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AI-Assisted Ultrasound Technology to Improve Outcomes in Low-and-Middle-Income Countries

By MedImaging International staff writers
Posted on 21 Sep 2023

Maternal and child mortality remains a significant health concern worldwide. More...

In 2020, nearly 800 women died daily from preventable causes related to pregnancy and childbirth, and about 95% of these deaths occurred in low-and-middle-income countries (LMICs). In 2019, an alarming 2.4 million children passed away during their first month of life. Ultrasound technologies play a crucial role in maternal care, helping assess various indicators of fetal health. For children under five, pneumonia is the leading cause of death globally, and early diagnosis is essential for effective treatment. Point of care lung ultrasounds offer a reliable method for diagnosing pneumonia, surpassing the accuracy of bedside chest X-rays.

To address these challenges, GE HealthCare (Chicago, IL, USA) has received a grant of over USD 44 million from the Bill & Melinda Gates Foundation. The aim is to develop user-friendly, AI-powered ultrasound assessment tools that can assist medical staff—even those who may not have specialized ultrasound training—in making informed clinical decisions. These tools will focus on improving ultrasound scans for both maternal and fetal care, as well as pediatric lung health, and are intended to broaden access to healthcare in LMICs and various care settings.

Caption Health, an industry leader in medical AI that was acquired by GE HealthCare in February 2023, will spearhead the development of this technology. The technology will be compatible with a variety of ultrasound devices, including more affordable handheld options. Caption Health had previously received a grant from the Bill & Melinda Gates Foundation in 2020 to work on AI technology for lung ultrasound. Leveraging this grant, Caption Health will now focus on creating a series of lung ultrasound and obstetric algorithms, which will go through clinical validation and regulatory approval processes. Currently, Caption Health provides FDA-cleared Cardiac Guidance software.

“We are proud and excited to have received this grant from the Bill & Melinda Gates Foundation to make ultrasound more accessible in low-and-middle income countries. Ultrasound is an essential tool for screening and diagnosis of various medical conditions, including the health of expectant mothers and managing respiratory diseases,” said Roland Rott, President and CEO, Ultrasound, GE HealthCare. “However, a key limitation is the guidance of lesser-skilled users to effectively apply affordable point-of-care ultrasound in their care environment. This grant will help bring Caption Health’s leading AI technology customized to more users, and therefore contribute to increased access to higher-quality medical care.”

“Caption Health AI applications are designed to guide healthcare professionals, step-by-step, during an ultrasound exam to help them capture and interpret high-quality ultrasound images,” said Karley Yoder, Chief Digital Officer, Ultrasound, GE HealthCare and General Manager, Caption Health. “We are thankful for the continued support of the Bill & Melinda Gates Foundation, which enables us to expand the development of our existing lung ultrasound project and also broaden the reach of this powerful, novel technology to help provide care to mothers and children.”

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58 (!!!!! 1280.0693511963): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

59 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

60 (137.8059387207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

61 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

62 (85.830688476562): 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 (560.04524230957): SELECT fid FROM jos_deeppockets WHERE id=294798702 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798702 AND published='1' LIMIT 1

64 (54.836273193359): 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`

65 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

66 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

67 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (33.140182495117): SELECT fid FROM jos_deeppockets WHERE id=294798702 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294798702 AND published='1' LIMIT 1

70 (31.948089599609): 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`

71 (422.95455932617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (262.02201843262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (39.100646972656): 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 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (34.093856811523): 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 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

106 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

107 (61.03515625): 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=294798702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (50.067901611328): 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=294798702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

110 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

111 (62.942504882812): 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=294798702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (612.02049255371): 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=294798702 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (720.97778320312): 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 (377.89344787598): 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 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

116 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

117 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

118 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

119 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

120 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

122 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

123 (487.08915710449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798702 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798702 AND type='deeppockets_item' AND published='1' LIMIT 1

124 (!!!!! 9069.9195861816): ( 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

125 (92.029571533203): ( 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 (50.067901611328): 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

127 (36.001205444336): 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 (104.90417480469): 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

129 (31.948089599609): 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 (377.17819213867): 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

131 (55.074691772461): 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 (36.001205444336): 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

133 (30.994415283203): 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 (504.0168762207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (384.80758666992): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=214

137 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=214

138 (535.96496582031): 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

139 (494.00329589844): 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

140 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

141 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

142 (333.07075500488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

144 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

145 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

146 (!!!!! 1492.0234680176): 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

147 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

148 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

149 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294798702 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294798702 AND type='deeppockets_item' AND published='1' LIMIT 1

150 (33.855438232422): 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)

151 (30.040740966797): 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)

152 (38.14697265625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

153 (184.05914306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

154 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294798702 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294798702 AND published='1' LIMIT 1

155 (47.206878662109): select jos_twitters.link from jos_twitters where cat=10

156 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

157 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

158 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

159 (349.04479980469): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

160 (!!!!! 1423.1204986572): insert into jos_banners_delta values (14202,'2025-08-03 22:54:52','216.73.216.210','view'),(14203,'2025-08-03 22:54:52','216.73.216.210','view')

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