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Lung MRI Shows Lasting Damage in Children and Teens After COVID

By MedImaging International staff writers
Posted on 21 Sep 2022

COVID-19 is an infectious disease caused by the SARS-CoV-2 virus. Since emerging in late 2019, it has killed more than five million people worldwide. The lungs are the primary target for the virus. Study of the disease’s long-term effects has accelerated as the number of COVID survivors climbs and more people are diagnosed with long COVID. The World Health Organization defines long COVID as involving symptoms that persist for a minimum of 12 weeks and other factors, such as symptoms that result in a new health limitation or worsening of a pre-existing underlying medical condition. The nature of the post-acute phase of the infection is poorly understood in younger people. CT has shown persistent damage to the lungs in adults, but CT uses ionizing radiation and has limited diagnostic value in children, where lung changes due to COVID-19 are less pronounced. Now, a new study has revealed that children and adolescents who have either recovered from COVID-19 or have long COVID show persistent lung damage on MRI.

Researchers at the University Hospital Erlangen (Erlangen, Germany) studied COVID-19’s effects in children and adolescents using low-field MRI. The technology relies on a lower magnetic field than conventional MRI and allows for free breathing, meaning the subjects do not have to hold their breath during imaging. This makes scanning more feasible in children. The researchers looked at changes in lung structure and function in 54 children and adolescents (mean age 11 years) with previous SARS-CoV-2 infection. Of the 54 patients, 29 had recovered, and 25 had long COVID. All but one of the patients had been unvaccinated at the time of original infection.

None of the COVID-19 group required hospital admission during the primary infection period. Shortness of breath, impaired attention, headache, fatigue and loss of smell were the most commonly reported symptoms at the time of the study. Results from the COVID-19 group were compared with those from nine healthy controls. MRI allowed the researchers to derive the V/Q match, a measure of air and blood flow in the lungs. If lungs are working properly, the air and blood flow should match.

V/Q matches showed persistent pulmonary dysfunction in the patients who had recovered from COVID-19 and in those with long COVID. The V/Q match was 62% in the recovered group and 60% in the long COVID group - both considerably lower than the 81% match in healthy controls. Long-term implications of these lung changes remain unclear, but the results warrant further surveillance of persistent lung damage in children and adolescents after COVID-19, according to the researchers. Lung MRI is already widely available, he noted, making these imaging approaches easy to integrate into clinical routine care. More research will help show the full potential of MRI in COVID-19 survivors.

“Persistent symptoms after COVID still cause diagnostic odysseys, and this is especially true for young people,” said study senior author Ferdinand Knieling, M.D., specialist in pediatrics and adolescent medicine from the departments of Pediatrics and Adolescent Medicine at University Hospital Erlangen. “Our findings illustrate that caring for these patients is a multidisciplinary challenge.”

“A follow-up trial has already started, and we seek to understand how findings change over time,” Dr. Knieling added. “Additionally, we will take closer looks at other organs to see how this correlates with our findings.”

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61 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

62 (88.930130004883): 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

63 (536.91864013672): SELECT fid FROM jos_deeppockets WHERE id=294794657 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794657 AND published='1' LIMIT 1

64 (289.2017364502): 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`

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

66 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

67 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (34.809112548828): SELECT fid FROM jos_deeppockets WHERE id=294794657 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294794657 AND published='1' LIMIT 1

70 (30.994415283203): 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`

71 (240.80276489258): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (229.1202545166): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (50.067901611328): 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`

74 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (61.03515625): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (33.140182495117): 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`

91 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

106 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

107 (62.227249145508): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (59.843063354492): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

110 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

111 (61.03515625): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (530.95817565918): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (601.05323791504): 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 (348.09112548828): 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

115 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

116 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

117 (125.16975402832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

118 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

119 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

120 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

121 (295.16220092773): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 55001.020431519): 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

123 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

124 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

125 (505.92422485352): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794657 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794657 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 466455.93643188): ( 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 (131.84547424316): ( 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

128 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (28.848648071289): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

130 (37.193298339844): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

132 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (27.894973754883): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

134 (463.00888061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (384.09233093262): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (241.99485778809): SELECT name FROM jos_deeppockets WHERE id=212

137 (40.054321289062): SELECT name FROM jos_deeppockets WHERE id=212

138 (514.03045654297): 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

139 (459.90943908691): 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 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

141 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

142 (!!!!! 9337.9020690918): TRUNCATE TABLE jos_trademed_module

143 (114.20249938965): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (73.19450378418): 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=294794657 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (889.06288146973): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

148 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

149 (!!!!! 1119.1368103027): 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

150 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

151 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

152 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294794657 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294794657 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (30.040740966797): 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)

154 (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)

155 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

157 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294794657 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294794657 AND published='1' LIMIT 1

158 (56.028366088867): select jos_twitters.link from jos_twitters where cat=10

159 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

160 (39.815902709961): select jos_google_plus.link from jos_google_plus where cat=10

161 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10

162 (360.01205444336): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1227.855682373): insert into jos_banners_delta values (14615,'2025-04-30 03:42:56','3.142.201.222','view'),(14202,'2025-04-30 03:42:56','3.142.201.222','view'),(14203,'2025-04-30 03:42:56','3.142.201.222','view')

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