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MRI to Help Identify Individuals Most at Risk of Developing Persistent PTSD After a Traumatic Event

By MedImaging International staff writers
Posted on 09 Mar 2016

Image: Scatterplot showing the averaged cortical thickness in the left precuneus, and the volume of the posterior portion of corpus callosum in PTSD patients (Photo courtesy of RSNA).

Researchers have carried out a study to analyze the MRI images of earthquake survivors and look for cerebral alterations related to the emergence of PTSD, the relationship between structural changes or abnormalities the brain, and the clinical severity and time since the trauma occurred.

The researchers analyzed the MRI results of individuals, with and without Post-Traumatic Stress Disorder (PTSD), who had survived an earthquake. The study intended to explore how structural changes or abnormalities in the brain are related to the time since the trauma, and the clinical severity. PTSD is triggered by a traumatic event that results in, or has the potential to inflict serious physical injury, and can include symptoms such as strong memories of the event, emotional numbness, bad dreams, intense worry or guilt, outbursts of anger, and avoidance of thoughts and situations reminiscent of the trauma.

The study was published in the March, 2016, online issue of the journal Radiology and included 67 PTSD patients, and 78 matching healthy survivors. All participants were scanned using a 3.0 T Magnetic Resonance Imaging (MRI) system. The individuals were first evaluated by trained earthquake support psychologists using the Clinician-Administered PTSD Scale (CAPS). Those patients whose CAPS score was ≥50 were then evaluated by a psychiatrist for the presence or absence of PTSD, and other psychiatric problems.

The results of the study show an early increase in cortical thickness of the gray matter in the brain, and could be used to identify those who are most at risk of developing persistent PTSD after a traumatic event. PTSD patients were found to have a greater cortical thickness in certain brain areas, and a reduced volume in others, compared to the control group. The researchers found that PTSD severity correlated positively with cortical thickness in the left precuneus brain region.

Senior author of the study, Qiyong Gong, MD, PhD, Huaxi MR Research Center, West China Hospital of Sichuan University (Chengdu, China), said, "It is particularly important to compare PTSD patients to similarly stressed individuals in order to learn about the specific brain alterations directly related to PTSD that occur above and beyond general stress responses. Our results indicated that PTSD patients had alterations in both gray matter and white matter in comparison with other individuals who experienced similar psychological trauma from the same earthquake. Importantly, early in the course of PTSD, gray matter changes were in the form of increased rather than decreased cortical thickness, as opposed to most reported observations from other studies of PTSD. This might result from a neuro-inflammatory or other process that could be related to endocrine changes or a functional compensation. The left precuneus is well known to be important in visual processing and is more active in PTSD patients during memory tasks. It's possible that changes in the precuneus may comprise a neural alteration related to visual flashback symptoms in PTSD."

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West China Hospital of Sichuan University

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62 (544.07119750977): SELECT fid FROM jos_deeppockets WHERE id=294763148 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294763148 AND published='1' LIMIT 1

63 (283.95652770996): 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 (67.949295043945): select jos_twitters.link from jos_twitters where cat=10

65 (45.061111450195): select jos_facebook.link from jos_facebook where cat=10

66 (37.908554077148): 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 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE id=294763148 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294763148 AND published='1' LIMIT 1

69 (32.901763916016): 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 (312.08992004395): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (221.96769714355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): 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 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (28.848648071289): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

106 (60.796737670898): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

109 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

110 (64.13459777832): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (586.98654174805): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (573.87351989746): 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 (332.83233642578): 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 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

115 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

116 (164.03198242188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

118 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

119 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

120 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

121 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

122 (279.90341186523): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19413.948059082): 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 (520.94459533691): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763148 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763148 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8687.9730224609): ( 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 (102.99682617188): ( 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 (36.954879760742): 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 (28.848648071289): 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 (36.001205444336): 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 (28.133392333984): 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 (329.01763916016): 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 (56.982040405273): 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 (37.908554077148): 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 (27.894973754883): 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=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (443.93539428711): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (272.98927307129): SELECT name FROM jos_deeppockets WHERE id=212

138 (51.021575927734): SELECT name FROM jos_deeppockets WHERE id=212

139 (756.02531433105): 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 (669.95620727539): 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 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

142 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

143 (!!!!! 8456.9454193115): TRUNCATE TABLE jos_trademed_module

144 (92.029571533203): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.982040405273): 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=294763148 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (864.98260498047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

149 (39.100646972656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

150 (!!!!! 1166.820526123): 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 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

152 (39.815902709961): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

153 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763148 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763148 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (28.133392333984): 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 (26.941299438477): 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 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

158 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763148 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763148 AND published='1' LIMIT 1

159 (59.843063354492): select jos_twitters.link from jos_twitters where cat=10

160 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

161 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

162 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

163 (271.08192443848): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1166.1052703857): insert into jos_banners_delta values (14615,'2025-06-22 04:38:22','216.73.216.120','view'),(14202,'2025-06-22 04:38:22','216.73.216.120','view'),(14203,'2025-06-22 04:38:22','216.73.216.120','view')

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