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Nonsurgical Autopsy Technique May Transform Postmortems

By MedImaging International staff writers
Posted on 15 Mar 2011

A new nonsurgical postmortem technique pioneered by British forensic pathologists and radiologists has the potential to revolutionize the way autopsies are conducted worldwide.

The technology was developed by a team from the University of Leicester (UK) in collaboration with the University Hospitals of Leicester NHS [National Health Service] Trust in the East Midlands Forensic Pathology Unit at the University of Leicester. This study presents the development of the methodology and protocol for this technique from independent research commissioned by the UK National Institute for Health Research (NIHR; London, UK). The study, according to the investigators, has taken another step towards a minimally invasive autopsy for natural and unnatural deaths, for either single cases or mass fatalities. It could also potentially dispel reservations from certain faith groups that object to autopsies.

Prof. Guy Rutty, chief forensic pathologist to the East Midlands Forensic Pathology Unit, which is part of the department of cancer studies and molecular medicine, University of Leicester, reported that the pilot study had shown the potential of the technique to change the future of post-mortem procedures. He said, "Autopsies are not popular with the general public and are viewed with great distaste. There are a number of faith groups who voice objections to the autopsy. The development of a minimally invasive autopsy technique would reduce the overall number of invasive autopsies performed in the UK but would still provide a service to the Coroner and determine the cause of a person's death. Currently, without the use of angiography, cardiac-related death cannot be reliably diagnosed using a postmortem CT [computed tomography] scan so we needed to develop a system that could do this.”

The study's findings were published March 1, 2011, in the International Journal of Legal Medicine. "In collaboration with the radiology team, led by Prof. Bruno Morgan, we have successfully developed a quick and simple technique of minimally invasive targeted coronary angiography where we inject contrast into the body of a deceased person through a small incision in the neck and then perform a full body CT scan. Using this method, we are able to determine the cause of death in up to 80% of cases [in the series analyzed to date]. The technique is used to highlight and examine the vessels of the heart in people who have died. The technique is inexpensive, easy to use, and applicable to natural and unnatural death, both single and mass fatalities.”

Prof. Rutty explained the technique was innovative because it uses catheterization, contrast, and imaging modalities that have not been used previously. "Developing a new catheterization system and using two different types of contrast to highlight the coronary vessels [air and standard coronary radio-opaque contrast media] sets us apart from other research groups,” he said.

The research article presents the findings from an initial pilot of 24 cases. The University team will now complete a further 200 cases in 2011 to additionally assess the technique and assemble a bigger evidence base.
Prof. Rutty added, "We were the first unit in the world to our knowledge to propose targeted angiography as the way forward, and are now the first to describe the development, methodology and protocols involved for cadaver cardiac CT angiography. Other groups have done whole body angiography, which is time-consuming and expensive, and is unlikely to be implemented in the UK for everyday autopsies. We are incredibly excited about the potential of this new research. This technique could see the beginning of a permanent change in autopsy practice in the UK, with fewer autopsies being performed. This technique could be used in other centers across the world.”

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63 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

64 (144.95849609375): 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

65 (730.03768920898): SELECT fid FROM jos_deeppockets WHERE id=294733844 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733844 AND published='1' LIMIT 1

66 (96.08268737793): 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`

67 (92.029571533203): select jos_twitters.link from jos_twitters where cat=10

68 (49.114227294922): select jos_facebook.link from jos_facebook where cat=10

69 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

70 (46.014785766602): select jos_linkedin.link from jos_linkedin where cat=10

71 (70.095062255859): SELECT fid FROM jos_deeppockets WHERE id=294733844 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733844 AND published='1' LIMIT 1

72 (57.93571472168): 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`

73 (524.04403686523): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (452.04162597656): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (72.956085205078): 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`

76 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (38.862228393555): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (45.061111450195): 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`

93 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

108 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

109 (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.cat=10 AND dp.id=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (69.856643676758): 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=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

112 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

113 (101.80473327637): 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=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (749.82643127441): 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=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (792.02651977539): 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

116 (555.99212646484): 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

117 (190.01960754395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

118 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

119 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

120 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

121 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

122 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

123 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

124 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

125 (406.98051452637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 33564.09072876): 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

127 (787.01972961426): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733844 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733844 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (101.80473327637): ( 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

129 (55.074691772461): ( 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

130 (102.99682617188): 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

131 (47.922134399414): 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

132 (61.988830566406): 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

133 (40.054321289062): 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

134 (38.14697265625): 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

135 (37.908554077148): 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

136 (55.074691772461): 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

137 (39.815902709961): 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

138 (601.05323791504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (396.0132598877): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (42.915344238281): SELECT name FROM jos_deeppockets WHERE id=211

141 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=211

142 (802.99377441406): 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

143 (736.95182800293): 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

144 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

145 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

146 (!!!!! 12623.071670532): TRUNCATE TABLE jos_trademed_module

147 (118.97087097168): 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=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (75.101852416992): 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=294733844 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (607.01370239258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

152 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

153 (!!!!! 1614.0937805176): 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

154 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

155 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

156 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733844 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733844 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (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)

158 (38.14697265625): 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)

159 (39.100646972656): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

161 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733844 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733844 AND published='1' LIMIT 1

162 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

163 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

164 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

165 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

166 (325.91819763184): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

167 (!!!!! 1121.997833252): insert into jos_banners_delta values (14615,'2025-08-20 10:32:49','216.73.216.0','view'),(14202,'2025-08-20 10:32:49','216.73.216.0','view'),(14203,'2025-08-20 10:32:49','216.73.216.0','view')

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