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Flexible RIS Enables Facilities to Adjust to Changing Requirements

By MedImaging International staff writers
Posted on 19 Jan 2011

A new radiology information system (RIS) platform helps healthcare providers to adapt data capture and workflow to address meaningful use requirements and other changes in healthcare practices and regulations worldwide.

At the annual Radiology Society of North America (RSNA) meeting, held November 28 to December 3, 2010, in Chicago IL, USA, Carestream Health (Rochester, NY, USA) demonstrated the RIS' ability to capture and share specific data required to meet US Federal Government guidelines for meaningful use. The company plans to submit an application for certification of its RIS as an EHR module that meets meaningful use criteria in the first half of 2011. Due to its built-in flexibility, Carestream RIS can meet the meaningful use initiative without requiring a new software release.

"Being able to redefine RIS workflows allows healthcare facilities to respond to government regulations including meaningful use, as well as adjust processes to satisfy emerging business needs," Diana L. Nole, president, digital medical solutions, Carestream Health. "Our RIS also offers advanced business intelligence tools that can help imaging centers, hospitals, and healthcare systems of all sizes improve productivity, efficiency, and profitability."

The company demonstrated the collection and/or receipt of the following data, which meets the first phase of meaningful use requirements: patient demographics, vital signs, smoking status, immunization records, diseases, allergies, and advanced directives for patients over 65. It also will validate that patient medications were tracked by referring physicians.

The powerful business intelligence capabilities of the Carestream RIS provide easy access to the imaging workflow and accurate data about personnel and equipment utilization so managers can make strategic decisions to help improve profitability. This data includes profitability rates for each modality; patient wait times, and volumes by modality or location; and the ability to examine imaging workflows to eliminate bottlenecks or unnecessary tasks.

The RIS integrates easily with other information systems and delivers broad functionality that--in the case of one large US hospital--replaced the need to integrate nine independent systems. This functionality includes innovative patient scheduling and tracking, including a rules engine that will notify schedulers if they are breaking a user-defined rule. This can improve patient safety and reduce scheduling errors.

Other features include built-in critical results reporting, including the ability to send text messages to referring physicians and track receipt. Administrative screens facilitate data collection and reporting required by JCAHO (Joint Commission on Accreditation of Healthcare Organizations). A native ACR peer review module tracks reviews of original diagnoses by a second radiologist and meets requirements set by the American College of Radiology (ACR; Reston, VA, USA). Fully featured structured reporting that includes selection of a standard report based on the exam procedure and embeds patient and exam data into the report. The system features embedded voice recognition for an efficient reading workflow with voice-driven, mouse-less reporting to additionally enhance radiologist ease of use and productivity; web-based scheduling for referring physicians with an option to allow patients to make or change appointments; referral reports that show how many patients each physician is referring and if their referral rates are trending higher or lower; and specialized mammography reporting that meets country-specific requirements in North America and Europe.

Lastly, the system includes inventory management, document management and film tracking; and support for standard or user-defined procedure codes.

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64 (322.10350036621): select jos_twitters.link from jos_twitters where cat=10

65 (129.93812561035): select jos_facebook.link from jos_facebook where cat=10

66 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10

67 (376.93977355957): select jos_linkedin.link from jos_linkedin where cat=10

68 (338.07754516602): SELECT fid FROM jos_deeppockets WHERE id=294733021 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733021 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 (!!!!! 1403.80859375): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (288.00964355469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (47.922134399414): 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 (501.87110900879): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (112.05673217773): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (220.06034851074): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (153.0647277832): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (188.11225891113): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (154.01840209961): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (177.86026000977): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (470.87669372559): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 2829.0748596191): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (385.04600524902): 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 (80.108642578125): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (128.98445129395): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (!!!!! 1513.0043029785): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (78.916549682617): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (29.802322387695): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

105 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

106 (58.174133300781): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (537.15705871582): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1285.0761413574): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

109 (100.85105895996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

110 (58.174133300781): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (775.81405639648): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (604.86793518066): 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 (437.97492980957): 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 (115.15617370605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

115 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

116 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

117 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

118 (85.115432739258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

119 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

120 (295.87745666504): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 41709.184646606): 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

122 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

123 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

124 (503.0632019043): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733021 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733021 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1560292.9592133): ( 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 (!!!!! 1869.9169158936): ( 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 (79.870223999023): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

128 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

129 (52.928924560547): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

130 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

131 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

132 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (555.99212646484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (445.84274291992): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (44.822692871094): SELECT name FROM jos_deeppockets WHERE id=216

136 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=216

137 (461.81678771973): 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

138 (501.87110900879): 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

139 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

140 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

141 (!!!!! 13883.829116821): TRUNCATE TABLE jos_trademed_module

142 (!!!!! 3556.0131072998): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (149.96528625488): 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=294733021 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (631.09397888184): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (80.82389831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

147 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

148 (!!!!! 2501.9645690918): 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

149 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

150 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

151 (!!!!! 1458.1680297852): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733021 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733021 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (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)

153 (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)

154 (44.107437133789): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (164.03198242188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

156 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733021 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733021 AND published='1' LIMIT 1

157 (62.942504882812): select jos_twitters.link from jos_twitters where cat=10

158 (39.100646972656): select jos_facebook.link from jos_facebook where cat=10

159 (42.200088500977): select jos_google_plus.link from jos_google_plus where cat=10

160 (38.862228393555): select jos_linkedin.link from jos_linkedin where cat=10

161 (342.13066101074): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 5043.0297851562): insert into jos_banners_delta values (14615,'2025-06-19 23:38:02','216.73.216.120','view'),(14202,'2025-06-19 23:38:02','216.73.216.120','view'),(14203,'2025-06-19 23:38:02','216.73.216.120','view')

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