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Image Sharing Project Receives New Finding to Expand Network

By MedImaging International staff writers
Posted on 10 Dec 2012

A pilot project was initiated in 2009 to construct a patient-centric and secure medical image-sharing network. More...

The Image Share network is based on common open-standards architecture and it enables patients to control access to their health data through personal health records (PHRs) without the need to depend on CDs.

The Radiological Society of North America (RSNA; Oak Brook, IL, USA) has received a contract from the US National Institute of Biomedical Imaging and Bioengineering (NIBIB; Bethesda, MD, USA) that provides support to expand the NIBIB-funded pilot project that created the RSNA Image Share network. The contract provides two years of support at USD 5.3 million and two additional option years at USD 5.5 million.

Images and reports are sent from the participating sites to an Internet-based secure image repository called the Image Clearinghouse. Patients are instructed how to establish PHR accounts and retrieve their images into those accounts. They use their PHR accounts to maintain and share their images with selected providers, creating a detailed medical history accessible through any secure Internet connection.

“A patient’s access to his or her personal medical information is critical for more patient-centric healthcare where each patient is an active participant and partner in medical decision making and in realizing high value care,” said Roderic Pettigrew, PhD, MD, director of the NIBIB. “The RSNA Image Share network provides patients with direct access to and greater control of their medical images, allowing them to electronically share important diagnostic information with their entire healthcare team.”

The Image Share network currently includes five sites: Mount Sinai Medical Center (New York, NY, USA), Mayo Clinic (Rochester, MN, USA), University of California, San Francisco (USA), University of Chicago Medical Center (IL, USA), and University of Maryland Medical Center (Baltimore, USA). The network has been utilized by more than 2,000 patients since it began operation in 2011. More than 20 additional sites have expressed their intent to join the network and are in various stages of implementation.

By easing access to imaging scans for patients and physicians, the network has the potential to minimize patient radiation exposure, decrease unnecessary examinations, and enable better informed medical decision-making. Participating sites also educate patients on establishing PHR accounts. “The RSNA Image Share network can improve quality, safety and efficiency while engaging patients and families in their own care,” said the project’s lead investigator, David S. Mendelson, MD, chief of clinical informatics at the Mount Sinai Medical Center and member of the RSNA radiology informatics committee. “Our patients are successfully using the network to access and distribute their medical images.”

The new contract provides for continued expansion of the network. Over the next four years, 40 additional sites are expected to be added to the network, using a computer system called the Edge Server that was developed under the pilot project to connect their local radiology systems to the network. The entire Philadelphia (PA, USA) metropolitan area will be one focus of expansion, as will the Central Alabama Health Information Exchange. Moreover, vendors of radiology systems have expressed a strong interest in bringing their client sites into the network, which could rapidly increase the number of participating sites and patients.

The new contract also provides for expanding the cases addressed by the Image Share network. The network, in addition to the patient-controlled model, will be made capable of supporting provider-to-provider exchange of information with patient consent, so that participating sites can use it for consult or emergency cases. The network’s capabilities will also be expanded to support image exchanges for multisite imaging research. The contract funds will be used to improve the efficiency of image exchange by using streaming technologies and promoting refinements to standards for medical imaging data.

Lastly, the new contract provides funding for pilot projects that make use of the data collected by Edge Servers at the participating sites for decision support, effectiveness research, and other data mining applications.

RSNA Image Share is based upon the XDS profile of Integrating the Healthcare Enterprise (IHE), an initiative among medical specialists, medical societies, software developers, and vendors to improve communication among healthcare systems and software. The aim is to move closer to a universal electronic health record (EHR) and help physicians meet [US] federal meaningful use (MU) requirements in practice.

RSNA is an association of more than 50,000 radiologists, radiation oncologists, medical physicists, and related scientists, fostering optimum patient care and healthcare delivery through education, research, and technologic innovation.

Related Links:
Radiological Society of North America
National Institute of Biomedical Imaging and Bioengineering

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55 (90.122222900391): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'

56 (72.002410888672): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (539.06440734863): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1456.9759368896): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

59 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

60 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

61 (65.803527832031): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

62 (105.14259338379): 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 (619.17304992676): SELECT fid FROM jos_deeppockets WHERE id=294743734 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743734 AND published='1' LIMIT 1

64 (50.067901611328): 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 (49.829483032227): select jos_twitters.link from jos_twitters where cat=10

66 (35.04753112793): select jos_facebook.link from jos_facebook where cat=10

67 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

68 (33.855438232422): select jos_linkedin.link from jos_linkedin where cat=10

69 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=294743734 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743734 AND published='1' LIMIT 1

70 (37.908554077148): 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 (357.86628723145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (267.02880859375): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (43.869018554688): 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 (64.13459777832): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (63.896179199219): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (53.882598876953): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (39.815902709961): 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 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

106 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

107 (65.088272094727): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (61.03515625): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

110 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

111 (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.id=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (649.92904663086): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (677.82402038574): 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 (492.09594726562): 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 (143.05114746094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

116 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

117 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

118 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

119 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

120 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

121 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

122 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

123 (353.09791564941): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 27668.952941895): 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 (679.01611328125): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743734 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743734 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 9629.9648284912): ( 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 (136.13700866699): ( 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 (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 (56.982040405273): 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 (50.067901611328): 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 (33.855438232422): 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 (406.98051452637): 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 (45.061111450195): 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 (37.908554077148): 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 (33.855438232422): 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 (536.20338439941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (421.04721069336): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

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

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

140 (699.99694824219): 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 (597.00012207031): 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 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

143 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

144 (!!!!! 9299.9935150146): TRUNCATE TABLE jos_trademed_module

145 (109.91096496582): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (74.863433837891): 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=294743734 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 1098.1559753418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

150 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

151 (!!!!! 1467.9431915283): 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 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

153 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

154 (50.067901611328): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743734 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743734 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (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)

156 (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)

157 (41.961669921875): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

159 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743734 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743734 AND published='1' LIMIT 1

160 (46.968460083008): select jos_twitters.link from jos_twitters where cat=10

161 (34.093856811523): select jos_facebook.link from jos_facebook where cat=10

162 (35.04753112793): 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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