Máte presný tlakomer?

Napísal HI 22. október 2014

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Zo skúseností vieme, že aj novozakúpené tlakomery nemusia vždy merať správne. Jedinou zárukou presnosti je tlakomer s kalibračným certifikátom.

Odborníci z autorizovaného laboratória Homola Medical Ing. Igor Homola, konateľ Homola Medical a Ing. Radovan Kadlec, vedúci metrologického laboratória Homola Medical, vám poradia pri výbere správneho tlakomeru.

Tlak krvi je jedným z hlavných ukazovateľov zdravotného stavu. Práve preto je veľmi dôležité nielen samotné meranie, ale hlavne presné meranie. Zo štatistík autorizovaného laboratória Homola Medical sa ukázalo, že viac ako polovica krvných tlakomerov muselo byť opravených, aby merali správne. Približne 9 percent bolo úplne vyradených. Ak máte vy alebo váš lekár takýto tlakomer, v skutočnosti nepoznáte váš tlak, z čoho môžu veľmi rýchlo vzniknúť nedorozumenia ohľadom vášho zdravotného stavu. Po teplomeroch je tlakomer druhou najvyužívanejšou zdravotnou pomôckou v domácnostiach, preto je veľmi dôležité mať doma presný tlakomer. Ochránite si tým svoje zdravie a v niektorých prípadoch sa vyhnete aj zbytočným liekom.

Nový nemusí byť presný

V EÚ sa tlakomery predávajú len na základe značky zhody a Vyhlásenia o zhode s európskymi smernicami. Validovaný teda nie je každý jeden kus, ale len ich reprezentatívna vzorka. Tak sa stáva, že do predaja sa dostanú aj tlakomery, ktoré neboli prvotne overené. Zo skúseností vieme, že aj novozakúpené tlakomery nemusia vždy merať správne. Jedinou zárukou presnosti je tlakomer s kalibračným certifikátom.

Foto: Homola Medical

Hodinky k hodinárovi, tlakomer do laboratória

Lekárske tlakomery musia byť zo zákona overované raz do roka (niektoré typy každé 2 roky) pri domácich tlakomeroch táto povinnosť síce neplatí, ale keď ide o zdravie nie je priestor na omyly. Ako zistíte, či váš tlakomer meria správne? Presnosť tlakomera sa dá zistiť jedine kalibráciou. V autorizovanom laboratóriu zistia pomocou simulátora krvného tlaku s akou chybou tlakomer meria, preveria tesnosť meracieho systému, rýchlosť poklesu tlaku pri meraní a stav používanej manžety. Celý prístroj skalibrujú, to znamená nastavia jeho presnosť. Po kalibrácii dostanete nálepku a certifikát.

Kam s domácim tlakomerom?

Tlakomery na Slovensku overujú autorizované laboratória so simulátorom krvného tlaku. Bez tohto zariadenia nie je možné skalibrovať všetky typy tlakomerov. Ceny kalibrácie pre domáce tlakomery sa pohybujú do 15 eur. Pre lekárov sa sú tieto ceny od 11 do 30 eur, podľa typu tlakomera. Ak je tlakomer chybný , celková cena závisí od rozsahu poškodenia. Hlavne pri ortuťových tlakomeroch sa často stáva, že ich oprava je drahšia ako zakúpenie nového tlakomeru.

Foto: Homola Medical

Príčina vysokého, či nízkeho tlaku je často v manžete

Tak ako majú svoje veľkosti topánky a oblečenie, tak ich majú aj tlakomery, konkrétne hovoríme o manžetách. Ak použijete nesprávnu veľkosť, celkové meranie je nepresné. Pri väčších manžetách je nameraný tlak nižší ako skutočný. Pri menších manžetách to platí opačne. Ortuťové tlakomery predpisujú dokonca až 7 veľkostí, automatické zväčša 3. Pri kúpe tlakomerov si preverte, či k tlakomeru, ktorý si chcete zakúpiť dostanete manžety vhodných veľkostí.

