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Shoulder Brightness on Ultrasound Could Indicate Diabetes

By MedImaging International staff writers
Posted on 04 Dec 2018

Image: A displays the normal gradient of the deltoid muscle; B shows reversal in T2D patient. D: Deltoid, S: Supraspinatus, H: Humerus (Photo courtesy of RSNA).

Unusually bright (hyperechoic) ultrasound images of the deltoid muscle may be a warning sign of type 2 diabetes (T2D), according to a new study.

Researchers at Henry Ford Hospital (Detroit, MI, USA) compiled 137 shoulder ultrasounds from patients with T2D, including 13 with pre-diabetes; they also obtained 49 ultrasounds from obese patients without diabetes. The ultrasounds were shown to two musculoskeletal radiologists who were asked to classify the patients, based on the brightness of their shoulder muscle, into one of three categories: normal, suspected diabetes, and definite diabetes. A third musculoskeletal radiologist acted as an arbitrator when the other two disagreed.

Based on the shoulder ultrasounds, the radiologists correctly predicted diabetes in 70 of 79 patients (89%). Brightness on ultrasound was also an accurate predictor of pre-diabetes, with all 13 pre-diabetic patients assigned to either suspected or definite diabetes categories. The researchers suspect that the hyperechoic image is due to low or depleted levels of glycogen in the muscle, which are decreased in T2D patients by up to 65%. The study was presented at the annual meeting of the Radiological Society of North America (RSNA), held during November 2018 in Chicago (IL, USA).

“We weren't surprised that we had positive results, because the shoulder muscle on patients with diabetes looked so bright on ultrasound, but we were surprised at the level of accuracy. A lot of the patients weren't even aware that they were diabetic or pre-diabetic,” said senior author and study presenter musculoskeletal radiologist Steven Soliman, DO. “If we observe this in patients with pre-diabetes and diabetes, we can get them to exercise, make diet modifications and lose weight. If these interventions happen early enough, the patients may be able to avoid going on medications and dealing with all the complications that go with the disease.”

Glycogen is a multi-branched polysaccharide that forms the main storage form of glucose in the body. In humans, glycogen is made and stored primarily in the cells of the liver and skeletal muscle. Muscle cell glycogen appears to function as an immediate reserve source of available glucose for muscle cells. As muscle cells lack glucose-6-phosphatase, which is required to pass glucose into the blood, the glycogen they store is available solely for internal use and is not shared with other cells.

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64 (95.129013061523): 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

65 (452.04162597656): SELECT fid FROM jos_deeppockets WHERE id=294775975 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775975 AND published='1' LIMIT 1

66 (296.11587524414): 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`

67 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

68 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

69 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

70 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

71 (33.140182495117): SELECT fid FROM jos_deeppockets WHERE id=294775975 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294775975 AND published='1' LIMIT 1

72 (31.948089599609): 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`

73 (164.98565673828): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (136.8522644043): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (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`

76 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (40.054321289062): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (42.915344238281): 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`

93 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

108 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

109 (94.890594482422): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (73.909759521484): 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

112 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

113 (66.041946411133): 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (574.82719421387): 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (860.92948913574): 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

116 (488.0428314209): 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

117 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

118 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

119 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

120 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

122 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

123 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

124 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

125 (236.03439331055): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 24292.945861816): 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

127 (477.07557678223): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775975 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775975 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 7026.9107818604): ( 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

129 (72.002410888672): ( 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

130 (39.815902709961): 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

131 (29.087066650391): 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

132 (51.975250244141): 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

133 (71.048736572266): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (207.90100097656): 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

135 (36.954879760742): 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

136 (30.994415283203): 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

137 (27.894973754883): 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

138 (390.05279541016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (231.98127746582): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (169.99244689941): SELECT name FROM jos_deeppockets WHERE id=214

141 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=214

142 (574.11193847656): 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

143 (470.16143798828): 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

144 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

145 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

146 (!!!!! 7929.0866851807): TRUNCATE TABLE jos_trademed_module

147 (86.069107055664): 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (51.975250244141): 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=294775975 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (833.98818969727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

152 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

153 (!!!!! 1047.8496551514): 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

154 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

155 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

156 (31.948089599609): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294775975 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294775975 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (479.93659973145): 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)

158 (38.862228393555): 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)

159 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

161 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294775975 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294775975 AND published='1' LIMIT 1

162 (51.975250244141): select jos_twitters.link from jos_twitters where cat=10

163 (43.869018554688): select jos_facebook.link from jos_facebook where cat=10

164 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

165 (43.153762817383): select jos_linkedin.link from jos_linkedin where cat=10

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