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Bone Density Test Uses Existing CT Images to Predict Fractures

By MedImaging International staff writers
Posted on 16 May 2024

Osteoporotic fractures are not only devastating and deadly, especially hip fractures, but also impose significant costs. More...

They rank among the top chronic diseases in terms of disability-adjusted life years (DALYs), following ischemic heart disease, dementia, and lung cancer. Osteoporosis is primarily responsible for fractures in post-menopausal women and older men, and its prevalence and severity are often underestimated. Known as a "silent disease" because it typically doesn't show symptoms, osteoporosis can only be effectively detected and treated through screening with a bone density test before a fracture occurs. However, very few people who should be screened actually undergo such screening. A new study has now demonstrated that a bone density test, considered the gold standard for diagnosing osteoporosis, can predict fractures using an individual’s existing CT scans.

This technology-enabled bone density test by Bone Density Inc. (BDI, Torrance, CA, USA) could dramatically enhance public health outcomes and reduce healthcare costs given the high prevalence, severity, and treatability of osteoporosis. BDI’s method utilizes what is sometimes called "opportunistic" screening by employing a patient's existing CT scans, eliminating the need for new imaging as required by traditional DXA imaging methods. This approach requires no additional radiation exposure, cost, equipment, or staffing, making it seamless, safe, cost-effective, quick, and accurate, as evidenced by its ability to predict fractures in this study.

This research is the first to establish the predictive value of vertebral trabecular bone mineral density (vBMD) derived from CT scans for fractures. It is also among the few studies to examine the link between vBMD and osteoporosis-related hip and vertebral fractures across a multiethnic population. The findings indicate that vBMD, as determined by BDI from routine CT images, can effectively predict hip and vertebral fractures. Patients with low vBMD were found to have a 1.57-fold higher risk of experiencing their first hip fracture and nearly three times the risk of their first vertebral fracture compared to those with normal BMD levels.

“With treatment and now screening so easy, awareness is the main hurdle to turn the tide against osteoporosis,” said BDI CEO Jonathan Taub. “Healthcare providers and payers should remind their patients and members to get screened for osteoporosis per medical guidelines. Patients should ask their doctors about screening options. Community leaders and other influencers can help raise awareness as well. With our aging population and other trends, our already acute osteoporosis/fracture problem will get even worse without action. Together, we can turn the tide against the osteoporosis scourge.”

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61 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

62 (131.84547424316): 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 (675.20141601562): SELECT fid FROM jos_deeppockets WHERE id=294801176 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801176 AND published='1' LIMIT 1

64 (56.028366088867): 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 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

66 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

67 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

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

69 (54.121017456055): SELECT fid FROM jos_deeppockets WHERE id=294801176 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801176 AND published='1' LIMIT 1

70 (42.915344238281): 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 (!!!!! 5024.1947174072): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (570.05882263184): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (55.074691772461): 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 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (75.817108154297): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 3163.0992889404): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): 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 (73.19450378418): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

106 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

107 (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 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (703.09638977051): 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

110 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

111 (65.803527832031): 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (662.08839416504): 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (756.02531433105): 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 (!!!!! 2555.1319122314): 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 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

116 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

117 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

118 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

119 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

120 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

121 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

122 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

123 (239.13383483887): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 57654.857635498): 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 (!!!!! 1044.0349578857): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801176 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801176 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 22176.98097229): ( 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 (490.90385437012): ( 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 (434.87548828125): 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 (50.067901611328): 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 (!!!!! 5496.0250854492): 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 (!!!!! 4395.0080871582): 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 (854.9690246582): 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 (51.975250244141): 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 (42.915344238281): 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 (36.954879760742): 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 (457.0484161377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (333.07075500488): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=215

139 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=215

140 (676.87034606934): 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 (567.91305541992): 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 (!!!!! 5345.1061248779): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

143 (369.07196044922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

144 (!!!!! 11494.159698486): TRUNCATE TABLE jos_trademed_module

145 (114.91775512695): 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (66.995620727539): 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=294801176 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (576.01928710938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (139.95170593262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (653.98216247559): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

150 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

151 (!!!!! 1935.0051879883): 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 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

153 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

154 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801176 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801176 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (37.908554077148): 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 (35.04753112793): 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 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

159 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801176 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801176 AND published='1' LIMIT 1

160 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

161 (35.04753112793): 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 (33.855438232422): select jos_linkedin.link from jos_linkedin where cat=10

164 (319.00405883789): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 1111.9842529297): insert into jos_banners_delta values (14202,'2025-08-03 03:07:57','216.73.216.210','view'),(14203,'2025-08-03 03:07:57','216.73.216.210','view')

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