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MRI-Based Technology Identifies Stroke Recurrence Risk

By MedImaging International staff writers
Posted on 03 Jan 2016

Image: MRI scan using NOVA technology (Photo courtesy of UIC).

Quantitative magnetic resonance angiography (QMRA) can be used to identify vertebrobasilar (VB) stroke patients who are at greater risk of having another stroke, according to a new study.

Researchers at the University of Illinois in Chicago (UIC, USA), the University of Toronto (Canada), and other institutions conducted a prospective, blinded, longitudinal cohort study involving 72 patients with recent VB transient ischemic attack (TIA) or stroke, and 50% or more atherosclerotic stenosis or occlusion in VB arteries. The patients underwent large-vessel flow measurement using QMRA, and were also followed for two years at five academic medical centers as they continued receiving standard care from their neurologists, who were blinded to QMRA flow status.

The results showed that distal flow status was low in 25% of the patients and was significantly associated with risk for a subsequent VB stroke; 12- and 24-month event-free survival rates of 78% and 70%, respectively, were found in the low-flow group, compared to 96% and 87%, respectively, in the normal-flow group. Distal flow status remained significantly associated with risk even when controlling for the degree of stenosis and location. Medical risk factor management at 6-month intervals, however, was similar between patients with low and normal distal flow. The study was published in on December 21, 2015, in JAMA Neurology.

“At one year, the risk for patients with low blood flow was about five times as high as risk for patients without low flow in the back of the brain. For these patients, the benefits of angioplasty probably outweigh the risks,” said senior author professor of neurological surgery Sepideh Amin-Hanjani, MD. “About three-quarters of patients didn’t have low blood flow in the vertebrobasilar region. These patients would not benefit from treatments aimed at opening the vessels, such as angioplasty; in fact, the procedure would put these patients at unnecessary risk.”

The QMRA data was analyzed using noninvasive optimal vessel analysis (NOVA), a software program that can quantify the volume, velocity, and direction of blood flowing through any major vessel in the brain using standard MRI equipment. NOVA is a product of Vassol (River Forest, IL, USA), and was developed at UIC by head of neurological surgery Professor Fady Charbel, MD, who is also a coauthor of the new study.

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University of Toronto
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63 (380.9928894043): 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 (74.863433837891): select jos_twitters.link from jos_twitters where cat=10

65 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

66 (47.922134399414): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

68 (61.03515625): SELECT fid FROM jos_deeppockets WHERE id=294762060 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294762060 AND published='1' LIMIT 1

69 (46.968460083008): 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 (454.90264892578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (355.95893859863): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (71.048736572266): 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 (90.122222900391): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (79.154968261719): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (77.962875366211): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

105 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

106 (53.882598876953): 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=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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_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=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

109 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

110 (51.021575927734): 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=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (521.89826965332): 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=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1077.8903961182): 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 (!!!!! 1447.9160308838): 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 (!!!!! 2011.0607147217): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

115 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

116 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

117 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

118 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

119 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

120 (909.09004211426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

121 (329.97131347656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

122 (!!!!! 2189.8746490479): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 61789.989471436): 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 (!!!!! 1703.9775848389): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762060 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762060 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 17407.894134521): ( 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 (314.95094299316): ( 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 (!!!!! 2904.1767120361): 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 (66.995620727539): 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 (445.84274291992): 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 (59.843063354492): 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 (355.00526428223): 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 (200.98686218262): 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 (!!!!! 1650.8102416992): 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 (74.148178100586): 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 (702.1427154541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (645.16067504883): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (427.9613494873): SELECT name FROM jos_deeppockets WHERE id=212

138 (54.121017456055): SELECT name FROM jos_deeppockets WHERE id=212

139 (799.89433288574): 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 (773.90670776367): 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 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

142 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

143 (!!!!! 9417.0570373535): TRUNCATE TABLE jos_trademed_module

144 (100.13580322266): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (60.081481933594): 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=294762060 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (898.83804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

149 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

150 (!!!!! 1178.9798736572): 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 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

152 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

153 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294762060 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294762060 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (49.114227294922): 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 (41.961669921875): 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 (40.054321289062): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

158 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294762060 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294762060 AND published='1' LIMIT 1

159 (107.0499420166): select jos_twitters.link from jos_twitters where cat=10

160 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

161 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

162 (26.941299438477): select jos_linkedin.link from jos_linkedin where cat=10

163 (254.15420532227): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (971.79412841797): insert into jos_banners_delta values (14615,'2025-06-22 04:17:06','216.73.216.120','view'),(14202,'2025-06-22 04:17:06','216.73.216.120','view'),(14203,'2025-06-22 04:17:06','216.73.216.120','view')

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