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

Health Center Replaces Manual Processes to Improve Compliance

By MedImaging International staff writers
Posted on 18 Jan 2010

Diagnostic departments are finding significant advantages in speech recognition, clinical communication tools, and patient-outcome analysis capabilities despite information technology (IT) purchasing constraints.

Nuance Communications, Inc. (Burlington, MA, USA) announced that Renown Health, northern Nevada's largest not-for-profit health network, and University of Wisconsin (UW) Health, which represents the five academic healthcare entities of the University of Wisconsin-Madison (USA), have both included Nuance's diagnostic imaging solutions as part of their enterprise IT portfolio.

A primary goal of healthcare reform is to "bend the healthcare spending curve,” an initiative geared at slowing and reducing the amount of money spent annually on healthcare while simultaneously improving the quality of care delivered. While a contributing factor to growing industry costs has been the increased use of medical technology, there is plentiful evidence that healthcare IT solutions that replace older technologies and manual processes, can actually result in lower costs and improved care. One example of how technology can save the industry money vs. increasing spending is the shift from traditional medical transcription for clinical documentation to the use of speech recognition for radiology reporting.

"Today, nearly 100 radiologists and 50 fellows and residents use speech recognition across multiple UW Health sites to report on more than 250,000 exams annually. Because we've added speech recognition to the radiology reporting workflow, we are able to create reports instantaneously, whereas five years ago it might have taken two-four days to finalize a report,” said Gary Wendt, M.D., MBA, enterprise director of medical imaging at UW Health. "Speech recognition has helped UW Health to significantly bend the cost curve with estimated medical transcription savings at nearly US$400,000. In the next year, we expect to double the amount of radiology reports we create with speech recognition, and expect our savings to increase even more.”

Beyond the use of healthcare IT systems for controlling cost growth, patient safety, and compliance are also areas in which technology can contribute significant benefits. In 2006, nearly two-thirds of hospitals surveyed by The Joint Commission failed to meet the accreditation requirement for communication of critical test results. To combat this problem, The Joint Commission Standards for U.S. patient safety now require that hospitals improve the effectiveness of caregiver communication and track the results for critical tests and diagnostic procedures in a timely basis. Because getting information to the right clinician in a timely manner can be challenging, healthcare organizations, such as Renown Health, are deploying Veriphy. Veriphy is a critical test result management (CTRM) system that will provide Renown Health the ability to consistently track, document, and improve the effectiveness and timeliness of communicating critical results to the responsible caregiver for a patient. Renown Health will deploy Veriphy as its standard process for communication and documentation amongst ordering clinicians and radiologists.

"Patient safety and compliance is core to our hospital's mission. We believe that by adding the right mix of healthcare IT to our workflow, we will be able to improve the way we serve patients, create a safer environment for care, and enhance our ability to comply with industry regulatory requirements,” said Christine Wells, director of outpatient imaging, Renown Health. "Renown Health will deploy Nuance's RadWhere, Veriphy, and RadCube solutions in March 2010. As part of the roll-out, we will replace manual medical transcription, manual critical communication processes, and will gain intelligence on diagnostic imaging utilization and physician ordering habits; this knowledge will help us drive the best patient outcomes possible.”

To ensure readily available and highly accurate clinical documentation, Renown Health will use Nuance's RadWhere, a radiology reporting solution with accuracy rates up to 99%. 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. 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.

Renown Health will also deploy Nuance's RadCube software system, a Web-based intelligence tool for the collection, analysis, and sharing of data (i.e., decision-support, ordering, patient outcome information) that can be viewed via one interface for instantaneous analytics to drive appropriate order monitoring, forecasting, and provider productivity. Renown Health will also have access to the de-identified, aggregate data of all medical groups using RadCube, thereby improving the their knowledge of which diagnostic imaging tests produce the best patient outcomes.

"UW Health and Renown Health are two forward thinking customers that have recognized the substantial impact that Nuance's Diagnostic IT solutions can have on an organization's work processes and bottom-line. Technologies that enable clinical decision-support, speech-driven reporting, patient outcomes analysis, and automated caregiver communication are proven examples of how the healthcare cost curve can be bent while patient care, provider productivity and satisfaction simultaneously improve,” said Peter Durlach, senior vice president product strategy and marketing, Nuance Healthcare. "To ensure healthcare organizations can easily acquire these technologies in an economic time when capital purchases can be difficult to execute, we have designed a flexible, transactional pricing model that will generate immediate ROI [return on investment] for our customers with little or no upfront capital investment.”

Related Links:
Nuance Communications
Renown Health
University of Wisconsin Health

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55 (79.870223999023): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

56 (564.0983581543): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (!!!!! 1324.8920440674): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

58 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

59 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

60 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

61 (108.00361633301): 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 (615.83518981934): SELECT fid FROM jos_deeppockets WHERE id=294727466 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727466 AND published='1' LIMIT 1

63 (350.9521484375): 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 (64.13459777832): select jos_twitters.link from jos_twitters where cat=10

65 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

66 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

67 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

68 (56.028366088867): SELECT fid FROM jos_deeppockets WHERE id=294727466 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294727466 AND published='1' LIMIT 1

69 (39.100646972656): 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 (288.00964355469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (228.8818359375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (45.061111450195): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.802322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727466 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 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): 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 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): 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 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

105 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

106 (75.101852416992): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (49.114227294922): 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=294727466 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=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

109 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

110 (56.982040405273): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (479.93659973145): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (635.14709472656): 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 (467.06199645996): 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 (226.97448730469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

115 (149.01161193848): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

116 (151.8726348877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

117 (198.8410949707): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

118 (205.03997802734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

119 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

120 (140.90538024902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

121 (191.92695617676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

122 (561.95259094238): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 31733.03604126): 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 (478.02925109863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727466 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727466 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 7052.8984069824): ( 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 (138.0443572998): ( 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 (!!!!! 4133.939743042): 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 (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

129 (41.961669921875): 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 (30.040740966797): 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 (819.92149353027): 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 (87.976455688477): 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 (32.901763916016): 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 (26.941299438477): 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 (450.13427734375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (403.88107299805): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (207.90100097656): SELECT name FROM jos_deeppockets WHERE id=216

138 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=216

139 (545.97854614258): 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 (534.0576171875): 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 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

142 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

143 (!!!!! 7937.9081726074): TRUNCATE TABLE jos_trademed_module

144 (92.029571533203): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (63.896179199219): 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=294727466 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (771.04568481445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

149 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

150 (!!!!! 1084.0892791748): 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 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

152 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

153 (41.007995605469): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294727466 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294727466 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (385.99967956543): 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 (36.954879760742): 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 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

158 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294727466 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294727466 AND published='1' LIMIT 1

159 (65.803527832031): select jos_twitters.link from jos_twitters where cat=10

160 (33.855438232422): select jos_facebook.link from jos_facebook where cat=10

161 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

162 (30.040740966797): select jos_linkedin.link from jos_linkedin where cat=10

163 (252.96211242676): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

164 (916.95785522461): insert into jos_banners_delta values (14202,'2025-06-21 10:31:41','216.73.216.120','view'),(14203,'2025-06-21 10:31:41','216.73.216.120','view')

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