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Efficiency Improvement Achieved through Adoption of New Healthcare Data-Mining Technology

By Dan Gueron, New Media Director
Posted on 26 Mar 2008

A new data-mining tool helps healthcare providers with performance improvement and helps them meet their quality reporting obligations by automating the abstraction process, reducing abstraction times, and providing consistent results. More...

Siemens Healthcare (Erlangen, Germany) presented the general availability of its healthcare data-mining tool, Soarian Quality Measures powered by the patented REMIND (Reliable Extraction and Meaningful Inference from Non-structured Data) Platform, at the Healthcare Information and Management Systems Society (HIMSS) 2008 annual conference and Exhibition in Orlando, FL, USA, in February 2008. Soarian Quality Measures replaces time-consuming manual chart reviews with highly accurate and automated chart abstraction of quality measures, as defined by the Centers for Medicare and Medicaid Services (CMS; Baltimore, MD, USA) and The Joint Commission (Oakbrook Terrace, IL, USA).

The system analyzes and draws conclusions from all available electronic patient data from both Siemens and non-Siemens information technology (IT) systems, including structured data, such as demographics and financial information, and unstructured free text found in clinical notes and transcribed reports. The results of the analysis are presented in a simple, intuitive interface allowing the abstractor to quickly review and validate the results.

"This innovative solution serves as a key product in our growing portfolio of knowledge-driven technologies to help improve the quality and efficiency of healthcare delivery,” stated Ajit Singh, Ph.D., CEO, Image and Knowledge Management business unit, Siemens Healthcare. "Soarian Quality Measures provides unprecedented intelligence to healthcare providers, allowing them to focus more on helping their patients rather than collecting data.”

The Reading Hospital and Medical Center, an 800-bed not-for-profit healthcare center (West Reading, PA, USA), joined the growing list of medical facilities using advanced decision support technology to create efficiencies and orchestrate clinical best practices when it signed up to serve as one of Siemens customer beta sites for Soarian Quality Measures in 2007. Prior to implementing the system, Reading Hospital manually abstracted patient records to extract core measure information. After implementation of Soarian Quality Measures, the time required to review and extract core measures was reduced dramatically. After just one month of use, the average time required to review heart failure patients went from over 22 minutes per chart to just under seven minutes (332% improvement), and acute myocardial infarction record reviews went from over 33 minutes per chart to just over 10 minutes a chart (331% improvement).

"Soarian Quality Measures further reduces the dependency on manual chart abstraction, while improving the accuracy and speed of abstraction,” said Jay Raman, chief information officer, Reading Hospital. "The automated solution is extremely beneficial in accurately capturing the acuity of care.”

Reading Hospital initially volunteered to participate in the Soarian Quality Measures customer beta program due to its own organizational quality measures improvement goals and its successful, long-standing relationship with Siemens.

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58 (97.036361694336): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (645.16067504883): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

60 (!!!!! 2899.8851776123): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

61 (285.14862060547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

62 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

63 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

64 (110.14938354492): 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 (656.1279296875): SELECT fid FROM jos_deeppockets WHERE id=276290000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=276290000 AND published='1' LIMIT 1

66 (79.154968261719): 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=216 ORDER BY `ordering`

67 (74.863433837891): select jos_twitters.link from jos_twitters where cat=10

68 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

69 (43.869018554688): select jos_google_plus.link from jos_google_plus where cat=10

70 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

71 (44.822692871094): SELECT fid FROM jos_deeppockets WHERE id=276290000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=276290000 AND published='1' LIMIT 1

72 (39.100646972656): 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=216 ORDER BY `ordering`

73 (463.96255493164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (324.96452331543): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (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`

76 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (42.200088500977): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (77.962875366211): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (39.815902709961): 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 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

108 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

109 (72.002410888672): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (48.87580871582): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

112 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

113 (616.07360839844): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (851.86958312988): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (105.85784912109): 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=276280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (581.97975158691): 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=276280000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (932.21664428711): 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

118 (400.06637573242): 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

119 (136.8522644043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

120 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

121 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

122 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

123 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

124 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

125 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

126 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

127 (525.95138549805): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

128 (!!!!! 23753.881454468): 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

129 (479.93659973145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=276290000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=276290000 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (!!!!! 8759.0217590332): ( 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

131 (196.93374633789): ( 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

132 (98.943710327148): 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

133 (42.915344238281): 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

134 (49.829483032227): 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

135 (30.994415283203): 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

136 (306.84471130371): 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

137 (66.995620727539): 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

138 (46.968460083008): 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

139 (36.954879760742): 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

140 (396.0132598877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (331.16340637207): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=216

143 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=216

144 (658.98895263672): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

145 (495.91064453125): 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 '((;)|(^))216((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

146 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

147 (49.829483032227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

148 (!!!!! 11134.147644043): TRUNCATE TABLE jos_trademed_module

149 (159.97886657715): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (70.095062255859): 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=276290000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (576.01928710938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

154 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

155 (!!!!! 1416.9216156006): 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

156 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

157 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

158 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=276290000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=276290000 AND type='deeppockets_item' AND published='1' LIMIT 1

159 (41.961669921875): 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=0 or channel_id is null)

160 (43.869018554688): 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=0 or channel_id is null)

161 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

162 (387.90702819824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

163 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=276290000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=276290000 AND published='1' LIMIT 1

164 (37.908554077148): select jos_twitters.link from jos_twitters where cat=10

165 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

166 (29.087066650391): select jos_google_plus.link from jos_google_plus where cat=10

167 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

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