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Vertebroplasty Relieves Pain and Provides Sustained Benefit

By HospiMedica staff writers
Posted on 11 Apr 2008

The results of a five-year follow-up study show that vertebroplasty for osteoporotic spinal fracture provides dramatic pain relief and greatly decreases disability.

Researchers at the Institute for Cancer Research and Treatment (IRCC, Turin, Italy) conducted a prospective follow-up of 884 osteoporosis patients who underwent vertebroplasty. The researchers measured average pre-treatment pain score on the 11-point Visual Analog Scale (VSA), and measured patients ability to manage daily tasks--such as washing, dressing, or standing--by using the Oswestry Disability Questionnaire (ODQ), which was completed by patients both before and one month after vertebroplasty. Patients were also followed using magnetic resonance imaging (MRI) and radiographic studies.

The results showed that while the average pre-treatment VSA pain score was 7.9 (+/- 1.5), it dropped significantly to an average of 1.3 (+/- 1.8) after the vertebroplasty treatment; the ODQ scores changed from an average of 69.3% (+/- 13.5%) to 18.8% (+/- 6.9%), showing a highly significant improvement in mobility. The study also showed that vertebroplasty does not increase the risk of fracture in the level contiguous to previously treated vertebra, and that these new fractures occur at the same rate as they would in osteoporosis patients who did not have vertebroplasty. The study results were presented at the Society of Interventional Radiology's 33rd Annual Scientific Meeting, held during March 2008 in Washington (D.C., USA).

"These data provide good news for physicians and osteoporosis patients. Many osteoporosis patients with compression fractures are in terrible pain and have a greatly diminished ability to perform basic daily activities, such as dressing themselves,” said study presenter Giovanni Anselmetti, M.D., head of interventional radiology at the IRCC. "Osteoporosis patients who have persistent spinal pain lasting more than three months should consult an interventional radiologist, and those who require constant narcotic pain relief should seek help immediately.”

Vertebroplasty, the injection of medical-grade bone cement into a fractured vertebra, is an outpatient procedure performed under conscious sedation. A needle is inserted through a nick in the skin in the back, and is directed under fluoroscopy--continuous, moving X-ray imaging--into the fractured vertebra. The physician then injects the bone cement into the vertebra; the cement hardens within about 15 minutes and stabilizes the fracture. Vertebroplasty is indicated for painful vertebral compression fractures that fail to respond to conventional medical therapy, such as minimal or no pain relief with analgesics or narcotic doses that are intolerable.

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59 (!!!!! 1091.9570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

60 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

61 (!!!!! 2889.87159729): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

62 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

63 (!!!!! 3578.9012908936): 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

64 (527.14347839355): SELECT fid FROM jos_deeppockets WHERE id=277860000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=277860000 AND published='1' LIMIT 1

65 (322.81875610352): 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`

66 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

67 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

68 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

69 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

70 (39.815902709961): SELECT fid FROM jos_deeppockets WHERE id=277860000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=277860000 AND published='1' LIMIT 1

71 (33.855438232422): 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`

72 (252.96211242676): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (263.92936706543): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (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`

75 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): 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 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (66.041946411133): 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`

92 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

107 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

108 (55.074691772461): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (503.0632019043): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

111 (!!!!! 2681.9705963135): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

112 (375.03242492676): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (371.93298339844): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (55.074691772461): 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=277850000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (323.05717468262): 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=277850000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 2898.9315032959): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (792.02651977539): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

119 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

120 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

121 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

122 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

123 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

124 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

125 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

126 (375.98609924316): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 43885.946273804): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

128 (!!!!! 2753.9730072021): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=277860000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=277860000 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 17059.087753296): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (57.220458984375): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (!!!!! 1357.0785522461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

132 (69.141387939453): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

133 (!!!!! 3711.9388580322): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

134 (!!!!! 4528.9993286133): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

135 (!!!!! 1564.0258789062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

136 (!!!!! 5325.0789642334): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

137 (!!!!! 1900.9113311768): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

138 (607.01370239258): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

139 (!!!!! 3873.1098175049): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (!!!!! 7915.0199890137): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (268.93615722656): SELECT name FROM jos_deeppockets WHERE id=211

142 (39.100646972656): SELECT name FROM jos_deeppockets WHERE id=211

143 (659.94262695312): 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

144 (!!!!! 2192.0204162598): 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

145 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

146 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

147 (!!!!! 4904.9854278564): TRUNCATE TABLE jos_trademed_module

148 (!!!!! 7106.0657501221): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 7942.9149627686): 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=277860000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (!!!!! 11643.886566162): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (!!!!! 7959.8426818848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (!!!!! 7663.9652252197): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

153 (!!!!! 7952.9285430908): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

154 (!!!!! 7421.0166931152): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

155 (!!!!! 7719.0399169922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

156 (!!!!! 11985.778808594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

157 (!!!!! 7770.0614929199): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=277860000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=277860000 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (!!!!! 6448.9841461182): 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=0 or channel_id is null)

159 (!!!!! 5789.9951934814): 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=0 or channel_id is null)

160 (442.0280456543): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

162 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=277860000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=277860000 AND published='1' LIMIT 1

163 (152.1110534668): select jos_twitters.link from jos_twitters where cat=10

164 (185.01281738281): select jos_facebook.link from jos_facebook where cat=10

165 (126.12342834473): select jos_google_plus.link from jos_google_plus where cat=10

166 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

167 (268.93615722656): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

168 (!!!!! 2189.8746490479): insert into jos_banners_delta values (14615,'2025-08-25 01:47:37','216.73.216.171','view'),(14202,'2025-08-25 01:47:37','216.73.216.171','view'),(14203,'2025-08-25 01:47:37','216.73.216.171','view')

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