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DTI-MRI Reveals Sensory-Processing Disorders in Children

By MedImaging International staff writers
Posted on 07 Aug 2013

Image: These brain images, captured with DTI MRI, show water diffusion within the white matter of children with sensory-processing disorders (SPDs). Row FA: The blue areas show white matter where water diffusion was less directional than in typical children, indicating impaired white matter microstructure. Row MD: The red areas show white matter where the overall rate of water diffusion was higher than in typical children, also indicating abnormal white matter. Row RD: The red areas show white matter where SPD children have higher rates of water diffusion perpendicular to the axonal fibers, indicating a loss of integrity of the fiber bundles comprising the white matter tracts (Photo courtesy of the University of California, San Francisco - UCSF).

Researchers are utilizing a cutting-edge form of magnetic resonance imaging (MRI) called diffusion tensor imaging (DTI) to explore sensory-processing disorders (SPD) in children. The scientists discovered that children affected with SPD have quantifiable differences in brain structure, for the first time showing a biologic basis for the disease that differentiates it from other neurodevelopmental disorders.

SPDs are more prevalent in children than autism, and as typical as attention deficit hyperactivity (ADHD) disorder; however, the disorder receives far less attention partly because it has never been recognized as a distinct disease.

SPDs affect 5%-16% of school-aged children. Children with SPD struggle with how to process stimulation, which can cause a wide range of symptoms including hypersensitivity to sight, sound, and touch, poor fine motor skills, and easy distractibility. Some SPD children cannot tolerate load noises, whereas others struggle with social interaction or cannot hold a pencil. Furthermore, a sound that one day is an annoyance can the next day be sought out. The disorder can be inexplicable for parents and has been a source of a great deal of debate for clinicians.

“Most people don’t know how to support these kids because they don’t fall into a traditional clinical group,” said Elysa Marco, MD, who led the study along with postdoctoral fellow Julia Owen, PhD. Dr. Marco is a cognitive and behavioral child neurologist at University of California, San Francisco (UCSF) Benioff Children’s Hospital (USA; www.ucsfbenioffchildrens.org). “Sometimes they are called the ‘out of sync’ kids. Their language is good, but they seem to have trouble with just about everything else, especially emotional regulation and distraction. In the real world, they’re just less able to process information efficiently, and they get left out and bullied,” said Dr. Marco, who treats affected children in her cognitive and behavioral neurology clinic. “If we can better understand these kids who are falling through the cracks, we will not only help a whole lot of families, but we will better understand sensory processing in general. This work is laying the foundation for expanding our research and clinical evaluation of children with a wide range of neurodevelopmental challenges—stretching beyond autism and ADHD [attention deficit hyperactivity disorder].”

In the study, researchers used a sophisticated type of MRI called DTI, which gauges the microscopic movement of water molecules within the brain to provide valuable data about the brain’s white matter tracts. DTI shows the direction of the white matter fibers and the integrity of the white matter. The brain’s white matter is crucial for thinking, perceiving, and learning.

The study assessed 16 boys, between the ages of eight and 11, with SPD but without a diagnosis of autism or prematurity, and compared the results with 24 typically developing boys who were matched for age, gender, right- or left-handedness, and IQ. The patients’ and control study participants’ behaviors were first classified using a parent report measure of sensory behavior called the sensory profile.

One of the reasons SPD has been overlooked until now is that it often occurs in children who also have ADHD or autism, and the disorders have not been listed in the Diagnostic and Statistical Manual used by psychiatrists and psychologists. “Until now, SPD hasn’t had a known biological underpinning,” said senior author Pratik Mukherjee, MD, PhD, a professor of radiology and biomedical imaging and bioengineering at UCSF. “Our findings point the way to establishing a biological basis for the disease that can be easily measured and used as a diagnostic tool,” Dr. Mukherjee said.

The imaging detected abnormal white matter tracts in the SPD subjects, primarily involving areas in the back of the brain, that serve as connections for the auditory, visual, and somatosensory (tactile) systems involved in sensory processing, including their connections between the left and right halves of the brain.

“These are tracts that are emblematic of someone with problems with sensory processing,” said Dr. Mukherjee. “More frontal anterior white matter tracts are typically involved in children with only ADHD or autistic spectrum disorders. The abnormalities we found are focused in a different region of the brain, indicating SPD may be neuroanatomically distinct.”