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15	JDatabaseDriver->loadResult()	JROOT/libraries/joomla/session/storage/database.php:45
14	JSessionStorageDatabase->read()	Rovnaké, ako volanie o riadok nižšie.
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12	JSessionHandlerNative->doSessionStart()	JROOT/libraries/joomla/session/handler/native.php:50
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7	Joomla\CMS\Session\Session->get()	JROOT/libraries/src/Session/Session.php:456
6	Joomla\CMS\Session\Session->isNew()	JROOT/libraries/src/Application/CMSApplication.php:826
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4	Joomla\CMS\Application\CMSApplication->__construct()	JROOT/libraries/src/Application/SiteApplication.php:66
3	Joomla\CMS\Application\SiteApplication->__construct()	JROOT/libraries/src/Application/CMSApplication.php:386
2	Joomla\CMS\Application\CMSApplication::getInstance()	JROOT/libraries/src/Factory.php:140
1	Joomla\CMS\Factory::getApplication()	JROOT/index.php:46

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12	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1701
11	JDatabaseDriver->loadObjectList()	JROOT/libraries/src/Component/ComponentHelper.php:445
10	Joomla\CMS\Component\ComponentHelper::Joomla\CMS\Component\{closure}()	Rovnaké, ako volanie o riadok nižšie.
9	call_user_func_array()	JROOT/libraries/src/Cache/Controller/CallbackController.php:173
8	Joomla\CMS\Cache\Controller\CallbackController->get()	JROOT/libraries/src/Component/ComponentHelper.php:453
7	Joomla\CMS\Component\ComponentHelper::load()	JROOT/libraries/src/Component/ComponentHelper.php:519
6	Joomla\CMS\Component\ComponentHelper::getComponents()	JROOT/libraries/src/Component/ComponentHelper.php:44
5	Joomla\CMS\Component\ComponentHelper::getComponent()	JROOT/libraries/src/Component/ComponentHelper.php:103
4	Joomla\CMS\Component\ComponentHelper::getParams()	JROOT/libraries/src/Application/SiteApplication.php:594
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

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checking permissions	0.00 ms
Opening tables	0.01 ms
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table lock	0.00 ms
init	0.01 ms
Optimizing	0.00 ms
Statistics	0.01 ms
Preparing	0.00 ms
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End of update loop	0.00 ms
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Máte presný tlakomer?

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Databázové dotazy

Zaznamenané dotazy: 37 49.69 ms

Bolo nájdených 4 duplicít!

32 zaznamenaných typov dotazov, zoradené podľa výskytu udalosti.

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ĎALŠIE tabuľky:

#	Volacia funkcia	Súbor a číslo riadku
10	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1506
9	JDatabaseDriver->loadAssocList()	JROOT/libraries/src/Access/Access.php:1063
8	Joomla\CMS\Access\Access::getAuthorisedViewLevels()	JROOT/libraries/src/User/User.php:458
7	Joomla\CMS\User\User->getAuthorisedViewLevels()	JROOT/libraries/src/Plugin/PluginHelper.php:318
6	Joomla\CMS\Plugin\PluginHelper::load()	JROOT/libraries/src/Plugin/PluginHelper.php:87
5	Joomla\CMS\Plugin\PluginHelper::getPlugin()	JROOT/libraries/src/Plugin/PluginHelper.php:129
4	Joomla\CMS\Plugin\PluginHelper::isEnabled()	JROOT/libraries/src/Application/SiteApplication.php:604
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	a	const	PRIMARY	PRIMARY	4	const	1
1	SIMPLE	b	range	idx_usergroup_nested_set_lookup	idx_usergroup_nested_set_lookup	4	NULL	2	Using where; Using index

