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Cloud Services Streamline Operational Workflows, Reduce Costs

By MedImaging International staff writers
Posted on 16 May 2012

Healthcare facilities in Europe are leading the world in the implementation of cloud services for the management and distribution of imaging exams and associated patient data. More...

These services streamline operational efficiencies and reduce costs. A new cloud-based service provides rapid access to patient data and images along with sophisticated reading and viewing tools at any on-site or off-site location.
Carestream (Rochester, NY, USA), a world-leading providers of cloud healthcare information technology (IT) infrastructures, presented enhancements to its family of Carestream Vue Cloud Services at the World of Health IT Conference in Copenhagen, Denmark, held May 7-9, 2012.

Services are attractive for facilities of all sizes as they deliver high-performance applications on a predictable pay-per-use basis. Carestream’s cloud infrastructure currently manages over 1 billion images worldwide, supported by data centers across the United States, Europe, Latin America, and Japan.

“The pace of technological change and the expense of purchasing, managing and upgrading a radiology infrastructure is motivating healthcare facilities worldwide to implement Carestream’s cloud services,” said Saskia Groeneveld, marketing manager, healthcare information solutions, Carestream Health Europe. ”Our innovative and cost-effective portfolio of cloud services deliver rapid access to patient data and images along with advanced reading and viewing tools for radiologists and clinicians at any on-site or off-site location.”
With cloud services images can be rapidly and easily transmitted via a secure Internet connection to on-site or off-site radiologists for reading and studies can be shared with referring physicians or other clinicians at any location over a basic Internet connection.

These services are attractive for facilities of all sizes because they deliver high-performance applications on a predictable pay-per-use basis without requiring a large capital investment. Larger facilities are embracing the cloud because their information technology (IT) infrastructure requires continuous maintenance, management and technology upgrades. With cloud services they can achieve a faster return on investment and an overall cost reduction of up to 30%. Imaging centers and mid-sized hospitals benefit from a service model that offers high-quality picture archiving and communication system (PACS), archiving, and image sharing functionality along with expertise in data security.

Carestream’s Vue Cloud PACS provides full PACS functionality for image review, storage, and distribution throughout the enterprise including delivering sophisticated reading tools to remote radiologists. Vue Cloud Archive offers virtualized, vendor-neutral storage as well as data protection and disaster recovery of clinical data and can reduce costs by up to 30%; the Vue Cloud Community enables healthcare providers that use the company’s archive service to allow access to that data by authorized clinicians anywhere in the world through a simple Internet connection, making it suitable for inter-hospital collaboration
Carestream has expanded its cloud applications to include mobile imaging data access from its Vue Motion zero footprint viewer and higher levels of encryption and security through use of the Intel Xeon processor E7 family. Employing Intel’s Xeon E7 family of processors not only increases performance but can also deliver hardware-accelerated encryption. Higher levels of security can now be achieved while improving response times for users.

Also currently under development as a works-in-progress is a cloud patient portal that will allow patients to access, view, and share their own medical imaging data with physicians, specialists, and other healthcare facilities. This patient portal is designed to eliminate the cumbersome process of sharing patient imaging data using CDs, DVDs, or radiographic film.

When available the patient portal will enable a healthcare organization to generate a novel and secure log-in for each patient immediately after an exam. Patients will be able to manage and share imaging information with other physicians, specialists, and healthcare facilities at no charge.

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57 (627.99453735352): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1275.0625610352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

59 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

60 (158.07151794434): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

61 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

62 (110.86463928223): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

63 (649.92904663086): SELECT fid FROM jos_deeppockets WHERE id=294740620 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740620 AND published='1' LIMIT 1

64 (46.968460083008): 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`

65 (40.054321289062): select jos_twitters.link from jos_twitters where cat=10

66 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

67 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

68 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

69 (35.04753112793): SELECT fid FROM jos_deeppockets WHERE id=294740620 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294740620 AND published='1' LIMIT 1

70 (30.994415283203): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=216 ORDER BY `ordering`

71 (355.95893859863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (235.08071899414): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (38.862228393555): 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`

74 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (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`

91 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

106 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

107 (61.988830566406): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (65.803527832031): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

110 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

111 (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 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (550.98533630371): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (591.99333190918): 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 (377.17819213867): 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

115 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

116 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

117 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

118 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

120 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

121 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

122 (37.193298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

123 (255.82313537598): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 20313.97819519): 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

125 (560.99891662598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740620 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740620 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7397.1748352051): ( 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 (126.83868408203): ( 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

128 (66.041946411133): 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 (33.140182495117): 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

130 (202.17895507812): 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 (31.948089599609): 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

132 (310.89782714844): 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 (41.007995605469): 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

134 (35.04753112793): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (28.133392333984): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (540.01808166504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (441.07437133789): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (49.114227294922): SELECT name FROM jos_deeppockets WHERE id=216

139 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=216

140 (570.05882263184): 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 (520.94459533691): 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

142 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

143 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

144 (!!!!! 11086.940765381): TRUNCATE TABLE jos_trademed_module

145 (108.00361633301): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (62.227249145508): 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=294740620 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (601.05323791504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

150 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

151 (!!!!! 1198.0533599854): 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

152 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

153 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

154 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294740620 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294740620 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (44.822692871094): 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 (40.054321289062): 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)

157 (47.922134399414): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

159 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294740620 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294740620 AND published='1' LIMIT 1

160 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

161 (28.848648071289): select jos_facebook.link from jos_facebook where cat=10

162 (41.961669921875): select jos_google_plus.link from jos_google_plus where cat=10

163 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

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