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Mammography Screening Intervals May Affect Breast Cancer Prognosis

By MedImaging International staff writers
Posted on 02 Jan 2014

Image: Bilateral mediolateral oblique (MLO) views from screening mammography in a 53-year-old woman (Photo courtesy of RSNA).

Image: Spot magnification view demonstrates an irregular spiculated mass with associated calcifications in the upper outer left breast. Ultrasound biopsy revealed invasive ductal carcinoma and DCIS (Photo courtesy of RSNA).

Image: Screening mammogram in a 63-year-old woman demonstrated calcifications in the upper outer left breast. Bilateral craniocaudal (CC) views shown (Photo courtesy of RSNA).

In a study of screening mammography-detected breast tumors, patients who had more frequent screening mammography exams had a considerably lower rate of lymph node positivity as compared to women who had longer intervals between screening-mammography exams.

The study’s findings were presented December 3, 2013, at the annual meeting of the Radiological Society of North America (RSNA), held December 2013 in Chicago (IL, USA). In its earliest stages, breast cancer is confined to the breast and can be treated by surgically removing the cancer cells. Breast cancer cells may metastasize to the lymph nodes as the disease progresses and then to other areas of the body.

“On its pathway to other places in the body, the first place breast cancer typically drains into before metastasizing is the lymph nodes,” said Lilian Wang, MD, assistant professor of radiology at Northwestern University/Feinberg School of Medicine (Chicago, IL, USA). “When breast cancer has spread into the lymph nodes, the patient is often treated both locally and systemically, with either hormone therapy, chemotherapy, trastuzumab, or some combination of these therapies.”

Healthcare organizations, such as RSNA and the American Cancer Society (ACS), have recommended yearly screening with mammography for women beginning at age 40. However, in 2009, the United States Preventive Services Task Force (USPSTF) announced a controversial new recommendation for biennial screening for women between the ages of 50 and 74. “Our study looks at what would happen if the revised guidelines issued by USPSTF were followed by women,” Dr. Wang said.

Conducted at Northwestern Memorial Hospital (Chicago, IL, USA), the retrospective study, included 332 women with breast cancer identified by screening mammography between 2007 and 2010. The women were split into one of three groups, based on the length of time between their screening mammography exams: less than 1.5 years, 1.5 to three years, and more than three years. There were 207, 73, and 52 patients in each category, respectively.

The researchers determined, controlling for age, breast density, high-risk status, and a family history of breast cancer, that women in the less than 1.5-year interval group had the lowest lymph node positivity rate at 8.7%. The rate of lymph node involvement was substantially higher in the 1.5- to three-year and over three-year interval groups at 20.5% and 15.4%, respectively.

“Our study shows that screening mammography performed at an interval of less than 1.5 years reduces the rate of lymph node positivity, thereby improving patient prognosis,” Dr. Wang concluded. “We should be following the guidelines of the American Cancer Society and other organizations, recommending that women undergo annual screening mammography beginning at age 40.”

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61 (!!!!! 5625.0095367432): 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 (954.86640930176): SELECT fid FROM jos_deeppockets WHERE id=294749959 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749959 AND published='1' LIMIT 1

63 (!!!!! 3482.1033477783): 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 (566.00570678711): select jos_twitters.link from jos_twitters where cat=10

65 (61.988830566406): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 1577.1389007568): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 1866.1022186279): select jos_linkedin.link from jos_linkedin where cat=10

68 (165.93933105469): SELECT fid FROM jos_deeppockets WHERE id=294749959 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294749959 AND published='1' LIMIT 1

69 (545.97854614258): 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 (!!!!! 2113.8191223145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (453.94897460938): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (61.03515625): 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 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (524.99771118164): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2467.8707122803): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749959 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=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (38.14697265625): 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 (482.08236694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (326.15661621094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (110.14938354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (116.10984802246): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (241.04118347168): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1833.9157104492): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (574.11193847656): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 3087.9974365234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

105 (208.85467529297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

106 (219.82192993164): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 2751.1119842529): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2596.8551635742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

109 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

110 (!!!!! 2100.944519043): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (859.02214050293): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1155.1380157471): 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 (716.9246673584): 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 (314.95094299316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

115 (194.07272338867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

116 (810.14633178711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

118 (167.8466796875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

119 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

120 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

121 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

122 (355.95893859863): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 41376.829147339): 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 (962.97264099121): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749959 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749959 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 18551.111221313): ( 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 (474.92980957031): ( 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 (54.836273193359): 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 (118.97087097168): 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 (365.01884460449): 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 (225.06713867188): 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 (489.95018005371): 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 (112.05673217773): 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 (447.98851013184): 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 (!!!!! 2774.0001678467): 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 (!!!!! 4559.9937438965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1081.9435119629): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (982.04612731934): SELECT name FROM jos_deeppockets WHERE id=211

138 (550.0316619873): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1406.9080352783): 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 (!!!!! 1267.9100036621): 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 (!!!!! 1029.9682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

142 (375.03242492676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

143 (!!!!! 8777.8568267822): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 6043.9109802246): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (535.01129150391): 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=294749959 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1931.90574646): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (357.15103149414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2087.8314971924): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

149 (!!!!! 4620.0752258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

150 (!!!!! 3215.0745391846): 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 (!!!!! 1682.0430755615): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

152 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

153 (!!!!! 1157.9990386963): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294749959 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294749959 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (437.97492980957): 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 (40.054321289062): 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 (!!!!! 1209.020614624): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1478.910446167): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

158 (748.1575012207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294749959 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294749959 AND published='1' LIMIT 1

159 (295.87745666504): select jos_twitters.link from jos_twitters where cat=10

160 (820.87516784668): select jos_facebook.link from jos_facebook where cat=10

161 (39.100646972656): select jos_google_plus.link from jos_google_plus where cat=10

162 (361.91940307617): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 1910.924911499): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1171.1120605469): insert into jos_banners_delta values (14615,'2025-08-12 17:51:29','216.73.216.186','view'),(14202,'2025-08-12 17:51:29','216.73.216.186','view'),(14203,'2025-08-12 17:51:29','216.73.216.186','view')

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