#	Volacia funkcia	Súbor a číslo riadku
11	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1550
10	JDatabaseDriver->loadColumn()	JROOT/libraries/src/Access/Access.php:980
9	Joomla\CMS\Access\Access::getGroupsByUser()	JROOT/libraries/src/Access/Access.php:1095
8	Joomla\CMS\Access\Access::getAuthorisedViewLevels()	JROOT/libraries/src/User/User.php:458
7	Joomla\CMS\User\User->getAuthorisedViewLevels()	JROOT/libraries/src/Plugin/PluginHelper.php:318
6	Joomla\CMS\Plugin\PluginHelper::load()	JROOT/libraries/src/Plugin/PluginHelper.php:87
5	Joomla\CMS\Plugin\PluginHelper::getPlugin()	JROOT/libraries/src/Plugin/PluginHelper.php:129
4	Joomla\CMS\Plugin\PluginHelper::isEnabled()	JROOT/libraries/src/Application/SiteApplication.php:604
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

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checking permissions	0.00 ms
closing tables	0.00 ms
checking permissions	0.00 ms
Opening tables	0.12 ms
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table lock	0.00 ms
init	0.00 ms
Optimizing	0.00 ms
Statistics	0.01 ms
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Executing	0.00 ms
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Opening tables	0.00 ms
After opening tables	0.00 ms
checking permissions	0.04 ms
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Starting cleanup	0.00 ms
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#	Volacia funkcia	Súbor a číslo riadku
12	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1465
11	JDatabaseDriver->loadAssoc()	JROOT/libraries/src/Table/Table.php:747
10	Joomla\CMS\Table\Table->load()	JROOT/plugins/system/roksprocket/roksprocket.php:54
9	plgSystemRokSprocket->onAfterInitialise()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:668
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

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checking permissions	0.00 ms
Opening tables	0.01 ms
After opening tables	0.00 ms
System lock	0.00 ms
table lock	0.00 ms
init	0.02 ms
Optimizing	0.01 ms
Statistics	0.05 ms
Preparing	0.01 ms
Sorting result	0.00 ms
Executing	0.00 ms
Sending data	0.01 ms
Creating sort index	0.23 ms
End of update loop	0.00 ms
Query end	0.00 ms
Commit	0.00 ms
Query end	0.00 ms
closing tables	0.00 ms
Unlocking tables	0.00 ms
closing tables	0.00 ms
Query end	0.00 ms
Starting cleanup	0.00 ms
Freeing items	0.00 ms
Updating status	0.01 ms
Reset for next command	0.01 ms

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1	SIMPLE	e	ref	element_clientid,element_folder_clientid,extension	element_clientid	303	yy039000db.s.template,const	1	Using index condition; Using where

