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Non-Contrast CT Imaging Solution Accelerates Acute Stroke Triage

By MedImaging International staff writers
Posted on 01 Aug 2023

In the area of stroke management, speed and accurate diagnosis are vital for improving patient outcomes. More...

For healthcare facilities and mobile stroke units that are on the front lines of patient assessment, access to additional contextual data is key to facilitating more rapid and informed decisions regarding patient triage and transfers. Now, a non-contrast CT imaging solution designed to accelerate acute stroke triage aids in quicker decision-making related to patient treatment and transfers while promoting a higher standard of care equity.

RapidAI’s (San Mateo, CA, USA) Rapid NCCT Stroke is a non-contrast based solution aimed at improving stroke and trauma care by identifying suspected intracranial hemorrhage (ICH) and large vessel occlusion (LVO) through value-based CT imaging. It employs artificial intelligence to examine non-contrast CT (NCCT) images, determining suspicions of ICH and LVO in the distal internal carotid artery (ICA) and the M1 segment of the middle cerebral artery (MCA-M1). This fully automatic system then sends triage and priority alerts via PACS, email, and the Rapid mobile application. Since NCCT imaging is readily available and is the first choice for imaging stroke and trauma patients, Rapid NCCT Stroke allows care teams to make quicker decisions regarding time-sensitive workflows and patient transfers. For hospitals performing advanced imaging, the use of Rapid NCCT Stroke can considerably cut down the time gap between CT and CTA scans.

The unique triage and notification algorithm of Rapid NCCT Stroke is the first to deliver integrated suspicion output based on various stroke-related indicators. This aids physicians in making quick, time-sensitive stroke workflow decisions through faster alerts of suspected ICH or LVO. The system provides rapid analysis of value-based CT images, speeding up the decision-making process in healthcare facilities of all care levels. When compared to general radiologists, Rapid NCCT Stroke has shown a 55% increase in sensitivity, assisting clinicians in different types of facilities to identify potential ICH or LVO. It has also demonstrated a time saving of over 56 minutes in time to notification – a reduction of 95% compared to standard care practices. Following its recently-obtained FDA 510(k) clearance, Rapid NCCT Stroke is now the first and only FDA-approved medical device capable of detecting suspected ICH and LVO from value-based CT imaging.

“This technology will not only have an enormous impact on stroke care here in the U.S. but also globally, by giving care teams at small, local, or regional facilities around the world access to advanced clinical decision support technology too often only available at comprehensive stroke centers,'' said Karim Karti, CEO of RapidAI. “Our hope is that by providing better information early for more informed treatment and transfer decisions, Rapid NCCT Stroke will support faster stroke care and better patient outcomes. This is an incredible achievement for the team and yet another example of RapidAI’s continued leadership in creating the next evolution of stroke care technology.”

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60 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

61 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

62 (167.1314239502): 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

63 (581.97975158691): SELECT fid FROM jos_deeppockets WHERE id=294798124 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798124 AND published='1' LIMIT 1

64 (64.13459777832): 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`

65 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

66 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

67 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

68 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

69 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE id=294798124 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798124 AND published='1' LIMIT 1

70 (34.809112548828): 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`

71 (380.9928894043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (407.93418884277): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (45.061111450195): 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`

74 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (44.822692871094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (43.869018554688): 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`

91 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (145.91217041016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

106 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

107 (76.055526733398): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (71.048736572266): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

110 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

111 (95.844268798828): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (768.18466186523): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (901.93748474121): 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 (625.1335144043): 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

115 (329.01763916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

116 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

117 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

118 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

119 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

120 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

121 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

122 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

123 (391.96014404297): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 32737.016677856): 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

125 (581.02607727051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798124 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798124 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7939.1002655029): ( 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 (78.201293945312): ( 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

128 (82.969665527344): 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 (37.193298339844): 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

130 (46.014785766602): 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 (30.040740966797): 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

132 (321.86508178711): 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 (38.862228393555): 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

134 (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

135 (28.848648071289): 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

136 (483.98971557617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (420.80879211426): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (46.014785766602): SELECT name FROM jos_deeppockets WHERE id=215

139 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=215

140 (590.08598327637): 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

141 (641.1075592041): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

143 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

144 (!!!!! 11128.902435303): TRUNCATE TABLE jos_trademed_module

145 (109.91096496582): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (60.081481933594): 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=294798124 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (930.0708770752): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

150 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

151 (!!!!! 1157.9990386963): 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

152 (178.09867858887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

153 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

154 (222.20611572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798124 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798124 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (73.909759521484): 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=215 or channel_id is null)

156 (!!!!! 2431.1542510986): 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=215 or channel_id is null)

157 (59.127807617188): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (185.01281738281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

159 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798124 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798124 AND published='1' LIMIT 1

160 (78.916549682617): select jos_twitters.link from jos_twitters where cat=10

161 (48.87580871582): select jos_facebook.link from jos_facebook where cat=10

162 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

163 (80.82389831543): select jos_linkedin.link from jos_linkedin where cat=10

164 (375.03242492676): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 2944.9462890625): insert into jos_banners_delta values (14202,'2025-08-04 07:18:54','216.73.216.210','view'),(14203,'2025-08-04 07:18:54','216.73.216.210','view')

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