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New Tool Images Uterine Contractions in Real Time to Identify High-Risk Pregnancies

By MedImaging International staff writers
Posted on 16 Mar 2023

During the labor and delivery process, the uterus contracts to expel the fetus. Irregularities in these contractions can result in premature delivery or labor arrest, creating the need for a Cesarean (C-section) delivery. Both preterm birth and C-sections can increase the likelihood of injury or death for the parent and infant, potentially leading to long-term neurodevelopmental disability for the child. Identifying the specific type of uterine contractions that cause premature birth or labor arrest can aid researchers in developing methods to slow or prevent the onset of these contractions. However, current clinical techniques to measure uterine contractions, such as tocodynamometry and an intrauterine pressure catheter, are invasive and only provide limited information related to contraction duration and intensity.

Researchers at Washington University School of Medicine (St. Louis, MO, USA) have developed new imaging technology that can create 3D maps of uterine contractions in real-time, displaying both the magnitude and distribution of the contractions across the entire surface of the uterus during labor. Drawing from imaging methods frequently employed in examining the heart, this cutting-edge technology allows for noninvasive monitoring of uterine contractions with unprecedented detail, unlike currently available tools that only indicate the presence or absence of a contraction. The new imaging tool, called electromyometrial imaging (EMMI), provides real-time 3D images and maps of contractions during labor, generating new types of metrics and images that enable the quantification of contraction patterns. This groundbreaking non-invasive imaging technique lays the foundation for improved labor management, especially for preterm birth.

The EMMI technique integrates two types of noninvasive scans - a fast anatomical MRI used to capture a high-quality image of the uterus during the early term pregnancy stage (37 weeks gestation), and a multi-channel surface scanning electromyogram that utilizes sensors positioned along the abdominal region to monitor contractions during delivery. These data are then combined and processed into comprehensive three-dimensional uterine maps, which utilize warm colors to denote areas of the uterus that are activated earlier in a contraction, cool colors to display areas that are activated later, and gray areas to indicate inactive or non-contracting regions. Over time, a sequence of maps is created, producing a visual time lapse that shows where contractions originate, how they expand and/or synchronize, and any patterns that arise in a typical pregnancy versus one that may be experiencing difficulties or abnormalities.

In the new study, the team tailored EMMI for human clinical use and tested it among a group of 10 women with healthy pregnancies. The study revealed that uterine contractions exhibit less predictability and consistency than heart contractions measured using similar technology. Subsequent labor contractions can differ in the initiating region and the direction of progression even with the same patient. Additionally, the team discovered that initiation sites or "pacemakers" of the uterine contractions do not occur in fixed anatomical regions, as in the heart. These findings serve to increase the value of the EMMI imaging technology, as it is capable of tracking changes through progressive contractions.

The study featured primiparous (first-time birth) patients as well as multiparous (previously given birth) patients. The researchers discovered that primiparous patients exhibited longer contractions with greater variability than multiparous patients who had more efficient and productive contractions. This could be attributed to a "memory effect" of the uterus which may recall its previous labor experiences. The next objective of the researchers is to measure normal uterine contractions to discern whether they are productive and leading toward childbirth. In resource-restricted areas, such a detailed imaging technology could improve childbirth safety. To enhance accessibility, the researchers aim to swap costly MRI scans (uncommon in many regions globally) with less expensive, portable ultrasound imaging. Additionally, the team is creating disposable electrodes and wireless transmitters to promote mass usage of the technology.

“There are all kinds of obstetrics and gynecological conditions that are associated with uterine contractions, but we don’t have very accurate ways of measuring them,” said senior author Yong Wang, Ph.D., an associate professor of obstetrics & gynecology, of electrical & systems engineering, of radiology, and of biomedical engineering. “With this new imaging technology, we are basically upgrading the standard way of measuring labor contractions - called tocodynamometry - from one-dimensional tracing to four-dimensional mapping. This kind of information could help improve care for patients with high-risk pregnancies and identify ways to prevent preterm birth, which occurs in about 10% of pregnancies globally.”

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61 (185.96649169922): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

62 (514.98413085938): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

63 (!!!!! 1195.9075927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

64 (249.86267089844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

65 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

66 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

67 (233.88862609863): 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 (411.03363037109): SELECT fid FROM jos_deeppockets WHERE id=294796550 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796550 AND published='1' LIMIT 1

69 (317.81196594238): 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 (!!!!! 2952.0988464355): select jos_twitters.link from jos_twitters where cat=10

71 (591.99333190918): select jos_facebook.link from jos_facebook where cat=10

72 (32.901763916016): select jos_google_plus.link from jos_google_plus where cat=10

73 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

74 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE id=294796550 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796550 AND published='1' LIMIT 1

75 (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`

76 (196.93374633789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

77 (205.99365234375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

78 (52.213668823242): 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 (669.95620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (674.00932312012): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

94 (!!!!! 1845.121383667): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

95 (211.00044250488): 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 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (152.8263092041): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (113.01040649414): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (125.88500976562): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (111.10305786133): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (128.98445129395): SELECT show_live FROM jos_com_show_setting LIMIT 1

109 (109.91096496582): SELECT show_live FROM jos_com_show_setting LIMIT 1

110 (207.90100097656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

111 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

112 (803.94744873047): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (169.03877258301): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (200.98686218262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

115 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

116 (!!!!! 1848.9360809326): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (!!!!! 1266.9563293457): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

118 (!!!!! 6282.8063964844): 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=294796517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

119 (615.11993408203): 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=294796517 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

120 (795.12596130371): 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

121 (314.95094299316): 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

122 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

123 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

124 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

125 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

126 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

127 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

128 (230.07392883301): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

129 (!!!!! 24028.062820435): 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

130 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

131 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

132 (408.17260742188): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796550 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796550 AND type='deeppockets_item' AND published='1' LIMIT 1

133 (!!!!! 486425.16136169): ( 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

134 (138.0443572998): ( 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

135 (65.088272094727): 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

136 (43.869018554688): 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

137 (67.949295043945): 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

138 (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

139 (43.153762817383): 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

140 (36.954879760742): 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

141 (442.9817199707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (308.03680419922): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

143 (221.01402282715): SELECT name FROM jos_deeppockets WHERE id=212

144 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=212

145 (422.00088500977): 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

146 (343.08433532715): 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

147 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

148 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

149 (!!!!! 8163.9289855957): TRUNCATE TABLE jos_trademed_module

150 (98.943710327148): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (57.93571472168): 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=294796550 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

152 (909.09004211426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

154 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

155 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

156 (!!!!! 1428.1272888184): 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

157 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

158 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

159 (141.14379882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796550 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796550 AND type='deeppockets_item' AND published='1' LIMIT 1

160 (46.014785766602): 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=0 or channel_id is null)

161 (60.081481933594): 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=0 or channel_id is null)

162 (60.081481933594): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

163 (144.95849609375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

164 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796550 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796550 AND published='1' LIMIT 1

165 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

166 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

167 (37.908554077148): select jos_google_plus.link from jos_google_plus where cat=10

168 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

169 (300.88424682617): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

170 (!!!!! 1416.9216156006): insert into jos_banners_delta values (14615,'2025-04-30 13:24:11','13.58.187.108','view'),(14202,'2025-04-30 13:24:11','13.58.187.108','view'),(14203,'2025-04-30 13:24:11','13.58.187.108','view')

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