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Largest Study to Date Examines CT Scanning for Prevention of Heart Disease

By MedImaging staff writers
Posted on 22 Apr 2008

Calcium deposits in coronary arteries are a strong predictor for possible future heart attacks and cardiac diseases, and detecting such deposits can be valuable for promoting overall cardiac health, according to a new study utilizing computed tomography (CT) scanning.

Supported by the U.S. More...

National Institutes of Health (NIH; Bethesda, MD, USA), the study, led by researchers from the University of California (UC), Irvine (USA) and appearing in the March 28, 2008, issue of the New England Journal of Medicine (NEJM) is the largest involving CT scanning to date--testing some 6,700 people in the United States. It is also the first study to include racially and ethnically diverse participants. Previous coronary calcium studies featured only small enrollments of white patients.

"The results prove that coronary calcium detection is a strong predictor of heart attack and disease for African Americans, Hispanics, and Chinese Americans as well,” said Dr. Robert Detrano, professor of radiological sciences at UC Irvine and study leader. "It wasn't known before whether this would be effective for other racial and ethnic groups, and this study answers that important question.”

Coronary calcium is detected by CT scanning; a noninvasive procedure that, for calcium identification, does not require injected contrast. The procedure focuses on the coronary arteries, which supply blood to the heart and are particularly vulnerable to calcium buildup. The researchers discovered that participants with moderate deposit amounts had more than a seven times greater risk of cardiac heart disease compared to people with no coronary calcium buildup. Participants with large deposit amounts faced a 10 times greater risk.

Coronary calcium is a marker for a diseased artery. It accumulates similar to atherosclerotic plaque and is caused by the same primary factor--high blood lipid levels. According to Dr. Detrano, calcium screening can be recommended for people who are at moderate risk. "This is a very practical and effective method for cardiac disease and heart attack prevention,” stated Dr. Detrano, who had proposed the study of calcium screening as early as 1989. "One of the factors we need to address is cost; it behooves the imaging industry to bring the cost down and make this procedure available to everyone.”

According to Dr. Detrano, the current cost for a CT scan is between US$300 and $600 per exam. However, he believes that costs can be lower. In his work diagnosing and treating cardiac diseases in rural China, Dr. Detrano performs CT research scans for as little as $30.

Detrano added that these results also contribute to his clinical efforts in China. Before the study, he said, it had not been established that coronary calcium detection could predict future cardiac diseases and heart attacks in Chinese people. Through UC Irvine and the China-California Heart Watch, a not-for-profit organization of which he is president, Dr. Detrano leads clinical efforts in poor rural regions of southern China where cardiac care is deficient or nonexistent.

For the study, Dr. Detrano and his colleagues performed coronary calcium scanning on 6,722 men and women at U.S. sites in Los Angeles, CA; New York City, NY; Baltimore, MD; Chicago, IL; St. Paul, MN; and Forsythe County, NC. Thirty-nine percent of the participants were Caucasian, 28% African-American, 22% Hispanics, and 12% Chinese. Participants entered the study without cardiovascular disease and they were followed for an average of 3.8 years.

Related Links:
University of California, Irvine
China-California Heart Watch

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60 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

61 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

62 (121.11663818359): 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 (732.8987121582): SELECT fid FROM jos_deeppockets WHERE id=279010000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=279010000 AND published='1' LIMIT 1

64 (61.988830566406): 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 (60.796737670898): select jos_twitters.link from jos_twitters where cat=10

66 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

67 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

68 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

69 (47.206878662109): SELECT fid FROM jos_deeppockets WHERE id=279010000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=279010000 AND published='1' LIMIT 1

70 (42.915344238281): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=211 ORDER BY `ordering`

71 (484.94338989258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (315.90461730957): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (53.882598876953): 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 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (68.902969360352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (40.769577026367): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (44.107437133789): 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 (74.863433837891): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

106 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

107 (70.095062255859): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.041946411133): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

110 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

111 (68.902969360352): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (797.03330993652): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (718.11676025391): 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 (478.98292541504): 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 (152.1110534668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

116 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

117 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

118 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

119 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

121 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

122 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

123 (324.96452331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 28829.097747803): 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 (642.06123352051): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279010000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279010000 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 9493.8278198242): ( 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.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 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (72.956085205078): 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 (39.100646972656): 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 (417.94776916504): 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 (92.029571533203): 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 (47.922134399414): 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 (39.100646972656): 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 (578.16505432129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (432.96813964844): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=211

139 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=211

140 (729.08401489258): 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 (686.1686706543): 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 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

143 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

144 (!!!!! 11766.910552979): TRUNCATE TABLE jos_trademed_module

145 (114.20249938965): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (87.02278137207): 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=279010000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (844.00177001953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

150 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

151 (!!!!! 1516.1037445068): 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 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

153 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

154 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=279010000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=279010000 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (45.061111450195): 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 (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=211 or channel_id is null)

157 (51.975250244141): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

159 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=279010000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=279010000 AND published='1' LIMIT 1

160 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

161 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

162 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

163 (61.03515625): select jos_linkedin.link from jos_linkedin where cat=10

164 (343.08433532715): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 1223.087310791): insert into jos_banners_delta values (14615,'2025-08-25 00:11:08','216.73.216.171','view'),(14202,'2025-08-25 00:11:08','216.73.216.171','view'),(14203,'2025-08-25 00:11:08','216.73.216.171','view')

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