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Ultrasound Bone Assessment Could Increase Osteoporosis Screening

By MedImaging International staff writers
Posted on 06 Mar 2019

Image: The Sonost 2000 calcaneus ultrasound bone densitometer (Photo courtesy of Econet).

A new study suggests that calcaneus ultrasonography (US) can establish bone mineral density (BMD) on par with gold standard dual-energy x-ray absorptiometry (DXA).

Researchers at the Louis Stokes Cleveland VA Medical Center (OH, USA), the West Virginia School of Osteopathic Medicine (WVSOM; Lewisburg, USA), and other institutions conducted a study involving 99 patients at a rural primary care facility in order to establish data ranges from US of the calcaneus (heel bone) that correspond to BMD stratification as identified by DXA, and to determine whether vitamin D concentration adds to US bone health assessment.

Ultrasonography was used to scan the left and right calcaneus, and blood was collected for vitamin D analysis. Other data collected included fracture risk assessment tool parameters, menstrual history, and drug and supplement use. The researchers then calculated correlations within and between DXA and US measurements, as well as correlations between DXA, US measurements, and vitamin D levels. Finally, predictive performance of US readings on bone health (as determined by DXA scan) was assessed.

The results revealed that US readings of either the left or right foot were predictive of bone quality, with no differences found between them. There was no correlation found between DXA- and US-assessed BMD and vitamin D concentrations. The researchers added that while DXA scans remain the best option for thorough, comprehensive information on BMD, the equipment is expensive, immobile, and exposes patients to ionizing radiation, creating barriers to screening larger populations. The study was published in the March 2019 issue of the Journal of the American Osteopathic Association.

“Using ultrasound to scan the heel won't give us all the information we could gather with a full DXA scan. However, it gives us a clear enough snapshot to know whether we should be concerned for the patient,” concluded lead author associate professor of biomedical sciences Carolyn Komar, PhD, of WVSOM, and colleagues. “The affordability and mobility of a US machine enables its use as a screening method that may be applicable to large numbers of people.”

Unlike DXA, US does not measure BMD directly, but can provide indirect information on BMD, as well as more direct information on bone microarchitecture, such as trabecular number, connectivity, and orientation. It is important to remember that though indicative, an increase in BMD may not necessarily result in an improvement in bone strength, as the improved area may be the discontinuous end of a bony trabeculum, as opposed to strengthening a joined trabecular structure.

Related Links:
Louis Stokes Cleveland VA Medical Center
West Virginia School of Osteopathic Medicine

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64 (!!!!! 2326.0116577148): select jos_twitters.link from jos_twitters where cat=10

65 (61.03515625): select jos_facebook.link from jos_facebook where cat=10

66 (51.021575927734): select jos_google_plus.link from jos_google_plus where cat=10

67 (48.160552978516): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 5589.9620056152): SELECT fid FROM jos_deeppockets WHERE id=294777163 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777163 AND published='1' LIMIT 1

69 (!!!!! 1303.9112091064): 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 (!!!!! 1353.9791107178): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (407.93418884277): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (48.87580871582): 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 (!!!!! 1244.068145752): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (759.84001159668): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (638.00811767578): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1521.8257904053): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (892.87757873535): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (554.08477783203): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (444.17381286621): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 5945.9209442139): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (329.01763916016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 1221.8952178955): 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 (!!!!! 12005.090713501): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 11967.897415161): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 6914.8540496826): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 9178.1616210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 7532.8350067139): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 15973.091125488): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 7781.982421875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 4482.0308685303): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 2169.132232666): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 1123.9051818848): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (608.92105102539): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 3044.1284179688): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 5962.1334075928): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 5556.1065673828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

105 (362.15782165527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

106 (679.96978759766): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (828.98139953613): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 14405.965805054): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

109 (!!!!! 7944.1070556641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

110 (!!!!! 7894.0391540527): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 4683.9714050293): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1366.8537139893): 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 (!!!!! 2007.007598877): 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 (!!!!! 3365.9934997559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

115 (993.96705627441): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

116 (!!!!! 1014.9478912354): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

117 (!!!!! 1939.058303833): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

118 (833.98818969727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

119 (!!!!! 1743.7934875488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

120 (!!!!! 3754.1389465332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

121 (!!!!! 1196.1460113525): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

122 (!!!!! 1705.8849334717): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 251902.10342407): 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 (!!!!! 23662.090301514): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777163 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777163 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 11880.874633789): ( 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 (!!!!! 7996.0823059082): ( 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 (!!!!! 7755.9947967529): 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 (!!!!! 3977.0603179932): 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 (420.09353637695): 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 (240.08750915527): 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 (47.922134399414): 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 (432.96813964844): 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 (110.14938354492): 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 (343.08433532715): 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 (523.09036254883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (460.86311340332): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1994.1329956055): SELECT name FROM jos_deeppockets WHERE id=214

138 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=214

139 (!!!!! 1991.9872283936): 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 (!!!!! 5471.94480896): 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 (!!!!! 3849.983215332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

142 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

143 (!!!!! 13406.038284302): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2131.9389343262): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (119.92454528809): 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=294777163 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (548.8395690918): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1435.9951019287): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

149 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

150 (!!!!! 1767.1585083008): 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 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

152 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

153 (109.91096496582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777163 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777163 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (48.87580871582): 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 (41.961669921875): 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 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

158 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777163 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777163 AND published='1' LIMIT 1

159 (72.956085205078): select jos_twitters.link from jos_twitters where cat=10

160 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

161 (40.054321289062): select jos_google_plus.link from jos_google_plus where cat=10

162 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

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