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MRI-Equipped Ambulance Could Be a Game-Changer for Stroke Care

By MedImaging International staff writers
Posted on 03 Nov 2023

Image: MRI images obtained in a moving ambulance could improve stroke care (Photo courtesy of 123RF)

The critical nature of timing in treating a stroke is widely recognized, and faster medical response often leads to more favorable recoveries. This urgency is especially relevant with medications like clot-dissolving tPA, which must be administered within a narrow timeframe. The challenge, however, lies in the timely execution of necessary diagnostic studies. Now, the findings of a new trial in which researchers equipped an ambulance with a portable MRI have demonstrated the potential of an MRI-equipped ambulance in treating stroke patients.

Currently, some hospitals deploy mobile stroke units with CT scanners, but these are not without their drawbacks, such as the risk of radiation. Portable MRIs, on the other hand, are free from radiation hazards and their lower magnetic fields eliminate concerns about the proximity of metal, thereby allowing for the use of other medical devices simultaneously. Unlike traditional MRI, portable units can potentially serve to identify strokes even in patients who lack a defined timeline of their stroke's onset. The latest human trial by researchers at the Medical University of South Carolina (MUSC) was based on an earlier trial that had shown it was possible to obtain MRI images in a moving ambulance on a standardized calibration model.

In the new human trial, the research team equipped an ambulance from Charleston County EMS with a portable MRI and managed to take images while driving at a slow pace around a parking area. The trial produced diagnostic-grade images from a healthy volunteer, which were then sent to hospital radiologists to be examined. While these initial findings are promising, the researchers will continue to investigate whether high-quality images can be captured at the ambulance's normal operating speed. The team is also redesigning the ergonomics of how the MRI can fit within the ambulance space. Advancements in technology and further clinical research could make MRI-equipped ambulances a revolutionary tool in emergency medical care, offering critical diagnostic capabilities to stroke patients en route to the hospital.

“If you think about where defibrillators were 50 years ago, they were hundreds of pounds, and it really took out-of-the-box thinking to imagine they could be portable. And now, they're public access points,” said Dustin LeBlanc, M.D., director of Prehospital Medicine and associate chief medical officer for Emergency Management at MUSC. “The MRI-equipped ambulance is just another example of technology helping us to develop ways to make things faster, lighter, smaller, more portable and to get it to the patient as quickly as possible.”

“If you're somebody who could just receive tPA, you might go to a local hospital, while those who need to have advanced procedures, such as interventional neuroradiology, would go to a different hospital,” said Jillian Harvey, Ph.D., a professor in the College of Health Professions. “The imaging provided by the portable MRI scanner in the ambulance could help make that decision. If we can get that information in transit and the decision process going before they even arrive at the hospital, then we can shorten the time to care and treatment.”

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65 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

66 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294799190 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294799190 AND published='1' LIMIT 1

69 (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`

70 (!!!!! 4491.8060302734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (339.98489379883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (49.114227294922): 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 (!!!!! 7362.8425598145): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (!!!!! 6395.1015472412): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (!!!!! 1574.9931335449): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 4171.8482971191): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 1368.9994812012): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (820.87516784668): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): 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 (732.8987121582): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 5134.8209381104): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 4007.10105896): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 5267.1432495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 3834.0091705322): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (691.17546081543): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1968.8606262207): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (!!!!! 2360.1055145264): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (420.09353637695): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 2044.9161529541): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 3836.8701934814): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (942.94548034668): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (467.06199645996): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 1557.8269958496): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (510.93101501465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

105 (!!!!! 1490.1161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

106 (497.81799316406): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (!!!!! 1358.0322265625): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 2125.9784698486): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

109 (!!!!! 1179.9335479736): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

110 (716.9246673584): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (823.02093505859): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (613.92784118652): 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 (377.89344787598): 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 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

115 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

116 (109.91096496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

117 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

118 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

119 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

120 (177.86026000977): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 91225.862503052): 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 (203.13262939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

123 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

124 (!!!!! 1006.1264038086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799190 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799190 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1336973.9055634): ( 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 (!!!!! 9984.9700927734): ( 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 (55.789947509766): 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 (32.186508178711): 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 (46.968460083008): 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 (104.18891906738): 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 (33.855438232422): 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 (188.11225891113): 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 (!!!!! 4426.0025024414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (!!!!! 3688.0970001221): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (995.15914916992): SELECT name FROM jos_deeppockets WHERE id=212

136 (211.95411682129): SELECT name FROM jos_deeppockets WHERE id=212

137 (589.13230895996): 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

138 (!!!!! 1132.0114135742): 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 (988.00659179688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

140 (401.97372436523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

141 (!!!!! 12888.193130493): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 9489.0594482422): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (205.03997802734): 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=294799190 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (!!!!! 1016.1399841309): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (347.13745117188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

147 (198.8410949707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

148 (!!!!! 5177.0210266113): 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 (!!!!! 7154.9415588379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

150 (!!!!! 5338.9072418213): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

151 (!!!!! 1791.9540405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294799190 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294799190 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (60.796737670898): 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)

153 (41.007995605469): 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 (!!!!! 4780.0540924072): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (!!!!! 6516.9334411621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

156 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294799190 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294799190 AND published='1' LIMIT 1

157 (!!!!! 1001.1196136475): select jos_twitters.link from jos_twitters where cat=10

158 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

159 (52.928924560547): select jos_google_plus.link from jos_google_plus where cat=10

160 (182.8670501709): select jos_linkedin.link from jos_linkedin where cat=10

161 (!!!!! 3669.0235137939): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 8766.8895721436): insert into jos_banners_delta values (14615,'2025-04-29 23:00:58','3.134.253.192','view'),(14202,'2025-04-29 23:00:58','3.134.253.192','view'),(14203,'2025-04-29 23:00:58','3.134.253.192','view')

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