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CT Imaging Alone Found Noninferior to CT/MR Combo for Acute Ischemic Stroke Patients

By MedImaging International staff writers
Posted on 25 Jul 2022
Image: Some patients hospitalized with acute ischemic stroke may benefit from MRI in addition to initial CT (Photo courtesy of Pexels)
More than 90% of patients with acute ischemic stroke (AIS) receive magnetic resonance imaging (MRI) in addition to computed tomography (CT) with few data to determine whether there is an associated benefit with patient outcomes. Now, a new study of patients hospitalized with AIS has found that a diagnostic imaging strategy of initial CT alone was noninferior to initial CT with additional MRI with regard to the clinical outcomes of death or dependence at hospital discharge or prevention of stroke or death at one year after discharge.
The study by researchers at the Duke University Medical Center (Durham, NC, USA) involved 246 participants with a median age of 68 years and 131 being men (53%). The researchers found that death or dependence at discharge occurred more often in patients with additional MRI (59 of 123 [48%]) than in those with CT alone (52 of 123 [42.3%]); meeting the −7.50% criterion for noninferiority. Stroke or death within one year after discharge determined for 225 of 235 (96%) survivors occurred more often in patients with additional MRI (22 of 113 [19.5%]) than in those with CT alone (14 of 112 [12.5%]), meeting the 0.725 relative risk criterion for noninferiority.
Based on the findings of the propensity score-matched cohort study of patients hospitalized with AIS, the researchers concluded that a diagnostic imaging strategy of initial CT alone was noninferior to initial CT plus additional MRI with regard to clinical outcomes at discharge and at one year. Further research is needed to determine which patients hospitalized with acute ischemic stroke benefit from MRI, according to the researchers.
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(532.86552429199): SELECT fid FROM jos_deeppockets WHERE id=294794017 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794017 AND published='1'  LIMIT 165
(271.08192443848): 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`66
(42.915344238281): select jos_twitters.link from jos_twitters where cat=1067
(30.040740966797): select jos_facebook.link from jos_facebook where cat=1068
(30.040740966797): select jos_google_plus.link from jos_google_plus where cat=1069
(61.988830566406): select jos_linkedin.link from jos_linkedin where cat=1070
(40.054321289062): SELECT fid FROM jos_deeppockets WHERE id=294794017 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794017 AND published='1'  LIMIT 171
(31.948089599609): 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`72
(278.94973754883): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294794017
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 173
(223.15979003906): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794017 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 174
(38.862228393555): 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`75
(47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 176
(29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 177
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 178
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 179
(32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 180
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 181
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 182
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 183
(36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 184
(34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 185
(34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 186
(32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 187
(31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 188
(32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 189
(77.009201049805): SELECT fid FROM jos_deeppockets
								WHERE cat=10
								AND id=294794017
								AND (type='deeppockets_item' OR type='deeppockets_item_link') 
								AND published='1' 
								LIMIT 190
(45.061111450195): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794017 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 191
(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`92
(50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 193
(30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 194
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 195
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 196
(33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 197
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 198
(29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 199
(32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1100
(27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1101
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1102
(26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1103
(28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1104
(25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1105
(27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1106
(56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1107
(41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1108
(51.975250244141): 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=294794017
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1109
(43.869018554688): 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=294794017
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1110
(65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1111
(41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1112
(339.03121948242): 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=294794017
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1113
(332.11708068848): 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=294794017
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1114
(51.975250244141): 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=294794013
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1115
(411.03363037109): 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=294794013
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1116
(763.89312744141): 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 1117
(576.01928710938): 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 1118
(113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1119
(58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1120
(51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1121
(36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1122
(42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1123
(34.093856811523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1124
(276.08871459961): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`125
(!!!!! 20742.177963257): 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
				7126
(88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1127
(56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1128
(453.94897460938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794017 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794017 AND type='deeppockets_item' AND published='1'  LIMIT 1129
(!!!!! 471492.05207825): (
				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
				3130
(79.870223999023): (
				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
				3131
(38.862228393555): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800513

			LIMIT 1132
(29.087066650391): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800513

			LIMIT 1133
(62.942504882812): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800359

			LIMIT 1134
(31.948089599609): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800359

			LIMIT 1135
(28.848648071289): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800361

			LIMIT 1136
(34.093856811523): SELECT
				dp.id,
				dp.name,
				dp.title,
				dp.video,
				dp.video_source,
				dp.created

			FROM
				jos_deeppockets AS dp

			WHERE
				dp.id = 294800361

			LIMIT 1137
(495.91064453125): SELECT *
                            FROM jos_deeppockets
                            WHERE 1=1 
                              AND id=294794017
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1138
(370.97930908203): SELECT *
                            FROM jos_deeppockets_archive
                            WHERE 1=1 
                              AND id=294794017
                              AND (type='deeppockets_item' OR type='deeppockets_item_link')
                              AND published='1'
                            LIMIT 1139
(222.92137145996): SELECT name FROM jos_deeppockets WHERE id=212140
(38.14697265625): SELECT name FROM jos_deeppockets WHERE id=212141
(509.97734069824): 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((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3142
(403.88107299805): SELECT *,
    DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up,
    DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down
    FROM jos_events
    WHERE state=1
    AND publish_up > NOW()
    and extra_info REGEXP '((;)|(^))212((;)|($))' AND catid IN (0,110) 
    ORDER BY publish_up ASC LIMIT 3143
(66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1144
(46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1145
(!!!!! 8203.9833068848): TRUNCATE TABLE jos_trademed_module146
(88.930130004883): 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=294794017
							AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
							AND dp.published='1' LIMIT 1147
(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_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=294794017
								AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link')
								AND dp.published='1' LIMIT 1148
(884.05609130859): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294794017
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1149
(53.167343139648): SELECT *
   FROM jos_deeppockets
   WHERE 1=1 
   AND id=294794017
   AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1150
(61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1151
(42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1152
(!!!!! 1096.0102081299): 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 6153
(56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1154
(37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1155
(68.187713623047): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794017 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794017 AND type='deeppockets_item' AND published='1'  LIMIT 1156
(36.001205444336): 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=0 or channel_id is null)157
(33.140182495117): 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=0 or channel_id is null)158
(35.04753112793): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1159
(74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1160
(85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794017 AND published='1'
				union
		SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794017 AND published='1'
		LIMIT 1161
(46.968460083008): select jos_twitters.link from jos_twitters where cat=10162
(32.901763916016): select jos_facebook.link from jos_facebook where cat=10163
(31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10164
(32.186508178711): select jos_linkedin.link from jos_linkedin where cat=10165
(365.01884460449): update jos_bannersmanager_banner
			set impmade=impmade+1
			where id in(14615,14202,14203)166
(!!!!! 1396.8944549561): insert into jos_banners_delta values (14615,'2025-04-30 22:00:55','3.15.148.76','view'),(14202,'2025-04-30 22:00:55','3.15.148.76','view'),(14203,'2025-04-30 22:00:55','3.15.148.76','view')
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