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Evidence of Post-Stroke Brain Recovery Seen on MRI

By MedImaging International staff writers
Posted on 21 Oct 2010

The world's largest study using neuroimaging of stroke patients struggling to regain the ability to communicate revealed that brain cells outside the injured area could take on new roles.

Dr. Fridriksson, a researcher from the University of South Carolina's Arnold School of Public Health (Columbia, USA), reported that the findings offer hope to patients of "chronic stroke,” characterized by the death of cells in a specific area of the brain. The damage results in long-term or permanent disability.

"For years, we heard little about stroke recovery because it was believed that very little could be done,” Dr. Fridriksson said. "But this study shows that the adult brain is quite capable of changing, and we are able to see those images now. This will substantially change the treatment for chronic-stroke patients.”

The study, reported in the September 15, 2010, issue of the Journal of Neuroscience, involved 26 patients with aphasia, a communication disorder caused by damage to the language regions in the brain's left hemisphere.

Approximately 35% of stroke patients have speech and/or communication problems. While many patients with aphasia regain some language function in the days and weeks after a stroke, scientists have long believed that recovery is limited after this initial phase. "Stroke is the leading cause of disability among adults, more than accidents or complications from Parkinson's or Alzheimer's diseases,” said Dr. Fridriksson, director of the university's Aphasia Laboratory and an associate professor in the department of communication sciences and disorders. "When someone has brain damage as a result of a stroke, the recovery is expected to be limited,” he said.

However, Dr. Fridriksson's study revealed that the brain can recover and that a patient's ability to communicate can improve. Stroke patients underwent an imaging test, called functional magnetic resonance imaging (fMRI), which measures brain activity. Patients received multiple MRI sessions before and after undergoing 30 hours of conventional speech therapy used to improve communication function in patients with aphasia.

By employing fMRI--an imaging technique more improved and widely used in the past decade--Dr. Fridriksson was able to see the healthy areas of the brain that "take over” the functions of the areas injured as a result of a stroke. "The areas that are immediately around the section of the brain that was damaged become more ‘plastic,'” Dr. Fridriksson noted. "This ‘plasticity,' so to speak, increases around the brain lesions and supports recovery. In patients who responded well with the treatment for anomia, their fMRI showed evidence that areas of the brain took over the function of the damaged cells.”

The study found that patients who did not experience these changes did not have as improved a recovery, according to Dr. Fridriksson.

This study lays the foundation for future research of aphasia, including the study on the use of low-current, electrical stimulation for the brain. "Knowing where the brain has been damaged--and the section that is taking over that function--will enable us to better use electrical stimulation to promote recovery,” commented Dr. Fridriksson, the lead author of another study published August 2010 in the Journal of Neuroscience that examined the mapping of brain lesions that cause speech/communication impairment. "It is believed that electrical currents to the brain will promote secretions of neurotransmitters that support brain plasticity. This could dramatically improve the quality of life for stroke patients.”

Related Links:
University of South Carolina's Arnold School of Public Health

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60 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

61 (59.127807617188): 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 (385.04600524902): SELECT fid FROM jos_deeppockets WHERE id=294731671 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731671 AND published='1' LIMIT 1

63 (188.11225891113): 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 (41.007995605469): select jos_twitters.link from jos_twitters where cat=10

65 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

66 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

68 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE id=294731671 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294731671 AND published='1' LIMIT 1

69 (31.948089599609): 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 (160.93254089355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (155.21049499512): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.14697265625): 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 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (47.206878662109): 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 (63.180923461914): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (96.797943115234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

105 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

106 (85.830688476562): 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (67.949295043945): 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

109 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

110 (69.856643676758): 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (423.90823364258): 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (614.16625976562): 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 (347.13745117188): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

116 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

117 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

118 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

119 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

120 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

122 (173.09188842773): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 20076.036453247): 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 (446.08116149902): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731671 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731671 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7505.1784515381): ( 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 (79.154968261719): ( 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 (60.796737670898): 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 (42.915344238281): 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 (49.829483032227): 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 (28.848648071289): 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 (196.93374633789): 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 (34.093856811523): 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 (32.186508178711): 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 (36.001205444336): 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 (368.83354187012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (250.10108947754): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (200.98686218262): SELECT name FROM jos_deeppockets WHERE id=212

138 (45.7763671875): SELECT name FROM jos_deeppockets WHERE id=212

139 (627.04086303711): 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 (552.89268493652): 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 (126.83868408203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

142 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

143 (!!!!! 8319.1394805908): TRUNCATE TABLE jos_trademed_module

144 (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 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (55.789947509766): 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=294731671 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (807.04689025879): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

149 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

150 (!!!!! 1624.8226165771): 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 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

152 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

153 (83.92333984375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294731671 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294731671 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (403.16581726074): 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 (38.14697265625): 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 (38.862228393555): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

158 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294731671 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294731671 AND published='1' LIMIT 1

159 (39.100646972656): select jos_twitters.link from jos_twitters where cat=10

160 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

161 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

163 (266.07513427734): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (931.0245513916): insert into jos_banners_delta values (14615,'2025-06-27 20:16:44','216.73.216.249','view'),(14202,'2025-06-27 20:16:44','216.73.216.249','view'),(14203,'2025-06-27 20:16:44','216.73.216.249','view')

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