#	Volacia funkcia	Súbor a číslo riadku
25	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1662
24	JDatabaseDriver->loadObject()	JROOT/libraries/src/Helper/LibraryHelper.php:167
23	Joomla\CMS\Helper\LibraryHelper::Joomla\CMS\Helper\{closure}()	Rovnaké, ako volanie o riadok nižšie.
22	call_user_func_array()	JROOT/libraries/src/Cache/Controller/CallbackController.php:173
21	Joomla\CMS\Cache\Controller\CallbackController->get()	JROOT/libraries/src/Helper/LibraryHelper.php:175
20	Joomla\CMS\Helper\LibraryHelper::loadLibrary()	JROOT/libraries/src/Helper/LibraryHelper.php:43
19	Joomla\CMS\Helper\LibraryHelper::getLibrary()	JROOT/libraries/src/Helper/LibraryHelper.php:90
18	Joomla\CMS\Helper\LibraryHelper::getParams()	JROOT/libraries/src/Version.php:321
17	Joomla\CMS\Version->getMediaVersion()	JROOT/libraries/src/Factory.php:778
16	Joomla\CMS\Factory::createDocument()	JROOT/libraries/src/Factory.php:234
15	Joomla\CMS\Factory::getDocument()	JROOT/libraries/gantry5/classes/Gantry/Framework/Theme.php:116
14	Gantry\Framework\Theme->init()	JROOT/libraries/gantry5/classes/Gantry/Component/Theme/AbstractTheme.php:67
13	Gantry\Component\Theme\AbstractTheme->__construct()	JROOT/templates/g5_hydrogen/includes/theme.php:28
12	plgSystemGantry5->{closure}()	JROOT/libraries/gantry5/vendor/pimple/pimple/src/Pimple/Container.php:113
11	Pimple\Container->offsetGet()	JROOT/plugins/system/gantry5/gantry5.php:139
10	plgSystemGantry5->onAfterRouteSite()	JROOT/plugins/system/gantry5/gantry5.php:57
9	plgSystemGantry5->onAfterRoute()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:1190
4	Joomla\CMS\Application\CMSApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:796
3	Joomla\CMS\Application\SiteApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:218
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
20	JDatabaseDriverMysqli->execute()	JROOT/libraries/src/Helper/LibraryHelper.php:117
19	Joomla\CMS\Helper\LibraryHelper::saveParams()	JROOT/libraries/src/Version.php:372
18	Joomla\CMS\Version->setMediaVersion()	JROOT/libraries/src/Version.php:331
17	Joomla\CMS\Version->getMediaVersion()	JROOT/libraries/src/Factory.php:778
16	Joomla\CMS\Factory::createDocument()	JROOT/libraries/src/Factory.php:234
15	Joomla\CMS\Factory::getDocument()	JROOT/libraries/gantry5/classes/Gantry/Framework/Theme.php:116
14	Gantry\Framework\Theme->init()	JROOT/libraries/gantry5/classes/Gantry/Component/Theme/AbstractTheme.php:67
13	Gantry\Component\Theme\AbstractTheme->__construct()	JROOT/templates/g5_hydrogen/includes/theme.php:28
12	plgSystemGantry5->{closure}()	JROOT/libraries/gantry5/vendor/pimple/pimple/src/Pimple/Container.php:113
11	Pimple\Container->offsetGet()	JROOT/plugins/system/gantry5/gantry5.php:139
10	plgSystemGantry5->onAfterRouteSite()	JROOT/plugins/system/gantry5/gantry5.php:57
9	plgSystemGantry5->onAfterRoute()	Rovnaké, ako volanie o riadok nižšie.
8	call_user_func_array()	JROOT/libraries/joomla/event/event.php:70
7	JEvent->update()	JROOT/libraries/joomla/event/dispatcher.php:160
6	JEventDispatcher->trigger()	JROOT/libraries/src/Application/BaseApplication.php:108
5	Joomla\CMS\Application\BaseApplication->triggerEvent()	JROOT/libraries/src/Application/CMSApplication.php:1190
4	Joomla\CMS\Application\CMSApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:796
3	Joomla\CMS\Application\SiteApplication->route()	JROOT/libraries/src/Application/SiteApplication.php:218
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
14	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1740
13	JDatabaseDriver->loadResult()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:31
12	RokCommon_PlatformInfo_Joomla->getDefaultTemplate()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:105
11	RokCommon_PlatformInfo_Joomla->setPlatformParameters()	JROOT/libraries/rokcommon/RokCommon/Service.php:71
10	RokCommon_Service::getContainer()	JROOT/libraries/rokcommon/include.php:38
9	require_once JROOT/libraries/rokcommon/include.php	JROOT/plugins/system/rokcommon/rokcommon.php:96
8	plgSystemRokCommon->loadCommonLib()	JROOT/plugins/system/rokcommon/rokcommon.php:54
7	plgSystemRokCommon->__construct()	JROOT/libraries/src/Plugin/PluginHelper.php:280
6	Joomla\CMS\Plugin\PluginHelper::import()	JROOT/libraries/src/Plugin/PluginHelper.php:182
5	Joomla\CMS\Plugin\PluginHelper::importPlugin()	JROOT/libraries/src/Application/CMSApplication.php:667
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

