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Canadian Hospital improves Internal Workflow with Integrated PACS

By MedImaging International staff writers
Posted on 08 Sep 2009

As an integral part of the Quebec (Canada) Government's eHealth initiative, a picture archival and communications system (PACS) has helped a university hospital switch to a digital radiology environment--improving workflow, facilitating efficient information sharing among physicians, and enabling better delivery of patient care.

Agfa HealthCare (Mortsel, Belgium), a provider of information technology (IT)-enabled clinical workflow and diagnostic imaging systems, reported that Centre Hospitalier Universitaire de Québec (CHUQ; Canada), which is affiliated with the Réseau Universitaire Intégré de Santé (RUIS) of Université Laval (Canada) region, has successfully implemented its Impax 6 PACS.

In late 2006, Agfa HealthCare was selected as the preferred vendor for the Quebec Government's request for proposal to implement a PACS across all 51 sites of the RUIS of Université Laval region, which yearly perform more than 2.2 million radiology exams. In addition, dual Diagnostic Imaging repositories (DI-r) were required to manage centrally the storage and sharing of every exam completed in the region. Over an 18-month period, Agfa HealthCare and members of RUIS Université Laval's hospitals and teams worked diligently to oversee the successful implementation of Agfa HealthCare's Impax 6 PACS and DI-r solution across the entire region. Six months after the winter 2008 completion, CHUQ is experiencing the full benefits of the new technology.

"Prior to the implementation of Impax 6, it was extremely difficult for physicians to quickly gain access to previous patient exams, and they would sometimes have to go through laborious search to find the screen films they needed,” said Dr. Paul Langis, assistant radiologic department director at Hôpital Saint-François d'Assise (Quebec, Canada). "With Impax 6, physicians can now reduce the number of redundancies, share patient reports in real-time, optimize workflow, and call up a digital image quickly, which has provided CHUQ with the opportunity to reduce wait-times for exam interpretation.”

Before the introduction of PACS, CHUQ was manually sharing patient images between its healthcare institutions. With the implementation of Impax 6, CHUQ physicians are now sharing images electronically among its three locations and viewing current and prior exams remotely in real-time. Hôtel-Dieu de Québec, Hôpital Saint-François d'Assise, and Centre hospitalier de l'Université Laval (CHUL; Canada) are now equipped with more than 900 PACS workstations, and approximately 1,479 healthcare professionals are using the solution and noting faster patient turnaround times and decrease in overall wait times.

"With many healthcare facilities facing the need to work more efficiently and effectively, CHUQ required a solution that would help reduce costs and increase productivity without compromising its high standard of patient care,” said Dave Wilson, vice-president, Agfa HealthCare Canada. "With Impax 6 in place, CHUQ patients benefit from shorter wait-times and faster report turnaround, which enables patients to be diagnosed more quickly.”

Agfa HealthCare, a member of the Agfa-Gevaert Group, is a provider of IT-enabled clinical workflow and diagnostic image management solutions, and state-of-the-art systems for capturing and processing images in hospitals and healthcare facilities.

Related Links:
Agfa HealthCare
Centre Hospitalier Universitaire de Québec

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60 (967.02575683594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

61 (!!!!! 1932.1441650391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

62 (!!!!! 13023.138046265): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

63 (172.13821411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

64 (!!!!! 5217.0753479004): 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

65 (591.99333190918): SELECT fid FROM jos_deeppockets WHERE id=294725328 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725328 AND published='1' LIMIT 1

66 (!!!!! 1279.1156768799): 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`

67 (!!!!! 1589.0598297119): select jos_twitters.link from jos_twitters where cat=10

68 (28.133392333984): select jos_facebook.link from jos_facebook where cat=10

69 (387.90702819824): select jos_google_plus.link from jos_google_plus where cat=10

70 (!!!!! 3454.9236297607): select jos_linkedin.link from jos_linkedin where cat=10

71 (232.93495178223): SELECT fid FROM jos_deeppockets WHERE id=294725328 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294725328 AND published='1' LIMIT 1

72 (60.081481933594): 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`

73 (259.8762512207): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (!!!!! 1601.9344329834): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (!!!!! 1018.0473327637): 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`

76 (149.96528625488): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (137.8059387207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (122.0703125): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (464.91622924805): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (190.97328186035): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (159.02519226074): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (133.03756713867): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (138.99803161621): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 1453.8764953613): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (147.10426330566): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (56.028366088867): 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`

93 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (640.869140625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

108 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

109 (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.cat=10 AND dp.id=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (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_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=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

112 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

113 (46.014785766602): 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=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (396.9669342041): 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=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (697.85118103027): 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

116 (473.97613525391): 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

117 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

118 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

119 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

120 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

121 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

122 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

123 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

124 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

125 (398.87428283691): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

126 (!!!!! 148261.07025146): 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

127 (!!!!! 1214.0274047852): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725328 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725328 AND type='deeppockets_item' AND published='1' LIMIT 1

128 (59.127807617188): ( 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

129 (61.988830566406): ( 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

130 (298.97689819336): 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

131 (42.915344238281): 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

132 (!!!!! 4026.8898010254): 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

133 (107.0499420166): 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

134 (43.153762817383): 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

135 (39.815902709961): 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

136 (43.153762817383): 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

137 (38.862228393555): 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

138 (484.94338989258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (786.06605529785): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

140 (!!!!! 4245.0428009033): SELECT name FROM jos_deeppockets WHERE id=216

141 (!!!!! 5981.9221496582): SELECT name FROM jos_deeppockets WHERE id=216

142 (!!!!! 3539.8006439209): 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

143 (!!!!! 1775.0263214111): 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

144 (!!!!! 2284.049987793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

145 (864.02893066406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

146 (!!!!! 10005.950927734): TRUNCATE TABLE jos_trademed_module

147 (!!!!! 4478.931427002): 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=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 2341.9857025146): 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=294725328 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

149 (!!!!! 1053.0948638916): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

151 (!!!!! 2414.9417877197): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

152 (756.97898864746): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

153 (!!!!! 8346.0807800293): 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

154 (78.201293945312): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

155 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

156 (659.94262695312): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294725328 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294725328 AND type='deeppockets_item' AND published='1' LIMIT 1

157 (51.021575927734): 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)

158 (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)

159 (37.193298339844): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

160 (96.797943115234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

161 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294725328 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294725328 AND published='1' LIMIT 1

162 (42.915344238281): select jos_twitters.link from jos_twitters where cat=10

163 (36.001205444336): select jos_facebook.link from jos_facebook where cat=10

164 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

165 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

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