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Study Shows Image-Guided Treatment Option for Prostate Cancer Is Alternative to Surgery

By MedImaging International staff writers
Posted on 28 Dec 2015

The results of a new clinical study into the use of a minimally invasive, image-guided treatment option for prostate cancer show that it has less side effects and lower toxicity, than surgery.

According to the researchers, the new procedure, based on Magnetic Resonance (MR) and ultrasound, can locate the exact location of the tumor and enable more precise treatment, and shorten recovery times, with less or no side effects for all stages of prostate cancer.

The study involving more than 200 patients was carried out at the Prostata Center (Offenbach, Germany) and was presented at the annual Radiological Society of North America (RSNA 2015) meeting in Chicago, USA. The Irreversible electroporation (IRE) technique is a unique tissue-selective therapy that destroys cells leaving the intestinal wall, the sphincter, veins, arteries, and the intestinal wall intact. Precise image guided IRE kills cells using strong electric fields without radiation, or heat, are spared. Treatment with IRE shortens recovery time, and prevents possible erection, bladder control, and other problems.

The research team evaluated data from 265 patients that had been treated using surgery, radiation therapy, and High-Intensity Focused Ultrasound (HIFU). The patients had stage T1-T4 (primary), and recurrent PCa, which had been brought under control. Recurrence rates were 0/55 (Gleason < 7), 3/117 (Gleason 7) and 10/67 (Gleason > 7) during a follow-up period of up to 4 years. No IRE-related incontinence was observed during the study, even when the lower urinary sphincter was included in the treatment field. Two patients had a permanent loss of erectile function, 15 had a permanent reduction, and 27 a transient reduction that was resolved after 6 to 8 months. IRE toxicity for the rectum and bladder was also very low, even when they were affected by advanced stage cancer in patients who were no longer candidates for radiation treatment or surgery.

Dr. Michael K. Stehling, primary author of the study, said, "The patients we have treated at The Prostata Center have had their cancers destroyed without the need for surgery, with a low incidence of side effects and in most cases have been back on their feet the next day. The data from this study confirms what we see every day, we have a very attractive approach for patients who are concerned about quality of life challenges and are considering options for the treatment of localized and late stage prostate cancer. Treating prostate cancer with minimal pain and minimal risk of impotence and incontinence, even in patients with advanced and recurrent cancer, with a one-time, one-day treatment, until recently, was unthinkable. The cutting edge technology of IRE makes this a reality."

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65 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

66 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

67 (81.062316894531): 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

68 (473.0224609375): SELECT fid FROM jos_deeppockets WHERE id=294761977 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294761977 AND published='1' LIMIT 1

69 (41.007995605469): 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=212 ORDER BY `ordering`

70 (46.014785766602): select jos_twitters.link from jos_twitters where cat=10

71 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

72 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

73 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

74 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE id=294761977 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294761977 AND published='1' LIMIT 1

75 (35.04753112793): 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=212 ORDER BY `ordering`

76 (313.04359436035): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (267.98248291016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

78 (38.14697265625): 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`

79 (89.883804321289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

95 (34.093856811523): 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`

96 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

111 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

112 (91.075897216797): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (48.160552978516): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (96.797943115234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

115 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

116 (46.968460083008): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (543.83277893066): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

118 (785.11238098145): 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

119 (622.98774719238): 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

120 (211.95411682129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

121 (84.161758422852): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

122 (128.98445129395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

123 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

124 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

125 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

126 (410.07995605469): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 33864.974975586): 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

128 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

129 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

130 (391.96014404297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761977 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761977 AND type='deeppockets_item' AND published='1' LIMIT 1

131 (!!!!! 420145.98846436): ( 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

132 (72.956085205078): ( 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

133 (36.954879760742): 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

134 (35.04753112793): 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

135 (46.968460083008): 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

136 (29.087066650391): 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

137 (42.915344238281): 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

138 (55.074691772461): 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

139 (625.8487701416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (532.86552429199): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=212

142 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=212

143 (667.09518432617): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

144 (590.08598327637): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

145 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

146 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

147 (!!!!! 9775.8769989014): TRUNCATE TABLE jos_trademed_module

148 (149.96528625488): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (298.97689819336): 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=294761977 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (383.85391235352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

153 (292.06275939941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

154 (!!!!! 1287.9371643066): 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

155 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

156 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

157 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294761977 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294761977 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (32.186508178711): 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=212 or channel_id is null)

159 (28.133392333984): 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=212 or channel_id is null)

160 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

162 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294761977 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294761977 AND published='1' LIMIT 1

163 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

164 (32.186508178711): select jos_facebook.link from jos_facebook where cat=10

165 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

166 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

167 (283.00285339355): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

168 (!!!!! 1244.068145752): insert into jos_banners_delta values (14615,'2025-04-29 21:27:26','18.188.148.202','view'),(14202,'2025-04-29 21:27:26','18.188.148.202','view'),(14203,'2025-04-29 21:27:26','18.188.148.202','view')

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