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Flexible Next-Generation PACS Technology Suited for the Academic Replacement Market

By MedImaging International staff writers
Posted on 14 Aug 2008

By implementing a new next-generation picture archiving and communication system (PACS), radiologists, surgeons, and other caregivers now have faster and easier access to all medical images, from multi-slice computed tomography (CT) to ultrasound.

McKesson Corp. (San Francisco, CA, USA) recently reported that the Virginia Commonwealth University Health System (VCU; Richmond, VA, USA) has implemented McKesson's Horizon Medical Imaging PACS. The Horizon Medical Imaging will provide VCU caregivers with improved workflow capabilities to analyze, distribute, and store medical images and information across the organization, helping to improve patient care.

"McKesson has demonstrated a level of flexibility and capability that continues to meet our needs and expectations, starting with the selection process to our current use of the system,” said Dr. Ann Fulcher, chairman of radiology, VCU. "With the McKesson PACS, we are continuing our tradition of providing our staff and patients with the latest technologies to meet today's standards of care. At the same time, we are preparing them for the future and for changes in the way healthcare will be delivered.”

McKesson's seamless integration with VCU's existing database of images is enabling the institution to avoid the expensive process of converting data to a new backend platform. A "disruption-free” implementation ensured that VCU was able to perform "business as usual” during the installation. The radiology group enjoyed the usability of features such as a true, unified work list, clinical series mapping, and adaptive image loading, all of which led to greater user adoption.

Moreover, the McKesson system helps enhance the U.S. National Patient Safety Goals and improves report turnaround time to referring physicians through intelligent workflow considerations. These include image analysis capabilities, integrated three-dimensional (3D) images, reporting and communication tools from a single radiologist cockpit. As a result, radiologists no longer need to move from one workstation to another to complete studies involving advanced visualization and analysis.

By replacing its legacy PACS with the new system, VCU has established the foundation for a new healthcare technology platform to meet the demands of its expanding academic medical center. "Leading academic centers such as VCU were early adopters of digital imaging technology,” said Rod O'Reilly, vice president and general manager of McKesson's Medical Imaging Group. "These centers realize that a modality-based workflow will not transform the way they deliver healthcare, and they are looking for robust IT [information technology] solutions to solve their enterprise imaging needs. McKesson is proud that VCU and other academic centers are turning to us as their information technology partner.”

The VCU contract also includes licensing for McKesson's Horizon Optical Imaging system, a unique optical imaging product that enables clinicians to take an analog optical device, such as an endoscope, and turn it into a fully Digital Imaging and Communications in Medicine- (DICOM)-enabled digital modality to enable digital capture of still and cine images. Image storage, archiving, and viewing is supported by the Horizon Medical Imaging system.

VCU is the largest university in Virginia and ranks among the top 100 universities in the United States in sponsored research.

McKesson is a healthcare services and information technology company that provides pharmaceutical and medical-surgical supply management across the spectrum of care; healthcare information technology for hospitals, physicians, homecare and payors; hospital and retail pharmacy automation; and services for manufacturers and payors designed to improve outcomes for patients.

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McKesson
Virginia Commonwealth University

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60 (!!!!! 5184.8888397217): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

61 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

62 (!!!!! 1848.9360809326): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

63 (!!!!! 3314.0182495117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

64 (!!!!! 1895.1892852783): 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 (605.10635375977): SELECT fid FROM jos_deeppockets WHERE id=294720056 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720056 AND published='1' LIMIT 1

66 (!!!!! 5464.0769958496): 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 (!!!!! 3082.9906463623): select jos_twitters.link from jos_twitters where cat=10

68 (!!!!! 4172.0867156982): select jos_facebook.link from jos_facebook where cat=10

69 (939.84603881836): select jos_google_plus.link from jos_google_plus where cat=10

70 (198.1258392334): select jos_linkedin.link from jos_linkedin where cat=10

71 (!!!!! 1724.9584197998): SELECT fid FROM jos_deeppockets WHERE id=294720056 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720056 AND published='1' LIMIT 1

72 (!!!!! 3302.0973205566): 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 (!!!!! 1126.0509490967): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (569.10514831543): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (372.88665771484): 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 (!!!!! 3324.9855041504): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (564.8136138916): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (218.15299987793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (106.8115234375): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (77.009201049805): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (101.08947753906): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (114.91775512695): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (92.029571533203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (149.01161193848): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (87.976455688477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (130.89179992676): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (99.897384643555): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (499.96376037598): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (172.13821411133): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (131.84547424316): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (!!!!! 1508.9511871338): 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 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (764.13154602051): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 1164.9131774902): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (841.14074707031): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (663.04206848145): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 2825.0217437744): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (608.20579528809): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (180.00602722168): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (143.05114746094): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (78.201293945312): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (640.869140625): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (304.9373626709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

108 (!!!!! 5249.0234375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

109 (111.81831359863): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1456.9759368896): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1837.0151519775): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

112 (!!!!! 1135.1108551025): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

113 (!!!!! 2494.0967559814): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 1558.0654144287): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (491.14227294922): 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 (307.08312988281): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

119 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

120 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

121 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

122 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

123 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

124 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

125 (177.14500427246): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 135272.97973633): 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 (!!!!! 20174.980163574): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720056 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720056 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (213.1462097168): ( 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 (82.969665527344): ( 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 (193.11904907227): 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 (80.108642578125): 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 (180.95970153809): 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 (36.001205444336): 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 (74.863433837891): 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 (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

136 (71.048736572266): 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 (316.85829162598): 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 (437.02125549316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (402.92739868164): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (49.114227294922): SELECT name FROM jos_deeppockets WHERE id=216

141 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=216

142 (732.8987121582): 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

143 (662.08839416504): 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

144 (937.93869018555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

145 (630.14030456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

146 (!!!!! 17589.092254639): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 4641.056060791): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 7793.9033508301): 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=294720056 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (389.09912109375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (795.84121704102): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

152 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

153 (!!!!! 1673.9368438721): 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 (226.02081298828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

155 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

156 (46.968460083008): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720056 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720056 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (212.9077911377): 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=216 or channel_id is null)

158 (36.954879760742): 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=216 or channel_id is null)

159 (41.961669921875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

161 (269.88983154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720056 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720056 AND published='1' LIMIT 1

162 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

163 (27.894973754883): select jos_facebook.link from jos_facebook where cat=10

164 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

165 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

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