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Hazards of CT Scans May Be Overstated

By MedImaging staff writers
Posted on 21 Jan 2008

Concerns over possible radiation effects of CT scans detailed in a recent report should not scare people away from getting medically necessary CT scans, because the scans play a vital role in saving the lives of thousands of people every day, according to a U.S. More...

official from a physicists society.

In a statement issued November 30, 2007, Dr. John M. Boone, chairman of American Association of Physicists in Medicine (AAPM; College Park, MD, USA) Science Council, reported that the "science community remains divided” over the radiation dose effects of CT scans and that the findings in an article published November 29, 2007, in the New England Journal of Medicine (NEJM) article were based on "flawed assumptions” and were not conclusive. While agreeing with the NEJM article's authors, Drs. David Brenner and Eric Hall, that CT scans should only be used judiciously and when medically necessary, Dr. Boone stated that CT experts in the AAPM "feel that much of the message of this article may be misconstrued or misunderstood by the press or by the public who may not be experts in CT.”

Drs. Brenner and Hall, in their article, reported that while they save lives and speed diagnosis, the 62 million CT scans performed in the United States each year may soon be responsible for 2% of all cancers. They additionally suggested that their "back of the envelope” estimate is that about one-third of all CT scans are unnecessary.

Dr. Boone responded in his statement that the assumptions about the hazards of CT scan radiation exposure "remain controversial, even among experts in radiation biology.” The method of determining risk used in the article is derived from Japanese citizens exposed to large amounts of radiation during the atomic bomb attacks on Hiroshima and Nagasaki in World War II, and the extrapolation of those extremely high radiation exposure rates down to the low CT exposures "remains very controversial,” Dr. Boone noted.

Another "significant flaw” in the article was the attempt to compare the Japanese bomb victims to "patients receiving CT in the US in 2007,” Dr. Boone stated. The article "did not correct for the many underlying confounding age dependent variables that differ between [the Japanese population] and older Americans, such as the incidence of obesity and diabetes.”

Dr. Boone encourages patients who have had CT scans, or are scheduled for CT exams in the next few weeks, to "discuss with their physicians not only the radiation risks of the CT examination, but the risks of not having the diagnostic information that CT provides.”
While Boone noted that Drs. Brenner and Hall are "esteemed scientists and respected experts in radiation risk . . . the conclusions of the Brenner article are based on statistics and many statistical assumptions [and not] on the actual observation of somebody dying from having a CT scan.”

The complete statement of Dr. Boone, the vice chairman of radiology at the University of California, Davis, Medical Center (USA), is available below.

Related Links:
American Association of Physicists in Medicine
Statement of Dr. Boone

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62 (118.97087097168): 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

63 (623.94142150879): SELECT fid FROM jos_deeppockets WHERE id=268560000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=268560000 AND published='1' LIMIT 1

64 (70.810317993164): 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=211 ORDER BY `ordering`

65 (68.187713623047): select jos_twitters.link from jos_twitters where cat=10

66 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

67 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

68 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

69 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=268560000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=268560000 AND published='1' LIMIT 1

70 (36.001205444336): 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=211 ORDER BY `ordering`

71 (338.07754516602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (231.98127746582): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (40.054321289062): 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`

74 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): 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 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (34.093856811523): 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`

91 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

106 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

107 (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 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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (49.114227294922): 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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

110 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

111 (45.7763671875): 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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (524.04403686523): 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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (550.0316619873): 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 (319.00405883789): 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

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

116 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

117 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

118 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

119 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

120 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

121 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

122 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

123 (253.91578674316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 19346.952438354): 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

125 (487.08915710449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=268560000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=268560000 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7282.9723358154): ( 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 (97.990036010742): ( 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

128 (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

129 (30.040740966797): 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

130 (36.954879760742): 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 (29.087066650391): 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

132 (349.99847412109): 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 (54.836273193359): 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

134 (36.954879760742): 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 (28.133392333984): 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

136 (549.0779876709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (349.04479980469): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=211

139 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=211

140 (595.8080291748): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (459.90943908691): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

143 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

144 (!!!!! 11039.972305298): TRUNCATE TABLE jos_trademed_module

145 (113.96408081055): 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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (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=268560000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (587.22496032715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (154.01840209961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

150 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

151 (!!!!! 1203.0601501465): 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

152 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

153 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

154 (38.862228393555): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=268560000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=268560000 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (66.041946411133): 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=211 or channel_id is null)

156 (36.954879760742): 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=211 or channel_id is null)

157 (39.100646972656): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

159 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=268560000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=268560000 AND published='1' LIMIT 1

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

161 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

162 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

163 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

164 (267.98248291016): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 1010.1795196533): insert into jos_banners_delta values (14615,'2025-08-25 01:45:41','216.73.216.171','view'),(14202,'2025-08-25 01:45:41','216.73.216.171','view'),(14203,'2025-08-25 01:45:41','216.73.216.171','view')

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