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New Ultrasound Terminology for Early Pregnancy Endorsed by Expert Panel

By MedImaging International staff writers
Posted on 28 Aug 2024

There is a multi-society consensus on first-trimester imaging guidelines that identify reliable sonographic signs indicative of non-viable pregnancies, yet inconsistency remains in the terminology used in imaging reports and patient communications. More...

Commonly used terms are often outdated, confusing, applied inconsistently, or understood differently by radiologists, clinicians, and patients. In response, for the first time, a multi-medical society panel has created and endorsed a uniform lexicon for describing ultrasound observations during the first trimester of pregnancy. This lexicon is based on scientific evidence, societal guidelines, and expert consensus, and clarifies terms commonly found in first-trimester ultrasound reports, such as ‘ectopic pregnancy,’ ‘heartbeat,’ ‘living,’ and ‘viable.’

The panel was convened by the Society of Radiologists in Ultrasound (SRU, Tampa, FL, USA) along with other societies also participating in the development of the lexicon which was published in the journal Radiology and simultaneously in the American Journal of Obstetrics & Gynecology. The expert panel worked for 18 months to reach a unanimous or near-unanimous consensus on the preferred terms, synonyms, and terms to avoid in the first-trimester ultrasound report. Recognizing the gradual and incomplete nature of cardiac development early in pregnancy, the panel advised using ‘cardiac activity’ rather than ‘heart motion’ or ‘heartbeat.’

Moreover, the panel advised against using terms like ‘live,’ ‘living,’ and ‘viable,’ which might generate unrealistic expectations for patients at risk of pregnancy loss or facing an ectopic pregnancy. While ‘miscarriage’ and ‘spontaneous abortion’ are still included, the term ‘pregnancy failure’ has been updated to ‘early pregnancy loss.’ An intrauterine pregnancy is defined as one implanted in a normal location, whereas an embryo located abnormally inside (e.g., within a cesarean scar) or outside the uterus is considered an ectopic pregnancy. The endorsement of this new first-trimester ultrasound lexicon by all participating societies suggests it will gain broad acceptance.

“We recognize that specific language in the medical record could be used by third parties to negatively affect the physician-patient relationship,” said Lori M. Strachowski, M.D., senior author and UCSF clinical professor of radiology and biomedical imaging and obstetrics, gynecology and reproductive sciences, who was one of the members to lead the team. “Our goal was to recommend clear, specific, scientifically based and medically appropriate terminology that communicates clearly across disciplines, minimizes bias and harm, and respects patient preferences.”

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60 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

61 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

62 (130.17654418945): 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 (514.03045654297): SELECT fid FROM jos_deeppockets WHERE id=294802297 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802297 AND published='1' LIMIT 1

64 (56.028366088867): 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 (61.03515625): select jos_twitters.link from jos_twitters where cat=10

66 (47.206878662109): 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 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

69 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE id=294802297 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802297 AND published='1' LIMIT 1

70 (42.915344238281): 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 (313.99726867676): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (227.92816162109): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (56.028366088867): 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 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (48.160552978516): 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 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

106 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

107 (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=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (66.995620727539): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

110 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

111 (74.863433837891): 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=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (585.07919311523): 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=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (780.10559082031): 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 (601.05323791504): 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 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

116 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

117 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

118 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

119 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

120 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

121 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

122 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

123 (332.11708068848): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 59281.11076355): 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 (!!!!! 3501.8920898438): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802297 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802297 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 27000.904083252): ( 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 (!!!!! 2827.8827667236): ( 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 (178.81393432617): 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 (154.01840209961): 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 (112.05673217773): 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 (!!!!! 1990.0798797607): 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 (742.91229248047): 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 (247.00164794922): 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 (718.11676025391): 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 (191.92695617676): 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 (479.93659973145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (389.09912109375): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (61.988830566406): SELECT name FROM jos_deeppockets WHERE id=214

139 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=214

140 (789.88075256348): 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

141 (691.17546081543): 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

142 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

143 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

144 (!!!!! 13016.939163208): TRUNCATE TABLE jos_trademed_module

145 (203.13262939453): 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=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (90.122222900391): 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=294802297 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (716.9246673584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

150 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

151 (!!!!! 1599.0734100342): 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 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

153 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

154 (81.062316894531): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802297 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802297 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (49.114227294922): 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)

156 (42.915344238281): 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)

157 (110.14938354492): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

159 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802297 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802297 AND published='1' LIMIT 1

160 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

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

162 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

163 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

164 (383.13865661621): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 1732.1109771729): insert into jos_banners_delta values (14202,'2025-08-02 15:25:13','216.73.216.210','view'),(14203,'2025-08-02 15:25:13','216.73.216.210','view')

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