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CT Scan Study Shows Evidence of Persistent Lung Damage Long After COVID-19 Pneumonia

By MedImaging International staff writers
Posted on 01 Apr 2022

Image: Lung damage may persist long after COVID-19 pneumonia (Photo courtesy of Unsplash)

The COVID-19 pandemic, caused by the novel severe acute respiratory syndrome coronavirus type 2 (SARS-CoV-2), has considerably increased the demand for acute and post-acute healthcare worldwide. COVID-19’s short-term effects on the lungs, such as pneumonia, are well documented. Much less is known about the illness’ long-term effects on the lungs. CT has been an important imaging tool in the workup of patients suspected of having COVID-19. Now, a new study has found that some people recovering from COVID-19 pneumonia have CT evidence of damage to their lungs that persists a full year after the onset of symptoms. The study underscores radiology’s role in helping identify patients at risk for post-COVID-19 consequences and assisting in COVID-19 follow-up management.

As part of an observational study on the development of lung disease in patients with SARS-CoV-2 infection, researchers at Innsbruck Medical University (Innsbruck, Austria) looked at patterns and rates of improvement of chest CT abnormalities in patients one year after COVID-19 pneumonia. The researchers assessed lung abnormalities on chest CT in 91 participants, mean age 59 years, at several points over one year after the onset of COVID-19 symptoms.

At one year, CT abnormalities were present in 49, or 54%, of the 91 participants. Of these 49 participants, two (4%) had received outpatient treatment only, while 25 (51%) were treated on a general hospital ward and 22 (45%) had received intensive care unit (ICU) treatment. While CT abnormalities decreased in initial follow-ups, 63% of participants with abnormalities did not show any further improvement after six months. Age over 60 years, critical COVID-19 severity and male gender were associated with persistent CT abnormalities at one year. Evidence from the SARS-CoV-1 outbreak of 2002 to 2004 shows that lung abnormalities may remain detectable even after decades, but do not show any progression, according to the researchers. Recent studies, though, have shown a risk of progression of lung abnormalities such as the ones depicted on CT. The researchers intend to continue gathering data on patients with persistent CT abnormalities

“The observed chest CT abnormalities from our study are indicative of damaged lung tissue,” said study co-author Anna Luger, M.D., from the Department of Radiology at Innsbruck Medical University in Innsbruck, Austria. “However, it is currently unclear if they represent persistent scarring, and whether they regress over time or lead to pulmonary fibrosis.”

“In a recently published clinical study of our CovILD interdisciplinary working group, we were able to show that the severity of acute COVID-19, protracted systemic inflammation and the presence of residual chest CT abnormalities are strongly related to persistently impaired lung function and clinical symptoms,” said study co-author Christoph Schwabl, M.D., from Innsbruck Medical University.

“In the end, long-term follow-up, both clinical and radiological, is necessary to gather more information about the course and clinical role of persisting SARS-CoV-2 related chest CT abnormalities,” said study senior author Gerlig Widmann, M.D., chief thoracic radiologist at Innsbruck Medical University.

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59 (!!!!! 1507.9975128174): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

60 (96.797943115234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

61 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

62 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

63 (125.88500976562): 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

64 (519.0372467041): SELECT fid FROM jos_deeppockets WHERE id=294792254 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792254 AND published='1' LIMIT 1

65 (226.02081298828): 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=215 ORDER BY `ordering`

66 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

67 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

68 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

69 (29.802322387695): select jos_linkedin.link from jos_linkedin where cat=10

70 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE id=294792254 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792254 AND published='1' LIMIT 1

71 (36.001205444336): 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=215 ORDER BY `ordering`

72 (293.01643371582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (211.00044250488): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (51.975250244141): 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`

75 (68.187713623047): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (55.074691772461): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (35.04753112793): 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`

92 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

107 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

108 (84.877014160156): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (73.19450378418): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

111 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

112 (421.04721069336): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (347.13745117188): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (74.148178100586): 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=294792246 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (422.00088500977): 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=294792246 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (781.05926513672): 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 (!!!!! 3722.9061126709): 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 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

119 (250.10108947754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

120 (315.90461730957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

121 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

122 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

123 (249.14741516113): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

124 (311.13624572754): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 40472.030639648): 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 (159.97886657715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

127 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

128 (414.13307189941): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792254 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792254 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 583998.20327759): ( 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 (92.983245849609): ( 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 (49.829483032227): 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 (40.054321289062): 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 (33.140182495117): 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 (30.040740966797): 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 (30.994415283203): 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 (344.99168395996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (273.9429473877): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (144.95849609375): SELECT name FROM jos_deeppockets WHERE id=215

140 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=215

141 (500.91743469238): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (414.13307189941): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

144 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

145 (!!!!! 9932.9948425293): TRUNCATE TABLE jos_trademed_module

146 (123.97766113281): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (50.067901611328): 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=294792254 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (817.06047058105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

151 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

152 (!!!!! 1075.0293731689): 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 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

154 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

155 (48.87580871582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792254 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792254 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (31.948089599609): 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)

157 (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=0 or channel_id is null)

158 (30.994415283203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (369.07196044922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

160 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792254 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792254 AND published='1' LIMIT 1

161 (41.961669921875): select jos_twitters.link from jos_twitters where cat=10

162 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

163 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

164 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

165 (309.94415283203): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 1284.122467041): insert into jos_banners_delta values (14615,'2025-06-17 21:31:42','216.73.216.120','view'),(14202,'2025-06-17 21:31:42','216.73.216.120','view'),(14203,'2025-06-17 21:31:42','216.73.216.120','view')

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