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Ingestible X-Ray Capsule Supports Colorectal Cancer Screening

By MedImaging International staff writers
Posted on 01 Sep 2016

Image: The Check-Cap capsule system (Photo courtesy of Check-Cap).

An innovative ingestible capsule system utilizes ultra-low dose X-ray emission for preparation-free colorectal cancer screening.

The Check-Cap capsule is designed to ingested and left to do its work as the patient goes about his or her normal day, with the only requirement being that patient takes regular small amounts of a standard contrast agent with meals. As the capsule moves through the gastrointestinal (GI) tract, it emits radiation equivalent to that of a standard chest X-ray in order to scan the inside of the colon. The information gathered is transmitted to a device on the patient’s back via wireless communication technologies.

The low-dose X-ray radar scans are used to create standard and three-dimensional (3D) images of the colon, using 360-degree angular scans that “see” through intestinal content. The data is later analyzed by a physician. If nothing is detected, the patient does not require a standard colonoscopy; however, if the Check-Cap device does reveal polyps, a therapeutic colonoscopy would be prescribed. The Check-Cap capsule is under development by Check-Cap (Isfiya, Israel), and is currently not cleared for marketing in any jurisdiction.

“Check-Cap's prep-free, non-invasive technology meets the real need for colon cancer screening that's easy for patients. Patients are often hesitant to undergo colonoscopy due to the preparation, sedation, general discomfort and potential risks,” said Professor Oscar Lebwohl, MD, of Columbia University (New York, NY, USA). “If further studies demonstrate that Check-Cap is an accurate screening modality for colon cancer and polyps, then the Check-Cap system will be a viable testing alternative, allowing the screening of patients in greater numbers and the use of fewer resources compared with CTC and Colonoscopy.”

Colorectal cancer is the second leading cause of cancer death in the United State, with an estimated 134,000 diagnoses and 49,000 deaths in 2016. Despite compelling evidence that screening can detect colorectal cancer and precancerous polyps, nearly one-third of the recommended adult population has never been screened. The Check-Cap system was designed to improve the patient experience by addressing many frequently cited barriers to test completion, including laxative bowel preparation, invasiveness, stool handling, and sedation.

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66 (735.04447937012): SELECT fid FROM jos_deeppockets WHERE id=294765834 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294765834 AND published='1' LIMIT 1

67 (66.995620727539): 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`

68 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

69 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

70 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

71 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

72 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294765834 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294765834 AND published='1' LIMIT 1

73 (36.954879760742): 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`

74 (430.10711669922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (358.10470581055): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (61.03515625): 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`

77 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (78.916549682617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (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`

94 (76.055526733398): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (93.221664428711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

109 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

110 (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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (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_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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

113 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

114 (82.969665527344): 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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (733.85238647461): 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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (939.13078308105): 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 (589.13230895996): 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 (230.07392883301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

119 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

120 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

122 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

123 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

124 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

125 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

126 (494.95697021484): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 31428.813934326): 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 (756.97898864746): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294765834 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294765834 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (86.069107055664): ( 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 (53.882598876953): ( 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 (53.882598876953): 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 (41.007995605469): 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 (41.007995605469): 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 (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

135 (31.948089599609): 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 (40.054321289062): 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 (35.04753112793): 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 (29.802322387695): 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 (575.78086853027): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (459.90943908691): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (104.90417480469): SELECT name FROM jos_deeppockets WHERE id=215

142 (49.829483032227): SELECT name FROM jos_deeppockets WHERE id=215

143 (689.98336791992): 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

144 (660.89630126953): 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

145 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

146 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

147 (!!!!! 9910.8219146729): TRUNCATE TABLE jos_trademed_module

148 (111.81831359863): 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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (54.121017456055): 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=294765834 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (917.91152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

153 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

154 (!!!!! 1502.0370483398): 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 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

156 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

157 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294765834 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294765834 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (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)

159 (33.855438232422): 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)

160 (33.855438232422): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

162 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294765834 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294765834 AND published='1' LIMIT 1

163 (42.200088500977): select jos_twitters.link from jos_twitters where cat=10

164 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

165 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

166 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

167 (252.00843811035): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

168 (987.05291748047): insert into jos_banners_delta values (14202,'2025-08-02 15:22:22','216.73.216.210','view'),(14203,'2025-08-02 15:22:22','216.73.216.210','view')

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