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AAPM 2025 - 67th Annual Meeting & Exhibition of the American Association of Physicists in Medicine

E-Health Image Exchange Service Developed to Automate Community-Wide Access of Radiology Studies

By MedImaging International staff writers
Posted on 08 Apr 2009

A new e-health image exchange service utilizes a unique approach to sharing images that simplifies information technology (IT) deployment, keeps ownership of imaging with the radiology providers, and is more cost-effective than a centralized deployment.

EHealth Global Technologies (eHGT; Rochester, NY, USA) reported that Rochester RHIO (Rochester, NY, USA), a New York state regional health information organization (RHIO), implemented the company's eHealthConnect Image Exchange service to automate access to patient images across the participating healthcare institutions. The service integrates with Rochester RHIO's Axolotl Corp.'s (San Jose, CA, USA) Elysium health information exchange (HIE) system and connects to the picture archiving and communication systems (PACS) imaging services at eight radiology providers. Lakeside Memorial Hospital (Brockport, NY, USA) is the first health provider integrated into the eHealthConnect Image Exchange.

"Early on in the RHIO development, we recognized the importance of including imaging as an integral part of shared patient data across the Greater Rochester region to provide improved patient-centric care," noted Ted Kremer, executive director of the Rochester RHIO. "The Image Exchange from eHealth Global will improve access to patient images, including CT [computed tomography], MRI [magnetic resonance imaging], X-ray, and ultrasound exams; it will reduce duplicate procedures, which add unnecessary healthcare costs and exposure to radiation; and it will reduce the associated costs of managing and distributing that data across the region."

In addition to automating access to images, the Image Exchange will cache 30 days of exams as well as providing the ability to pull older exams on-demand. EHGT's eHealthViewer, a single viewer with full diagnostic quality viewing, image processing, and measurements, will be used by clinicians to view the radiology exams selected from within the web-based Elysium HIE system.

"We are excited to be at the forefront of implementing an image exchange that allows us to share images with all participating clinicians throughout the Rochester RHIO," said John Schrenker, chief information officer of Lakeside Health System. "Providers connected to the Rochester RHIO can now enhance their referral process with Lakeside Health System by being able to access radiology reports and images from Lakeside, immediately upon their availability, regardless of the location of the clinician. As a result, our patients are assured that their care providers will have all the information needed at the point-of-care to either diagnose or provide treatment. The eHealthConnect Image Exchange is a cost-effective method of distributing patient images throughout the community that will also help us raise the standard of care, reduce costs associated with duplicate exams, and lead to a more efficient patient care delivery model."

The Image Exchange servers and data storage are housed in a tier-1, Health Insurance Portability and Accountability Act- (HIPAA)-compliant data center, and all information is distributed via a virtual private network (VPN). At each radiology provider site, eHGT deployed an "edge server" that communicates with the provider's PACS via Digital Imaging and Communications in Medicine (DICOM) query/retrieve and does not impact user licenses or Web performance of the PACS. Healthcare standards and web services are fundamental to the architecture.

"This is the first image exchange of its kind image in the country, and as a result it will enable participating facilities and physicians to provide a higher standard of care by ubiquitous sharing of patient images across an entire health care community," said Ken Rosenfeld, president and chief technology officer, eHealth Global. "This level of access to images will help reduce duplicate testing and the risk of mistakes, and enable participating facilities to better utilize radiology resources. Rochester RHIO is a benchmark for RHIOs and HIEs across the country for exchanging of images in a useful and functional manner."

EHGT is a medical record retrieval and electronic delivery service provider. eHGT's services eHealthConnect, eHealthConnect Image Exchange, eHealthConnect for Clinical Trials, and eHealthRetriever help patients, medical centers, clinical departments, communities, and clinical trials organizations improve productivity, reduce waste, and improve patient care. Each service utilizes innovative information technology to retrieve medical records and images of all formats and securely deliver them to healthcare providers or an individual's personal health record. EHGT's clinical customer support team collects and manages patient data regardless of the source and format of the data.

The Rochester RHIO service allows a medical care team to share records across institutions and practices, making patient information available wherever and whenever needed to provide the best care. Patients benefit from fewer repeated tests, easier second opinions, a reduced risk of mistakes caused by poor handwriting or incomplete records, and more informed care during office visits and emergencies.

Related Links:
eHealth Global Technologies
Rochester RHIO
Axolotl

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56 (415.08674621582): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1592.1592712402): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

58 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

59 (138.99803161621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

60 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

61 (130.17654418945): 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 (680.92346191406): SELECT fid FROM jos_deeppockets WHERE id=294722724 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722724 AND published='1' LIMIT 1

63 (63.180923461914): 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 (57.220458984375): select jos_twitters.link from jos_twitters where cat=10

65 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

66 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

67 (36.001205444336): select jos_linkedin.link from jos_linkedin where cat=10

68 (43.153762817383): SELECT fid FROM jos_deeppockets WHERE id=294722724 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722724 AND published='1' LIMIT 1

69 (37.908554077148): 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 (495.91064453125): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (321.1498260498): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): 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 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (42.915344238281): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (26.941299438477): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.186508178711): 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 (131.13021850586): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (108.00361633301): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (423.19297790527): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (151.8726348877): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (177.86026000977): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (97.036361694336): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (178.09867858887): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (129.93812561035): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (225.06713867188): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (104.90417480469): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (!!!!! 2587.0800018311): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (204.08630371094): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (674.00932312012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

105 (295.87745666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

106 (315.90461730957): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (68.902969360352): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (672.1019744873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

109 (213.8614654541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

110 (72.956085205078): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (753.87954711914): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (725.03089904785): 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 (!!!!! 3386.9743347168): 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 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

115 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

116 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

117 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

118 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

119 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

120 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

121 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

122 (407.93418884277): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 57765.007019043): 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 (!!!!! 1008.9874267578): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722724 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722724 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 21878.004074097): ( 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 (150.91896057129): ( 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 (170.94612121582): 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 (186.92016601562): 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 (63.180923461914): 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 (41.007995605469): 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 (970.84045410156): 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 (51.975250244141): 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 (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

134 (41.007995605469): 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 (559.09156799316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (442.0280456543): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=216

138 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=216

139 (967.02575683594): 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 (650.88272094727): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

142 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

143 (!!!!! 9135.9615325928): TRUNCATE TABLE jos_trademed_module

144 (110.86463928223): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (68.902969360352): 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=294722724 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (557.89947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

149 (226.02081298828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

150 (!!!!! 1503.9443969727): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

152 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

153 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722724 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722724 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (41.961669921875): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

155 (37.908554077148): 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 (46.014785766602): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (190.97328186035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

158 (99.18212890625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722724 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722724 AND published='1' LIMIT 1

159 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

160 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

161 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

162 (32.901763916016): select jos_linkedin.link from jos_linkedin where cat=10

163 (341.89224243164): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1477.0030975342): insert into jos_banners_delta values (14202,'2025-06-22 03:44:38','216.73.216.120','view'),(14203,'2025-06-22 03:44:38','216.73.216.120','view')

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