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Specialized MRI Techniques Reveal Brain Abnormalities in People with Post-Treatment Lyme disease

By MedImaging International staff writers
Posted on 28 Oct 2022

Lyme disease, whose early symptoms may include a characteristic rash, flu-like aches and fever, joint pain, and fatigue, is treated using a rigorous course of antibiotics, which usually clears the illness. However, in those considered long-haul patients for whom Lyme symptoms continue after completion of antibiotics, the condition is a chronic illness that can be marked by fatigue, muscular pain, insomnia, depression and cognitive difficulties, such as trouble with concentration and memory. Such individuals generally have no obvious clinical or laboratory evidence of ongoing issues. Now, a study using specialized imaging techniques has revealed distinctive changes in the “white matter” and other brain tissue physiology of those with post-treatment Lyme disease. The study’s findings substantiate and help validate that memory, and other cognitive difficulties experienced long-term by individuals with post-treatment Lyme disease, are linked to functional and structural changes in the brain.

In a bid to identify what they suspect are long-term changes in brain function that may be causing certain persistent Lyme disease symptoms, researchers from researchers at Johns Hopkins Medicine’s (Baltimore, MD, USA) departments of neurology and psychiatry and behavioral sciences, in collaboration with the Lyme Disease Research Center, used functional MRI (fMRI) scans of the brain, a technology that detects changes in brain blood flow. These scans allow investigators to track changes in the brain in real time. the team recruited 12 male and female post-treatment Lyme disease patients, and 18 participants without a history of Lyme, to undergo fMRI scans while performing a short-term memory task. The imaging tests revealed unusual activity in the frontal lobe, an area of the brain responsible for cognitive tasks such as memory recall and concentration. Participants were asked to memorize and recall capital and lowercase letters, as well as the alphabetical order of multiple letters.

Notably, the researchers say, the images showed differences in their frontal lobe activity between the two groups in the white matter of the brain, which normally does not show up in fMRI scans, as this tissue operates with less blood flow than gray matter. White matter is crucial for moving information around the brain, acting like train tracks that help deliver information to the train depot, or gray matter. To confirm this finding, researchers used a second form of imaging called diffusion tensor imaging (DTI) on all 12 participants with Lyme and 12 of the 18 non-Lyme participants. DTI detects the direction of water movement within brain tissue. This unique approach corroborated their fMRI findings and revealed new findings: Water was diffusing, or leaking, along the patients’ axons - the extensions of neurons that carry electrical signals to other neurons - within the same white matter regions identified in the fMRI.

Surprisingly, the researchers also found that axonal leakage in white matter correlated with fewer cognitive deficits and better outcomes among the post-treatment Lyme disease patients they studied. The researchers believe the increased activity they saw in white matter may reflect a helpful immune response in the post-treatment Lyme patients, as it correlated with better disease outcomes. However, this finding was also correlated to the patients with post-treatment Lyme needing longer periods of time to complete the memory task. The researchers say this is indicative that the white matter response could be an adaptive one, but that the white matter’s physiology and function have been changed, which could come at a cost. According to the researchers, the findings may help illuminate underlying mechanisms and potential therapeutic targets for neurologic Lyme disease. The findings may also have relevance to other kinds of infection-associated chronic illnesses, including long COVID and chronic fatigue syndrome.

“Objective biologic measures of post-treatment Lyme symptoms typically can’t be identified using regular MRIs, CT scans, or blood tests,” said researcher John Aucott, M.D., director of the Johns Hopkins Lyme Disease Clinical Research Center and associate professor of medicine at the Johns Hopkins University School of Medicine. “We needed to expand our methods of evaluation.”

“Approaching this problem collaboratively with experts in different fields is what gave us these novel findings, and will hopefully answer our remaining questions, specifically about the role of axonal leakage and white matter activation in post-treatment Lyme disease,” added lead author Cherie Marvel, Ph.D., who spearheaded the team.

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60 (604.15267944336): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

61 (!!!!! 3056.0493469238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

62 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

63 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

64 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

65 (113.01040649414): 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 (487.08915710449): SELECT fid FROM jos_deeppockets WHERE id=294795115 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294795115 AND published='1' LIMIT 1

67 (286.10229492188): 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 (52.928924560547): select jos_twitters.link from jos_twitters where cat=10

69 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

70 (!!!!! 3938.9133453369): select jos_google_plus.link from jos_google_plus where cat=10

71 (77.009201049805): select jos_linkedin.link from jos_linkedin where cat=10

72 (55.789947509766): SELECT fid FROM jos_deeppockets WHERE id=294795115 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294795115 AND published='1' LIMIT 1

73 (41.961669921875): 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 (367.87986755371): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (262.02201843262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (40.054321289062): 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 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): 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 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (391.96014404297): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (!!!!! 4003.0479431152): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (75.101852416992): 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 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

109 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

110 (59.127807617188): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (589.13230895996): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

113 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

114 (87.02278137207): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (530.95817565918): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (839.9486541748): 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 (626.0871887207): 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 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

119 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

120 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

121 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

122 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

123 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

124 (593.90068054199): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 90738.05809021): 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 (411.03363037109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

127 (318.05038452148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

128 (!!!!! 1366.8537139893): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795115 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795115 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1138556.0035706): ( 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 (!!!!! 1979.1126251221): ( 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 (643.01490783691): 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 (151.15737915039): 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 (640.1538848877): 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 (41.007995605469): 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 (211.95411682129): 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 (32.901763916016): 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 (327.82554626465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (277.99606323242): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (171.89979553223): SELECT name FROM jos_deeppockets WHERE id=212

140 (!!!!! 1276.969909668): SELECT name FROM jos_deeppockets WHERE id=212

141 (457.0484161377): 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 (393.86749267578): 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 (838.04130554199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

144 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

145 (!!!!! 28120.040893555): TRUNCATE TABLE jos_trademed_module

146 (79.870223999023): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (100.13580322266): 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=294795115 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (705.00373840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

151 (597.00012207031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

152 (!!!!! 1251.9359588623): 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 (191.92695617676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

154 (!!!!! 1698.9707946777): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

155 (47.206878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294795115 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294795115 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (30.994415283203): 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 (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)

158 (28.848648071289): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 3102.0641326904): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

160 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294795115 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294795115 AND published='1' LIMIT 1

161 (!!!!! 3329.9922943115): select jos_twitters.link from jos_twitters where cat=10

162 (!!!!! 1563.0722045898): select jos_facebook.link from jos_facebook where cat=10

163 (963.92631530762): select jos_google_plus.link from jos_google_plus where cat=10

164 (705.95741271973): select jos_linkedin.link from jos_linkedin where cat=10

165 (!!!!! 1353.9791107178): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 5544.1856384277): insert into jos_banners_delta values (14615,'2025-04-30 22:12:34','18.216.248.35','view'),(14202,'2025-04-30 22:12:34','18.216.248.35','view'),(14203,'2025-04-30 22:12:34','18.216.248.35','view')

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