#	Volacia funkcia	Súbor a číslo riadku
15	JDatabaseDriverMysqli->execute()	JROOT/libraries/joomla/database/driver.php:1740
14	JDatabaseDriver->loadResult()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:31
13	RokCommon_PlatformInfo_Joomla->getDefaultTemplate()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:67
12	RokCommon_PlatformInfo_Joomla->getDefaultTemplatePath()	JROOT/libraries/rokcommon/RokCommon/PlatformInfo/Joomla.php:106
11	RokCommon_PlatformInfo_Joomla->setPlatformParameters()	JROOT/libraries/rokcommon/RokCommon/Service.php:71
10	RokCommon_Service::getContainer()	JROOT/libraries/rokcommon/include.php:38
9	require_once JROOT/libraries/rokcommon/include.php	JROOT/plugins/system/rokcommon/rokcommon.php:96
8	plgSystemRokCommon->loadCommonLib()	JROOT/plugins/system/rokcommon/rokcommon.php:54
7	plgSystemRokCommon->__construct()	JROOT/libraries/src/Plugin/PluginHelper.php:280
6	Joomla\CMS\Plugin\PluginHelper::import()	JROOT/libraries/src/Plugin/PluginHelper.php:182
5	Joomla\CMS\Plugin\PluginHelper::importPlugin()	JROOT/libraries/src/Application/CMSApplication.php:667
4	Joomla\CMS\Application\CMSApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:686
3	Joomla\CMS\Application\SiteApplication->initialiseApp()	JROOT/libraries/src/Application/SiteApplication.php:212
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	xref	ref	tagID,itemID	itemID	4	const	1	Using where
1	SIMPLE	tag	eq_ref	PRIMARY,published	PRIMARY	4	yy039000db.xref.tagID	1	Using where

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	a	ref	idx_state,idx_access,idx_context	idx_state	1	const	1	Using where; Using temporary; Pomocou filesort
1	SIMPLE	l	eq_ref	idx_langcode	idx_langcode	21	yy039000db.a.language	1	Using where
1	SIMPLE	uc	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.checked_out	1
1	SIMPLE	ag	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.access	1	Using where
1	SIMPLE	ua	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.created_user_id	1	Using where
1	SIMPLE	g	eq_ref	PRIMARY	PRIMARY	4	yy039000db.a.group_id	1	Using where

#	Volacia funkcia	Súbor a číslo riadku
14	JDatabaseDriverMysqli->execute()	JROOT/libraries/src/Table/Table.php:1264
13	Joomla\CMS\Table\Table->hit()	JROOT/components/com_k2/models/item.php:833
12	K2ModelItem->hit()	JROOT/components/com_k2/views/item/view.html.php:146
11	K2ViewItem->display()	JROOT/libraries/src/MVC/Controller/BaseController.php:664
10	Joomla\CMS\MVC\Controller\BaseController->display()	JROOT/components/com_k2/controllers/controller.php:20
9	K2Controller->display()	JROOT/components/com_k2/controllers/item.php:78
8	K2ControllerItem->display()	JROOT/libraries/src/MVC/Controller/BaseController.php:702
7	Joomla\CMS\MVC\Controller\BaseController->execute()	JROOT/components/com_k2/k2.php:64
6	require_once JROOT/components/com_k2/k2.php	JROOT/libraries/src/Component/ComponentHelper.php:402
5	Joomla\CMS\Component\ComponentHelper::executeComponent()	JROOT/libraries/src/Component/ComponentHelper.php:377
4	Joomla\CMS\Component\ComponentHelper::renderComponent()	JROOT/libraries/src/Application/SiteApplication.php:194
3	Joomla\CMS\Application\SiteApplication->dispatch()	JROOT/libraries/src/Application/SiteApplication.php:233
2	Joomla\CMS\Application\SiteApplication->doExecute()	JROOT/libraries/src/Application/CMSApplication.php:225
1	Joomla\CMS\Application\CMSApplication->execute()	JROOT/index.php:49

id	select_type	table	type	possible_keys	key	key_len	ref	rows	Extra
1	SIMPLE	m	ref	PRIMARY,published,newsfeeds	published	1	const	25	Using index condition; Using where; Pomocou filesort
1	SIMPLE	mm	ref	PRIMARY	PRIMARY	4	yy039000db.m.id	1	Using where; Using index
1	SIMPLE	e	ref	element_clientid,element_folder_clientid	element_clientid	303	yy039000db.m.module,const	1	Using index condition; Using where