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Multidetector CT Helps Identify Bullet Trajectories

By MedImaging International staff writers
Posted on 07 Feb 2011

Multidetector computed tomography (MDCT) imaging provides an efficient, effective way to assess injuries from bullets and explosive devices, according to new research.

The study's findings were published online and in the March 2011 issue of the journal Radiology. "The information provided by MDCT has the potential to improve patient care and aid in both military and civilian forensic investigations,” said the study's lead author, Les R. Folio, DO, MPH, from the Uniformed Services University (Bethesda, MD, USAl).

US troops stationed in Iraq and Afghanistan face threats from increased sniper activity and the use of improvised explosive devices. Current clinical reports of wounds from bullets and bomb fragments do not include the progression of the trajectory or the direction of the wound path, in spite of the fact that ballistic injuries are not necessarily confined to a single anatomic structure.

Whereas research has shown the value of CT in the analysis of ballistic wound paths, there is no widely accepted technique for effectively and accurately pinpointing wound paths and determining the trajectory angles.

For the study, researchers assessed the accuracy of MDCT-based ballistic wound path identification. They had a marksman shoot six shots from a rifle into two simulated legs comprised of various synthetic materials to optimally represent real tissue. The legs were tilted at six different angles based on common sniper heights and distances.

After the leg phantoms were scanned with 64-channel MDCT, several radiologists independently reviewed the CT images and recorded entrance and exit sites for the bullet trajectories. The angles measured on MDCT corresponded closely with those calculated from coordinates with actual shooting angles. Dr. Folio and colleagues concluded that radiologists could estimate the position of a sniper or an explosive device by extrapolating trajectories identified on MDCT when other factors, such as sniper distance and the victim's location, are known. "Investigators want to know where the sniper was and where the bomb blast originated,” Dr. Folio said. "MDCT allows us to see the path and help determine these answers.”

MDCT-based calculations of wound paths and angles of trajectory have other potential benefits, according to Dr. Folio, including assistance in crime scene analysis and the triage and treatment of patients. The research can also be applied to records from the Joint Theater Trauma Registry, a US Department of Defense database of penetrating injuries in fatally and catastrophically wounded soldiers. "This technology allows us to analyze thousands of penetrating injuries, correlate them with external ballistics, and use that data to help develop protective gear and prevent future injuries,” Dr. Folio said.

Further research into MDCT's potential to analyze trajectories and wound paths in other areas of the body, including the head, chest and abdomen, is ongoing. Dr. Folio is currently leading a study on automated trajectory analysis in Vietnam veterans with traumatic brain injuries.

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65 (32.901763916016): select jos_facebook.link from jos_facebook where cat=10

66 (37.193298339844): select jos_google_plus.link from jos_google_plus where cat=10

67 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

68 (69.141387939453): SELECT fid FROM jos_deeppockets WHERE id=294733292 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733292 AND published='1' LIMIT 1

69 (59.127807617188): 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=211 ORDER BY `ordering`

70 (344.03800964355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (359.05838012695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 1201.1528015137): 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 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (106.0962677002): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (545.97854614258): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3257.9898834229): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (110.86463928223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (47.922134399414): 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 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (113.96408081055): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 4024.9824523926): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (119.92454528809): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (177.14500427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

105 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

106 (101.08947753906): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (707.86476135254): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

109 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

110 (82.015991210938): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (663.04206848145): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (863.79051208496): 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 (627.99453735352): 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 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

115 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

116 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

117 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

118 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

119 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

120 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

121 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

122 (458.0020904541): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 52524.089813232): 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 (650.88272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733292 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733292 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 22356.033325195): ( 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 (84.877014160156): ( 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 (422.00088500977): 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 (55.074691772461): 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 (393.15223693848): 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 (50.067901611328): 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 (247.00164794922): 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 (38.862228393555): 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 (663.99574279785): 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 (137.0906829834): 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 (545.02487182617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (499.96376037598): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (324.96452331543): SELECT name FROM jos_deeppockets WHERE id=211

138 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=211

139 (733.1371307373): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (675.20141601562): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

142 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

143 (!!!!! 19849.061965942): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 1733.7799072266): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 1122.9515075684): 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=294733292 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 2380.8479309082): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1226.9020080566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

149 (!!!!! 1097.9175567627): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

150 (!!!!! 2175.8079528809): 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 (458.95576477051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

152 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

153 (309.94415283203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733292 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733292 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (46.968460083008): 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=211 or channel_id is null)

155 (40.054321289062): 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=211 or channel_id is null)

156 (267.98248291016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (320.9114074707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

158 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733292 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733292 AND published='1' LIMIT 1

159 (696.89750671387): select jos_twitters.link from jos_twitters where cat=10

160 (53.882598876953): select jos_facebook.link from jos_facebook where cat=10

161 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

162 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

163 (609.15946960449): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1390.9339904785): insert into jos_banners_delta values (14615,'2025-08-20 10:30:32','216.73.216.0','view'),(14202,'2025-08-20 10:30:32','216.73.216.0','view'),(14203,'2025-08-20 10:30:32','216.73.216.0','view')

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