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MRI Helps Evaluate and Improve Knee Rehabilitation

By MedImaging International staff writers
Posted on 13 May 2019

A new study reveals how magnetic resonance imaging (MRI) can be used to study gait mechanics and joint function in patients with anterior cruciate ligament (ACL) deficiencies.

Researchers at the University of Delaware (UDEL; Newark, USA) used MRI test results, finite element models, gait analysis, and biochemical analysis to study ACL injuries and determine which stresses on knee cartilage may be indicative of osteoarthritis (OA). To do so, they evaluated knee gait variables, muscle co‐contraction indices, and knee joint loading in 36 young subjects with ACL deficiency and 12 control subjects. Motion capture video and MRI were used assess the effects of ACL tears on gait, and an electromyography‐informed model was used to estimate joint loading.

The results revealed that for the involved limb of ACL deficiency subjects, muscle co‐contraction indices were higher for the medial and lateral agonist–antagonist muscle pairs than in the controls; but despite the higher muscle co‐contraction, medial compartment contact force was lower for the involved limb, compared to both the uninvolved and the control subject limb. Similar observations were made for total contact force. For involved versus uninvolved limb, the ACL deficiency group showed lower vertical ground reaction force and knee flexion moment during weight acceptance. The study was published in the January 2019 issue of the Journal of Orthopaedic Research.

“We hypothesized that, compared to control subjects, the ACL deficiency subjects would demonstrate greater muscle co‐contraction, muscle forces, and medial compartment loading in the involved knee,” said senior author Professor Tom Buchanan, PhD, director of the UDEL Delaware Rehabilitation Institute. “But this study suggests that arthritis isn’t just caused by really high forces, but can also be caused by too low forces on the joint. The ideal range of forces may in fact be a very narrow window. Based on what we identify, maybe physical therapists could treat patients differently.”

The ACL is a broad, thick collagen cord that originates on the anterior femur, in the intercondylar notch, and inserts on the posterior aspect of the tibial plateau. The ACL guides the tibia through a normal, stable range of motion, along the end of the femur, maintaining joint stability. Unfortunately, the ligament is poorly vascularized, and thus has no ability to heal after a complete tear, leading to further destruction of the articular and meniscal cartilage over time.

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66 (!!!!! 1431.941986084): SELECT fid FROM jos_deeppockets WHERE id=294777943 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777943 AND published='1' LIMIT 1

67 (!!!!! 2034.9025726318): 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`

68 (!!!!! 4512.0716094971): select jos_twitters.link from jos_twitters where cat=10

69 (!!!!! 2037.0483398438): select jos_facebook.link from jos_facebook where cat=10

70 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

71 (365.01884460449): select jos_linkedin.link from jos_linkedin where cat=10

72 (146.86584472656): SELECT fid FROM jos_deeppockets WHERE id=294777943 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777943 AND published='1' LIMIT 1

73 (30.994415283203): 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`

74 (236.03439331055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 1091.0034179688): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (86.069107055664): 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 (497.10273742676): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (657.79685974121): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (406.98051452637): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (!!!!! 1164.9131774902): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 2858.8771820068): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (365.01884460449): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (153.0647277832): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (123.97766113281): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (145.91217041016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (598.90747070312): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (286.10229492188): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (578.88031005859): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (325.91819763184): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (247.95532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (691.89071655273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (370.97930908203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (!!!!! 1027.1072387695): 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 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

110 (71.048736572266): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (45.061111450195): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

113 (!!!!! 4133.939743042): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

114 (!!!!! 1565.9332275391): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (753.87954711914): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (521.89826965332): 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 (308.03680419922): 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 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

119 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

120 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

122 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

123 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

124 (247.95532226562): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 85293.054580688): 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 (333.78601074219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

127 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

128 (!!!!! 5949.0203857422): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777943 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777943 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1873739.9578094): ( 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 (!!!!! 1262024.1641998): ( 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 (69.141387939453): 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 (30.994415283203): 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 (56.028366088867): 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 (132.08389282227): 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 (44.107437133789): 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 (33.140182495117): 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 (!!!!! 2246.8566894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (!!!!! 1111.9842529297): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (!!!!! 1189.9471282959): SELECT name FROM jos_deeppockets WHERE id=212

140 (372.88665771484): SELECT name FROM jos_deeppockets WHERE id=212

141 (!!!!! 1068.115234375): 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

142 (850.91590881348): 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

143 (!!!!! 4079.1034698486): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

144 (857.11479187012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

145 (!!!!! 42316.913604736): TRUNCATE TABLE jos_trademed_module

146 (396.9669342041): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 1653.9096832275): 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=294777943 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (378.13186645508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (234.12704467773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (153.0647277832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

151 (203.13262939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

152 (!!!!! 5048.9902496338): 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 (758.88633728027): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

154 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

155 (!!!!! 1374.9599456787): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777943 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777943 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (845.19386291504): 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)

157 (46.968460083008): 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)

158 (36.001205444336): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 1770.9732055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

160 (!!!!! 4311.0847473145): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777943 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777943 AND published='1' LIMIT 1

161 (199.0795135498): select jos_twitters.link from jos_twitters where cat=10

162 (115.15617370605): select jos_facebook.link from jos_facebook where cat=10

163 (300.16899108887): select jos_google_plus.link from jos_google_plus where cat=10

164 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

165 (!!!!! 1278.1620025635): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1121.997833252): insert into jos_banners_delta values (14615,'2025-05-01 18:07:03','3.137.203.53','view'),(14202,'2025-05-01 18:07:03','3.137.203.53','view'),(14203,'2025-05-01 18:07:03','3.137.203.53','view')

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