIMIT 1

69 (30.040740966797): 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 (294.92378234863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (229.1202545166): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.14697265625): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (156.87942504883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (119.92454528809): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2009.1533660889): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (212.9077911377): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (37.908554077148): 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 (711.91787719727): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (204.80155944824): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (359.05838012695): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (141.14379882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (346.89903259277): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (540.01808166504): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 7643.9380645752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

105 (269.88983154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

106 (751.01852416992): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (644.92225646973): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (810.86158752441): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

109 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

110 (!!!!! 1575.9468078613): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (522.85194396973): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (664.23416137695): 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 (416.04042053223): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

115 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

116 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

118 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

120 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

121 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

122 (385.04600524902): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 51448.822021484): 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 (!!!!! 2017.9748535156): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745890 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745890 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 5005.1212310791): ( 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 (81.062316894531): ( 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 (61.988830566406): 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 (41.961669921875): 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 (62.227249145508): 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 (41.961669921875): 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 (39.100646972656): 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 (39.815902709961): 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 (41.961669921875): 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 (37.908554077148): 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 (!!!!! 1504.8980712891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (468.96934509277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (432.96813964844): SELECT name FROM jos_deeppockets WHERE id=214

138 (114.20249938965): SELECT name FROM jos_deeppockets WHERE id=214

139 (629.90188598633): 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 (!!!!! 1065.9694671631): 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 (!!!!! 5192.0413970947): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

142 (!!!!! 2729.8927307129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

143 (!!!!! 11038.064956665): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 4885.196685791): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1858.9496612549): 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=294745890 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (769.13833618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1694.917678833): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 3741.979598999): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

149 (293.97010803223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

150 (!!!!! 5734.920501709): 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 (870.94306945801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

152 (127.07710266113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

153 (!!!!! 1355.8864593506): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745890 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745890 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 3283.0238342285): 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 (293.01643371582): 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 (!!!!! 3937.9596710205): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (519.0372467041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

158 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745890 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745890 AND published='1' LIMIT 1

159 (123.02398681641): select jos_twitters.link from jos_twitters where cat=10

160 (283.95652770996): select jos_facebook.link from jos_facebook where cat=10

161 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

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