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Obese Women Less Prone to Complete Mammograms, More Likely to Experience Pain with the Procedure

By MedImaging International staff writers
Posted on 18 Feb 2011

A study found that obstacles to breast cancer screening remain even among insured American women.

Obese women may avoid mammograms because of pain and women under 60 may avoid the test because they are too busy, according to a study by Kaiser Permanente Center for Health Research (Portland, OR, USA) published online February 1, 2011, in the Journal of Women's Health. Funded by the US National Cancer Institute (Bethesda, MD, USA), the study was one of the largest to examine why insured women fail to complete mammograms.

Although regular mammograms can reduce breast cancer deaths by more than 30% and the US Preventive Services Task Force recommends screenings every one-to-two years beginning at age 50, nearly one-third of eligible women do not get regular screenings.

"These are important findings because, even though we know that mammograms can save lives, many women put them off,” said study lead author and physician Dr. Adrianne Feldstein, a senior investigator with the Kaiser Permanente Center for Health Research. "Our study found that, even when women have access to health care, there are still barriers to getting this important screening test. We need to do more to understand these barriers and help women overcome them.”

The study looked at 4,708 women aged 50-69 at Kaiser Permanente in Oregon and Washington who had gone longer than 20 months since their last mammogram and were reminded through postcards and phone calls that they would soon be due for the test. Researchers identified these women by looking at their medical records, which contained the date of their last mammogram. Researchers also examined physical and demographic information--including height and weight, age, race, length of time on the health plan and family income--to find out how these factors affected mammogram completion rates.

Characteristics associated with lower mammogram completion rates included being younger than 60, having a household income of less than US$40,000, being obese, and having had health insurance coverage for less than five years. A subset of 677 women was mailed a survey asking why they had not completed their mammograms. About half--34--of these women completed the survey. The reasons they cited most often for not completing a mammogram included the test causing too much pain, being too busy, and feeling embarrassed to have the test.

Nearly one-quarter of the women surveyed (24.7%) reported too much pain as a reason why they had not completed a mammogram. Obese women were nearly twice as likely as non-obese women to report pain as a deterrent (31% vs. 19%). "We don't know why obese women report more pain with mammograms,” said Dr. Feldstein. "One previous study suggests that obesity might be associated with a lower pain threshold. Nearly half of the women in our study were obese and obese women are more likely to get breast cancer so we need to find better ways to ensure that these women are screened.”

The researchers pointed out that their study has implications for helping health care systems reduce barriers to mammogram completion. Since obese women reported receiving the same amount of advice to be screened as non-obese women, and did not report feeling more embarrassed to get mammograms, it is unlikely that they would respond to more clinician-oriented interventions. The authors suggest that patient-controlled compression or the use of alternate screening technologies could be especially helpful to obese women.

Women under 60 were more likely than those 60 and over to report being too busy to get a mammogram (19% of younger women stated that they were too busy, vs. only 6% of older women). The investigators reported that younger women might be more likely to complete mammograms if health-care systems provided more opportunities for worksite screening and after-hours mammography appointments.

Related Links:
Kaiser Permanente Center for Health Research

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61 (871.89674377441): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

62 (452.99530029297): SELECT fid FROM jos_deeppockets WHERE id=294733483 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733483 AND published='1' LIMIT 1

63 (!!!!! 3566.9803619385): 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 (559.09156799316): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 1419.0673828125): select jos_facebook.link from jos_facebook where cat=10

66 (403.88107299805): select jos_google_plus.link from jos_google_plus where cat=10

67 (547.88589477539): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 2879.1427612305): SELECT fid FROM jos_deeppockets WHERE id=294733483 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733483 AND published='1' LIMIT 1

69 (782.96661376953): 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 (346.89903259277): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 2802.1335601807): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 3391.0274505615): 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 (70.810317993164): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (72.956085205078): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (45.061111450195): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (114.20249938965): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

105 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

106 (91.075897216797): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (75.101852416992): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

109 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

110 (!!!!! 4004.0016174316): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (695.94383239746): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2468.1091308594): 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 (!!!!! 2474.0695953369): 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 (!!!!! 5714.8933410645): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

115 (!!!!! 4549.9801635742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

116 (838.9949798584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

117 (!!!!! 4084.1102600098): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

118 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

120 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

121 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

122 (!!!!! 1466.0358428955): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 101771.11625671): 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 (!!!!! 1605.0338745117): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733483 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733483 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (333.07075500488): ( 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 (237.94174194336): ( 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 (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

128 (247.95532226562): 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 (!!!!! 2362.9665374756): 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 (380.9928894043): 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 (41.007995605469): 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 (32.901763916016): 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 (112.05673217773): 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 (149.01161193848): 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 (!!!!! 7309.9136352539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (263.92936706543): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (291.10908508301): SELECT name FROM jos_deeppockets WHERE id=211

138 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=211

139 (533.8191986084): 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 (769.13833618164): 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 (!!!!! 4477.0240783691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

142 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

143 (!!!!! 19959.926605225): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1893.9971923828): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (617.98095703125): 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=294733483 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (625.8487701416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (274.1813659668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

149 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

150 (!!!!! 2395.8683013916): 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 (260.82992553711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

152 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

153 (!!!!! 2857.9235076904): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733483 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733483 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (133.03756713867): 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 (254.15420532227): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 4637.9566192627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

158 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733483 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733483 AND published='1' LIMIT 1

159 (231.98127746582): select jos_twitters.link from jos_twitters where cat=10

160 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

161 (80.108642578125): select jos_google_plus.link from jos_google_plus where cat=10

162 (75.101852416992): select jos_linkedin.link from jos_linkedin where cat=10

163 (499.01008605957): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1411.9148254395): insert into jos_banners_delta values (14615,'2025-08-23 02:01:22','216.73.216.171','view'),(14202,'2025-08-23 02:01:22','216.73.216.171','view'),(14203,'2025-08-23 02:01:22','216.73.216.171','view')

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