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PET/CT Using FDG-Labeled Leukocytes Detects Infection in Acute Pancreatitis Patients

By MedImaging International staff writers
Posted on 19 Aug 2014

A study out of India that identifies infection in patients with pancreatic fluid collections may rapidly and effectively rule out active infection in the body. This treatment may help in making nuclear medicine imaging a mainstay in clinical management practices.

Acute pancreatitis (AP) is an abrupt inflammation of the pancreas. It can have severe complications and high mortality despite treatment. Whereas mild cases of AP are frequently effectively treated with conservative measures, such as nil per os (NPO) and aggressive intravenous fluid rehydration, severe cases may require admission to the intensive care unit or even surgery to deal with complications of the disease process. Early detection of infection in AP affects the choice of treatment and clinical outcome.

“Documenting infection of pancreatic necrosis/pancreatic or peripancreatic fluid collections is one of the key questions in managing such patients. So far only fine needle aspiration under radiological guidance could establish that with limitations of invasive procedure and at times insufficient amount of aspirate,” said Anish Bhattacharya, MD, Postgraduate Institute of Medical Education and Research (Chandigarh, India), and lead author of the study, which was reported in the August 2014 issue of the Journal of Nuclear Medicine.

The researchers utilized positron emission tomography/computed tomography (PET/CT) imaging using 18F-fluorodeoxyglucose (FDG)-labeled autologous leukocytes for the diagnosis of infected fluid collections in acute pancreatitis. “The present study, for the first time, gives evidence of a noninvasive investigation that can answer the question of infected pancreatic fluid collections. It even distinguishes two collections, one with and the other without infection. It could also be used to follow up with such patients after a radiological or endoscopic intervention,” added Dr. Bhattacharya.

In the study, the researchers studied 41 patients, 28 male, and 13 female, aged 21–69 with AP and radiologic evidence of fluid collection in or around the pancreas. Leukocytes were separated from the patient’s venous blood, labeled with 18F-FDG and re-injected intravenously, followed by PET/CT imaging two hours later. A final diagnosis of infection was based on microbiologic culture of fluid aspirated from the collection. Patients were treated with supportive care and antibiotics; percutaneous drainage/laparotomy was performed when indicated.

Blood glucose, total leukocyte count, neutrophil count, and leukocyte labeling efficiency varied from 83 to 212 (118 ± 30) mg/100 mL, 4,600 to 24,200 (1,1648 ± 5,376)/mm3, 55%–90% (73 ± 10) and 31%–97% (81 ± 17), respectively. Increased tracer uptake was seen in the collection in 12 out of 41 patients; 10 had culture-validated infection and underwent percutaneous drainage, while aspiration was unsuccessful in two. The scan was negative for infection in 29 patients (25 out of 29 fluid cultures negative for infection and aspiration unsuccessful in four). Sensitivity, specificity and accuracy of the scan were 100% in 35 patients in whom fluid culture reports were available.

“This research uses a new technique to diagnose infection occurring in patients with pancreatic fluid collections. The patient is spared empirical antibiotic therapy or radiological intervention followed by time-consuming microbiological work-up,” noted Dr. Bhattacharya.

The search for a suitable infection imaging radiopharmaceutical agent has continued for several decades now, noted Dr. Bhattacharya. “This study suggests that PET-CT using FDG-labeled leukocytes may be useful in swiftly and accurately detecting or ruling out active infection in any part of the body, bringing nuclear medicine to the forefront of clinical management in these situations. This would encourage researchers to identify more such techniques in future,” he said.

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63 (561.95259094238): 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=213 ORDER BY `ordering`

64 (!!!!! 1039.981842041): select jos_twitters.link from jos_twitters where cat=10

65 (174.99923706055): select jos_facebook.link from jos_facebook where cat=10

66 (391.00646972656): select jos_google_plus.link from jos_google_plus where cat=10

67 (187.87384033203): select jos_linkedin.link from jos_linkedin where cat=10

68 (154.01840209961): SELECT fid FROM jos_deeppockets WHERE id=294754062 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294754062 AND published='1' LIMIT 1

69 (327.11029052734): 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=213 ORDER BY `ordering`

70 (387.90702819824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (900.0301361084): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (164.03198242188): 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 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (33.855438232422): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (428.91502380371): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (93.936920166016): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (127.07710266113): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (150.20370483398): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (144.00482177734): 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 (136.8522644043): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (192.88063049316): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (153.0647277832): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (510.93101501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

105 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

106 (150.20370483398): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (155.92575073242): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (874.99618530273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

109 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

110 (138.0443572998): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (510.93101501465): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (658.03527832031): 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 (427.9613494873): 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 (225.06713867188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

115 (167.8466796875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

116 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

117 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

118 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

119 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

120 (291.10908508301): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 26355.028152466): 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

122 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

123 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

124 (485.89706420898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754062 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754062 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 417361.97471619): ( 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 (73.19450378418): ( 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 (432.01446533203): 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

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 = 294800513 LIMIT 1

129 (311.13624572754): 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

130 (43.153762817383): 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 (235.79597473145): 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

132 (36.954879760742): 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 (449.89585876465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (349.99847412109): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (227.92816162109): SELECT name FROM jos_deeppockets WHERE id=213

136 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=213

137 (445.84274291992): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (353.09791564941): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

140 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

141 (!!!!! 12264.013290405): TRUNCATE TABLE jos_trademed_module

142 (87.02278137207): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (52.213668823242): 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=294754062 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (330.92498779297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

147 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

148 (!!!!! 1046.895980835): 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

149 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

150 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

151 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294754062 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294754062 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (35.04753112793): 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=213 or channel_id is null)

153 (31.948089599609): 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=213 or channel_id is null)

154 (34.809112548828): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

156 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294754062 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294754062 AND published='1' LIMIT 1

157 (201.94053649902): select jos_twitters.link from jos_twitters where cat=10

158 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

159 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

160 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

161 (280.14183044434): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1168.966293335): insert into jos_banners_delta values (14615,'2025-06-19 06:12:32','216.73.216.120','view'),(14202,'2025-06-19 06:12:32','216.73.216.120','view'),(14203,'2025-06-19 06:12:32','216.73.216.120','view')

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