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12 European Countries Launch Initiative for E-Health System Compatibility

By MedImaging International staff writers
Posted on 05 Nov 2008

A large scale European project, bringing together 12 member states and supported by the European Commission, will take the lead in ensuring national e-health systems work together (interoperability) so that Europeans can benefit from the latest health technology advances wherever they travel in the European Union (EU).

In July 2008, an important development in healthcare information technology (IT) was made with the launch of the European patient Smart Open Services (epSOS) ‘large scale pilot' on interoperability of national e-health systems, involving 12 EU countries and scheduled to run for three years. Every member state has its own system of storing healthcare information, yet these systems often cannot ‘talk' to each other. Any citizen who falls ill in a member state that is not their own should be able to have a local physician from any EU state access their vital information quickly and accurately, the European Commission (Brussels, Belgium) and epSOS team reported, as quite often, lives are at stake.

Fabio Colasanti, European Commission director general in charge of information society and media, including information and communications technology for e-health, said, "The challenge of the increasing mobility of European citizens in the context of healthcare has been addressed by the European Commission. Together with the launch of its proposal for a ‘directive on the application of patients' rights in cross-border healthcare,' the issue of its July [2008] recommendation on the cross-border interoperability of electronic health record systems and the start of the epSOS pilot, the European Commission is laying the groundwork for improved healthcare options for traveling EU citizens. Interoperability is obviously a key factor in this, and some countries struggle with interoperability within their own state, let alone beyond their borders. With the epSOS large scale pilot, we are trying to identify, then test, the relevant tools to make things happen.”

The Swedish Health Ministry has been fundamental in setting up the epSOS pilot. Information and Communication Technology (ICT) of sorts has existed in this country for about 30 years. The goal of the epSOS large-scale pilot, according to Daniel Forslund, head of the section on e-health in Sweden's Ministry of Health and Social Affairs, is "to improve patient safety. Citizens should be able to trust any healthcare system in any country they visit or work in.”

Twelve countries have already signed-up for the three-year epSOS project: Austria, the Czech Republic, Denmark, France, Germany, Greece, Italy, the Netherlands, Slovakia, Spain, Sweden, and the United Kingdom. Flora Giorgio, of the European Commission's ICT for Health at the Information Society and media directorate-general and the EU's project manager, reported that this early take-up means that it is "already a major success. Before this, yes, we had a declaration of intent. But now, this has gone further with 12 member states and the Commission putting money and resources on the table. It's a big step forward. The scheme aims to connect what already exists. The countries will look at all their systems for, say, electronic health records, and see what can be shared. These countries can already see the value in working together. They are all committed to making sure that all EU citizens benefit from e-health, even when they travel to another EU country. This is also a great opportunity for the rest of the EU who will hopefully see this as a nudge in the right direction.”

The Commission is funding half of the costs. The project is divided into work packages covering different issues: analysis of the current situation in the participating countries; exploration of legal questions; development of technical specifications covering the basic components needed to use personalized health data securely; and setting up a test environment to evaluate the findings in a realistic situation.

Back in Sweden, Fredrik Linden, the project coordinator of epSOS, is managing the project with the primary task of mediating between all the parties on the crucial legal implications (e.g., patient privacy, the implications for healthcare providers when writing journal entries) and technical practicalities of e-health interoperability, among other issues.

In spite of what may seem to be a mammoth task, given the project's mere 36-month running period, Mr. Linden is upbeat. "Three years is certainly long enough to achieve much--despite the inevitability of there being so many different opinions to take into account,” he stated. "Getting started is a big step as it is, and I'm confident that we'll make good headway within the timeframe. After three years, we'll be able to give good recommendations on EU-wide legalities and achieve practical results on the very real issues of interoperability.”

The cooperation of industry is, of course, vital to effective interoperability. There had been some reluctance in the past to work together among companies that had invested huge sums of money in researching and developing their own particular products but that is changing. Indeed, there is now an alliance of companies telling the Commission that they understand that their products need to work with each others. The joint aim is to make e-health less fragmented and industry is currently working to come up with guidelines. A few years ago, this would have been unthinkable.

Peter Künecke, of the IHE (Integrating the Healthcare Enterprise) Europe group that represents the ‘gateway' to industry, remarked, "We have a network of more than 30 companies including big and smaller players from a range of countries. One of the most important factors here is that this is probably the first time that member states have happily accepted industry involvement in this field. "It's fair to say that, in the long term, industry can only survive with standardization. Interfacing and interoperability are necessary so, therefore, companies are now investing their time and expertise. Of course, we will never have 100% interoperability, but let's go as far as we can.”

As for what can practically be achieved in just three years, Mr. Künecke said, "It's a tough limit and, of course, there is a longer game that will be played out. But, within the timeframe, we will look at what technology can be re-used, prototypes, functionality, and so on. This is certainly a big phase. But there will also be a lot of work after the three years is over.”

