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Novel Approach Can Identify People with Higher Risk of TB Infection

By MedImaging International staff writers
Posted on 23 Jan 2024

Tuberculosis (TB) is a serious bacterial disease that primarily affects the lungs and can be deadly if left untreated. It spreads through the air when people with TB expel bacteria via droplets. While many individuals who contract TB remain asymptomatic, a small percentage do not control the infection, leading to active disease. Current TB testing methods, such as skin tests or blood tests like the interferon gamma release assay (IGRA), can detect an immune response to TB but fail to differentiate between those at high or low risk of disease progression. This limitation underscores the need for improved testing methods to identify individuals at higher risk of developing TB, allowing for more focused preventative treatment. Researchers have now introduced an innovative approach to studying the progression of TB from infection to disease, identifying and treating individuals at increased risk who might be missed by existing testing methods.

Researchers at the University of Leicester (Leicester, UK) employed PET-CT, an advanced imaging technique, to study how TB infection progresses and to identify individuals at higher risk of developing the disease. This method enabled the team to evaluate a potential new blood test to identify those at higher risk without the need to recruit a large and costly cohort. The study involved 20 adults linked to households of individuals being treated for TB. These participants underwent chest radiography and IGRA screening for TB infection. The research team then utilized two novel methods to monitor disease progression over the next year: PET-CT imaging and a unique bacteriophage-based assay called Actiphage, developed by PBD Biotech (Saskatoon, Canada). Actiphage utilizes bacteriophages, viruses that specifically infect bacterial cells, to target TB bacteria. When the bacteriophage infects TB bacteria, it releases bacterial DNA, which can then be detected, even at very low levels that other clinical tools cannot identify.

All participants in the study were asymptomatic with normal chest X-rays. They first underwent a baseline PET-CT scan. If the scan showed metabolic activity indicative of TB that could be sampled, they underwent bronchoscopy and sampling. Participants without sampleable findings on the initial PET-CT, or with negative sampling results, received a follow-up PET-CT scan after three to four months. Through PET-CT, the researchers identified four individuals from whom TB bacteria were isolated either from the lung airway or from PET-positive lymph nodes. Additionally, two more participants showed progressive changes on the second PET-CT scan. All six individuals received TB treatment, and follow-up PET-CT scans three months post-treatment showed resolving or completely resolved changes, suggesting the PET-CT changes were due to active TB infection.

The Actiphage test results were also promising. The researchers observed a significant correlation between a positive baseline Actiphage test and subsequent treatment for high-risk TB infection features. Actiphage results were positive in 12 (60%) participants at baseline and in all six of the treated PET-CT-positive participants. The study's findings led the researchers to propose that blood biomarkers aimed at detecting bacterial presence could complement existing biomarkers of the host immune response, thus improving the stratification of TB risk in individuals with TB infection.

“Our results are exciting for two reasons. Firstly, they show that PET-CT could be an effective tool for identifying people with higher risk TB infection. This can help us to perform studies to develop new tests and evaluate new treatments, including vaccines more efficiently and at lower cost,” said Dr. Pranabashis Haldar, Clinical Senior Lecturer in Respiratory Medicine at the University of Leicester. “Secondly, our findings suggest that TB bacteria are found in blood more often than has previously been thought and importantly, the presence of the bacteria in blood may be an indicator of uncontrolled or progressive TB infection.”

Related Links:
University of Leicester
PBD Biotech

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62 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

63 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

64 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

65 (!!!!! 1575.9468078613): 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

66 (529.05082702637): SELECT fid FROM jos_deeppockets WHERE id=294799987 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799987 AND published='1' LIMIT 1

67 (284.19494628906): 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=215 ORDER BY `ordering`

68 (45.061111450195): select jos_twitters.link from jos_twitters where cat=10

69 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

70 (90.122222900391): select jos_google_plus.link from jos_google_plus where cat=10

71 (68.902969360352): select jos_linkedin.link from jos_linkedin where cat=10

72 (356.91261291504): SELECT fid FROM jos_deeppockets WHERE id=294799987 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799987 AND published='1' LIMIT 1

73 (37.193298339844): 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=215 ORDER BY `ordering`

74 (372.17140197754): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (372.88665771484): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (41.961669921875): 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`

77 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (74.148178100586): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (30.040740966797): 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`

94 (132.08389282227): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (218.86825561523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (157.11784362793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (207.18574523926): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (130.89179992676): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (202.89421081543): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (534.0576171875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

109 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

110 (139.95170593262): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (191.21170043945): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (838.9949798584): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

113 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

114 (49.829483032227): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (442.9817199707): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (513.07678222656): 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 (331.16340637207): 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

118 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

119 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

120 (50.783157348633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

121 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

122 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

123 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

124 (227.92816162109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 22050.857543945): 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

126 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

127 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

128 (411.03363037109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799987 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799987 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 386763.09585571): ( 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 (67.949295043945): ( 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

131 (55.074691772461): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (26.941299438477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (26.941299438477): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (512.12310791016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (348.09112548828): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (230.07392883301): SELECT name FROM jos_deeppockets WHERE id=215

140 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=215

141 (433.92181396484): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (339.03121948242): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

144 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

145 (!!!!! 9335.0410461426): TRUNCATE TABLE jos_trademed_module

146 (114.91775512695): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (79.154968261719): 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=294799987 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (383.13865661621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

151 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

152 (!!!!! 1007.7953338623): 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

153 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

154 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

155 (79.154968261719): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799987 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799987 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (46.014785766602): 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=215 or channel_id is null)

157 (34.093856811523): 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=215 or channel_id is null)

158 (32.901763916016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

160 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799987 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799987 AND published='1' LIMIT 1

161 (86.069107055664): select jos_twitters.link from jos_twitters where cat=10

162 (52.928924560547): select jos_facebook.link from jos_facebook where cat=10

163 (48.87580871582): select jos_google_plus.link from jos_google_plus where cat=10

164 (55.074691772461): select jos_linkedin.link from jos_linkedin where cat=10

165 (247.00164794922): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1242.8760528564): insert into jos_banners_delta values (14615,'2025-04-29 21:27:15','18.188.148.202','view'),(14202,'2025-04-29 21:27:15','18.188.148.202','view'),(14203,'2025-04-29 21:27:15','18.188.148.202','view')

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