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Imaging Data Access Streamlined with Cardiovascular Information Systems, Radiology PACS

By MedImaging International staff writers
Posted on 22 Jul 2013

Using a new radiology picture archiving and communication system (PACS), health enterprises will be able to easily view, analyze medical images, and provide diagnostic reports across the enterprise. More...

By implementing a cardiovascular information system (CVIS), the US healthcare team will have complete access to cardiovascular images and reports in real-time, including a focus on pediatric cardiology. Moreover, by using a new qualitative information and communication system, users will be able to collaborate on critical data with the appropriate workflow, while supporting quality initiatives.

When specialists at Methodist Le Bonheur Healthcare (MLH; Memphis, TN, USA), a not-for-profit health system, saw the opportunity to standardize their range of diagnostic imaging solutions, they chose to deploy McKesson’s (San Francisco, CA, USA) range of enterprise medical imaging systems across its various facilities to help improve physician collaboration, streamline data management, and simplify its imaging archive process with just one point of access.

The hospital’s clinical stakeholders, in partnership with its information technology (IT) and engineering services group chose to collaborate with McKesson. Everyone agreed that the McKesson system best met their stakeholder requirements by supporting the enterprise’s needs to provide streamlined access to information and improve workflow and data management.

Using McKesson Radiology, a picture archiving and communication system (PACS), the health system will be able to easily view and analyze medical images and provide diagnostic reports across the enterprise. By implementing McKesson Cardiology, a comprehensive cardiovascular information system (CVIS), the MLH care team will have complete access to cardiovascular images and reports in real-time, including a concentration on pediatric cardiology. With a qualitative information and communication system (QICS), users will be able to collaborate on critical data with the appropriate workflow, while supporting quality initiatives.

“By deploying these solutions together, we can improve workflow efficiency for our clinicians and decrease the complexity of our current IT [information technology] infrastructure,” said Alastair MacGregor, senior vice president and chief healthcare information officer, Methodist Le Bonheur Healthcare. “In doing so, we expect to reduce our cost of ownership. We also will be able to consolidate information that’s essential for making diagnoses, which will enable our medical and clinical staff to make more informed decisions faster.”

Furthermore, MLH will employ McKesson Study Share, a web-based knowledge management system, and McKesson Enterprise Image Repository to help simplify enterprise-wide access to imaging information. Physicians will now have the ability to converse, initiate a context-sensitive case for review, agree or disagree on the evaluation, and immediately go back to their normal workflow from any computer. The capability to launch studies from either system with immediate notifications will help improve image management and staff collaboration. By reducing the complexity of interfaces across the enterprise, MLH will not only be able to improve decision support, but will also be able to lower the costs associated with interfaces and help decrease the need for future migrations.

“Large organizations like Methodist Le Bonheur need systems that are designed to seamlessly interoperate and provide intelligent workflow that results in unified access to a patient’s imaging records,” said Kevan Torgerson, president, McKesson enterprise medical imaging and ancillary Solutions. “Their physicians need fast access to data and the ability to communicate with one another in real-time. Having access to the right information at the right time will help MLH to achieve better business performance and provide even better care to patients throughout its growing community.”

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Methodist Le Bonheur Healthcare
McKesson

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57 (550.0316619873): 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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1219.0341949463): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

59 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

60 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

61 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

62 (76.055526733398): 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 (505.92422485352): SELECT fid FROM jos_deeppockets WHERE id=294747331 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747331 AND published='1' LIMIT 1

64 (47.206878662109): 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 (69.856643676758): select jos_twitters.link from jos_twitters where cat=10

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

67 (32.186508178711): 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 (89.883804321289): SELECT fid FROM jos_deeppockets WHERE id=294747331 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294747331 AND published='1' LIMIT 1

70 (42.915344238281): 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 (329.01763916016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (220.06034851074): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (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`

74 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (33.140182495117): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (33.855438232422): 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 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (80.108642578125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

106 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

107 (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.cat=10 AND dp.id=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (44.822692871094): 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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (132.79914855957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

110 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (523.80561828613): 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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (545.97854614258): 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 (315.18936157227): 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 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

116 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

117 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

118 (36.001205444336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

119 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

120 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

121 (44.107437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

122 (37.193298339844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

123 (267.02880859375): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 19735.097885132): 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 (524.99771118164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747331 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747331 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 7763.147354126): ( 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 (75.101852416992): ( 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 (41.007995605469): 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 (29.087066650391): 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 (66.995620727539): 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 (30.040740966797): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (355.95893859863): 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 (50.067901611328): 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 (41.007995605469): 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 (30.994415283203): 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 (511.88468933105): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (320.9114074707): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=216

139 (32.186508178711): SELECT name FROM jos_deeppockets WHERE id=216

140 (659.94262695312): 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 (476.83715820312): 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 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

143 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

144 (!!!!! 9563.9228820801): TRUNCATE TABLE jos_trademed_module

145 (705.00373840332): 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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (92.029571533203): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_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=294747331 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (506.16264343262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (60.796737670898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

150 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

151 (!!!!! 1397.8481292725): 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 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

153 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

154 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294747331 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294747331 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (35.04753112793): 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 (33.140182495117): 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 (36.954879760742): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

159 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294747331 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294747331 AND published='1' LIMIT 1

160 (66.995620727539): select jos_twitters.link from jos_twitters where cat=10

161 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

162 (44.107437133789): select jos_google_plus.link from jos_google_plus where cat=10

163 (33.855438232422): select jos_linkedin.link from jos_linkedin where cat=10

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