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New Software Designed to Ensure Faster Care, Treatment for Stroke Patients

By MedImaging International staff writers
Posted on 29 Apr 2014

Image: Dr. Fuk-hay Tang believes that the CAD stroke system raises hope for patients with ischemic stroke by detecting signs of stroke from computed tomography (CT) scans (Photo courtesy of the Hong Kong Polytechnic University).

Image: Automatic detection of potential ischemic stroke areas (Photo courtesy of the Hong Kong Polytechnic University).

Image: CT scan without CAD (a) CT scan with CAD result (b) (Photo courtesy of the Hong Kong Polytechnic University).

New computer technology has the potential to treat people affected by ischemic stroke. Developed by researchers in Hong Kong, this innovative application that proficiently analyses brain scans could save lives by helping clinicians determine if a patient has the life-threatening disorder.

The computer-aided design (CAD) stroke technology is capable of detecting signs of stroke from computed tomography (CT) scans. When blood flow to the brain is blocked, an area of the brain turns softer or decreases in density due to insufficient blood flow, pointing to an ischemic stroke, which is a very common kind of stroke that accounts for over 80% of overall stroke cases.

As demonstrated by Dr. Fuk-hay Tang from the department of health technology and informatics at Hong Kong Polytechnic University (PolyU), CT scans are fed into the CAD stroke computer, which will make calculations and comparisons to locate regions suspected of insufficient blood flow. In 10 minutes, scans with highlighted areas of abnormality will come out for a physician’s review. Early alteration including loss of insular ribbon, loss of sulcus and dense MCA signs can be identified, helping clinicians determine if blood clots are present.

A diagnostic tool that can accelerate the process will be greatly helpful in saving lives. Dr. Tang stated, “The clock is ticking for stroke patients. Medications taken in three hours from the onset of stroke are deemed most effective. Chances of recovery decrease with every minute passing by. It typically takes 30 minutes at best for the ambulance to arrive at the hospital. Then, another 45 minutes to one hour are then required for CT or magnetic resonance imaging [MRI] scans after the patient has been checked and dispatched for the test, which means some waiting, and time will slip by. Afterwards, the brain scan will take another 10 to 15 minutes. If our tool can help doctors arrive at a diagnosis in 10 minutes, the shorter response time will make meeting the target more achievable. It might come in handy for physicians with less experience in stroke, and patient care can be maintained in hospitals where human and other vital resources are already stretched to the limit.”

The life-saving tool can also identify slight and tiny changes in the brain that would escape the eye of even an experienced specialist, slashing the chances of missed diagnosis. False-positive and false-negative cases, and other less serious disorders that mimic a stroke can also be ruled out, allowing a fully-informed decision to be made.

Furthermore, equipped with the built-in artificial intelligence feature, the CAD stroke technology would learn by experience. With every scan passing through, along with feedback from stroke specialists, the application will improve on its accuracy over time. “It is important to identify stroke patients and help them get the urgent treatment they need,” said Dr .Tang. “Prompt and accurate diagnosis is in the forefront of our minds when designing the medical application. Healthcare professionals should focus on what they do best and let us take care of the rest.”

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Hong Kong Polytechnic University

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66 (51.021575927734): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (66.995620727539): SELECT fid FROM jos_deeppockets WHERE id=294752143 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752143 AND published='1' LIMIT 1

69 (51.021575927734): 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=216 ORDER BY `ordering`

70 (267.98248291016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (231.98127746582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (57.93571472168): 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`

73 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (52.928924560547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (34.093856811523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (40.054321289062): 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`

90 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

105 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

106 (58.889389038086): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

109 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

110 (61.988830566406): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (529.05082702637): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1451.0154724121): 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

113 (!!!!! 3643.0358886719): 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 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

116 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

117 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

118 (!!!!! 1334.9056243896): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

119 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

120 (288.00964355469): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 76435.804367065): 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

122 (737.90550231934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

123 (!!!!! 1620.0542449951): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

124 (447.98851013184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752143 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752143 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1125998.9738464): ( 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

126 (!!!!! 1066155.1952362): ( 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 (88.214874267578): 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

128 (32.901763916016): 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

129 (63.180923461914): 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

130 (39.100646972656): 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

131 (39.100646972656): 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

132 (37.193298339844): 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

133 (900.0301361084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (594.13909912109): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (325.20294189453): SELECT name FROM jos_deeppockets WHERE id=216

136 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=216

137 (625.1335144043): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (525.95138549805): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (!!!!! 1406.9080352783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

140 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

141 (!!!!! 10469.198226929): TRUNCATE TABLE jos_trademed_module

142 (141.85905456543): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (839.9486541748): 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=294752143 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (576.97296142578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

147 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

148 (!!!!! 1697.7787017822): 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

149 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

150 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

151 (523.09036254883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752143 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752143 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (644.92225646973): 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=216 or channel_id is null)

153 (53.167343139648): 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=216 or channel_id is null)

154 (44.822692871094): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (211.95411682129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

156 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752143 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752143 AND published='1' LIMIT 1

157 (65.088272094727): select jos_twitters.link from jos_twitters where cat=10

158 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

159 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

160 (32.186508178711): select jos_linkedin.link from jos_linkedin where cat=10

161 (331.87866210938): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1405.0006866455): insert into jos_banners_delta values (14615,'2025-05-02 09:50:55','3.128.172.178','view'),(14202,'2025-05-02 09:50:55','3.128.172.178','view'),(14203,'2025-05-02 09:50:55','3.128.172.178','view')

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