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European Seed Brachytherapy Market

By HospiMedica staff writers
Posted on 31 Mar 2005

The burgeoning seed brachytherapy market in Europe has been struggling with concerns such as high procedural and investment costs and an absence of local clinical evidence. Growing indications, however, of the overall cost and clinical benefits of seed brachytherapy, combined with increased patient awareness, is set to boost the growth of the technique, according to Frost & Sullivan (Palo Alto, CA, USA), an international growth consultancy company.

Currently, only a small number of centers in Europe provide seed brachytherapy, with less than one quarter of eligible prostate cancer patients receiving this treatment option. High investment costs, with a median of over U.S.$200,000, combined with usually low reimbursement rates for new, somewhat unproven technologies, have dampened enthusiasm for embracing this technique.

"While the investment costs may initially be high, the cost benefit must come from reduced treatment time and avoidance of further treatment costs,” commented Sheila Ewing, a Frost & Sullivan research analyst. Professed clinical benefits of seed brachytherapy in comparison to conventional methods such as external beam, intensity modulated radiation (IMRT), and prostatectomies, include faster and less invasive delivered treatments, consequently resulting in improved patient outcome. Furthermore, reduced treatment time, avoidance of overnight hospital stays, and faster recovery times are apt to underscore the cost efficiencies generated by seed brachytherapy.

The significant challenge for market participants is to show such cost and clinical benefits to both healthcare providers and end users. Up to now, European clinical trial findings comparing traditional radiation treatment to seed brachytherapy or surgery have been inadequate. Growing evidence, however, of several positive clinical findings from long-term studies performed in the United States is encouraging clinicians to review seed brachytherapy as a treatment alternative for breast and prostate cancer.

Pressed by European clinical trial results and improved distribution in European countries, revenues of the implantable prostate seed brachytherapy segment (comprising palladium and iodine isotopes) are predicted to expand from an estimated $14.0 million in 2004 to $22.7 million in 2010.

Limited treatment alternatives offered by clinicians for breast and prostate cancer combined with long waiting times for traditional treatments are motivating patients to evaluate potential options including seed brachytherapy. As early cancer diagnosis increases and long waiting lines for conventional radiation treatment persists, seed brachytherapy is expected to become a valuable treatment option for many cancer patients.

Possible applications such as head metastases, spinal, neck, and other cancers are set to boost market growth. Overall demand is also set to increase because of technical advances, a wider variety of methods, and growing acceptance of brachytherapy procedures.

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59 (!!!!! 1183.032989502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

60 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

61 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

62 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

63 (79.870223999023): 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 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE id=147130000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=147130000 AND published='1' LIMIT 1

65 (46.014785766602): 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=217 ORDER BY `ordering`

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

67 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

68 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

69 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

70 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE id=147130000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=147130000 AND published='1' LIMIT 1

71 (32.901763916016): 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=217 ORDER BY `ordering`

72 (301.83792114258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (216.96090698242): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (38.14697265625): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (29.802322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (31.948089599609): 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 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

107 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

108 (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 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (47.206878662109): 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

111 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

112 (354.05158996582): 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (404.11949157715): 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (53.882598876953): 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=147120000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (345.94535827637): 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=147120000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (547.17063903809): 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 (320.9114074707): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

119 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

120 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

121 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

122 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

123 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

124 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

125 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

126 (273.9429473877): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 19289.970397949): 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

128 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=147130000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=147130000 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 7436.0370635986): ( 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 (92.983245849609): ( 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 (55.074691772461): 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

132 (40.054321289062): 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

133 (61.988830566406): 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

134 (32.901763916016): 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

135 (363.82675170898): 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

136 (49.114227294922): 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

137 (46.014785766602): 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

138 (34.093856811523): 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

139 (533.10394287109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (388.86070251465): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=217

142 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=217

143 (572.91984558105): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (468.01567077637): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

145 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

146 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

147 (!!!!! 9881.0195922852): TRUNCATE TABLE jos_trademed_module

148 (116.10984802246): 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (56.982040405273): 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=147130000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (645.87593078613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

153 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

154 (!!!!! 1157.0453643799): 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

155 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

156 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

157 (90.837478637695): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=147130000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=147130000 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (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=0 or channel_id is null)

159 (44.107437133789): 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)

160 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (157.11784362793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

162 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=147130000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=147130000 AND published='1' LIMIT 1

163 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

164 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

165 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

166 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

167 (355.95893859863): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

168 (!!!!! 1650.8102416992): insert into jos_banners_delta values (14202,'2025-08-20 00:20:57','216.73.216.0','view'),(14203,'2025-08-20 00:20:57','216.73.216.0','view')

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