The researchers discovered a clear parallel between the microstructural abnormalities in the white matter of the posterior cerebral tracts focused on sensory processing and the auditory, multisensory and inattention scores reported by parents in the sensory profile. The strongest correlation was for auditory processing, with other correlations seen for multisensory integration, vision, tactile, and inattention.

The abnormal microstructure of sensory white matter tracts revealed by DTI MRI in kids with SPD in all probability changes the course of sensory transmission so that processing of sensory stimuli and incorporating data across multiple senses becomes problematic or unfeasible. “We are just at the beginning, because people didn’t believe this existed,” stated Dr. Marco. “This is absolutely the first structural imaging comparison of kids with research diagnosed sensory processing disorder and typically developing kids. It shows it is a brain-based disorder and gives us a way to evaluate them in clinic. We are just at the beginning, because people didn’t believe this existed.... [This study] shows it is a brain-based disorder and gives us a way to evaluate them in clinic. Future studies need to be done, she said, to research the many children affected by sensory processing differences who have a known genetic disorder or brain injury related to prematurity.”

The study’s findings were published July 9, 2013, in the open access online journal NeuroImage:Clinical.

Related Links:
University of California, San Francisco Benioff Children’s Hospital

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54 (75.817108154297): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

55 (84.161758422852): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (392.91381835938): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 4583.8356018066): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

58 (393.15223693848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

59 (!!!!! 5917.7875518799): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

60 (146.86584472656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

61 (!!!!! 11851.072311401): 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 (!!!!! 3324.9855041504): SELECT fid FROM jos_deeppockets WHERE id=294747590 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747590 AND published='1' LIMIT 1

63 (80.82389831543): 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 (113.01040649414): select jos_twitters.link from jos_twitters where cat=10

65 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

66 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

67 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

68 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE id=294747590 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747590 AND published='1' LIMIT 1

69 (56.982040405273): 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 (426.05400085449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (293.97010803223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (54.836273193359): 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 (698.08959960938): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (203.13262939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (109.19570922852): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 2863.883972168): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1513.9579772949): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (72.002410888672): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (56.028366088867): 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 (120.87821960449): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (44.822692871094): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (117.77877807617): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (201.94053649902): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 1291.9902801514): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (59.843063354492): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

105 (98.228454589844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

106 (92.983245849609): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (639.91546630859): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3292.0837402344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

109 (226.02081298828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (682.83081054688): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1321.0773468018): 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 (813.00735473633): 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 (551.93901062012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

115 (478.98292541504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

116 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

117 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

118 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

119 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

120 (394.10591125488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

121 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

122 (!!!!! 4251.0032653809): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 63916.921615601): 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 (!!!!! 1454.1149139404): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747590 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747590 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 22789.95513916): ( 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 (440.12069702148): ( 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 (78.916549682617): 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 (44.107437133789): 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 (74.148178100586): 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 (43.869018554688): 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 (441.07437133789): 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 (51.021575927734): 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 (412.94097900391): 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 (45.061111450195): 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 (525.95138549805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (421.04721069336): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (56.028366088867): SELECT name FROM jos_deeppockets WHERE id=212

138 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=212

139 (806.09321594238): 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 (680.92346191406): 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 (!!!!! 2194.881439209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

142 (114.20249938965): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

143 (!!!!! 16731.977462769): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1916.8853759766): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (219.10667419434): 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=294747590 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1635.0746154785): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (568.86672973633): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2732.0384979248): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

149 (106.8115234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

150 (!!!!! 1570.9400177002): 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 (741.00494384766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

152 (135.89859008789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

153 (!!!!! 5028.9630889893): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747590 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747590 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (!!!!! 1250.0286102295): 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 (!!!!! 7735.013961792): 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 (!!!!! 5940.9141540527): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2753.0193328857): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

158 (339.03121948242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747590 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747590 AND published='1' LIMIT 1

159 (72.002410888672): select jos_twitters.link from jos_twitters where cat=10

160 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

161 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10

162 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

163 (!!!!! 1208.0669403076): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1088.8576507568): insert into jos_banners_delta values (14615,'2025-06-25 07:11:13','216.73.216.120','view'),(14202,'2025-06-25 07:11:13','216.73.216.120','view'),(14203,'2025-06-25 07:11:13','216.73.216.120','view')

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