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27 Jul 2025 - 30 Jul 2025

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

Outsourcing of IT Requirements Could Promote All-Round Benefits

By MedImaging International staff writers
Posted on 26 Aug 2009

As the modern enterprise tries to focus ever more narrowly on its core activities, information technology (IT) outsourcing services are increasingly being considered as a business strategy that provides access to "best in class” processes and cost predictability, according to a recent market report.

In healthcare, IT outsourcing has become increasingly common and provides organizations of all sizes with access to the types of IT systems and expertise that was once only the preserve of the elite. The changing demands and trends in healthcare are forcing healthcare organizations to acknowledge the increasing role that outsourcing can play in improving effectiveness, competitiveness, and IT expertise as well as in reducing business costs.

New analysis from Frost & Sullivan (Palo Alto, CA, USA), an international growth consultancy company, revealed that the market earned revenues of US$710 million in 2008 and is estimated to reach $1,097 million in 2015. The following segments are covered in the research: business process outsourcing, clinical application outsourcing, and infrastructure outsourcing.

"The healthcare IT outsourcing model represents a significant advance in the optimization of healthcare services,” noted Frost & Sullivan program leader Konstantinos Nikolopoulos. "It promotes better and efficient use of hospital resources and, with a wide range of advantages like low up-front capital investment and shorter implementation life-cycles, allows hospitals and healthcare agencies to focus exclusively on their core competencies of providing patient care.”

The service provider manages the complexities of hosting and managing various applications or technologies. Factors including spiraling healthcare costs, the increasing complexity of healthcare IT solutions, and the difficulties of managing them are set to have a major impact on the European outsourcing market for healthcare IT.

One commonly cited reason for not outsourcing enterprise applications or infrastructure is the need for long-term contracts and the fear of commitment. This generally stems from a number of factors including negative coverage pertaining to loss of jobs, quality of work, and the fear of ceding control, together with concerns about the security and location of the provided services.

"High-profile failures [for example, the prominent failures of several IT service providers to deliver on time for key government agencies] can foster the idea that ‘it is better to do it in-house,'” explained Mr. Nikolopoulos. "Although attitudes are changing towards working with service providers as the benefits associated with outsourced services become better understood, widespread acceptance is still far away.”

Hospitals are constantly trying to reduce prices in an attempt to buy the latest technology with their limited budgets. The costs of implementation will vary significantly depending on factors such as the organization's size, the complexity of its information systems, the level to which its current processes are automated, and the integrity of its current infrastructure. Vendors can respond accordingly by offering competitive prices and flexible payment options.

"The ability of vendors to reduce costs for customers and subsequently make IT outsourcing solutions more attractive is one of the most important factors in this market,” concluded Mr. Nikolopoulos. "A ‘pay as you use' service, for example, can result in many smaller hospitals jumping on board, thereby increasing the installed base of loyal customers and setting the base for larger business opportunities in the future.”

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60 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

61 (107.0499420166): 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 (570.05882263184): SELECT fid FROM jos_deeppockets WHERE id=294725178 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725178 AND published='1' LIMIT 1

63 (340.93856811523): 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 (67.949295043945): select jos_twitters.link from jos_twitters where cat=10

65 (38.14697265625): select jos_facebook.link from jos_facebook where cat=10

66 (48.160552978516): select jos_google_plus.link from jos_google_plus where cat=10

67 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

68 (64.13459777832): SELECT fid FROM jos_deeppockets WHERE id=294725178 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725178 AND published='1' LIMIT 1

69 (41.961669921875): 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 (302.07633972168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (283.00285339355): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (68.187713623047): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (59.843063354492): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (37.193298339844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725178 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 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

105 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

106 (60.081481933594): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (50.067901611328): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

109 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

110 (51.975250244141): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (532.86552429199): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (524.99771118164): 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 (394.82116699219): 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 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

115 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

116 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

117 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

118 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

120 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

121 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

122 (249.14741516113): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 19680.023193359): 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 (511.88468933105): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725178 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725178 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7087.9459381104): ( 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 (95.129013061523): ( 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 (35.04753112793): 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 (76.055526733398): 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 (38.862228393555): 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 (366.2109375): 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 (40.054321289062): 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 (51.975250244141): 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 (36.001205444336): 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 (560.04524230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (447.03483581543): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (293.01643371582): SELECT name FROM jos_deeppockets WHERE id=216

138 (46.968460083008): SELECT name FROM jos_deeppockets WHERE id=216

139 (904.79850769043): 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 (648.97537231445): 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 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

142 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

143 (!!!!! 19515.037536621): TRUNCATE TABLE jos_trademed_module

144 (167.1314239502): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (83.92333984375): 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=294725178 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (646.82960510254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

149 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

150 (!!!!! 1543.9987182617): 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 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

152 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

153 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725178 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725178 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (588.17863464355): 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 (53.882598876953): 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 (58.174133300781): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

158 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725178 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725178 AND published='1' LIMIT 1

159 (61.03515625): select jos_twitters.link from jos_twitters where cat=10

160 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

161 (49.114227294922): select jos_google_plus.link from jos_google_plus where cat=10

162 (43.869018554688): select jos_linkedin.link from jos_linkedin where cat=10

163 (360.96572875977): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (!!!!! 1248.836517334): insert into jos_banners_delta values (14202,'2025-06-21 17:56:28','216.73.216.120','view'),(14203,'2025-06-21 17:56:28','216.73.216.120','view')

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