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Radiology Reporting Embedded into Electronic Medical Records

By MedImaging International staff writers
Posted on 13 Jan 2014

Next-generation radiology reporting systems allow radiologists to efficiently incorporate reports that embed key images (traditionally referred to as a “multimedia report”), show or hide annotations and measurements, and perform lesion analysis and tracking, all with little impact on the radiologist’s dictation style and productivity.

The resulting multimedia report is distributed as an embedded part of a health system’s electronic medical record (EMR). Shortly, the multimedia reports will integrate live feedback and messaging tools to increase the bidirectional communication between radiologists and referring physicians.

Primordial (San Mateo, CA, USA), a vendor of communications, workflow, quality management, and analytics applications for the medical imaging market, announced its entry into a key new product area: next-generation radiologist reporting systems, as well as the development of extensive new capabilities across all of its product lines.

Through the management of all core radiologist reading (and for some, protocolling) workflow at large integrated delivery networks (IDNs) and hospitals, Primordial’s orchestration application has greatly grown, providing advanced reading workflow capabilities never before available in radiology information system (RIS) or picture archiving and communication system (PACS) systems. PRISM allows departments to implement complex assignment rules, real-time productivity tracking, rotation-based worklist adjustments, service-level reprioritization, clinical directives, and customizable bidirectional integration with PACS, dictation, EMR, document management, and other customer systems.

Primordial has enhanced its critical results, emergency department (ED)-radiologist/resident and its Presence/collaboration applications with sophisticated paging capabilities and is also integrating with third-party communication hubs to permit virtual rounds for radiologists.

Primordial’s Quality campaign solution allows hospitals to create campaigns targeted on specific report or image quality issues. The system then automatically finds and distributes suitable studies to the appropriate persons for review. Quality campaigns can now be particularly fine-tuned, for example, matching on specific positive findings in the report (e.g., coronary artery calcification) to review specific types of studies.

Primordial’s customizable and ergonomic electronic whiteboards platform has been extended with domain-specific enhancements addressing ED and interventional radiology departments. The company has developed and deployed a resident scoring and comparison application, which can visually identify changes to a report made after an attending physician reviews and edits the resident’s reports. This enhances the resident scoring and analytics of Primordial’s other teaching applications.

Primordial’s search application continues to incorporate external data sources other than radiology reports—pathology and lab data are now integrated. The lab and path data optimize Primordial’s unified patient view (patient jacket) and support features such as rad-path correlation and notification. Departments can also now track patient and referring MD compliance with follow-up recommendations, and create worklists to facilitate follow-ups and reminders for patients returning to the department.

DoseMetrix now allows sites to automatically upload DICOM dose information to the American College of Radiology’s (ACR) Dose Index Registry (DIR). Primordial has also been developing advanced fluoro tracking and compliance logging at two leading institutions, one of which has engaged Primordial to track fluoro across the entire enterprise such as radiology, cardiology, and surgery.

RadMetrix goes further than the conventional reports available in RIS and other third-party systems, with the addition of sophisticated analytics relating to schedule efficiency and optimization, integration of core external workflow data, and display of data in very flexible dashboards that even embed externally developed applications.

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64 (!!!!! 1938.1046295166): select jos_twitters.link from jos_twitters where cat=10

65 (74.863433837891): select jos_facebook.link from jos_facebook where cat=10

66 (46.968460083008): select jos_google_plus.link from jos_google_plus where cat=10

67 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

68 (30.994415283203): SELECT fid FROM jos_deeppockets WHERE id=294750100 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294750100 AND published='1' LIMIT 1

69 (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`

70 (285.14862060547): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (218.86825561523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.014785766602): 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 (267.98248291016): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (91.075897216797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (96.797943115234): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (73.19450378418): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (55.789947509766): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (67.949295043945): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (498.05641174316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (82.015991210938): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (!!!!! 2510.0708007812): 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 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1582.8609466553): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

105 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

106 (85.115432739258): 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (67.949295043945): 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

109 (!!!!! 1551.1512756348): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (433.92181396484): 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (669.95620727539): 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 (424.14665222168): 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 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

115 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

116 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

117 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

118 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

119 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

120 (324.01084899902): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 158041.95404053): 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 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

123 (!!!!! 1764.0590667725): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

124 (!!!!! 3871.9177246094): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750100 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750100 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1696591.8540955): ( 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 (!!!!! 766052.00767517): ( 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 (84.877014160156): 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 (30.994415283203): 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 (40.054321289062): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

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

131 (31.948089599609): 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 (37.908554077148): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

133 (567.19779968262): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (408.88786315918): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=216

136 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=216

137 (965.11840820312): 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 (482.79762268066): 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 (!!!!! 1306.7722320557): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

140 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

141 (!!!!! 12511.968612671): TRUNCATE TABLE jos_trademed_module

142 (138.0443572998): 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (854.9690246582): 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=294750100 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (636.10076904297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (105.14259338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

147 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

148 (!!!!! 1893.9971923828): 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 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

150 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

151 (639.91546630859): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294750100 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294750100 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (106.0962677002): 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 (49.829483032227): 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 (55.789947509766): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

156 (73.19450378418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294750100 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294750100 AND published='1' LIMIT 1

157 (44.107437133789): select jos_twitters.link from jos_twitters where cat=10

158 (36.954879760742): select jos_facebook.link from jos_facebook where cat=10

159 (36.001205444336): select jos_google_plus.link from jos_google_plus where cat=10

160 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

161 (310.18257141113): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1462.9364013672): insert into jos_banners_delta values (14615,'2025-06-18 09:03:50','216.73.216.120','view'),(14202,'2025-06-18 09:03:50','216.73.216.120','view'),(14203,'2025-06-18 09:03:50','216.73.216.120','view')

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