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Innovative Imaging Technique Helps Assess Bone Loss after Bariatric Surgery

By MedImaging International staff writers
Posted on 05 Jun 2024

Image: HR-pQCT image shows microarchitecture of the trabecular bone (in green) and cortical bone (in white) within the distal tibia (Photo courtesy of Wake Forest University)

Bariatric surgery provides substantial health improvements for individuals with severe obesity, although it is linked to bone mass reduction, potentially heightening the risk of fractures. A new study will now use an advanced imaging technique to assess bone loss after bariatric surgery.

Researchers at Wake Forest University of School of Medicine (Winston-Salem, NC, USA) will examine the bone microarchitecture of patients who have undergone bariatric surgery. They will partner with Virginia Tech (Blacksburg, VA, USA) to incorporate a virtual biopsy using high-resolution peripheral quantitative computed tomography (HR-pQCT) into an existing randomized controlled trial. The trial, named Strategies to Reduce the Onset of Sleeve Gastrectomy Associated Bone Loss (STRONG BONES), aims to determine if the osteoporosis medication risedronate can reduce the bone and muscle loss typically seen after weight-loss surgeries.

The HR-pQCT scanner is an advanced imaging tool that employs a low-dose radiation method to evaluate bone mineral density and the detailed structure of bone. This scanner stands out from other imaging options by enabling the use of high-resolution imaging techniques to produce exceptionally detailed bone characterizations. Through these analyses, researchers can better understand the potential for fractures and the overall fragility of the skeleton. The STRONG BONES study will enroll 120 participants over 40 years old who are undergoing sleeve gastrectomy—a surgical weight-loss procedure that involves removing part of the stomach to decrease its size significantly. These participants will either receive six months of risedronate treatment or a placebo, and all will undergo HR-pQCT scans before, during, and after the treatment period.

“We are able to combine this high-resolution imaging with computational modeling to understand how bone strength changes following surgery and in response to the intervention,” said Caitlyn Collins, Ph.D., assistant professor of biomedical engineering and mechanics at Virginia Tech and a co-investigator on the ancillary study to the STRONG BONES trial. “This gives us a more in-depth understanding of how and where risedronate may be affecting bone remodeling in our study participants.”

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Wake Forest University
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64 (!!!!! 6565.0939941406): 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 (!!!!! 8914.9475097656): select jos_twitters.link from jos_twitters where cat=10

66 (!!!!! 7955.0743103027): select jos_facebook.link from jos_facebook where cat=10

67 (!!!!! 7913.1126403809): select jos_google_plus.link from jos_google_plus where cat=10

68 (!!!!! 7933.8550567627): select jos_linkedin.link from jos_linkedin where cat=10

69 (!!!!! 7766.9620513916): SELECT fid FROM jos_deeppockets WHERE id=294801408 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294801408 AND published='1' LIMIT 1

70 (!!!!! 7956.0279846191): 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 (!!!!! 4137.9928588867): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 7580.9955596924): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 7954.1206359863): 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 (583.88710021973): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 1761.9132995605): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (308.99047851562): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 3013.1340026855): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (352.14424133301): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (208.85467529297): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (191.92695617676): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (403.88107299805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (658.98895263672): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (47.922134399414): 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 (683.78448486328): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (185.01281738281): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (239.13383483887): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (276.08871459961): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (241.99485778809): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (360.96572875977): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 7520.9140777588): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

106 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

107 (79.154968261719): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1072.883605957): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (!!!!! 1001.8348693848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

110 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

111 (231.98127746582): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (969.17152404785): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 1097.2023010254): 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 (632.04765319824): 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 (346.89903259277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

116 (247.00164794922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

117 (332.11708068848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

118 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

119 (909.09004211426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

120 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

121 (598.90747070312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

122 (206.94732666016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

123 (745.05805969238): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 74294.805526733): 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 (!!!!! 6143.8083648682): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801408 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801408 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (87.976455688477): ( 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 (505.92422485352): ( 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 (670.19462585449): 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 (746.9654083252): 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 (516.89147949219): 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 (42.915344238281): 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 (96.797943115234): 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 (864.02893066406): 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 (922.91831970215): 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 (56.028366088867): 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 (!!!!! 4298.9253997803): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1032.1140289307): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 2318.8591003418): SELECT name FROM jos_deeppockets WHERE id=215

139 (49.829483032227): SELECT name FROM jos_deeppockets WHERE id=215

140 (!!!!! 1010.1795196533): 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 (!!!!! 1001.1196136475): 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 (926.97143554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

143 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

144 (!!!!! 19209.861755371): TRUNCATE TABLE jos_trademed_module

145 (!!!!! 5393.0282592773): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (766.03889465332): 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=294801408 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 2078.0563354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (417.94776916504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (!!!!! 5069.0174102783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

150 (!!!!! 7843.017578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

151 (!!!!! 7262.9451751709): 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 (!!!!! 3542.1848297119): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

153 (!!!!! 8123.8746643066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

154 (!!!!! 7881.8798065186): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294801408 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294801408 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (!!!!! 7850.170135498): 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 (!!!!! 8115.0531768799): 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 (!!!!! 7717.1325683594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (!!!!! 7712.1257781982): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

159 (!!!!! 7605.7910919189): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294801408 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294801408 AND published='1' LIMIT 1

160 (646.11434936523): select jos_twitters.link from jos_twitters where cat=10

161 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

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

163 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

164 (905.03692626953): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 1243.8297271729): insert into jos_banners_delta values (14202,'2025-08-03 03:13:04','216.73.216.210','view'),(14203,'2025-08-03 03:13:04','216.73.216.210','view')

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