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Development of Standards for Radiopharmaceutical Doses in Pediatric Nuclear Medicine Recommended

By MedImaging staff writers
Posted on 14 Jul 2008

Radiopharmaceutical guidelines should be established for consistent dosage standards, according to a recent report.

Results of a recent survey of 13 pediatric hospitals in North America show a lack of universally applied standards for administering radiopharmaceutical doses to children undergoing nuclear medicine examinations, according to an article in the June 2008 issue of The Journal of Nuclear Medicine (JNM).

"Modern nuclear medicine procedures are sensitive, minimally invasive, painless, and safe and thus well suited for the evaluation of pediatric patients. They provide a wealth of unique and useful information that can be used to diagnose and treat many diseases of childhood,” said S. Ted Treves, M.D., chief of the division of nuclear medicine at Children's Hospital Boston (MA, USA) and professor of radiology at Harvard Medical School (Cambridge, MA, UDS).

In nuclear medicine, there are well-established guidelines for administering radiopharmaceutical doses for adults. However, Dr. Treves stated, "At this time, the majority of radiopharmaceutical package inserts do not provide guidance on pediatric doses. In imaging children, physicians typically base dosages on the patient's body weight, the nature and the type of problem being investigated, the equipment available, and their own experience. This has led to the variations in dosage that currently exist.”

This approach, however, may result in the smallest patients receiving a dose that is too small to produce adequate results. Furthermore, according to experts, radiopharmaceuticals are handled differently in infants and young children. For example, circulation time in newborns is faster than it is in adult patients. These and other kinetic and metabolic differences can make a difference in the doses children require. The wide range of disorders, body sizes, stages of development, and level of patient cooperation require customized approaches to dosimety and to the various imaging techniques that are used in making a diagnosis.

"This survey identifies a very important question: What are the lowest radiopharmaceutical dosage levels that are compatible with quality imaging in children?” asked Dr. Michael Gelfand, M.D., president of the Society of Nuclear Medicine's (SNM; Reston, VA, USA) Pediatric Imaging Council. "Over the last few years, the imaging community successfully tackled the problem of computed tomography [CT] absorbed radiation doses that, in many cases, were higher than required for quality imaging. Although nuclear medicine scans are performed less frequently than CT scans and generally involve much less radiation, this report has identified a question that needs attention.”

In an effort to document pediatric radiopharmaceutical doses among a group of pediatric hospitals, Dr. Treves and his coauthors designed a survey consisting of 16 pediatric nuclear medicine examinations. Survey participants were asked to report the minimum and maximum administered activities for each exam as well as the administration schedule based on body weight. From these data, the investigators computed minimum, maximum, median, and mean values for each procedure, which confirmed what they had long suspected: Among the institutions surveyed, the administered doses varied widely, with the greatest disparity noted in the smallest patients for levels of minimum total administered activity.

The study authors recommend establishing guidelines that balance the need for high-quality image resolution and low radiation exposure with each child's unique profile. The researchers reported that their findings suggest a definite need to achieve some level of standardization by reaching a wider consensus on pediatric radiopharmaceutical dosimetry. They hope to stimulate a dialogue within the pediatric nuclear medicine community that will ultimately lead to the establishment of guidelines for administered radiopharmaceutical doses in children that rely on the most current instrumentation, imaging processing techniques, and computer technologies.

Other recommendations include utilizing new image-processing techniques that have emerged in the last few years that offer advantages over older methods by generating images of vastly improved quality that provide diagnostic information with lower administered radiopharmaceutical doses. The investigators are presently applying these new techniques to a variety of tests.

Related Links:
Harvard Medical School
Society of Nuclear Medicine

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61 (985.86082458496): 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 (689.98336791992): SELECT fid FROM jos_deeppockets WHERE id=289790000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=289790000 AND published='1' LIMIT 1

63 (263.92936706543): 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=213 ORDER BY `ordering`

64 (196.93374633789): select jos_twitters.link from jos_twitters where cat=10

65 (104.90417480469): select jos_facebook.link from jos_facebook where cat=10

66 (274.1813659668): select jos_google_plus.link from jos_google_plus where cat=10

67 (56.982040405273): select jos_linkedin.link from jos_linkedin where cat=10

68 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE id=289790000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=289790000 AND published='1' LIMIT 1

69 (109.19570922852): 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=213 ORDER BY `ordering`

70 (499.01008605957): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (243.9022064209): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (128.98445129395): 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 (318.05038452148): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (102.04315185547): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (293.01643371582): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (95.844268798828): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (469.92301940918): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (384.09233093262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (38.862228393555): 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 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

105 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

106 (72.956085205078): 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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (52.928924560547): 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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

109 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

110 (43.153762817383): 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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (468.96934509277): 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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (568.15147399902): 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 (313.04359436035): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

115 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

116 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

117 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

118 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

119 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

120 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

122 (150.91896057129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 38740.873336792): 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 (944.85282897949): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=289790000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=289790000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (144.95849609375): ( 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 (141.85905456543): ( 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 (129.93812561035): 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 (135.18333435059): 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 (157.83309936523): 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 (140.19012451172): 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 (121.11663818359): 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 (127.07710266113): 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 (133.99124145508): 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 (162.12463378906): 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 (!!!!! 2098.0834960938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 4575.0141143799): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (55.074691772461): SELECT name FROM jos_deeppockets WHERE id=213

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=213

139 (570.05882263184): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (!!!!! 1846.0750579834): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (141.14379882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

142 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

143 (!!!!! 20576.000213623): TRUNCATE TABLE jos_trademed_module

144 (90.122222900391): 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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (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_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=289790000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (759.12475585938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2470.9701538086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

149 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

150 (!!!!! 1111.0305786133): 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 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

152 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

153 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=289790000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=289790000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (32.901763916016): 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=213 or channel_id is null)

155 (30.040740966797): 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=213 or channel_id is null)

156 (31.948089599609): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

158 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=289790000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=289790000 AND published='1' LIMIT 1

159 (565.0520324707): select jos_twitters.link from jos_twitters where cat=10

160 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

161 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

162 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

163 (751.97219848633): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1168.966293335): insert into jos_banners_delta values (14615,'2025-08-23 01:56:45','216.73.216.171','view'),(14202,'2025-08-23 01:56:45','216.73.216.171','view'),(14203,'2025-08-23 01:56:45','216.73.216.171','view')

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