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fMR Brain Imaging Sheds Light into Chronic Fatigue Syndrome

By MedImaging International staff writers
Posted on 12 Jun 2014

Image: Basal ganglia activation in the gambling task. Left to right: Axial, coronal, and transverse sections of the brain. The top row displays the activation for the Win-Lose contrast, for the pooled sample of chronic fatigue syndrome (CFS)+control subjects, as a statistical parametric map thresholded at a p < 0.05 corrected threshold and masked with the atlas-based anatomic regions of interest portrayed in the bottom row (putamen: purple; caudate: orange; globus pallidus: turquoise) (Photo courtesy of Plos one).

A neuroimaging study has demonstrated that patients with chronic fatigue syndrome may have reduced responses, compared with healthy control study participants, in a region of the brain connected with fatigue. These findings suggest that chronic fatigue syndrome is associated with alterations in the brain involving brain circuits that control motor activity and motivation.

Compared with healthy controls, patients with chronic fatigue syndrome had less activation of the basal ganglia, as measured by functional magnetic resonance imaging (fMRI). This decrease of basal ganglia activity was also associated with the severity of fatigue symptoms.

According to the US Centers for Disease Control and Prevention (CDC; Atlanta, GA, USA), chronic fatigue syndrome is a debilitating and complex disorder characterized by intense fatigue that is not improved by bed rest and that may be exacerbated by mental stress or exercise.

The findings were published May 23, 2014, in the journal PLOS One. “We chose the basal ganglia because they are primary targets of inflammation in the brain,” said lead author Andrew Miller, MD, a professor of psychiatry and behavioral sciences at Emory University School of Medicine (Atlanta, GA, USA). “Results from a number of previous studies suggest that increased inflammation may be a contributing factor to fatigue in CFS patients, and may even be the cause in some patients.”

The study was a collaboration among researchers at Emory University School of Medicine, the CDC’s Chronic Viral Diseases Branch, and the University of Modena and Reggio Emilia (Modena, Italy). The basal ganglia are structures deep within the brain, thought to be responsible for control of movements and responses to rewards as well as cognitive functions. Several neurologic disorders involve dysfunction of the basal ganglia, including, for example, Huntington’s and Parkinson’s disease.

In earlier published research by Emory researchers, people taking interferon alpha as a treatment for hepatitis C, which can trigger severe fatigue, also demonstrated reduced activity in the basal ganglia. Interferon alpha is a protein naturally produced by the body, as part of the inflammatory response to viral infection. Inflammation has also been linked to fatigue in other groups such as breast cancer survivors.

“A number of previous studies have suggested that responses to viruses may underlie some cases of CFS,” Dr. Miller said. “Our data support the idea that the body’s immune response to viruses could be associated with fatigue by affecting the brain through inflammation. We are continuing to study how inflammation affects the basal ganglia and what effects that has on other brain regions and brain function. These future studies could help inform new treatments.”

Treatment implications might include the potential utility of medications to alter the body’s immune response by suppressing inflammation, or providing agents that enhance basal ganglia function, according to Dr. Miller. The researchers compared 18 patients diagnosed with chronic fatigue syndrome with 41 healthy volunteers. The 18 patients were recruited based on an initial telephone survey followed by extensive clinical evaluations. The clinical evaluations, which came in two phases, were completed by hundreds of Georgia (USA) residents.

Individuals who have major depression or who were taking antidepressants were excluded from the imaging study, although those with anxiety disorders were not. For the brain imaging portion of the study, participants were told they would win one dollar if they accurately guessed whether a preselected card was red or black. After they made a guess, the color of the card was revealed, and at that point researchers measured blood flow to the basal ganglia.

The key measurement the researchers examined was just how big was the disparity in activity between a win or a loss. Participants’ scores on a survey gauging their degrees of fatigue were tied to the difference in basal ganglia activity between winning and losing. Those with the most fatigue had the smallest changes, particularly in the right caudate and the right globus pallidus, both parts of the basal ganglia.

Related Links:
Emory University School of Medicine
US Centers for Disease Control and Prevention
University of Modena and Reggio Emilia

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57 (!!!!! 1678.9436340332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

58 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

59 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

60 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

61 (353.81317138672): 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 (!!!!! 1267.9100036621): SELECT fid FROM jos_deeppockets WHERE id=294752991 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752991 AND published='1' LIMIT 1

63 (371.21772766113): 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 (81.062316894531): select jos_twitters.link from jos_twitters where cat=10

65 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

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

67 (51.975250244141): select jos_linkedin.link from jos_linkedin where cat=10

68 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE id=294752991 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752991 AND published='1' LIMIT 1

69 (75.101852416992): 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 (406.98051452637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (302.79159545898): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (50.067901611328): 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 (74.148178100586): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (71.048736572266): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752991 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=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (44.107437133789): 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 (91.075897216797): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (177.14500427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

105 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

106 (83.92333984375): 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=294752991 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=294752991 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

109 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

110 (69.141387939453): 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=294752991 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (735.04447937012): 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=294752991 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (714.06364440918): 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 (551.93901062012): 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 (152.8263092041): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

115 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

116 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

118 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

119 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

120 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

121 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

122 (355.95893859863): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 29680.967330933): 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 (672.1019744873): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752991 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752991 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 24009.943008423): ( 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 (200.03318786621): ( 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 (!!!!! 5177.0210266113): 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 (79.870223999023): 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 (439.88227844238): 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 (57.220458984375): 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 (287.05596923828): 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 (47.922134399414): 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 (294.92378234863): 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 (73.19450378418): 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 (548.12431335449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (408.88786315918): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (192.16537475586): SELECT name FROM jos_deeppockets WHERE id=212

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

139 (780.10559082031): 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 (732.1834564209): 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 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

142 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

143 (!!!!! 18977.165222168): TRUNCATE TABLE jos_trademed_module

144 (116.82510375977): 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=294752991 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (74.863433837891): 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=294752991 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (569.10514831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

149 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

150 (!!!!! 1518.9647674561): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

152 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

153 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752991 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752991 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (40.054321289062): 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 (36.954879760742): 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 (39.100646972656): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

158 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752991 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752991 AND published='1' LIMIT 1

159 (60.081481933594): select jos_twitters.link from jos_twitters where cat=10

160 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

161 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

163 (349.04479980469): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1232.8624725342): insert into jos_banners_delta values (14615,'2025-06-24 03:29:11','216.73.216.120','view'),(14202,'2025-06-24 03:29:11','216.73.216.120','view'),(14203,'2025-06-24 03:29:11','216.73.216.120','view')

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