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Wearable Ultrasound Patch Marks Breakthrough in Deep Tissue Monitoring

By MedImaging International staff writers
Posted on 04 May 2023

Ultrasound examination of tissues' biomechanical properties can assist in detecting and managing pathophysiological conditions, tracking lesion development, and evaluating rehabilitation progress. Engineers have now developed a stretchable ultrasonic array that enables non-invasive, serial, three-dimensional imaging of tissues up to four centimeters beneath the human skin's surface, with a spatial resolution of 0.5 millimeters. This novel method offers a non-invasive, long-term alternative to current approaches, boasting improved penetration depth.

The elastography monitoring system developed by engineers at the University of California San Diego (La Jolla, CA, USA) enables serial, non-invasive, and three-dimensional mapping of deep tissue mechanical properties, with several crucial applications. In medical research, serial data on pathological tissues can offer vital information on disease progression, such as cancer, which typically causes cells to stiffen. Wearable ultrasound patches not only perform the detection function of conventional ultrasound but also overcome its limitations, such as one-time testing, hospital-based testing, and the need for staff operation. This could help decrease misdiagnoses and fatalities while significantly reducing costs by offering a non-invasive and affordable alternative to traditional diagnostic procedures.

The device features a 16 by 16 array, with each element consisting of a 1-3 composite element and a silver-epoxy composite backing layer designed to absorb excessive vibration, thereby expanding the bandwidth and enhancing axial resolution. The array conforms to human skin and acoustically couples with it, allowing for accurate elastographic imaging validated through magnetic resonance elastography. The researchers aim to further improve the device by incorporating an elastomer layer with a known modulus, a so-called calibration layer, to obtain quantitative, absolute values of tissues' moduli. This enhancement would provide more comprehensive information about tissues' mechanical properties, thereby further refining the ultrasonic devices' diagnostic capabilities.

Besides monitoring cancerous tissues, this technology can help medical professionals accurately track liver fibrosis and cirrhosis progression and determine the most suitable treatment course. Moreover, by monitoring changes in tissue stiffness, the technology can offer valuable insights into musculoskeletal disorders' progression, such as tendonitis, tennis elbow, and carpal tunnel syndrome, allowing doctors to develop personalized treatment plans. Additionally, by monitoring arterial wall elasticity, doctors can detect early signs of myocardial ischemia and make timely interventions to prevent further damage.

“This new wave of wearable ultrasound technology is driving a transformation in the healthcare monitoring field, improving patient outcomes, reducing healthcare costs and promoting the widespread adoption of point-of-care diagnosis,” said Yuxiang Ma, a visiting student in the Xu group and study coauthor. “As this technology continues to develop, it is likely that we will see even more significant advances in the field of medical imaging and healthcare monitoring.”

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63 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

64 (280.14183044434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

65 (!!!!! 5465.030670166): 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

66 (492.81120300293): SELECT fid FROM jos_deeppockets WHERE id=294797069 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294797069 AND published='1' LIMIT 1

67 (!!!!! 3852.8442382812): 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`

68 (!!!!! 1750.9460449219): select jos_twitters.link from jos_twitters where cat=10

69 (229.83551025391): select jos_facebook.link from jos_facebook where cat=10

70 (743.86596679688): select jos_google_plus.link from jos_google_plus where cat=10

71 (49.829483032227): select jos_linkedin.link from jos_linkedin where cat=10

72 (87.976455688477): SELECT fid FROM jos_deeppockets WHERE id=294797069 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294797069 AND published='1' LIMIT 1

73 (77.962875366211): 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`

74 (396.9669342041): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 1697.0634460449): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (374.07875061035): 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`

77 (!!!!! 6192.2073364258): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (330.20973205566): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (432.01446533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (191.92695617676): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (83.92333984375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (164.03198242188): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (473.97613525391): 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`

94 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (597.95379638672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

109 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

110 (772.95303344727): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1744.0319061279): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 7251.9779205322): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

113 (!!!!! 1590.0135040283): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

114 (174.99923706055): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (437.02125549316): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 1231.9087982178): 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 (598.90747070312): 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

118 (183.8207244873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

119 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

120 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

121 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

122 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

123 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

124 (361.20414733887): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 130454.06341553): 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

126 (189.06593322754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

127 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

128 (!!!!! 2506.9713592529): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797069 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797069 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1555778.9802551): ( 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 (!!!!! 1563143.0149078): ( 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

131 (!!!!! 2142.9061889648): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (518.0835723877): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (!!!!! 6181.001663208): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (442.0280456543): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (!!!!! 4014.0151977539): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (981.80770874023): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (787.97340393066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (890.97023010254): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (528.09715270996): SELECT name FROM jos_deeppockets WHERE id=214

140 (527.85873413086): SELECT name FROM jos_deeppockets WHERE id=214

141 (!!!!! 1332.9982757568): 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

142 (904.08325195312): 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 (!!!!! 10111.093521118): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

144 (!!!!! 1621.9615936279): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

145 (!!!!! 22687.911987305): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 2012.9680633545): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (797.98698425293): 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=294797069 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 1636.0282897949): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

151 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

152 (!!!!! 5575.8953094482): 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

153 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

154 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

155 (!!!!! 4266.0236358643): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294797069 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294797069 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (152.1110534668): 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)

157 (988.96026611328): 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 (452.99530029297): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 3258.9435577393): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

160 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294797069 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294797069 AND published='1' LIMIT 1

161 (160.93254089355): select jos_twitters.link from jos_twitters where cat=10

162 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

163 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

165 (349.04479980469): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 5841.0167694092): insert into jos_banners_delta values (14615,'2025-04-30 11:33:45','3.144.153.204','view'),(14202,'2025-04-30 11:33:45','3.144.153.204','view'),(14203,'2025-04-30 11:33:45','3.144.153.204','view')

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