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New Software Lowers Transcription Costs, Decreases Report Turn-Around Time

By MedImaging International staff writers
Posted on 26 Nov 2008

A new speech recognition system enables radiologists to sign off on a completed report while viewing the original image; therefore, the need to double check reports returning from transcription is eliminated. As a result, not only is radiologist efficiency boosted, but referring physician satisfaction and patient quality of care are also improved.

Nuance Communications, Inc. (Burlington, MA, USA), a supplier of speech recognition systems, announced that its PowerScribe for Radiology has been rolled out at 10 of the 15 hospital facilities that collectively form the Baptist Memorial Health Care (BMHC; Memphis, TN, USA) network. Since installing PowerScribe for Radiology in February 2008, the network has seen an 81% reduction in radiology report turn-around time (TAT), decreasing TAT from 11.4 hours to 2.2 and far surpassing the original five-hour TAT goal. Transcription costs have also been lowered by nearly US$400,000 to date.

PowerScribe has been invaluable for healthcare organizations, such as BMHC, that have looked to implement a speech-enabled clinical documentation system for radiology without disrupting productivity among providers. BMHC sought a solution that could deliver against its clinical documentation goals to decrease radiology report TAT and transcription costs.

"As with implementing any new technology, we did not want to negatively impact clinician workflow or our report TAT," said Johnny Stanford, administrator for Clinical Services with Baptist Memorial Health Care network. "The PowerScribe for Radiology interface is easy-to-use, presenting all essential information in understandable windows and tabs. Our original goal was that after one year, 50% of radiologists would be able to self-edit their reports. Because the training is so straight forward, physicians were quickly brought up to speed and 99% of the radiologists in our network were able to self-edit using the software right out-of-the-box."

When a patient visits the emergency room, risks can be detected by a radiologist immediately, rather than the following day, which reduces medical errors and delays in treatment caused by slow report turn-around time.

"As with anything, PowerScribe for Radiology presented our team with a new way of doing things and with that came a learning curve. That being said, I would never want to go back to documenting radiology reports with traditional transcription," said Dr. Dexter Witte, a radiologist in the BMHC network. "The biggest benefit we've seen since implementation is radiology reports are created and available faster than before. Speech recognition for reporting is where the healthcare industry is heading and faster report turnaround time paired with the fact that at 5:00 pm my reports are done for the day, and I'm not signing them throughout the night, has me fully on board."

For BMHC, the goal for adoption of PowerScribe for Radiology was to implement a real-time speech recognition solution with self-editing capabilities. The successful deployment of the software resulted in 99% of the radiologists in the network self-editing within one month. The group expects similar results for future implementations. In addition to PowerScribe for Radiology's real-time speech recognition with self-editing capabilities, PowerScribe also supports speech recognition with delegated editing, in which radiologists do not edit their own reports; instead, their speech-recognized draft report is forwarded to a transcriptionist/editor for correcting and formatting. Turn-around time and transcription costs are considerably reduced, as reports no longer have to be transcribed from scratch.

PowerScribe for Radiology is one of many offerings in Nuance's healthcare range of proven, speech-enabled clinical documentation and communication solutions. These include other radiology solutions, RadWhere, RadPort, RadCube, and Veriphy Critical Test Result Management system, as well as eScription on-demand platform for computer aided medical transcription, Dictaphone Enterprise Express on-premise platform for integrated transcription workflow, and speech recognition and Dragon Medical for real-time speech recognition within an electronic medical record (EMR). All of these solutions enable healthcare provider organizations to reduce operating costs, increase reimbursement, and enhance patient care and safety.

Related Links:
Nuance Communications
Baptist Memorial Health Care

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57 (!!!!! 1670.1221466064): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

58 (108.00361633301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

59 (214.0998840332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

60 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

61 (108.95729064941): 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

62 (625.1335144043): SELECT fid FROM jos_deeppockets WHERE id=294721207 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721207 AND published='1' LIMIT 1

63 (46.014785766602): 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`

64 (38.862228393555): select jos_twitters.link from jos_twitters where cat=10

65 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

66 (28.848648071289): 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 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294721207 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294721207 AND published='1' LIMIT 1

69 (30.994415283203): 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`

70 (405.07316589355): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (262.02201843262): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (38.862228393555): 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 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (61.988830566406): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (83.92333984375): 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 (806.09321594238): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (792.9801940918): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (330.92498779297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

105 (350.9521484375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

106 (57.93571472168): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (236.98806762695): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

109 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

110 (47.206878662109): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (412.94097900391): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (614.88151550293): 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 (351.90582275391): 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 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

115 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

116 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

118 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

119 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

120 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

121 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

122 (324.96452331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21420.955657959): 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

124 (548.12431335449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721207 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721207 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 10612.010955811): ( 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 (161.88621520996): ( 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 (79.154968261719): 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

128 (65.088272094727): 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

129 (56.028366088867): 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

130 (39.100646972656): 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

131 (368.11828613281): 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

132 (53.882598876953): 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

133 (97.036361694336): 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

134 (47.922134399414): 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

135 (459.90943908691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (320.9114074707): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=216

138 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=216

139 (637.05444335938): 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

140 (558.13789367676): 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

141 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

142 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

143 (!!!!! 10028.123855591): TRUNCATE TABLE jos_trademed_module

144 (108.00361633301): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (55.789947509766): 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=294721207 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (641.82281494141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

149 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

150 (!!!!! 1210.2127075195): 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

151 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

152 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

153 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294721207 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294721207 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (48.160552978516): 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)

155 (75.817108154297): 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)

156 (67.949295043945): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

158 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294721207 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294721207 AND published='1' LIMIT 1

159 (36.954879760742): select jos_twitters.link from jos_twitters where cat=10

160 (39.815902709961): select jos_facebook.link from jos_facebook where cat=10

161 (39.815902709961): select jos_google_plus.link from jos_google_plus where cat=10

162 (37.193298339844): select jos_linkedin.link from jos_linkedin where cat=10

163 (314.95094299316): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1004.9343109131): insert into jos_banners_delta values (14202,'2025-06-22 19:05:00','216.73.216.120','view'),(14203,'2025-06-22 19:05:00','216.73.216.120','view')

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