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Canadian Health Authorities Use Radiology Peer-Review Program to Enhance Care

By MedImaging International staff writers
Posted on 26 Dec 2012

A radiologist peer-review system allows organizations to track the complete imaging review process, and integrates with multiple picture archiving communication systems (PACS) to support cross-facility peer review.

The British Columbia Ministry of Health (Vancouver, Canada) has chosen McKesson (San Francisco, CA, USA) as the vendor for its radiologist peer-review initiative, the single largest cross-facility initiative of its kind in North America. As part of its ongoing quality improvement program, the Ministry of Health will utilize McKesson QICS for Radiologist Peer Review in a pilot to help update medical imaging processes and improve quality of care.

The Vancouver Island Health Authority will be first to employ McKesson’s system as part of the initial phase of the program, which includes more than 200 radiologists. In later phases, this provincial project will cover an area that is 1.4 times larger than the state of Texas and involves radiologists reviewing more than 3.5 million exams conducted annually.

The pilot will demonstrate the ability for a case that is initially read by a radiologist, at one health authority, to be peer-reviewed anonymously by a radiologist located in a different location and on a separate PACS. “Conducting peer review of radiologist reports is challenging, particularly across distinct infrastructures, hospital systems and PACS we have throughout our province,” said Dr. John Mathieson, medical director, medical imaging, Vancouver Island Health Authority. “By choosing McKesson for this initiative, for the first time we’ll have the ability to run a comprehensive province-wide quality improvement process, and be able to make some valuable changes that will result in better reporting of imaging studies.”

McKesson QICS for Radiologist Peer Review provides real-time reviews in a fully automated regulatory compliant system, incorporating to existing technology and enhancing existing workflow. The system’s novel rules engine intelligently selects the exams to be reviewed and routes them to the appropriate radiologist based on subspecialty. In the past, a peer review would occur days or weeks after a radiologist writes a report. With this system, the review can occur before the radiology report is sent to the ordering physician, so any needed intervention or corrections can be made in a timely way.

“McKesson QICS for Radiologist Peer Review is uniquely designed to help improve the exchange of information across large, complex hospital networks,” said Kevan Torgerson, president, enterprise medical imaging, McKesson Provider Technologies. “We look forward to working with the British Columbia Ministry of Health on this groundbreaking pilot. Our goal is to help organizations maximize the value of this solution to drive excellence in the delivery of better care, better business, and better connectivity.”

The British Columbia Ministry of Health has overall responsibility for ensuring that quality, appropriate, cost effective and timely health services are available for all British Columbians. The Ministry provides leadership, direction, and support to health-service delivery partners and sets province-wide goals, standards, and expectations for the delivery of health services. The Province’s six health authorities are the organizations primarily responsible for health service delivery. Five regional health authorities deliver a full range of health services to meet the needs of the population within their respective geographic regions.

A sixth health authority, the Provincial Health Services Authority, is responsible for managing province-wide health programs. The Ministry tracks the delivery of health services and the health of British Columbia’s population on an ongoing basis.

Related Links:
British Columbia Ministry of Health
McKesson

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63 (43.869018554688): 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 (70.095062255859): select jos_twitters.link from jos_twitters where cat=10

65 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

66 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

67 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

68 (50.067901611328): SELECT fid FROM jos_deeppockets WHERE id=294743986 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294743986 AND published='1' LIMIT 1

69 (51.021575927734): 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 (294.92378234863): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (212.9077911377): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (36.954879760742): 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 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (37.908554077148): 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 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (84.877014160156): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

105 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

106 (48.87580871582): 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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

110 (50.067901611328): 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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (485.18180847168): 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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (548.12431335449): 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 (321.86508178711): 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 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

115 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

116 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

117 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

118 (277.99606323242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

120 (150.91896057129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 18049.001693726): 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 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

123 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

124 (320.9114074707): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743986 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743986 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 558970.92819214): ( 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 (266.07513427734): ( 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 (80.82389831543): 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 (42.915344238281): 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 (66.995620727539): 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 (43.869018554688): 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 (45.061111450195): 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 (38.862228393555): 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 (360.96572875977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (334.02442932129): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (44.107437133789): SELECT name FROM jos_deeppockets WHERE id=216

136 (30.040740966797): SELECT name FROM jos_deeppockets WHERE id=216

137 (488.0428314209): 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 (485.89706420898): 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 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

140 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

141 (!!!!! 12068.033218384): TRUNCATE TABLE jos_trademed_module

142 (153.0647277832): 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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (84.877014160156): 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=294743986 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (593.90068054199): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

147 (67.234039306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

148 (!!!!! 1717.8058624268): 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 (112.05673217773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

150 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

151 (84.161758422852): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294743986 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294743986 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 (46.968460083008): 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 (49.829483032227): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

156 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294743986 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294743986 AND published='1' LIMIT 1

157 (71.048736572266): select jos_twitters.link from jos_twitters where cat=10

158 (48.87580871582): select jos_facebook.link from jos_facebook where cat=10

159 (43.869018554688): select jos_google_plus.link from jos_google_plus where cat=10

160 (44.107437133789): select jos_linkedin.link from jos_linkedin where cat=10

161 (434.16023254395): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1859.188079834): insert into jos_banners_delta values (14615,'2025-06-18 18:32:00','216.73.216.120','view'),(14202,'2025-06-18 18:32:00','216.73.216.120','view'),(14203,'2025-06-18 18:32:00','216.73.216.120','view')

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