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Low-Resolution Ultrasound Used to Measure Muscle Health

By MedImaging International staff writers
Posted on 18 Nov 2014

Image: In DMD muscles, light-colored fat cells invade the deep-colored cells of healthy muscle, creating a different ultrasound signature that can be converted into easy-to-understand values or signals to be displayed by a device to be used for monitoring muscle health (Photo courtesy of Wikimedia Commons).

People suffering from muscular dystrophy could one day assess the effectiveness of their medication with the help of a smartphone-linked device. The new study used a new way to process ultrasound imaging data that could lead to hand-held devices to provide fast, effective medical information.

In the study presented October 30, 2014, at the Acoustical Society of America’s (ASA) annual meeting, held in Indianapolis (IN, USA), researchers determined how well muscles damaged by muscular dystrophy responded to a drug in mice with an animal form of the disease. They did so by processing ultrasound data in a fashion suitable for small, low-power, and comparatively inexpensive instruments called point-of-care (POC) devices.

Physicist Michael S. Hughes of the US Department of Energy’s (DOE) Pacific Northwest National Laboratory (Richland, WA, USA) performed the work with colleagues Drs. John E. McCarthy, Jon N. Marsh, and Samuel A. Wickline, while at Washington University in St. Louis (MO, USA). Although a small study involving animals, it builds on research in individuals that reveals noninvasive ultrasound can track muscle health. Duchenne muscular dystrophy (DMD) affects one out of 3,500 male births. Steroids can help slow muscle degeneration, but too much medication causes other issues such as weight gain and high blood pressure. “The result implies you can monitor drug therapy with cheap point-of-care devices,” said Dr. Hughes. “We’d like to be able to use low-power handheld instruments, such as a microphone-sized ultrasound that can fit on a smartphone.”

Healthcare workers and patients want fast, easy-to-use medical instruments and diagnostic tests that they can bring to a patient’s bedside, home or to the field. Some treatments for disease require constant monitoring, such as blood glucose in people with diabetes or blood pressure for those with heart disease.

In DMD, muscles cannot repair themselves sufficiently, causing the muscles to degenerate over a several decades. Young boys and men with the disease—whom DMD hits the most—typically take steroids to prolong muscle health. Steroids have serious side effects, so patients should only take as much as they need, but it is difficult to monitor effectiveness. Healthy muscle contains neatly ordered cells, but DMD muscles become fibrous and full of fat that infiltrates tissue. Because healthy and diseased muscles appear different in ultrasound images, researchers have been exploring how to use ultrasound to monitor progression of the disease and the muscle's response to drugs.

Previously, researchers have studied mice with genetic mutations that emulate muscular dystrophy. Treating mutant mice with steroids, they discovered they could process ultrasound information in such a way that they could measure the difference between healthy, damaged, and treated muscles—a technique that could put out a number on a screen.

However, earlier research required more data than small, hand-held ultrasound devices, hooked into a smartphone with a universal serial bus (USB) cable, would be able to collect. Drs. Hughes and McCarthy wanted to see if they could also differentiate between healthy, diseased, and treated muscles if they collected less than 10% of the original data. They returned to the ultrasound data they had gathered on five healthy mice, four afflicted with mouse muscular dystrophy left untreated, and four afflicted but treated with steroids for two weeks.

To use less data, they needed to increase the pertinent information in the ultrasound data and suppress the irrelevant background noise. To do so, they used a mathematical trick called a spline, which streamlines the data into average values. With a spline added to their processing program, they re-analyzed either one-eighth or one-sixteenth of the data. The investigators discovered that even with only one-sixteenth of the data, they were able to measure the difference between the treated muscles and the untreated muscles. Because humans have much larger muscles than mice do, the researchers would have to adjust the amount of ultrasound data to account for that, but the researchers previously showed that is possible in different research.

“If we can optimize the processing, we can increase the sensitivity and provide real-time performance,” said Dr. Hughes. “People with muscular dystrophy have to take the least amount of steroid that will give them the maximum therapeutic effect. This would let them do that.”

Related Links:
Pacific Northwest National Laboratory
Washington University in St. Louis

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56 (782.01293945312): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1642.9424285889): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

58 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

59 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

60 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

61 (!!!!! 5971.9085693359): 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 (!!!!! 3790.1401519775): SELECT fid FROM jos_deeppockets WHERE id=294755773 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755773 AND published='1' LIMIT 1

63 (658.03527832031): 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 (101.08947753906): select jos_twitters.link from jos_twitters where cat=10

65 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

66 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

67 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

68 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294755773 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755773 AND published='1' LIMIT 1

69 (34.093856811523): 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 (!!!!! 2285.9573364258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (476.83715820312): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (139.95170593262): 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 (!!!!! 2708.1966400146): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 3112.0777130127): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (133.99124145508): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (48.160552978516): 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 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.232833862305): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 5343.9140319824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

105 (121.11663818359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

106 (102.99682617188): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (643.01490783691): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

109 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

110 (103.95050048828): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (637.76969909668): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1163.9595031738): 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 (818.01414489746): 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 (178.09867858887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

115 (315.18936157227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

116 (818.96781921387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

117 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

118 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

119 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

120 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

121 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

122 (406.02684020996): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 65905.094146729): 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 (!!!!! 1103.8780212402): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755773 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755773 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 23566.007614136): ( 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 (!!!!! 2075.9105682373): ( 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 (734.09080505371): 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 (702.1427154541): 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 (813.00735473633): 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 (45.061111450195): 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 (308.99047851562): 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 (38.14697265625): 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 (876.18827819824): 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 (58.889389038086): 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 (!!!!! 1455.7838439941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (992.0597076416): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (975.8472442627): SELECT name FROM jos_deeppockets WHERE id=214

138 (555.03845214844): SELECT name FROM jos_deeppockets WHERE id=214

139 (705.95741271973): 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 (555.99212646484): 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 (!!!!! 4483.9382171631): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

142 (324.96452331543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

143 (!!!!! 13001.918792725): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 16047.954559326): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 2288.1031036377): 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=294755773 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 25451.898574829): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 7966.9952392578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 7560.9683990479): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

149 (!!!!! 7975.1014709473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

150 (!!!!! 2249.9561309814): 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 (!!!!! 7516.8609619141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

152 (!!!!! 4148.006439209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

153 (!!!!! 7353.0673980713): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755773 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755773 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 8166.0747528076): 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 (!!!!! 8066.8926239014): 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 (!!!!! 7662.0578765869): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 7882.833480835): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

158 (!!!!! 4623.8899230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755773 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755773 AND published='1' LIMIT 1

159 (!!!!! 2207.9944610596): select jos_twitters.link from jos_twitters where cat=10

160 (!!!!! 1997.9476928711): select jos_facebook.link from jos_facebook where cat=10

161 (!!!!! 1841.0682678223): select jos_google_plus.link from jos_google_plus where cat=10

162 (291.10908508301): select jos_linkedin.link from jos_linkedin where cat=10

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