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Network Unveiled for Cloud-Based Medical Imaging and Report Exchange

By MedImaging International staff writers
Posted on 29 Apr 2014

The largest cloud-based network is now available for securely connecting physicians, patients, government agencies, and specialty medical societies to share vital medical images and reports as simply as people exchange data using social networks.

Nuance Communications, Inc. (Burlington, MA, USA)’s PowerShare Network promotes informed and connected physicians and patients who can instantly view, share and collaborate while addressing patients’ healthcare needs. “Organizations are being tasked to communicate efficiently both in and out of their networks to provide clinical insight to physicians beyond one person or office to a much broader team involved in the continuum of care,” said Keith Dreyer, DO, PhD, FACR, vice chairman of radiology at Massachusetts General Hospital (Boston, MA, USA), and chair of the American College of Radiology (ACR) IT and Informatics Committee. “Nuance PowerShare Network addresses the information sharing challenge physicians face today with a network that supports things we’ve dreamed of doing for years,” he added.

Nuance PowerShare Network is already used by more than 1,900 provider organizations for sharing images via the cloud using open standards. Made possible through the acquisition of Accelarad, this medical imaging exchange eliminates the expensive and insecure process of managing images on CDs and removes silos of information in healthcare that inhibit providers from optimizing the efficiency and quality of care they provide. Anyone can join the network regardless of information technology (IT) systems in place to instantly view and manage images needed to consult, diagnose or treat patients, enabling clinicians to more seamlessly evaluate and deliver care for patients who transition between facilities or care settings.

Nuance is already used by more than 500,000 clinicians and is a critical component within the radiology workflow and a trusted partner for 1,600+ provider organizations that rely on Nuance PowerScribe for radiology reporting and communications. Healthcare organizations that use Nuance PowerScribe, a group that produces more that 50% of all radiology reports in the United States, can immediately utilize their existing investment and begin sharing radiology reports along with images, such as X-rays, magnetic resonance imaging (MRI) scans, computed tomography (CT) scans, electrocardiograms (ECG), wound care images, dermatology images or any other type of image. This simplifies secure health information exchange between multiple providers, patients and disparate systems without costly and time-consuming interfaces, CD production or the need to install additional third-party systems.

“The challenge of sharing images with interpretive reports is something we’ve heard about consistently from our customers and EHR [electronic health record] partners, and we know Nuance PowerShare Network will overcome this major obstacle, helping physicians treat patients more efficiently and effectively,” said Peter Durlach, senior vice president of marketing and strategy, Nuance Communications. “This nationwide network, one that is fully integrated into the EHR workflow and already connected to approximately half of all clinicians producing diagnostic imaging information, is a ground breaking solution that delivers immediate benefits at an unprecedented scale to our healthcare system.”

“Integrated image and report sharing helps us deliver quality care and drive down costs especially when patients transfer from one facility to another. Whether at their desktop or on their mobile device, our physicians can see the study that was done along with the interpretive report, which provides the information they need to treat the patient and avoid duplicate testing,” said Deborah Gash, vice president and CIO, Saint. Luke’s Health System (Kansas City, MO, USA). “By integrating this with our EHR, PowerShare will enable physicians to manage inbound imaging through one point of access and login. Physicians in our 11 hospitals and 100-mile radius referral network see this cutting-edge technology as a way to deliver the highest level of patient care,” she added.

Nuance Communications, Inc. is a provider of voice and language solutions for businesses and consumers worldwide.

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62 (588.89389038086): SELECT fid FROM jos_deeppockets WHERE id=294752161 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752161 AND published='1' LIMIT 1

63 (286.10229492188): 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 (!!!!! 5792.8562164307): select jos_twitters.link from jos_twitters where cat=10

65 (115.15617370605): 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 (41.007995605469): select jos_linkedin.link from jos_linkedin where cat=10

68 (73.909759521484): SELECT fid FROM jos_deeppockets WHERE id=294752161 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294752161 AND published='1' LIMIT 1

69 (83.92333984375): 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 (481.84394836426): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (329.01763916016): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (86.069107055664): 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 (!!!!! 3350.0194549561): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (103.95050048828): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (84.877014160156): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (87.976455688477): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (44.822692871094): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (42.915344238281): 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 (47.206878662109): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (366.9261932373): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

105 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

106 (103.95050048828): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (564.0983581543): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (83.92333984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

109 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

110 (47.922134399414): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (470.16143798828): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (807.04689025879): 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 (!!!!! 1816.987991333): 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 (124.93133544922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

115 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

116 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

117 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

118 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

119 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

120 (427.0076751709): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 49216.985702515): 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 (125.88500976562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

123 (54.836273193359): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

124 (559.09156799316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752161 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752161 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 1046690.9408569): ( 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 (184.05914306641): ( 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 (137.0906829834): 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 (85.830688476562): 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 (89.168548583984): 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 (102.04315185547): 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 (59.843063354492): 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 (108.00361633301): 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 (499.01008605957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (437.97492980957): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (143.05114746094): SELECT name FROM jos_deeppockets WHERE id=216

136 (31.948089599609): SELECT name FROM jos_deeppockets WHERE id=216

137 (490.90385437012): 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 (510.93101501465): 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 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

140 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

141 (!!!!! 9509.0866088867): TRUNCATE TABLE jos_trademed_module

142 (814.91470336914): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (191.92695617676): 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=294752161 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (468.96934509277): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (246.04797363281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

147 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

148 (!!!!! 1507.9975128174): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

150 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

151 (47.922134399414): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294752161 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294752161 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (32.186508178711): 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 (28.133392333984): 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 (30.040740966797): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (133.99124145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

156 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294752161 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294752161 AND published='1' LIMIT 1

157 (49.114227294922): select jos_twitters.link from jos_twitters where cat=10

158 (26.941299438477): select jos_facebook.link from jos_facebook where cat=10

159 (26.941299438477): select jos_google_plus.link from jos_google_plus where cat=10

160 (27.179718017578): select jos_linkedin.link from jos_linkedin where cat=10

161 (410.07995605469): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 7678.9855957031): insert into jos_banners_delta values (14615,'2025-05-02 06:52:22','3.142.135.246','view'),(14202,'2025-05-02 06:52:22','3.142.135.246','view'),(14203,'2025-05-02 06:52:22','3.142.135.246','view')

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