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Clinical Trial to Assess New Pacing System in MRI Environment

By MedImaging International staff writers
Posted on 23 Apr 2013

Image: The ImageReady pacing system comprises the Ingenio MRI pacemaker product range and the Ingevity MRI pacing leads (Photo courtesy of Boston Scientific).

A new study has been designed to validate the effectiveness and safety of a new pacing system in the magnetic resonance imaging (MRI) environment.

Pacing systems are designed to treat bradycardia, a disorder in which the heart beats too slowly, depriving the body of adequate oxygen. MRI provides detailed images of organs and tissues without the use of radiation. Whereas these images can help clinicians make informed decisions about treatment and care, most pacemakers are not compatible with MRI technology and therefore patients may not have access to the sophisticated scanning capabilities of the diagnostic system.

The first patient in the United States has been implanted with the Boston Scientific Corp. (Natick, MA, USA) next-generation ImageReady MR Conditional pacing system in the Samurai clinical trial. The ImageReady pacing system is comprised of the Boston Scientific Ingenio MRI pacemaker product range and the new Ingevity MRI pacing leads. The proprietary technology is designed to reduce MRI interference with device performance. The Ingevity pacing lead platform, moreover, is designed to provide key enhancements in fixation and handling compared to standard leads currently available, and it is specifically engineered to function in the MRI environment.

“Physicians are very limited in device options and therapies labeled for use in the MRI setting,” said Ronald Berger, MD, PhD, professor of medicine, Johns Hopkins Medical Institutions. “The availability of a pacing system specifically designed to allow patients with pacemakers to undergo a broad set of MRI scanning conditions will advance the quality of patient care. The Ingenio MRI pacemaker family also offers pacing technologies not previously available in devices designed for the MRI environment.”

The ImageReady pacing system provides technologies exclusive to Boston Scientific, including RightRate rate adaptive pacing with the Minute Ventilation sensor, the only sensor clinically proven to restore chronotropic competence; Rythmiq, which is designed to minimize unnecessary RV pacing without clinically significant pauses; and Latitude NXT, which is geared towards minimizing clinic and patient burden with wireless remote follow-up.

“The ImageReady system is another example of our continued commitment to meaningful innovation,” said Kenneth Stein, MD, chief medical officer, cardiac rhythm management, Boston Scientific. “Our mission is to improve outcomes by providing patients and their physicians with access to the most advanced device therapies and diagnostic technologies.”

The Samurai trial is a prospective, open-label, two-group randomized, multicenter, global clinical study designed to support US Food and Drug Administration regulatory (FDA) approval. The trial is expected to enroll approximately 363 patients at 45 centers in seven countries. The first patient implant in the United States occurred at OhioHealth’s Riverside Methodist Hospital (Columbus, OH, USA) by Sreedhar Billakanty, MD Dr. Billakanty is the coinvestigator of the Samurai study at OhioHealth along with Gregory Kidwell, MD, system medical director of Electrophysiology Services. The first study implant worldwide occurred in Malaysia at the Institut Jantung Negara (Kuala Lumpur) by Razali Omar, MD.

The ImageReady pacing system is under clinical investigation and not currently available in the United States.

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60 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

61 (!!!!! 9366.9891357422): 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

62 (!!!!! 3922.9393005371): SELECT fid FROM jos_deeppockets WHERE id=294745906 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745906 AND published='1' LIMIT 1

63 (620.12672424316): 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=212 ORDER BY `ordering`

64 (241.04118347168): select jos_twitters.link from jos_twitters where cat=10

65 (561.95259094238): select jos_facebook.link from jos_facebook where cat=10

66 (55.074691772461): select jos_google_plus.link from jos_google_plus where cat=10

67 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

68 (339.98489379883): SELECT fid FROM jos_deeppockets WHERE id=294745906 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294745906 AND published='1' LIMIT 1

69 (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=212 ORDER BY `ordering`

70 (569.82040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (345.94535827637): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (222.92137145996): 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 (401.02005004883): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (180.00602722168): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (297.06954956055): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (173.80714416504): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (272.03559875488): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (432.96813964844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (163.07830810547): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (302.07633972168): 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 (!!!!! 3702.8789520264): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (108.95729064941): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (157.11784362793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

105 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

106 (77.962875366211): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (603.91426086426): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 6778.0017852783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

109 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

110 (93.221664428711): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (677.10876464844): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (540.97175598145): 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 (314.95094299316): 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 (725.03089904785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

115 (!!!!! 3874.0634918213): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

116 (159.02519226074): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

117 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

118 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

119 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

120 (290.87066650391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

121 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

122 (279.90341186523): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 39191.961288452): 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

124 (468.96934509277): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745906 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745906 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 13780.117034912): ( 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 (59.843063354492): ( 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 (38.14697265625): 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

128 (32.186508178711): 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 (40.054321289062): 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

130 (30.994415283203): 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 (311.13624572754): 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

132 (36.954879760742): 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 (33.140182495117): 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

134 (54.121017456055): 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 (406.02684020996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (632.04765319824): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (169.03877258301): SELECT name FROM jos_deeppockets WHERE id=212

138 (38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212

139 (516.89147949219): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (507.11631774902): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (349.99847412109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

142 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

143 (!!!!! 6552.2193908691): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 5235.9104156494): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (798.94065856934): 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=294745906 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 2486.9441986084): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (211.00044250488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

149 (353.81317138672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

150 (!!!!! 2171.9932556152): 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

151 (!!!!! 3099.2031097412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

152 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

153 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294745906 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294745906 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (30.994415283203): 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=212 or channel_id is null)

155 (30.994415283203): 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=212 or channel_id is null)

156 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (267.98248291016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

158 (!!!!! 3978.967666626): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294745906 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294745906 AND published='1' LIMIT 1

159 (41.007995605469): select jos_twitters.link from jos_twitters where cat=10

160 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

161 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 3497.1237182617): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 2802.848815918): insert into jos_banners_delta values (14615,'2025-06-25 12:54:31','216.73.216.120','view'),(14202,'2025-06-25 12:54:31','216.73.216.120','view'),(14203,'2025-06-25 12:54:31','216.73.216.120','view')

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