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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

Neuroscientists Differentiate Patients in Ongoing Vegetative State

By MedImaging International staff writers
Posted on 30 Sep 2014

Image: Patients in a vegetative state had brain activity levels matching those of healthy controls while watching a Hitchcock film (Photo courtesy of Western University’s Lorina Naci).

Researchers are employing advanced brain scanning techniques by showing that a short movie can be used to detect consciousness in vegetative state patients.

The study included a Canadian participant who had been entirely unresponsive for 16 years, but is now known to be aware and able to follow the plot of movies. Lorina Naci, a postdoctoral fellow from Western University’s (London, Ontario, Canada) Brain and Mind Institute, and her Western colleagues, Drs. Rhodri Cusack, Mimma Anello, and Adrian Owen, reported their findings September 15, 2014, in the journal Proceedings of the National Academy of Sciences of the United States of America (PNAS).

While inside the functional magnetic resonance imaging (fMRI) scanner at Western’s Centre for Functional and Metabolic Mapping, participants watched a highly engaging short film by Alfred Hitchcock. Movie viewing elicited a common pattern of synchronized brain activity. The long-time unresponsive participant’s brain response during the same movie greatly resembled that of the healthy participants, suggesting not only that he was consciously aware, but also that he understood the movie.

The film was the 1961 “Bang! You’re Dead” episode of the TV show Alfred Hitchcock Presents, which had been condensed down to eight minutes. It showed a five-year-old holding a partially loaded gun, which he thinks is a toy. The child shouts “bang” each time he aims at someone and squeezes the trigger. While watching the clip, brain activity of participants was tracked using fMRI scanning.

Participants, including the man who had been in a vegetative state for 16 years, showed similar patterns of activity in the higher cognition regions as well as regions involved in processing noise and images. “For the first time, we show that a patient with unknown levels of consciousness can monitor and analyze information from their environment, in the same way as healthy individuals,” said Dr. Naci, lead researcher on the new study. “We already know that up to one in five of these patients are misdiagnosed as being unconscious and this new technique may reveal that that number is even higher.”

Dr. Owen, the Canada Excellence research chair in cognitive neuroscience and imaging, explained, “This approach can detect not only whether a patient is conscious, but also what that patient might be thinking. Thus, it has important practical and ethical implications for the patient’s standard of care and quality of life.”

The investigators hope that this innovative approach will enable better determination of behaviorally unresponsive patients, who may be misdiagnosed as lacking consciousness.

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63 (172.13821411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

64 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

65 (121.11663818359): 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

66 (634.90867614746): SELECT fid FROM jos_deeppockets WHERE id=294754896 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754896 AND published='1' LIMIT 1

67 (427.9613494873): 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`

68 (70.095062255859): select jos_twitters.link from jos_twitters where cat=10

69 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

70 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

71 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

72 (48.160552978516): SELECT fid FROM jos_deeppockets WHERE id=294754896 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754896 AND published='1' LIMIT 1

73 (43.153762817383): 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`

74 (354.05158996582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (309.94415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (53.882598876953): 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`

77 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (76.055526733398): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (72.002410888672): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (42.915344238281): 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`

94 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (82.969665527344): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

109 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

110 (73.909759521484): 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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (58.174133300781): 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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

113 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

114 (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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (575.06561279297): 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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (767.94624328613): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (498.77166748047): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (164.98565673828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

119 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

120 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

121 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

122 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

123 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

124 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

125 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

126 (351.90582275391): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 24364.948272705): 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

128 (533.8191986084): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754896 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754896 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 9884.8342895508): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (107.0499420166): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (396.9669342041): 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

132 (112.05673217773): 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

133 (273.9429473877): 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

134 (41.961669921875): 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

135 (233.88862609863): 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

136 (76.055526733398): 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

137 (257.01522827148): 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

138 (41.961669921875): 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

139 (462.05520629883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (303.98368835449): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (236.98806762695): SELECT name FROM jos_deeppockets WHERE id=212

142 (32.901763916016): SELECT name FROM jos_deeppockets WHERE id=212

143 (527.85873413086): 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

144 (465.15464782715): 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

145 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

146 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

147 (!!!!! 12830.018997192): TRUNCATE TABLE jos_trademed_module

148 (224.82872009277): 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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (82.015991210938): 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=294754896 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

153 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

154 (!!!!! 1312.9711151123): 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

155 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

156 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

157 (64.13459777832): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754896 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754896 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (75.101852416992): 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)

159 (45.061111450195): 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)

160 (41.007995605469): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

161 (172.85346984863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

162 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754896 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754896 AND published='1' LIMIT 1

163 (145.91217041016): select jos_twitters.link from jos_twitters where cat=10

164 (51.021575927734): select jos_facebook.link from jos_facebook where cat=10

165 (46.014785766602): select jos_google_plus.link from jos_google_plus where cat=10

166 (43.153762817383): select jos_linkedin.link from jos_linkedin where cat=10

167 (377.89344787598): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

168 (!!!!! 1665.1153564453): insert into jos_banners_delta values (14615,'2025-06-23 16:27:07','216.73.216.120','view'),(14202,'2025-06-23 16:27:07','216.73.216.120','view'),(14203,'2025-06-23 16:27:07','216.73.216.120','view')

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