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AI-Powered Ultrasound Aids Diagnosis at the Bedside

By MedImaging International staff writers
Posted on 10 Aug 2021

The Kosmos Torso hand-held scanner and Bridge tablet (Photo courtesy of EchoNous)

A new point-of-care (POC) ultrasound system powered by artificial intelligence (AI) software can produce high quality diagnostic images.

The EchoNous (Redmond, WA, USA) Kosmos system combines a lightweight, hand-held scanner called the Torso and a deep learning AI software platform. The Torso scanner is equipped with continuous-wave and pulsed-wave Doppler technology to perform ultrasound scans, and also features digital auscultation and an integrated electrocardiogram (ECG) reader, allowing it to perform stethoscope and ECG readings as well as ultrasound imaging. It also guides users through the scanning process, providing animated diagrams and automated grading and labeling to ensure they capture the highest-quality images possible.

The data collected by the Torso are analyzed by AI algorithms installed on either the user’s own Android device (with the Kosmos app downloaded), or on the Kosmos Bridge, a preloaded tablet purchased from EchoNous. The AI platform automatically computes ejection fraction, stroke volume, and cardiac output from the heart readings in a matter of seconds. Features include IPX7 rating; B-mode, M-mode, and color Doppler imaging; a Qualcomm Snapdragon 835 processor; ECG leads; a binaural headset that provides high-fidelity analog signal conditioning, digitization, and processing; and high-quality sound and visual auscultation waveform display.

“For AI techniques to be useful in POC ultrasound, a data-rich image is required to avoid classic 'garbage-in, garbage-out' problems. For deep learning to be of actual value to medicine, we have, since the beginning, carefully listened to numerous leading clinicians as to how they want AI techniques delivered with ultrasound," said Niko Pagoulatos, PhD, co-founder of EchoNous. “Torso’s added ECG abilities prevent patients in coronary care units from needing to be transferred to echo labs, saving time and money.”

The exponential growth of POC ultrasound (POCUS) in the intensive care unit (ICU) and hospital clinical wards has been driven by mounting clinical evidence showing heightened patient safety and less risk of complication when key interventions are performed with ultrasound guidance at the POC, such as imaging the abdomen, heart, and lungs, and when guiding interventional procedures, such as nerve blocks and targeted injections.

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61 (120.16296386719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

62 (!!!!! 5589.9620056152): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

63 (973.93989562988): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

64 (542.87910461426): 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

65 (642.77648925781): SELECT fid FROM jos_deeppockets WHERE id=294789220 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789220 AND published='1' LIMIT 1

66 (!!!!! 5604.0287017822): 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=214 ORDER BY `ordering`

67 (343.08433532715): select jos_twitters.link from jos_twitters where cat=10

68 (585.07919311523): select jos_facebook.link from jos_facebook where cat=10

69 (64.13459777832): select jos_google_plus.link from jos_google_plus where cat=10

70 (859.97581481934): select jos_linkedin.link from jos_linkedin where cat=10

71 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE id=294789220 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294789220 AND published='1' LIMIT 1

72 (56.982040405273): 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=214 ORDER BY `ordering`

73 (!!!!! 1845.8366394043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (505.92422485352): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 1054.048538208): 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`

76 (!!!!! 7537.1265411377): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 7992.0291900635): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 7876.1577606201): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 8018.970489502): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 7872.1046447754): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 7967.9489135742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 7908.1058502197): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 7981.0619354248): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 7873.7735748291): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 7975.1014709473): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (!!!!! 6397.008895874): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 5874.8722076416): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (!!!!! 1496.0765838623): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (203.84788513184): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (468.01567077637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (180.00602722168): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (742.91229248047): 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`

93 (861.16790771484): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (339.98489379883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 2280.9505462646): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (218.86825561523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 3112.0777130127): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (!!!!! 3799.9153137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

108 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

109 (57.93571472168): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (694.03648376465): 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=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1760.0059509277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

112 (!!!!! 1091.9570922852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

113 (!!!!! 4028.7971496582): 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=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (842.09442138672): 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=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 1281.9766998291): 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

116 (!!!!! 1640.0814056396): 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

117 (453.94897460938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

118 (625.1335144043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

119 (607.01370239258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

120 (283.00285339355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

121 (756.02531433105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

122 (324.96452331543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

123 (!!!!! 1103.1627655029): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

124 (297.06954956055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

125 (365.01884460449): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 47636.985778809): 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

127 (!!!!! 1150.8464813232): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789220 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789220 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (!!!!! 19144.058227539): ( 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

129 (77.009201049805): ( 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

130 (506.87789916992): 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

131 (322.10350036621): 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

132 (891.92390441895): 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

133 (178.09867858887): 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

134 (475.88348388672): 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

135 (332.11708068848): 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

136 (49.114227294922): 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

137 (40.054321289062): 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

138 (442.0280456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (!!!!! 1556.8733215332): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (211.95411682129): SELECT name FROM jos_deeppockets WHERE id=214

141 (!!!!! 2398.9677429199): SELECT name FROM jos_deeppockets WHERE id=214

142 (!!!!! 1189.9471282959): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (!!!!! 7228.1360626221): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (!!!!! 1703.0239105225): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

145 (!!!!! 5615.9496307373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

146 (!!!!! 43480.87310791): TRUNCATE TABLE jos_trademed_module

147 (134.94491577148): 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=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (116.82510375977): 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=294789220 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (424.86190795898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (!!!!! 4480.1235198975): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (503.0632019043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

152 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

153 (!!!!! 1389.0266418457): 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

154 (376.93977355957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

155 (!!!!! 4016.1609649658): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

156 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294789220 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294789220 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (911.95106506348): 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=214 or channel_id is null)

158 (132.08389282227): 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=214 or channel_id is null)

159 (50.067901611328): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (259.8762512207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

161 (!!!!! 1871.1090087891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294789220 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294789220 AND published='1' LIMIT 1

162 (55.074691772461): select jos_twitters.link from jos_twitters where cat=10

163 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

164 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

165 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

166 (504.0168762207): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

167 (!!!!! 1457.9296112061): insert into jos_banners_delta values (14202,'2025-08-04 04:27:46','216.73.216.210','view'),(14203,'2025-08-04 04:27:46','216.73.216.210','view')

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