There is optimism for the future: while just 12 countries are currently participating in the epSOS large scale pilot, Daniel Forslund commented, "At the end of the three years we will, of course, be very keen to disseminate the information to other member states.”

Related Links:
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46 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

47 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

48 (235.08071899414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

49 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

50 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

51 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

52 (!!!!! 9787.0826721191): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

53 (156.16416931152): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

54 (395.77484130859): SELECT name FROM jos_deeppockets WHERE id=294720956 LIMIT 1

55 (312.08992004395): SELECT name FROM jos_deeppockets_archive WHERE id=294720956 LIMIT 1

56 (67.949295043945): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

57 (169.03877258301): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (678.06243896484): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (!!!!! 12763.977050781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

60 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

61 (491.14227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

62 (544.07119750977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

63 (!!!!! 7245.0637817383): 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

64 (!!!!! 7709.9800109863): SELECT fid FROM jos_deeppockets WHERE id=294720956 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720956 AND published='1' LIMIT 1

65 (!!!!! 7956.9816589355): 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`

66 (!!!!! 7457.0178985596): select jos_twitters.link from jos_twitters where cat=10

67 (!!!!! 3942.9664611816): select jos_facebook.link from jos_facebook where cat=10

68 (!!!!! 7946.9680786133): select jos_google_plus.link from jos_google_plus where cat=10

69 (!!!!! 10474.20501709): select jos_linkedin.link from jos_linkedin where cat=10

70 (!!!!! 5452.1560668945): SELECT fid FROM jos_deeppockets WHERE id=294720956 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294720956 AND published='1' LIMIT 1

71 (!!!!! 1381.8740844727): 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`

72 (795.12596130371): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (315.90461730957): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (142.81272888184): 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`

75 (!!!!! 1775.9799957275): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (65.803527832031): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (221.96769714355): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 1325.8457183838): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (226.97448730469): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (956.05850219727): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (607.01370239258): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 1686.0961914062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (643.01490783691): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (643.96858215332): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (606.06002807617): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 4238.1286621094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (!!!!! 1852.0355224609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (!!!!! 1416.2063598633): 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`

92 (!!!!! 4384.0408325195): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (385.99967956543): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 2578.0200958252): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (!!!!! 2669.095993042): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1332.0446014404): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (475.16822814941): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 2208.948135376): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (!!!!! 2758.9797973633): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 2408.9813232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (!!!!! 1929.0447235107): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (!!!!! 2293.1098937988): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (!!!!! 1617.1932220459): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 2029.8957824707): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 2120.0180053711): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 2880.8116912842): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

107 (!!!!! 2064.9433135986): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

108 (!!!!! 1491.0697937012): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (643.96858215332): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1561.8801116943): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

111 (835.18028259277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

112 (494.00329589844): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 2090.9309387207): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (139.95170593262): 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=294720955 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (!!!!! 6278.0380249023): 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=294720955 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (!!!!! 4506.1111450195): 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 (!!!!! 7421.0166931152): 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 (!!!!! 11463.88053894): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

119 (!!!!! 7968.9025878906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

120 (!!!!! 7624.8645782471): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

121 (!!!!! 7946.0144042969): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

122 (!!!!! 8166.0747528076): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

123 (!!!!! 7791.0423278809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

124 (!!!!! 9958.9824676514): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

125 (!!!!! 16086.101531982): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

126 (!!!!! 7680.1776885986): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

127 (!!!!! 108109.95101929): 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

128 (!!!!! 1612.9016876221): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720956 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720956 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 30862.808227539): ( 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 (!!!!! 2661.9434356689): ( 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 (680.20820617676): 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 (68.187713623047): 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 (388.86070251465): 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 (58.174133300781): 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 (523.09036254883): 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 (496.86431884766): 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 (61.988830566406): 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 (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 (!!!!! 2268.0759429932): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (!!!!! 3863.8114929199): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (!!!!! 3828.0487060547): SELECT name FROM jos_deeppockets WHERE id=216

142 (!!!!! 6066.0839080811): SELECT name FROM jos_deeppockets WHERE id=216

143 (!!!!! 5485.0578308105): 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 (!!!!! 5430.9368133545): 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 (!!!!! 4030.9429168701): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

146 (348.09112548828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

147 (!!!!! 28501.033782959): TRUNCATE TABLE jos_trademed_module

148 (!!!!! 6716.0129547119): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (752.92587280273): 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=294720956 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (!!!!! 1437.1871948242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (402.92739868164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (!!!!! 1352.071762085): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

153 (!!!!! 3340.9595489502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

154 (!!!!! 2719.8791503906): 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

155 (!!!!! 1700.8781433105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

156 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294720956 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294720956 AND published='1' LIMIT 1

157 (573.15826416016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294720956 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294720956 AND type='deeppockets_item' AND published='1' LIMIT 1

158 (71.048736572266): 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)

159 (51.021575927734): 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)

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166 (!!!!! 7920.9804534912): select jos_linkedin.link from jos_linkedin where cat=10

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