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Use of Radiology Data Mining Tool Reduces Length of Stay for CT Biopsy

By MedImaging International staff writers
Posted on 19 Nov 2014

Use of a data and analysis tool allows radiology clinical coordinators to facilitate a patient-centered imaging service, acting as a care manager for patients with positive findings on their computed tomography (CT) scans.

Syed F. More...

Zaidi, MD, president of Radiology Associates of Canton (RAC; OH, USA) and chief executive officer of RadHelp, LLC (Canton, OH, USA) announced that his group, along with hospital personnel at Aultman Hospital (Canton, OH, USA), has reduced patient length of stay (LOS) by three days for inpatients recommended for CT biopsy. Dr. Zaidi presented these findings at the inaugural Montage User Group meeting at the University City Science Center (Philadelphia, PA, USA) in November 2014. Using Montage (Philadelphia, PA, USA) Search and Analytics systems, key performance indicators (KPIs) were found and patients were identified and tracked to assure timely and appropriate follow-up care. Use of these data and analysis tool allows a radiology clinical coordinator to facilitate a patient-centered imaging service, acting as a care manager for patients with positive findings on their CT examinations.

“We have entered into a co-management arrangement with Aultman Hospital through formal shared governance of the imaging service line,” said Dr. Zaidi. “Central to this arrangement is a focus on the patient and we’ve jointly developed and agreed on the performance metrics for the radiology department and the radiologists that contribute to patient-centric care.”

RAC serves Aultman Hospital and a residency program as well as three community hospitals and offsite locations with 25 radiologists performing 550,000 yearly procedures. “We feel strongly that our patient-centered radiology and co-management model adds significant measurable and lasting value to the healthcare delivery value chain and fits in well with the American College of Radiology Imaging 3.0 initiative,” commented Dr. Zaidi.

Radiology’s contribution to the reduction in LOS for these patients is manifested in a reduced time of diagnosis to biopsy procedure order from 71 to 29 hours; order to biopsy completion from 52 to 21 hours, and overall diagnosis to completion of procedure from 133 to 50 hours. They are now using Montage Search and Analytics’ capabilities for data mining and analysis to optimize non-displaced hip fracture assessment in the elderly, osteoporotic patient population and analysis of CT angiography for the diagnosis of pulmonary embolism in the emergency department (ED).

“I feel RAC’s and RadHelp’s use of data mining and analysis is a powerful demonstration of the opportunities for radiologists to demonstrate and quantify their value in care delivery,” said William Boonn MD, president of Montage Healthcare Solutions, Inc. “It’s an equally powerful demonstration of how increased value becomes a competitive differentiator.”

The radiology community is facing many challenges and must adopt tools that facilitate the transition from volume-based to value-based imaging. To fulfill the Imaging 3.0 imperative, radiologists must address productivity demands while simultaneously adding clinical value to patient care. Montage Healthcare Solutions developed the Montage Search and Analytics tool, which provides the radiology productivity, quality, and safety improvement tools that the company spokespersons stated will be key for ongoing success. Meaningful and actionable quality, outcomes, patient safety and productivity understanding can be extracted from the unstructured radiology narrative in your radiology information system (RIS) and electronic medical record (EMR). Complex clinical quality questions can be easily answered, while the customizable analytics tools speed assessment of business performance and clinical quality. The derived intelligence enables competitive dominance through superior services and enhanced revenue, while enabling radiologists to be appreciated as valued participants in improved care delivery.

RadHelp, LLC was established to provide assistance to radiology groups, private clinics and health care systems with the development of new radiology strategies in the changing health care landscape, particularly in line with the ACR initiative of Imaging 3.0. These strategies include risk based co-management strategies, radiology population health management, utilization management, and physician and employee engagement services. Dr. Syed Zaidi has been nationally recognized as an innovator in radiology co-management services and a pioneer in radiology population management strategies; as well as a leader in implementing Imaging 3.0. RadHelp combines clinical innovation, information systems, and business acumen to create an environment transforming volume to value in radiology.

Related Links:
RadHelp
Montage

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56 (66.995620727539): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (452.04162597656): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 3237.9627227783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

59 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

60 (!!!!! 3036.0221862793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

61 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

62 (107.0499420166): 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 (!!!!! 2689.1231536865): SELECT fid FROM jos_deeppockets WHERE id=294755801 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755801 AND published='1' LIMIT 1

64 (478.02925109863): 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 (52.928924560547): select jos_twitters.link from jos_twitters where cat=10

66 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

67 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

68 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

69 (57.93571472168): SELECT fid FROM jos_deeppockets WHERE id=294755801 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294755801 AND published='1' LIMIT 1

70 (41.007995605469): 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 (319.00405883789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (236.03439331055): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 1025.915145874): 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 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (82.969665527344): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (87.976455688477): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (84.877014160156): 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 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (83.208084106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

106 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

107 (435.11390686035): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (533.10394287109): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

110 (49.114227294922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

111 (340.93856811523): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (344.03800964355): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (669.00253295898): 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 (409.12628173828): 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 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

116 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

117 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

118 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

119 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

120 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

121 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

122 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

123 (309.94415283203): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 43439.149856567): 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 (648.97537231445): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755801 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755801 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 15892.028808594): ( 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 (360.96572875977): 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 (47.922134399414): 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 (359.05838012695): 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 (37.908554077148): 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 (200.03318786621): 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 (36.001205444336): 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 (190.01960754395): 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 (35.04753112793): 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 (905.03692626953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (340.93856811523): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (247.95532226562): SELECT name FROM jos_deeppockets WHERE id=216

139 (54.836273193359): SELECT name FROM jos_deeppockets WHERE id=216

140 (648.97537231445): 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 (570.05882263184): 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 (!!!!! 2341.0320281982): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

143 (96.797943115234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

144 (!!!!! 12773.036956787): TRUNCATE TABLE jos_trademed_module

145 (99.897384643555): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (91.075897216797): 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=294755801 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 3275.1560211182): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

150 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

151 (!!!!! 1405.0006866455): 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 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

153 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

154 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294755801 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294755801 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (37.908554077148): select distinct links.* from jos_textlinks links join jos_textlinks_placement placement on links.id=placement.link_id where journal_id=(10) and (channel_id=216 or channel_id is null)

156 (36.954879760742): 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 (44.107437133789): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

159 (45.7763671875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294755801 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294755801 AND published='1' LIMIT 1

160 (58.889389038086): select jos_twitters.link from jos_twitters where cat=10

161 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

162 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

163 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10

164 (278.94973754883): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14202,14203)

165 (!!!!! 1227.855682373): insert into jos_banners_delta values (14202,'2025-08-04 13:33:24','216.73.216.210','view'),(14203,'2025-08-04 13:33:24','216.73.216.210','view')

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