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27 Jul 2025 - 30 Jul 2025

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

Cutting Transcription Costs Leads to Increased Adoption of Speech Recognition

By MedImaging International staff writers
Posted on 14 Apr 2009

Utilizing a new radiology speech recognition system, radiologists may complete reports in real-time with free text speech recognition, standard site templates, individual radiologist templates, and other features focused on meeting the industry need for reduced turnaround time, increased accuracy and consistency of reporting, as well as improved provider efficiency.

Nuance Communications, Inc. (Burlington, MA, USA), a supplier of speech solutions, reported that its RadWhere speech recognition system has significantly improved radiology workflow and productivity at three U.S. facilities: Cook Children's Health Care System (Fort Worth, TX, USA); University of Florida Health Science Center Jacksonville (USA); and University of Mississippi Medical Center (Jackson, USA). With accuracy rates up to 99%, RadWhere improves the day-to-day tasks of everyone involved in the interpretation and delivery of diagnostic imaging exams, from referring physician to technologist, and ultimately increases the quality of patient care.

At the core of the RadWhere application is the latest in structured speech recognition technology, optimized specifically for the radiology domain to work within picture archiving and communication system (PACS) and radiology information system (RIS) environments and significantly reduce or eliminate the need for transcription. RadWhere goes beyond speech recognition, offering numerous dictation options to meet the unique needs of each user.

"We switched to RadWhere because of its superior speech recognition abilities, even with foreign dialects," said John Mowry, digital imaging manager, Cook Children's Health System. "The number of studies that we're able to complete with so few radiologists since implementing RadWhere is astonishing. RadWhere has enabled us to go from about 46% self-editing with more than a 20-hour turnaround time [TAT] to 99% self-editing with less than a six-hour average TAT."

Cook Children's Health Care System, a pediatric hospital that services Tarrant County in Texas, went live with RadWhere in September 2008. The facility is tasked with processing approximately 135,000 studies per year with only three full-time radiologists. RadWhere helped tremendously with productivity, eliminating wasted time spent on sign-off by enabling radiologists to complete reports all at once without the back-and-forth transcription approval process. Cook's has saved approximately US$9,000 per month since implementing RadWhere, totaling about $54,000 in less than six months. Return on investment (ROI) was realized in just four months.

University of Florida Health Science Center Jacksonville, a 700-plus bed facility with a large emergency room and Level 1 trauma center, switched to RadWhere in September 2007. With 16 attending radiologists and 21 residents, the facility completes 280,000 exams per year. At initial implementation, it took just one weekend for RadWhere to become fully functioning within the current PACS environment. "Since deploying RadWhere, the productivity of the radiologists at the University of Mississippi Medical Center has gone through the roof," said Daryle Heath, director of imaging services, the University of Mississippi Medical Center. "These are tough times for us all and healthcare entities are certainly not immune to economic pains. Now more than ever, we're relying on strategic IT [information technology] investments, such as RadWhere, because of their proven return on investment."

The University of Mississippi Medical Center, which has 25 resident radiologists and less than 20 staff radiologists, has been fully utilizing RadWhere since May 2008 within their current PACS. Currently, approximately 40 radiologists are servicing physicians from all over the state using RadWhere to process approximately 260,000 exams per year. Deployment of the technology took less than 90 days, and since then the facility has eradicated all transcription, leading to annual savings of approximately $900,000. ROI was realized in less than six months, while TAT went from 80% of reports completed within 24 hours to 99.9% of reports completed in that same timeframe.

RadWhere offers integration into existing radiology workflow, from a single multisite worklist to automated structured reporting to voice driven navigation, editing, and electronic signature.

Related Links:
Nuance Communications

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57 (!!!!! 1666.0690307617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

58 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

59 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

60 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

61 (110.86463928223): 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 (481.12869262695): SELECT fid FROM jos_deeppockets WHERE id=294722802 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722802 AND published='1' LIMIT 1

63 (291.10908508301): 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 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

65 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

66 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

68 (34.093856811523): SELECT fid FROM jos_deeppockets WHERE id=294722802 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722802 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 (258.9225769043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (251.05476379395): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (37.908554077148): 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 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (125.88500976562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (36.954879760742): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (32.901763916016): 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 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

105 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

106 (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 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=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (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_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=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

109 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

110 (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.id=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (597.00012207031): 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=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (761.98577880859): 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 (571.01249694824): 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 (183.10546875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

115 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

116 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

118 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

119 (37.193298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

120 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

121 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

122 (298.02322387695): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 21515.846252441): 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 (522.85194396973): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722802 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722802 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 6939.172744751): ( 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 (66.041946411133): ( 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 (37.908554077148): 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 (28.848648071289): 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 (36.954879760742): 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 (29.087066650391): 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 (278.94973754883): 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 (55.789947509766): 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 (35.04753112793): 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 (28.133392333984): 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 (343.08433532715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (252.96211242676): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (118.01719665527): SELECT name FROM jos_deeppockets WHERE id=216

138 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=216

139 (571.01249694824): 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 (550.98533630371): 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 (123.97766113281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

142 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

143 (!!!!! 6551.98097229): TRUNCATE TABLE jos_trademed_module

144 (313.99726867676): 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=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (167.8466796875): 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=294722802 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (627.04086303711): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

149 (525.95138549805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

150 (!!!!! 1739.0251159668): 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 (708.10317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

152 (381.9465637207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

153 (339.03121948242): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722802 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722802 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (301.12266540527): 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 (94.890594482422): 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 (112.05673217773): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

158 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722802 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722802 AND published='1' LIMIT 1

159 (!!!!! 3849.0295410156): select jos_twitters.link from jos_twitters where cat=10

160 (58.889389038086): select jos_facebook.link from jos_facebook where cat=10

161 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

162 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

163 (259.1609954834): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1228.0941009521): insert into jos_banners_delta values (14202,'2025-06-22 05:02:55','216.73.216.120','view'),(14203,'2025-06-22 05:02:55','216.73.216.120','view')

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