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Real-Time Ultrasound AI Guides Nerve Block Procedures

By MedImaging International staff writers
Posted on 29 Apr 2021

Image: The ScanNav Anatomy PNB (center) (Photo courtesy of Intelligent Ultrasound Group)

A meld of ultrasound specific artificial intelligence (AI) and simulation software provides clinicians with continuous feedback during a peripheral nerve block (PNB).

The Intelligent Ultrasound Group (Cardiff, United Kingdom) ScanNav Anatomy: PNB software is designed to assist healthcare professionals who perform ultrasound-guided procedures on a less frequent basis in carrying out nine common peripheral nerve blocks, automatically identifying and highlighting nerves, arteries, and other anatomical structures crucial for PNB. Procedures supported include interscalene, superior trunk, supraclavicular, axillary, erector spinae plane, rectus sheath, suprainguinal fascia iliaca, adductor canal/sub-sartorial femoral triangle, and popliteal PNB.

In addition, users can use the system's integrated three dimensional (3D) animations to refamiliarize themselves with blocks they carry out less frequently. The platform can also serve as a training simulator using a classroom-based version of the software, the ScanNav AnatomyGuide PNB Trainer. ScanNav PNB will be sold as a standalone product that sits on tabletop or mounts onto a portable cart that can be plugged into existing anesthesiology ultrasound machine with a HDMI or DVI second monitor port. The system can be cleaned with medical grade disinfectants, and the touchscreen can be operated while wearing gloves.

“Building on the success of ScanNav Assist, our first obstetric AI, ScanNav Anatomy PNB will launch into the anesthesiology ultrasound market and continues the Group’s expansion into AI-based real-time clinical ultrasound image analysis,” said Stuart Gall, CEO of Intelligent Ultrasound Group. “We are particularly pleased that many of the independent clinicians who used ScanNav PNB during product testing think that it would benefit them in their everyday clinical practice.”

The PNB procedure involves injection of a local anesthetic close to a nerve or peripheral nerve bundle in order to inhibit the excitatory transmembrane action potential that transmits the nociceptive stimulus towards the central nervous system (CNS), modulating pain perception. Selection of the local anesthetic (such as lidocaine or bupivacaine) depends on the type of block, the physical condition of the patient, and pharmacological characteristics. PNBs have been in use since the 1880's, when a cocaine injection was first used to produce sensory block to the ulnar, musculocutaneous, supratrocheal, and infraorbital regions.

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67 (!!!!! 6731.9869995117): 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`

68 (!!!!! 3097.0573425293): select jos_twitters.link from jos_twitters where cat=10

69 (977.99301147461): select jos_facebook.link from jos_facebook where cat=10

70 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

71 (76.055526733398): select jos_linkedin.link from jos_linkedin where cat=10

72 (250.10108947754): SELECT fid FROM jos_deeppockets WHERE id=294788063 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294788063 AND published='1' LIMIT 1

73 (324.96452331543): 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`

74 (!!!!! 1066.9231414795): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 1034.9750518799): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (283.95652770996): 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 (952.00538635254): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (337.83912658691): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (328.06396484375): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (590.08598327637): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1193.0465698242): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (170.94612121582): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (92.029571533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (117.06352233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (88.214874267578): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (362.87307739258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (118.01719665527): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (602.96058654785): 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 (926.97143554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 1017.0936584473): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 3693.1037902832): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (709.05685424805): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (336.88545227051): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (668.04885864258): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (251.05476379395): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (100.85105895996): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (158.78677368164): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (99.18212890625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (149.96528625488): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (97.990036010742): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (149.96528625488): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (98.943710327148): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (569.82040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

109 (267.02880859375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

110 (355.95893859863): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1225.9483337402): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2548.9330291748): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

113 (!!!!! 3331.8996429443): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

114 (856.16111755371): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 1548.0518341064): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 8974.0753173828): 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 (!!!!! 3970.8614349365): 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 (!!!!! 2806.9019317627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

119 (!!!!! 7966.9952392578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

120 (!!!!! 7658.9584350586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

121 (!!!!! 8086.2045288086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

122 (!!!!! 7614.1357421875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

123 (!!!!! 8120.059967041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

124 (!!!!! 7879.9724578857): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 132513.99993896): 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 (174.04556274414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

127 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

128 (!!!!! 2584.9342346191): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788063 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788063 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1110213.9949799): ( 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 (102.04315185547): ( 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 (71.048736572266): 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 (236.03439331055): 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 (718.11676025391): 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 (102.04315185547): 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 (!!!!! 3853.0826568604): 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 (488.0428314209): 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 (337.12387084961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 3818.0351257324): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (118.97087097168): SELECT name FROM jos_deeppockets WHERE id=214

140 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=214

141 (428.91502380371): 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 (!!!!! 3184.7953796387): 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

143 (!!!!! 1152.0385742188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

144 (290.1554107666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

145 (!!!!! 12058.973312378): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 1925.9452819824): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 4033.088684082): 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=294788063 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (787.97340393066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (266.07513427734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (442.0280456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

151 (!!!!! 1713.0374908447): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

152 (936.03134155273): 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 (222.92137145996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

154 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

155 (!!!!! 2705.8124542236): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294788063 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294788063 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (66.995620727539): 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 (29.802322387695): 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)

158 (37.193298339844): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

160 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294788063 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294788063 AND published='1' LIMIT 1

161 (!!!!! 5472.8984832764): select jos_twitters.link from jos_twitters where cat=10

162 (!!!!! 7951.021194458): select jos_facebook.link from jos_facebook where cat=10

163 (!!!!! 1327.9914855957): select jos_google_plus.link from jos_google_plus where cat=10

164 (!!!!! 5043.9834594727): select jos_linkedin.link from jos_linkedin where cat=10

165 (!!!!! 5718.9464569092): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 8507.0133209229): insert into jos_banners_delta values (14615,'2025-04-29 21:05:49','18.116.118.216','view'),(14202,'2025-04-29 21:05:49','18.116.118.216','view'),(14203,'2025-04-29 21:05:49','18.116.118.216','view')

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