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Wearable Ultrasound Device Helps Hospital Reduce Sepsis Mortality, Length of Stay, and Cost

By MedImaging International staff writers
Posted on 16 Sep 2024

Sepsis is a critical medical emergency that occurs when the body's response to an infection causes damage to vital organs, potentially leading to long-term complications and often resulting in death. More...

Each year, over 1.7 million people in the United States are diagnosed with sepsis, and 350,000 of these adults die—surpassing the combined death toll from opioids, breast cancer, prostate cancer, and stroke. Estimates suggest that up to 79% of patients experiencing septic shock can be saved through prompt diagnosis and treatment, highlighting the importance of awareness and timely recognition of sepsis signs and symptoms. Recently, a newly released case study has detailed how a large public hospital utilized the world's first Doppler ultrasound to enhance the care of patients with sepsis and septic shock.

FloPatch, developed by Flosonics Medical (Ontario, Canada), is the world's first wireless, wearable Doppler ultrasound device that allows for real-time blood-flow assessments at the point of care, aiding in the resuscitation of critically ill patients, including those suffering from sepsis and septic shock. This FDA-approved, hands-free device attaches to a patient's neck over the carotid artery, capturing real-time blood flow data with each heartbeat. Advanced analytics decompose each heartbeat into essential health metrics, which are wirelessly sent to a secure iOS application. Intravenous (IV) fluid resuscitation is a crucial component in treating sepsis. However, determining the appropriate volume of fluid to administer is one of the most complex and error-prone interventions in critical care. Capable of being deployed in under three minutes, FloPatch provides rapid, continuous hemodynamic assessments, enabling greater precision in IV fluid management and allowing for informed, timely decisions at the patient's bedside.

Flosonics has published a case study highlighting a successful initiative by a 439-bed publicly funded nonprofit hospital in the U.S. to reduce sepsis mortality. In 2023, the hospital implemented FloPatch to assist clinicians at the bedside in accurately determining the appropriate amount of IV fluids for patients. Following the incorporation of FloPatch into a broader sepsis improvement program, the hospital observed substantial enhancements in the care of patients with sepsis and septic shock, including a dramatic reduction in mortality rates—from 30% to 5%—among patients who met the criteria for sepsis or septic shock. Additionally, the hospital experienced a 35% decrease in Intensive Care Unit (ICU) admissions for sepsis patients and a two-day reduction in ICU length of stay.

"It can provide real-time data and can be used as another vital sign that is a more accurate reflection of adequacy of fluid resuscitation than heart rate or blood pressure alone. I believe it will make a big difference,” said Kristina Kury, M.D., Medical Director of Critical Care at Sutter's Eden Medical Center, which has also implemented FloPatch. “Even if we're able to reduce sepsis mortality by just a few percentage points throughout Sutter Health, that could potentially be thousands of lives saved. If this technology is embraced by other health care systems, it could have an enormous impact on sepsis mortality across the nation."

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59 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

60 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

61 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

62 (134.94491577148): 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 (653.98216247559): SELECT fid FROM jos_deeppockets WHERE id=294802464 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802464 AND published='1' LIMIT 1

64 (54.121017456055): 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 (68.902969360352): select jos_twitters.link from jos_twitters where cat=10

66 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

67 (42.200088500977): 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 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE id=294802464 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294802464 AND published='1' LIMIT 1

70 (36.001205444336): 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 (479.93659973145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (402.92739868164): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (83.92333984375): 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 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (107.0499420166): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (36.001205444336): 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 (143.05114746094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (132.08389282227): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

106 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

107 (84.877014160156): 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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (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_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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

110 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

111 (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 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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (551.93901062012): 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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (730.03768920898): 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 (491.14227294922): 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 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

116 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

117 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

119 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

120 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

121 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

122 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

123 (377.17819213867): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 23230.075836182): 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 (610.1131439209): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802464 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802464 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 8522.9873657227): ( 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 (108.95729064941): ( 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 (46.014785766602): 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 (84.161758422852): 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 (42.915344238281): 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 (360.01205444336): 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 (39.100646972656): 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 (33.140182495117): 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 (28.848648071289): 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 (539.06440734863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (396.0132598877): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=214

139 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=214

140 (600.09956359863): 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 (519.0372467041): 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 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

143 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

144 (!!!!! 9402.9903411865): TRUNCATE TABLE jos_trademed_module

145 (144.00482177734): 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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (77.009201049805): 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=294802464 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 1056.9095611572): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

150 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

151 (!!!!! 1250.0286102295): 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 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

153 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

154 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294802464 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294802464 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (35.04753112793): 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 (32.901763916016): 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 (41.961669921875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

159 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294802464 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294802464 AND published='1' LIMIT 1

160 (38.862228393555): select jos_twitters.link from jos_twitters where cat=10

161 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

162 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

163 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

164 (306.84471130371): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 1034.0213775635): insert into jos_banners_delta values (14202,'2025-08-02 15:20:22','216.73.216.210','view'),(14203,'2025-08-02 15:20:22','216.73.216.210','view')

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