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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Campaign to Standardize “Child-Size” Pediatric Radiopharmaceutical Dose

By MedImaging International staff writers
Posted on 28 Nov 2011

A campaign initiated by a US nuclear medicine society and a radiation safety alliance has been designed to encourage community hospitals, academic hospitals, and clinics to comply with new North American guidelines for nuclear medicine radiopharmaceutical dose in children.

The dose recommendations, calculated on a “straight” weight basis, have been assessed in children’s hospitals and are compatible with high-quality imaging and additional dose reduction in the first decades of life.

The Image Gently campaign and the Society of Nuclear Medicine (SNM; Reston, VA, USA) have launched the “Go with the Guidelines.” “Standardization helps ensure that all pediatric nuclear medicine providers consistently get quality medical images while using the lowest amount of radiation possible. I can’t encourage nuclear medicine providers strongly enough to take advantage of this very important tool,” said S. Ted Treves, MD, strategy leader of the Image Gently/SNM initiative and chief of nuclear Medicine and molecular imaging at Children’s Hospital Boston.

With the launch of the “Go With the Guidelines” campaign, the Alliance for Radiation Safety in Pediatric Imaging echoes this central Image Gently message: As children may be more sensitive to medical radiation than adults, and cumulative radiation exposure to their smaller bodies could, over time, have adverse effects, radiologists who perform nuclear medicine imaging exams on children, are urged to follow the North American guidelines for pediatric nuclear medicine and determine the appropriate radiopharmaceutical dose based on body weight.

“The new guidelines are a great accomplishment. The priority now, is to focus on bringing these guidelines to the attention of the rest of the nuclear medicine community, especially to medical practitioners in our general hospitals. We want everyone to perform quality nuclear medicine with the least amount of radiation delivered to the patient as possible,” explained Frederic H. Fahey, DSc, president-elect of SNM and director of physics in nuclear medicine and molecular imaging at Children’s Hospital Boston (MA, USA).

To encourage awareness, Image Gently and SNM are distributing thousands of 28x35.5-cm posters that remind medical practitioners to use these new guidelines for 11 frequently performed imaging studies in children. Posters are provided at no cost and can be found inside various medical imaging journals the fall of 2011. “The new poster and dose recommendations should be helpful in reducing dose in hospitals and clinics, especially in facilities that perform limited numbers of nuclear medicine procedures in children,” said Michael J. Gelfand, MD, past president of SNM and chief of nuclear medicine at Cincinnati Children’s Hospital (OH, USA).

A companion Image Gently/SNM publication, “What You Should Know About Pediatric Nuclear Medicine and Radiation Safety,” can help families gain a better understanding of the complicated aspects involved in providing safe, effective nuclear medicine scanning to children.

“The development and dissemination of effective dose-lowering guidelines such as these is of utmost importance. Radiologic technologists interact directly with the patients to carry out these life-saving exams. I strongly urge all ASRT members who practice in the nuclear medicine field to become familiar with the new guidelines and make sure others are aware of them as well,” said Dawn McNeil, MSM, RT(R)(M), RDMS, RVT, CRA, president of the American Society of Radiologic Technologists (ASRT).

Related Links:
Society of Nuclear Medicine
Image Gently
Alliance for Radiation Safety in Pediatric Imaging

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61 (92.983245849609): 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 (567.91305541992): SELECT fid FROM jos_deeppockets WHERE id=294738185 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738185 AND published='1' LIMIT 1

63 (44.107437133789): 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 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.040740966797): SELECT fid FROM jos_deeppockets WHERE id=294738185 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294738185 AND published='1' LIMIT 1

69 (44.107437133789): 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 (293.01643371582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (252.96211242676): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (62.942504882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

105 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

106 (51.975250244141): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

109 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

110 (49.829483032227): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (650.88272094727): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (707.14950561523): 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 (462.05520629883): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

115 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

116 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

117 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

118 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

119 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

120 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

121 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

122 (227.21290588379): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20910.024642944): 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 (397.2053527832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738185 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738185 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 6840.9442901611): ( 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 (174.99923706055): ( 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 (226.02081298828): 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 (48.160552978516): 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 (62.942504882812): 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 (41.961669921875): 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 (260.1146697998): 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 (55.074691772461): 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 (82.015991210938): 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 (136.13700866699): 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 (336.88545227051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (226.02081298828): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=213

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

139 (597.00012207031): 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 (619.17304992676): 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 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

142 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

143 (!!!!! 9074.2111206055): TRUNCATE TABLE jos_trademed_module

144 (107.0499420166): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (58.174133300781): 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=294738185 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (583.88710021973): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

149 (62.227249145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

150 (!!!!! 1471.0426330566): 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 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

152 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

153 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294738185 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294738185 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.961669921875): 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 (39.815902709961): 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 (41.007995605469): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (127.79235839844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

158 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294738185 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294738185 AND published='1' LIMIT 1

159 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

160 (40.054321289062): 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 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

163 (384.09233093262): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1166.820526123): insert into jos_banners_delta values (14615,'2025-06-21 18:54:47','216.73.216.120','view'),(14202,'2025-06-21 18:54:47','216.73.216.120','view'),(14203,'2025-06-21 18:54:47','216.73.216.120','view')

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