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C-Arm Provides Access for Hybrid Procedures in Pediatric Patients

By MedImaging staff writers
Posted on 24 Jul 2008

A new flexible C-arm system allows cardiologists and surgeons to work together in a hybrid cardiac environment.

Toshiba Medical Systems' (Tokyo, Japan) Infinix Hybrid cardiovascular X-ray imaging system was featured in three live cases during the International Symposium on the Hybrid Approach to Congenital Heart Disease (ISHAC), held June 16-18, 2008, in Columbus, OH, USA. Coordinated by Nationwide Children's Hospital (Columbus, OH, USA) and in its third year, ISHAC is the most comprehensive symposium on cardiac hybrid procedures.

In the first case, co-directors of the Heart Center at Nationwide Children's Hospital performed a hybrid procedure on a one-day-old baby with hypoplastic left heart syndrome via live simulcast using Toshiba's Infinix Hybrid system. Dr. John P. Cheatham, director of cardiac catheterization and interventional therapy and Dr. Mark Galantowicz, chief of cardiothoracic surgery completed this procedure. As pioneers in hybrid procedures, Dr. Cheatham and Dr. Galantowicz utilized the exceptional patient access and coverage of the Infinix system to complete the procedure and provide a very high level of patient care. Whereas the doctors are working together on pediatric patients in a hybrid setting, it is crucial that the imaging system provides excellent image quality, the flexibility to reach ancillary equipment, and the patient quickly and easily.

"The unparalleled access and ability to freely move the C-arm allows us to perform these hybrid procedures in the pediatric setting,” said Dr. Cheatham. "The Infinix's capabilities are ideal for allowing both the pediatric cardiologist and surgeon to work perfectly together in these hybrid procedures on patients with congenital heart disease.”

During the second live case procedure at Nationwide Children's Hospital, an intraoperative stent will be placed during open-heart surgery using endoscopic guidance. The procedure will be performed by Drs. Galantowicz and Dr. Cheatham's colleagues, Dr. Alistair Phillips and Dr. Ralf J. Holzer. They will use the Infinix C-arm in the Hybrid Cardiac Operative Suite to confirm the effectiveness of the stent and the new pulmonary valve implanted at the end of the procedure before separating from cardio-pulmonary bypass.

In the third procedure using the Infinix Hybrid system, physicians from Rush University Medical Center in Chicago, IL, USA, will complete a device closure of a perventricular muscular ventricle septal defect while broadcasting live. The procedure will be performed by Dr. Ziyad M. Hijazi, director of the Rush Center for Congenital and Structural Heart Disease, Dr. Michel N. Ilbawi, chief of pediatric cardiac surgery, Dr. Anastasios Polimenakos, pediatric cardiac surgeon and Dr. Qi-Ling Cao, senior research scientist. Rush University Medical Center is home to a brand new Infinix system that was awarded the 2007 Frost & Sullivan (Palo Alto, CA, USA) technology innovation award.

"These three live cases with top pediatric physicians at the ISHAC symposium are a testament to the exceptional collaborative environment created by the Infinix's unique C-arm positioning,” explained Robert Micer, director, X-ray Vascular Business Unit, Toshiba. "This allows a team of physicians and staff to gain easy patient and facilitate the ease of use of multiple ancillary devices. The unique Infinix attributes enable more complex procedures, like these hybrid cardiac therapies being demonstrated.”

Toshiba's Infinix high-definition flat panel detector provides excellent contrast and dynamic resolution, allowing for easy visualization of the smallest details, including intricate blood vessels and guidance of small devices critical to pediatric hybrid procedures.

Related Links:
Toshiba Medical Systems
Nationwide Children's Hospital

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62 (!!!!! 5879.8789978027): SELECT fid FROM jos_deeppockets WHERE id=292730000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=292730000 AND published='1' LIMIT 1

63 (!!!!! 8255.9585571289): 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`

64 (!!!!! 1767.8737640381): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 4413.1278991699): select jos_facebook.link from jos_facebook where cat=10

66 (342.84591674805): select jos_google_plus.link from jos_google_plus where cat=10

67 (615.11993408203): select jos_linkedin.link from jos_linkedin where cat=10

68 (703.09638977051): SELECT fid FROM jos_deeppockets WHERE id=292730000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=292730000 AND published='1' LIMIT 1

69 (313.04359436035): 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`

70 (380.9928894043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 1013.0405426025): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (334.02442932129): 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 (!!!!! 4811.0485076904): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 3753.9005279541): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 4163.0268096924): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (353.09791564941): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 3256.08253479): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (97.990036010742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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 (!!!!! 4835.1287841797): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 6270.170211792): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 1754.9991607666): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 2275.2285003662): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

105 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

106 (65.088272094727): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (541.92543029785): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

109 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

110 (57.93571472168): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (568.15147399902): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2357.9597473145): 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 (529.05082702637): 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 (652.07481384277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

115 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

116 (386.95335388184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

117 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

119 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

120 (406.98051452637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

121 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

122 (359.05838012695): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 44754.981994629): 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 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=292730000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=292730000 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 16060.829162598): ( 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 (88.930130004883): ( 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 (65.088272094727): 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 (41.961669921875): 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 (58.889389038086): 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 (400.06637573242): 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 (52.928924560547): 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 (55.074691772461): 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 (41.007995605469): 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 (!!!!! 1154.899597168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (382.90023803711): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (50.067901611328): SELECT name FROM jos_deeppockets WHERE id=211

138 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=211

139 (681.87713623047): 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

140 (624.8950958252): 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 (!!!!! 1348.9723205566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

142 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

143 (!!!!! 13355.97038269): TRUNCATE TABLE jos_trademed_module

144 (995.15914916992): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1210.9279632568): 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=292730000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (821.11358642578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (463.96255493164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

149 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

150 (!!!!! 1798.152923584): 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 (351.90582275391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

152 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

153 (635.14709472656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=292730000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=292730000 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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)

155 (72.956085205078): 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 (220.06034851074): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (433.92181396484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

158 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=292730000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=292730000 AND published='1' LIMIT 1

159 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

160 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

161 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

162 (188.82751464844): select jos_linkedin.link from jos_linkedin where cat=10

163 (560.99891662598): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1090.0497436523): insert into jos_banners_delta values (14615,'2025-08-24 17:28:43','216.73.216.171','view'),(14202,'2025-08-24 17:28:43','216.73.216.171','view'),(14203,'2025-08-24 17:28:43','216.73.216.171','view')

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