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More Frequent Bone Density Testing Recommended for Women at Risk of Osteoporosis

By MedImaging International staff writers
Posted on 20 Mar 2012

Recently published research deems lengthy intervals between bone density tests inappropriate for many adults.

Although a recent study suggested that women with normal bone density findings on dual-energy d-ray absorptiometry (DXA) scans at ages 67 and older may wait up to 15 years for a second test, four osteoporosis specialists in their research published on March 1, 2012, in the Journal of Bone and Mineral Research (JBMR) caution that such a lengthy interval is inappropriate for many adults. In their article, osteoporosis experts Drs. E. Michael Lewiecki, Andrew Laster, Paul Miller, and John Bilezikian, from the New Mexico Clinical Research & Osteoporosis Center, University of New Mexico School of Medicine (Albuquerque, NM,USA) and Arthritis & Osteoporosis Consultants of the Carolinas (Charlotte, NC, USA), wrote that monitoring bone mineral density by DXA should be performed at intervals much shorter than 15 years for many individuals. These include younger postmenopausal women at high risk for fracture, patients whose DXA scans indicate bone mineral density values considerably below normal, those with an earlier fracture or clinical risk factors for fracture, and patients already receiving osteoporosis drug therapy.

The article commented on recent research published in the New England Journal of Medicine (NEJM). “Policy makers and patients who are concerned that overuse of medical tests may be driving up healthcare costs may be tempted to conclude that DXA scanning should be done less frequently,” said Dr. Lewiecki. “In fact, just the opposite is true. Appropriate DXA screening reduces healthcare costs.”

Many women, even those at risk for osteoporosis, never receive an initial DXA screening, the authors of the JBMR article noted, with the result that osteoporosis frequently goes undiagnosed and untreated leading to debilitating fractures that are dangerous to patients and expensive to treat. Over 200 million people worldwide suffer from osteoporosis, including 10 million Americans, with two million related fractures occurring yearly and treatment costs exceeding USD 18 billion.

Where the investigators agree that a recommendation for extended intervals between bone mineral density tests is reasonable for women who fit the rather restricted profile in the NEJM study, physicians should not apply these recommendations to all postmenopausal women. Bone mineral density testing by DXA is the international standard for assessing skeletal health, the authors note, citing research from both the Geisinger Health System Osteoporosis Disease Management Program (Danville, PA, USA) and Kaiser Permanente of Southern California (Anaheim, USA), which found that increases in testing reduced fracture rates and associated healthcare costs.

“The JBMR has a responsibility to address important scientific and clinical issues regarding bone disease,” concluded Dr. Thomas L. Clemens editor-in-chief of the JBMR. “As Dr. Lewiecki and colleagues point out, there are important limitations and exceptions to a recommendation of very long intervals between DXA testing.”

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65 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

66 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

67 (39.815902709961): select jos_linkedin.link from jos_linkedin where cat=10

68 (86.069107055664): SELECT fid FROM jos_deeppockets WHERE id=294739865 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294739865 AND published='1' LIMIT 1

69 (67.949295043945): 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 (492.81120300293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (472.06878662109): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1822.9484558105): 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 (111.10305786133): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (94.175338745117): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (44.822692871094): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (51.021575927734): 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 (480.89027404785): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (162.83988952637): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (331.16340637207): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (187.87384033203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (115.87142944336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 3134.01222229): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

105 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

106 (77.009201049805): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (66.995620727539): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (833.98818969727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

109 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

110 (106.0962677002): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (558.13789367676): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (887.15553283691): 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 (950.09803771973): 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 (792.02651977539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

115 (!!!!! 2712.9650115967): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

116 (!!!!! 2270.9369659424): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

117 (195.02639770508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

118 (854.9690246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

119 (571.96617126465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

120 (547.88589477539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

121 (249.14741516113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

122 (527.85873413086): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 64953.088760376): 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 (785.11238098145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739865 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739865 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 26270.151138306): ( 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 (99.18212890625): ( 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 (560.04524230957): 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 (71.048736572266): 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 (628.94821166992): 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 (241.99485778809): 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 (821.11358642578): 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 (63.896179199219): 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 (!!!!! 1583.0993652344): 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 (69.141387939453): 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 (658.98895263672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (487.08915710449): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (277.99606323242): SELECT name FROM jos_deeppockets WHERE id=211

138 (63.180923461914): SELECT name FROM jos_deeppockets WHERE id=211

139 (877.85720825195): 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 (828.98139953613): 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 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

142 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

143 (!!!!! 20514.965057373): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3675.9376525879): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (964.16473388672): 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=294739865 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (475.88348388672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

149 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

150 (!!!!! 1495.8381652832): 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 (186.20491027832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

152 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

153 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294739865 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294739865 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (53.882598876953): 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 (46.014785766602): 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 (65.803527832031): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (121.11663818359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

158 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294739865 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294739865 AND published='1' LIMIT 1

159 (61.988830566406): select jos_twitters.link from jos_twitters where cat=10

160 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

161 (33.140182495117): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

163 (390.05279541016): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 2108.097076416): insert into jos_banners_delta values (14615,'2025-08-19 21:05:38','216.73.216.0','view'),(14202,'2025-08-19 21:05:38','216.73.216.0','view'),(14203,'2025-08-19 21:05:38','216.73.216.0','view')

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