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Endoscopic Ultrasound-Guided Procedure Could Transform Blood Pressure Management

By MedImaging International staff writers
Posted on 13 Feb 2025

Primary aldosteronism (PA) is a hormonal disorder that causes high blood pressure in approximately one in 20 patients with hypertension but often goes undiagnosed and untreated. More...

In this condition, benign nodules in the adrenal glands produce excessive aldosterone, a hormone that elevates blood pressure by increasing salt levels in the body. Patients with PA often do not respond to standard blood pressure medications, putting them at higher risk for heart attacks, strokes, and kidney failure. Until recently, the only effective treatment for PA was the surgical removal of the affected adrenal gland. However, this procedure requires general anesthesia, a hospital stay, and weeks of recovery, leading many patients to remain untreated. Now, researchers have introduced a groundbreaking, minimally invasive treatment called Triple T, which offers new hope for millions of people suffering from high blood pressure caused by PA. This treatment, which could revolutionize the management of blood pressure, was published in The Lancet.

Triple T, or endoscopic ultrasound-guided radiofrequency ablation, has shown remarkable potential in clinical trials and could serve as a viable alternative to surgery. This innovative treatment targets and destroys malfunctioning adrenal nodules without removing the adrenal gland, offering a faster, safer, and less invasive solution. The procedure utilizes a combination of radiofrequency or microwaves and ultrasound to deliver precise heat to the adrenal nodule. A fine needle is inserted through the stomach, guided by real-time ultrasound imaging, to reach the adrenal gland, where short bursts of heat are applied to destroy the problematic tissue. This technique minimizes damage to surrounding healthy tissues, ensuring a targeted approach. The entire procedure takes just 20 minutes and requires no incisions.

Triple T’s effectiveness is due in part to advancements in diagnostic imaging, which now use molecular dyes to precisely locate even the smallest adrenal nodules. These innovations, coupled with the ability to directly target nodules near the stomach, have enabled this minimally invasive approach. In the feasibility study known as the Feasibility study of radiofrequency endoscopic ABlation, with ULtrasound guidance (FABULAS) trial, a team of doctors, including researchers from Queen Mary University of London (QMUL, London, UK), tested Triple T on 28 PA patients and achieved excellent results. The procedure was both safe and effective, with most patients experiencing normalized hormone levels within six months. Many were able to discontinue all blood pressure medications, and the condition did not return. The success of the FABULAS trial has led to the initiation of a larger study, WAVE, which will compare Triple T to traditional surgery in 120 patients, with results expected in 2027.

“This less invasive technique could be widely offered in endoscopy units across the UK and internationally,” said Professor Stephen Pereira, Chief Investigator of FABULAS, emphasizing the potential global impact of Triple T.

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57 (!!!!! 1749.9923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

58 (732.1834564209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

59 (488.0428314209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

60 (123.97766113281): 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

61 (502.10952758789): SELECT fid FROM jos_deeppockets WHERE id=294804038 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294804038 AND published='1' LIMIT 1

62 (324.01084899902): 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`

63 (66.041946411133): select jos_twitters.link from jos_twitters where cat=10

64 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

65 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

66 (!!!!! 2208.948135376): select jos_linkedin.link from jos_linkedin where cat=10

67 (126.83868408203): SELECT fid FROM jos_deeppockets WHERE id=294804038 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294804038 AND published='1' LIMIT 1

68 (66.995620727539): 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`

69 (561.95259094238): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804038 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

70 (59.127807617188): 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`

71 (880.00297546387): SELECT show_live FROM jos_com_show_setting LIMIT 1

72 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

73 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 3391.0274505615): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (138.99803161621): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (117.77877807617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804038 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

86 (60.081481933594): 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`

87 (127.79235839844): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1820.0874328613): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

102 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

103 (115.15617370605): 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=294804038 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

104 (156.87942504883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

105 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

106 (761.98577880859): 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=294804038 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (101.08947753906): 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=294804035 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (643.01490783691): 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=294804035 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (838.04130554199): 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

110 (604.15267944336): 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

111 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

112 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

113 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

114 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

115 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

116 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

118 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

119 (477.07557678223): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

120 (!!!!! 55692.195892334): 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

121 (743.86596679688): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804038 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294804038 AND type='deeppockets_item' AND published='1' LIMIT 1

122 (!!!!! 22794.961929321): ( 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

123 (102.99682617188): ( 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

124 (89.168548583984): 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

125 (54.121017456055): 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

126 (86.069107055664): 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

127 (50.067901611328): 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

128 (463.96255493164): 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

129 (62.942504882812): 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

130 (72.002410888672): 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

131 (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

132 (476.12190246582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

133 (320.9114074707): SELECT name FROM jos_deeppockets WHERE id=214

134 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=214

135 (622.03407287598): 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

136 (499.96376037598): 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

137 (949.85961914062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

138 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

139 (!!!!! 13548.851013184): TRUNCATE TABLE jos_trademed_module

140 (142.09747314453): 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=294804038 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

141 (977.99301147461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (!!!!! 1738.0714416504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

144 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

145 (!!!!! 1347.7802276611): 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

146 (904.08325195312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

147 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

148 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294804038 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294804038 AND type='deeppockets_item' AND published='1' LIMIT 1

149 (37.193298339844): 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=0 or channel_id is null)

150 (33.140182495117): 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=0 or channel_id is null)

151 (60.081481933594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

152 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

153 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294804038 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294804038 AND published='1' LIMIT 1

154 (48.160552978516): select jos_twitters.link from jos_twitters where cat=10

155 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

156 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

157 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

158 (341.89224243164): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

159 (!!!!! 1342.7734375): insert into jos_banners_delta values (14202,'2025-08-01 22:34:36','216.73.216.210','view'),(14203,'2025-08-01 22:34:36','216.73.216.210','view')

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