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One-Third of Women May Benefit from More Frequent Mammograms

By MedImaging International staff writers
Posted on 31 Mar 2014

New findings from a British breast screening program have demonstrated that one third of women might benefit from undergoing more frequent mammograms. More...

A study of over 50,000 women participating in the UK NHS (National Health Service) Breast Screening Program (Sheffield, UK) has found that, whereas three-yearly screening intervals are applicable for most women, about one-third of the women have a higher chance of developing cancer and might benefit from more frequent mammograms.

Prof. Gareth Evans, from the University of Manchester (UK) presented findings at the 9th European Breast Cancer Conference (EBCC-9) held March 2014 in Glasgow (UK), stating that identifying the degree of risk of developing breast cancer in individual women would enable healthcare professionals to target screening and preventive measures better. To see if this was practicable, he and his coworkers from Manchester and Queen Mary University of London (UK) gathered extra data from women attending routine breast screening in Manchester and who had agreed to participate in the Predicting Risk Of breast Cancer At Screening (PROCAS) study.

A questionnaire was used to collect information on important breast cancer risk factors such as family history and lifestyle; where appropriate, genetic data were collected by examining saliva samples; breast density was measured from the mammogram and given a visual assessment score (VAS), which indicated the proportion of dense tissue in the breast.

The study started in 2009 and the first 53,467 women were included in the analysis reported at EBCC-9. During this time, 634 women developed breast cancer.

The NHS Breast Screening Program is open to women between the ages of 47 and 73, and the “normal” risk of developing breast cancer within the next 10 years varies from 2.4% at the age of 47 to 3.5% at the age of 70. The risk factor questionnaire indicated that 676 (1.4%) women had a high risk of developing breast cancer of 8% or more over the next 10 years, with a further 4591 (8.6%) women having a moderately increased risk of between 5% and 8%.

The VAS showed that 60% or more of breast tissue was dense in 5.2% of the women—breast tissue thins as women age and a high percentage of dense breast tissue at older ages is a risk factor for developing cancer. The researchers found that women with the highest, age-adjusted percentage of dense tissue were 2.9-fold more likely to develop breast cancer in the next 10 years than women with the lowest density.

When Prof. Evans and his colleagues combined the results from the risk factor questionnaire and VAS to make the findings more accurate at determining the women’s risks, they found that 1,280 (2%) of women had a high risk (8% or more) of developing breast cancer with 29 (2.3%) developing breast cancer. There were 14,720 women with an above average risk (over 3.5%) of developing breast cancer in the next 10 years and, undeniably, 267 (1.8%) had developed breast cancer in the four-year period from 2009. This left 36,748 women with average or below average risk of developing breast cancer, and of these, only 371 (1%) developed breast cancer. When looking specifically at the 3,432 women in this group who had a low (less 1%) 10-year risk, only 10 (0.3%) developing breast cancer during the four years.

The researchers also discovered that among the 36,748 women at average or below average risk, only 45 tumors that had begun to metastasize to the lymph nodes were found during the four years, which was the same as about three per 100,000 women a year, compared to around 11 per 100,000 women a year in those at above average risk. Percentages of tumors that were further advanced were higher in the above average risk women: 32% compared to only 19% in women at average or below average risk.

Prof. Evans, who is the chief investigator for the PROCAS study, said, “Our results suggest that three-yearly screening is very effective for around 70% of the female population, but that those women who have a higher than average risk of developing breast cancer probably require more frequent screening, particularly as more advanced cancers were detected in these women. Screening should be annual for the small proportion of women who have an 8% or greater risk of developing cancer over the next 10 years. This is the largest study of its kind in the UK, and the results could have an impact on the whole NHS Breast Screening Program. By incorporating this process of personal risk assessment into routine screening practice we can predict and prevent more breast cancers in the future.”

Dr. Hilary Dobson, chair of EBCC-9’s national organizing committee, and who is clinical lead of the West of Scotland Breast Screening Service and the lead clinician of the West of Scotland Cancer Advisory Network (WoSCAN), commented, “These are important findings in the context of considering how best to deliver an effective, yet safe, population-based screening program. To date, the UK NHS Breast Screening Program has been organized on the basis of using age as a risk factor to identify the eligible, target population. As our understanding of the contribution of familial risk has improved, there has been a move to align such cases with the national screening program. This study takes the process one step further towards the concept of more customized screening—a model taking account of a range of personalized risk factors resulting in an individualized screening frequency. Longer follow-up of the affected individuals will add weight to any future requirement to change from the current delivery model of the national screening program.”

Related Links:
UK NHS Breast Screening Program
University of Manchester
Queen Mary University of London

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55 (55.074691772461): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

56 (72.002410888672): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (477.07557678223): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1524.9252319336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

59 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

60 (178.09867858887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

61 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

62 (152.1110534668): 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 (746.01173400879): SELECT fid FROM jos_deeppockets WHERE id=294751489 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294751489 AND published='1' LIMIT 1

64 (70.095062255859): 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 (92.029571533203): select jos_twitters.link from jos_twitters where cat=10

66 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

67 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

68 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

69 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE id=294751489 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294751489 AND published='1' LIMIT 1

70 (50.783157348633): 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 (541.92543029785): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (445.84274291992): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (62.942504882812): 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 (73.19450378418): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.855438232422): 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 (63.180923461914): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.968460083008): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): 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 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (65.803527832031): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

106 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND 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 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (70.810317993164): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

110 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

111 (72.956085205078): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (774.14512634277): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (636.10076904297): 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 (415.80200195312): 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 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

116 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

117 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

118 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

119 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

120 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

121 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

122 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

123 (317.09671020508): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 21805.047988892): 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 (575.06561279297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751489 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751489 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 21877.05039978): ( 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 (120.87821960449): ( 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 (59.843063354492): 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 (38.862228393555): 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 (92.983245849609): 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 (50.783157348633): 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 (454.90264892578): 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 (83.92333984375): 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 (48.160552978516): 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 (37.908554077148): 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 (586.98654174805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (406.98051452637): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=211

139 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=211

140 (630.14030456543): 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 (540.97175598145): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

143 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

144 (!!!!! 13664.960861206): TRUNCATE TABLE jos_trademed_module

145 (872.85041809082): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (657.08160400391): 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=294751489 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (629.90188598633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (646.82960510254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

150 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

151 (!!!!! 1790.0466918945): 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 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

153 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

154 (70.095062255859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751489 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751489 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (56.028366088867): 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 (44.822692871094): 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 (62.942504882812): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (226.02081298828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

159 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751489 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751489 AND published='1' LIMIT 1

160 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

161 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

162 (39.815902709961): select jos_google_plus.link from jos_google_plus where cat=10

163 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

164 (376.93977355957): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 1399.040222168): insert into jos_banners_delta values (14615,'2025-08-12 15:40:22','216.73.216.186','view'),(14202,'2025-08-12 15:40:22','216.73.216.186','view'),(14203,'2025-08-12 15:40:22','216.73.216.186','view')

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