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Carotid Ultrasound Examinations Help Identify Stroke Risk

By MedImaging International staff writers
Posted on 06 Dec 2015

Image: Preoperative carotid ultrasound evaluation (Photo courtesy of Umea University).

A new study concludes that carotid ultrasound is highly accurate in detecting the presence of calcified atherosclerotic lesions larger than 8 mm³, but less accurate in detecting smaller volume calcified plaques.

Researchers at Umea University (Sweden) conducted a study that analyzed 94 carotid arteries from 88 patients (mean age 70 years, 33% females) to determine the accuracy of ultrasound B mode in detecting atherosclerotic calcifications during pre-endarterectomy examinations. After the procedure, the excised plaques were quantified using cone beam computed tomography (CBCT), from which the calcification volume (in mm³) was calculated. Carotid artery calcification by the two imaging techniques was then compared using conventional correlations.

The results showed that carotid ultrasound was highly accurate in detecting calcifications, with a sensitivity of 88.2%. Based on calcification volumes as measured by CBCT, the researchers divided the plaque into four groups: less than 8; 8–35; 36–70; and over70 mm³. They found that calcification volumes larger than 8 mm³ were accurately detectable by ultrasound, with a sensitivity of 96%. Of the 21 plaques with a smaller than 8 mm³ calcification volume; only 13 were detected by ultrasound, resulting in a sensitivity of 62%. The study was published in the August 2015 issue of International Journal of Molecular Sciences.

“We know that preventive surgical treatment of carotid stenosis is only beneficial for a small subgroup, and that most asymptomatic patients will do better with only medical therapy,” said lead author Fisnik Jashari, MSc, a doctoral student in the department of public health and clinical medicine. “By using ultrasound, we can identify the patients who are at a higher risk of stroke and thus would benefit from surgery. But preventing unnecessary surgical intervention in most cases is equally important.”

Historically, carotid calcification is detected by X-ray imaging. With the development of ultrasound examination of vascular pathology, carotid two-dimensional (2D) grey scale has become a routine investigation in vascular laboratories; but while ultrasound may detect the presence of calcification, it is an accurate means for quantifying its extent, unlike CBCT, which can detect calcification volumes as small as one mm³. However, any CT investigation carries the risk of significant radiation, as well as limited availability.

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61 (532.86552429199): 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

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63 (!!!!! 6208.8966369629): 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 (!!!!! 2105.9513092041): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 1248.1212615967): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 4031.1813354492): select jos_google_plus.link from jos_google_plus where cat=10

67 (454.90264892578): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 1163.9595031738): SELECT fid FROM jos_deeppockets WHERE id=294761641 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294761641 AND published='1' LIMIT 1

69 (392.91381835938): 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 (!!!!! 1140.1176452637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1293.8976287842): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 3013.8492584229): 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 (!!!!! 1622.200012207): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (347.13745117188): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (170.94612121582): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (148.05793762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (202.17895507812): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (359.05838012695): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (339.03121948242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (180.95970153809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 1955.0323486328): 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 (!!!!! 1116.9910430908): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (224.11346435547): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 1888.9904022217): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 1096.0102081299): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (286.10229492188): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (155.92575073242): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (197.8874206543): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (614.16625976562): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (363.82675170898): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (128.03077697754): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (622.03407287598): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (845.19386291504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

105 (271.08192443848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

106 (396.9669342041): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1655.101776123): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3969.1925048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

109 (813.00735473633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

110 (!!!!! 2737.9989624023): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1200.9143829346): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 8089.0655517578): 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 (!!!!! 5325.0789642334): 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 (!!!!! 3062.0098114014): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

115 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

116 (!!!!! 1647.94921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

117 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

118 (642.06123352051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

119 (458.0020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

120 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

121 (165.93933105469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

122 (!!!!! 3379.8217773438): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 64553.022384644): 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 (!!!!! 1439.8097991943): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761641 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761641 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (328.77922058105): ( 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 (113.01040649414): ( 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 (958.91952514648): 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 (247.00164794922): 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 (!!!!! 1456.9759368896): 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 (368.11828613281): 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 (737.90550231934): 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 (190.01960754395): 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 (933.88557434082): 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 (967.97943115234): 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 (!!!!! 1584.0530395508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1002.0732879639): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1002.7885437012): SELECT name FROM jos_deeppockets WHERE id=214

138 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=214

139 (686.8839263916): 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 (448.94218444824): 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 (928.87878417969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

142 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

143 (!!!!! 12601.137161255): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 10203.838348389): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (727.17666625977): 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=294761641 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (591.03965759277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

149 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

150 (!!!!! 1993.8945770264): 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 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

152 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

153 (!!!!! 3333.0917358398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761641 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761641 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (284.91020202637): 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 (37.908554077148): 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 (173.09188842773): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (900.0301361084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

158 (!!!!! 1008.0337524414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761641 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761641 AND published='1' LIMIT 1

159 (916.0041809082): select jos_twitters.link from jos_twitters where cat=10

160 (133.03756713867): select jos_facebook.link from jos_facebook where cat=10

161 (65.088272094727): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 2893.9247131348): select jos_linkedin.link from jos_linkedin where cat=10

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