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fMRI Identifies Neural Damage Due to HIV Before Symptoms Present

By MedImaging International staff writers
Posted on 30 Dec 2014

Neuroscientists and clinicians reported that a five-minute functional magnetic resonance imaging (fMRI) scan can identify neuronal dysfunction in human immunodeficiency virus (HIV)-positive individuals who do not yet exhibit cognitive decline.

The study, published online December 13, 2014, in the journal Neuroimaging: Clinical, provides proof-of-concept findings that imaging can help monitor neural functioning in this population, known to be affected by the virus and potentially by the treatments meant to suppress HIV. The matter of neural dysfunction in the HIV-positive population is important, according to Georgetown University Medical Center (Washington DC, USA) neuroscientist Xiong Jiang, PhD, the study’s senior investigator. “About half of people living with HIV are affected by HIV-associated neurocognitive disorders, or HAND, and we expect this condition will escalate as the current HIV-positive generation ages,” he stated.

However, testing for cognitive decline that is not yet noticeable is complex. “There is no one clinical screening tool that has been found to be appropriately sensitive or specific for HAND yet,” said coauthor Mary Young, MD, director of Georgetown University Medical Center’s HIV Women’s Program. “Therefore, there has been great interest in developing biomarkers of overall brain health and disease in HIV to streamline diagnosis and monitoring.”

Dr. Young collaborated with Dr. Jiang on a potential biomarker based on fMRI techniques Dr. Jiang and his collaborators had developed, which have been shown to be sensitive to slight behavioral alterations. To evaluate whether these fMRI techniques might be capable of detecting and assessing neural injury due to HIV before symptoms occur, Drs. Jiang and Young examined 28 women (15 who were HIV-positive, with an average age of 50) from the US National Institutes of Health (NIH; Bethesda, MD, USA)-funded Washington DC Metropolitan Interagency Women’s HIV Study (WIHS) cohort. WIHS at Georgetown, led by Dr. Young since 1993, includes 300 participants and is one of nine national sites designed to follow HIV infected women along with a control population.

In this proof-of-concept study, the researchers used face processing and its associated brain region, fusiform face area (FFA), as the mean to probe neural injury in HIV. They found that the neural specificity in the FFA—estimated via fMRI-adaptation, an established technique, and local regional heterogeneity analysis (Hcorr), a novel technique—is reduced in the HIV-positive participants. “FFA neurons were not as finely tuned in this group, compared to uninfected participants,” Dr. Jiang said. “We are very excited about this finding because Hcorr, which can estimate neural specificity rapidly, holds the promise to serve as a research tool to examine neural injury and a clinical tool to assess and monitor HAND progression. It could also be useful for drug development as it is safe and noninvasive.”

Currently, there are no methods to treat HAND other than to control HIV replication, Dr. Young stated, “Developing defined treatments guided by biomarkers would be the next step. Imaging techniques like Hcorr could help identify dysfunction before deficits are in place. Based on the nature of those deficits, we could then try treatments used in other conditions and or begin to develop specific compounds to study. In the meantime imaging could help identify a group that might need additional psychosocial supports to successfully navigate older age.”

The researchers reported that their findings also support the hypothesis that HIV-positive individuals are aging faster compared with a non-infected population. “Our data, demonstrating the decrease in neural specificity before the onset of behavioral symptoms, is in line with reports from aging studies and provides supports to the accelerated aging theory,” Dr. Jiang concluded.

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59 (119.92454528809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

60 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

61 (71.048736572266): 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 (605.82160949707): SELECT fid FROM jos_deeppockets WHERE id=294756453 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756453 AND published='1' LIMIT 1

63 (45.061111450195): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=212 ORDER BY `ordering`

64 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

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

68 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE id=294756453 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756453 AND published='1' LIMIT 1

69 (33.140182495117): 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 (483.98971557617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (323.05717468262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (302.07633972168): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (157.83309936523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (289.9169921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (229.1202545166): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (244.140625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 4522.0851898193): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 2589.9410247803): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (87.976455688477): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (50.067901611328): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): 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 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (170.94612121582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

105 (91.791152954102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

106 (307.08312988281): 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=294756453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (119.92454528809): 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=294756453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3833.0554962158): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

109 (318.05038452148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

110 (185.96649169922): 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=294756453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (838.9949798584): 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=294756453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (697.13592529297): 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 (472.06878662109): 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 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

115 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

116 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

117 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

118 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

119 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

120 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

121 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

122 (468.01567077637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 27853.012084961): 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 (614.16625976562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756453 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 11559.963226318): ( 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 (116.10984802246): ( 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 (63.896179199219): 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 (46.014785766602): 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 (61.988830566406): 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 (401.97372436523): 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 (108.00361633301): 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 (63.180923461914): 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 (42.915344238281): 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 (534.0576171875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (381.9465637207): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=212

138 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=212

139 (571.96617126465): 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 (539.06440734863): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (106.8115234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

142 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

143 (!!!!! 9315.013885498): TRUNCATE TABLE jos_trademed_module

144 (122.0703125): 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=294756453 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=294756453 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 1024.0077972412): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

149 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

150 (!!!!! 1201.1528015137): 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 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

152 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

153 (93.221664428711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756453 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756453 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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)

155 (32.901763916016): 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 (34.093856811523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (150.20370483398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

158 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756453 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756453 AND published='1' LIMIT 1

159 (66.041946411133): select jos_twitters.link from jos_twitters where cat=10

160 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

161 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

162 (40.054321289062): select jos_linkedin.link from jos_linkedin where cat=10

163 (371.93298339844): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1497.9839324951): insert into jos_banners_delta values (14615,'2025-06-23 07:48:15','216.73.216.120','view'),(14202,'2025-06-23 07:48:15','216.73.216.120','view'),(14203,'2025-06-23 07:48:15','216.73.216.120','view')

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