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Brain Scan Gives Vegetative State Patients Ability to Communicate

By MedImaging International staff writers
Posted on 02 Mar 2010

A patient presumed to be in a vegetative state for five years can communicate "yes” and "no” using just his thoughts, according to new research.

The researchers on the project were from the Medical Research Council (MRC; London, UK) and the University of Liège (Belgium). In 2003, the patient, a 29-year-old man, sustained a severe traumatic brain injury in a road traffic accident. He remained physically unresponsive and he was presumed to be in a vegetative state. Utilizing functional magnetic resonance imaging (fMRI), the patient's brain activity was mapped while he was asked to answer "yes” or "no” to questions such as "Is your father's name Thomas?” The patient could communicate answers by willfully changing his brain activity.

In the three-year study, 23 patients diagnosed as being in a vegetative state were scanned using fMRI, which was able to detect signs of awareness in four of these cases (17%). The fMRI technique used can decipher the brain's answers to questions in healthy, nonvegetative, participants with 100% accuracy, but it has never before been tried in a patient who cannot move or speak.

This new method of using fMRI was developed by Dr. Adrian Owen and his team at the MRC Cognition and Brain Sciences Unit in Cambridge (UK), an internationally leading center for research in cognitive sciences and neurosciences, with close links to clinical research. Dr. Owen, coauthor of the research from the Medical Research Council, said, "We were astonished when we saw the results of the patient's scan and that he was able to correctly answer the questions that were asked by simply changing his thoughts. Not only did these scans tell us that the patient was not in a vegetative state but, more importantly, for the first time in five years, it provided the patient with a way of communicating his thoughts to the outside world.”

Dr. Steven Laureys, coauthor from the University of Liège, confirmed, "So far these scans have proven to be the only viable method for this patient to communicate in any way since his accident. It's early days, but in the future we hope to develop this technique to allow some patients to express their feelings and thoughts, control their environment and increase their quality of life.”

Dr. Martin Monti, coauthor from the Medical Research Council, added, "The fact that this patient was able to communicate with scientists using his brain activity suggests that this technique could be used to address important clinical questions. For example, patients who are aware, but cannot move or speak, could be asked if they are feeling any pain, allowing doctors to decide when painkillers should be administered.”

The study was published in the February 3, 2010, issue of the New England Journal of Medicine.

The Medical Research Council has improved the health of people in the United Kingdom and worldwide by supporting the highest quality science. The MRC invests in world-class scientists and has produced 29 Nobel Prize winners and sustains a flourishing environment for internationally recognized research. The MRC's Cognition and Brain Sciences Unit in Cambridge investigates fundamental human cognitive processes, such as attention, memory, language, and emotion. Experimental techniques include state of the art brain imaging technology, neuropsychological studies of patient populations, computational simulations, and behavioral experiments on healthy volunteers. Findings from these studies are translated back into the clinical domain informing our basic understanding of human disease and strategies for patient rehabilitation.

The Coma Science Group at Liège University's Cyclotron Research Center aims to improve the medical care and understanding of disorders of consciousness following an acute insult such as coma, vegetative state, minimally conscious state, or locked-in syndrome.

Related Links:
Medical Research Council
University of Liège

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59 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

60 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

61 (66.995620727539): 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

62 (515.93780517578): SELECT fid FROM jos_deeppockets WHERE id=294728267 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728267 AND published='1' LIMIT 1

63 (456.80999755859): 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`

64 (58.174133300781): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294728267 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728267 AND published='1' LIMIT 1

69 (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=212 ORDER BY `ordering`

70 (245.09429931641): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (221.01402282715): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.961669921875): 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`

73 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (44.822692871094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): 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`

90 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): 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 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

105 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

106 (65.803527832031): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

109 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

110 (49.829483032227): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (520.94459533691): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (571.01249694824): 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

113 (385.04600524902): 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

114 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

115 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

116 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

117 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

118 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

120 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

121 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

122 (298.02322387695): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19225.120544434): 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

124 (470.87669372559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728267 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728267 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7187.8433227539): ( 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

126 (88.930130004883): ( 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

127 (47.922134399414): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

128 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

129 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

130 (29.087066650391): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (271.08192443848): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

132 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

133 (31.948089599609): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

134 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (!!!!! 2568.0065155029): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (468.96934509277): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (244.8558807373): SELECT name FROM jos_deeppockets WHERE id=212

138 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=212

139 (539.06440734863): 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

140 (437.02125549316): 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

141 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

142 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

143 (!!!!! 14006.1378479): TRUNCATE TABLE jos_trademed_module

144 (850.20065307617): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (80.108642578125): 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=294728267 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (391.00646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

149 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

150 (!!!!! 1076.9367218018): 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

151 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

152 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

153 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728267 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728267 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (29.087066650391): 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)

155 (27.179718017578): 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)

156 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2362.0128631592): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

158 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728267 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728267 AND published='1' LIMIT 1

159 (39.815902709961): select jos_twitters.link from jos_twitters where cat=10

160 (25.98762512207): select jos_facebook.link from jos_facebook where cat=10

161 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

162 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

163 (240.08750915527): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1085.9966278076): insert into jos_banners_delta values (14615,'2025-06-28 12:24:26','216.73.216.249','view'),(14202,'2025-06-28 12:24:26','216.73.216.249','view'),(14203,'2025-06-28 12:24:26','216.73.216.249','view')

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