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German Hospital Interfaces Cardiac Cath Lab with Image Archiving and Reporting System

By MedImaging International staff writers
Posted on 09 Mar 2009

A clinic is the first hospital in Germany to interface its angiography systems with an image management and reporting system. All data generated prior to or during an intervention in the cardiac cath lab are now automatically transferred to the new information technology (IT) system.

The advantage of this IT system is that while the examination is still in progress, operating personnel can use important examination data to prepare a report for wards or referring physicians in just a matter of minutes. Previously, this took several hours, because the data was transferred from forms to the reporting system manually and the images were also stored manually. For this innovative IT system, in the Peine Clinic in Lower Saxony's catheter laboratory, Siemens Healthcare (Erlangen, Germany) interfaced its dynamic image archiving system syngo Dynamics with the angiographic system Axiom Artis FC and the hemodynamic measuring station Axiom Sensis XP.

In May 2008, the former community hospital in Peine opened a cardiac catheter laboratory. In order to begin with the most efficient environments possible, the Peine Clinic chose Siemens Healthcare syngo Dynamics cardiology image management and reporting system. In the past, one of the most time-consuming tasks in the clinical routine for cadiac cath has been the preparation of reports. The large amount of data that had to be transferred manually from different forms, or from external data media, to the electronic reporting systems caused long delays in report availability.

The Peine Clinic chose Siemens to install a solution that would considerably reduce the amount of time and effort for report preparation following cardiac catheterization. To achieve this goal, Siemens interfaced its multi-modality image archiving system syngo Dynamics with the angiographic system Axiom Artis FC and the hemodynamic measurement station Axiom Sensis XP. An interface to the clinic's ultrasound systems will be added in the future. Axiom Sensis XP, a state-of-the art recording procedure for interventional cardiology and electrophysiology, even transmits measurement data automatically to syngo Dynamics via real-time data transfer.

Directly at their syngo Dynamics workstations, the reporting physicians are now provided with all data required to prepare the necessary reports as soon as catheterization is completed. This considerably accelerates the workflow in the cardiology department and allows for more precise reporting than in conventional catheter labs.

"While selecting a suitable provider, we were looking for integrated as well as cost-effective solutions for angiography systems and IT. The Siemens spectrum fully met these requirements with the real-time data exchange of Axiom Sensis XP and syngo Dynamics,” explained Arturo Junge, director of administration at the hospital.

The chief physician of Medical Clinic I (cardiology and pneumology), Dr. Petra Wacker, also appreciates the benefits of having this reporting system for diagnostic image viewing and dynamic image processing at a single workstation. According to Dr. Wacker, evidence-based reporting also supports both the efficiency and effectiveness of clinical procedures. "We benefit especially from the fact that reports are generated almost automatically, a fact which greatly reduces the risks incurred through user errors. This allows us to ensure high-quality patient care,” commented Dr. Wacker.

"With this scalable solution, we are best equipped to face the technical challenges of the future. Networking will make the data exchange even faster and offer further advantages, for example in long-term archiving. This will certainly expand the existing cooperation of our hospitals,” said Wilfried Schröter, head of medical systems of the Peine Clinic.

Klinikum Peine, gGmbH was founded in March 2003 as a subsidiary of the Allgemeines Krankenhaus Celle foundation. On April 1, 2003, the Clinic took over management of the hospital of the Peine administrative district and on September 1, 2009, the Peine hospital passed to the ownership of the Klinikum Peine.

Related Links:
Siemens Healthcare
Klinikum Peine

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58 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

59 (120.16296386719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

60 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

61 (87.02278137207): 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 (486.13548278809): SELECT fid FROM jos_deeppockets WHERE id=294722313 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722313 AND published='1' LIMIT 1

63 (275.85029602051): 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 (45.061111450195): select jos_twitters.link from jos_twitters where cat=10

65 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

66 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

67 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

68 (34.093856811523): SELECT fid FROM jos_deeppockets WHERE id=294722313 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722313 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 (!!!!! 2079.0100097656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (406.02684020996): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (42.915344238281): 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 (!!!!! 3229.1412353516): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (65.088272094727): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (48.87580871582): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (30.994415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (34.093856811523): 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 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

105 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

106 (51.021575927734): 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=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (513.79203796387): 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=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

109 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

110 (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.id=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (624.8950958252): 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=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (646.11434936523): 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 (427.0076751709): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

116 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

117 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

118 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

120 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

121 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

122 (373.84033203125): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 40597.200393677): 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 (!!!!! 3104.9251556396): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722313 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722313 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 19990.921020508): ( 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 (128.03077697754): ( 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 (319.9577331543): 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 (110.86463928223): 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 (276.08871459961): 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 (101.08947753906): 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 (909.09004211426): 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 (282.04917907715): 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 (113.96408081055): 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 (113.96408081055): 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 (!!!!! 1058.1016540527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (519.0372467041): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (281.09550476074): SELECT name FROM jos_deeppockets WHERE id=216

138 (157.11784362793): SELECT name FROM jos_deeppockets WHERE id=216

139 (959.87319946289): 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 (633.95500183105): 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 (448.94218444824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

142 (334.02442932129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

143 (!!!!! 17511.129379272): TRUNCATE TABLE jos_trademed_module

144 (107.0499420166): 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=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (54.121017456055): 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=294722313 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (333.78601074219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (139.95170593262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (71.76399230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

149 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

150 (!!!!! 1224.9946594238): 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 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

152 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

153 (32.186508178711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722313 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722313 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (29.087066650391): 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 (27.179718017578): 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 (29.087066650391): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

158 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722313 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722313 AND published='1' LIMIT 1

159 (!!!!! 1575.9468078613): select jos_twitters.link from jos_twitters where cat=10

160 (43.869018554688): select jos_facebook.link from jos_facebook where cat=10

161 (28.848648071289): select jos_google_plus.link from jos_google_plus where cat=10

162 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

163 (235.79597473145): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (873.08883666992): insert into jos_banners_delta values (14202,'2025-06-22 03:44:37','216.73.216.120','view'),(14203,'2025-06-22 03:44:37','216.73.216.120','view')

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