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Antibacterial ‘Smart Stitches’ Reveal Location of Sutured Area in CT Scans

By MedImaging International staff writers
Posted on 10 Feb 2023

Image: The filament visible in chicken samples, as seen under CT scan (Photo courtesy of RMIT University)

Surgical site infections are among the most common medical infections and occur in 2 to 4% of patients following surgery, although the infection rate can be much higher for some procedures, such as vaginal mesh implants to treat prolapse, infection. Now, a new antimicrobial suture material that glows in medical imaging offers a promising alternative for mesh implants and internal stitches.

A multidisciplinary research team led by RMIT University (Melbourne, Australia) that included nano-engineering, biomedical and textile experts working in partnership with a practicing surgeon has developed the proof-of-concept material. In lab tests conducted by the team, the surgical filament threaded through samples of chicken meat was easily visible in CT scans, even after three weeks. The surgical filament also demonstrated strong antimicrobial properties by killing 99% of highly drug-resistant bacteria after six hours at body temperature.

The suture gains its properties from the combination of iodine and tiny nanoparticles, called carbon dots, throughout the material. Carbon dots are inherently fluorescent, due to their particular wavelength, but can also be tuned to different levels of luminosity that easily stand out from surrounding tissue in medical imaging. By attaching iodine to these carbon dots, they gain strong antimicrobial properties and greater X-ray visibility.

According to the researchers, carbon nano dots are safe, cheap and easy to produce in the lab from natural ingredients. The researchers believe that it addresses a serious challenge faced by surgeons in attempting to identify the precise anatomical location of internal meshes on CT scans. The researchers will now conduct pre-clinical trials for which they will produce larger suture samples.

“Our smart surgical sutures can play an important role in preventing infection and monitoring patient recovery and the proof-of-concept material we’ve developed has several important properties that make it an exciting candidate for this,” said Dr. Shadi Houshyar, study lead author and Vice Chancellor’s Senior Research Fellow from RMIT University’s School of Engineering.

“This mesh will enable us to help with improved identification of the causes of symptoms, reduce the incidence of mesh infections and will help with precise preoperative planning, if there is a need to surgically remove this mesh,” said consultant colorectal surgeon and Professor of Surgery at the University of Melbourne, Justin Yeung, who was involved in the study. “It has the potential to improve surgery outcomes and improve quality of life for a huge proportion of women, if used as vaginal mesh for example, by reducing the need for infected mesh removal. It may also significantly reduce surgery duration and increase surgical accuracy in general through the ability to visualize mesh location accurately on preoperative imaging.”

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60 (353.09791564941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

61 (!!!!! 1485.8245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

62 (233.88862609863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

63 (!!!!! 2476.9306182861): 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

64 (581.02607727051): SELECT fid FROM jos_deeppockets WHERE id=294796230 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796230 AND published='1' LIMIT 1

65 (394.82116699219): 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=215 ORDER BY `ordering`

66 (108.95729064941): select jos_twitters.link from jos_twitters where cat=10

67 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

68 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

69 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

70 (49.829483032227): SELECT fid FROM jos_deeppockets WHERE id=294796230 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796230 AND published='1' LIMIT 1

71 (40.054321289062): 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=215 ORDER BY `ordering`

72 (394.82116699219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (368.83354187012): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (131.13021850586): 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`

75 (810.14633178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 1226.9020080566): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (116.82510375977): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 4186.1534118652): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (114.91775512695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (56.028366088867): 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`

92 (831.84242248535): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 2146.0056304932): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (162.12463378906): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

107 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

108 (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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (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_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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (679.96978759766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

111 (951.05171203613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

112 (609.15946960449): 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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (617.98095703125): 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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (85.115432739258): 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=294796226 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (536.91864013672): 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=294796226 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (997.06649780273): 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 (734.09080505371): 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 (121.11663818359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

119 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

120 (154.97207641602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

121 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

122 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

124 (478.98292541504): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 128360.98670959): 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 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

127 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

128 (625.8487701416): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796230 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796230 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1168023.109436): ( 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 (580.0724029541): ( 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 (393.15223693848): 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 (339.03121948242): 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 (885.009765625): 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 (42.915344238281): 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 (33.140182495117): 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 (35.04753112793): 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 (660.89630126953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (444.88906860352): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (227.92816162109): SELECT name FROM jos_deeppockets WHERE id=215

140 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=215

141 (!!!!! 2264.9765014648): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (910.99739074707): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (440.83595275879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

144 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

145 (!!!!! 18098.115921021): TRUNCATE TABLE jos_trademed_module

146 (323.05717468262): 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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (279.18815612793): 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=294796230 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (489.95018005371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (241.99485778809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

151 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

152 (!!!!! 2375.8411407471): 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 (!!!!! 1753.8070678711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

154 (586.98654174805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

155 (247.00164794922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796230 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796230 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (!!!!! 2138.1378173828): 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=0 or channel_id is null)

157 (!!!!! 1243.8297271729): 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=0 or channel_id is null)

158 (!!!!! 4371.166229248): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 1904.0107727051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

160 (603.91426086426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796230 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796230 AND published='1' LIMIT 1

161 (164.03198242188): select jos_twitters.link from jos_twitters where cat=10

162 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

163 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

164 (45.061111450195): select jos_linkedin.link from jos_linkedin where cat=10

165 (362.87307739258): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 6189.1078948975): insert into jos_banners_delta values (14615,'2025-04-30 18:41:03','18.188.54.133','view'),(14202,'2025-04-30 18:41:03','18.188.54.133','view'),(14203,'2025-04-30 18:41:03','18.188.54.133','view')

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