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Enterprise Imaging Platform Ready to Go in Teaching Hospitals

By MedImaging International staff writers
Posted on 13 Mar 2016

One sophisticated and comprehensive platform, presented by AGFA (Mortsel, Belgium) at this year’s European Congress of Radiology (ECR), enables faster and better decision-making and embraces all potential challenges associated with collaborative workflow and mobile scenarios.

This year, the company’s Enterprise Imaging platform extends even further incorporating views that are radiology and medically-centric as well as appropriate to the patient, and the general practitioner (GP). All are available at a regional, intra-, and extramural level.

“Our platform is ready for each case scenario in hospitals or across regions within countries,” explains Mr. Hans Vandewyngaerde, President Agfa HealthCare Region Europe. It is also ready to deal with a whole range of different scenarios in the radiology department.”

One of the most recent developments has been a radiology specific aspect of the Enterprise Imaging platform that has been refined for academic hospitals including support for multidisciplinary team meetings, teaching files, and residence/supervisor task based workflow.

Essentially, AGFA’s system comprises one platform for each and every scenario, emphasized Mr. Vandewyngaerde. “It is strong in flexible thought-driven workflow, meaning it is easily-configurable, accounting for different tasks from radiology per se, regional in nature, and patient or GP-oriented. It’s a workflow that is flexible and specifically task-driven.”

Radiology-oriented display protocols include post-processing tools for three-dimensional (3D) ultrasound, 3D volume building colonoscopy, integration with other 3D applications that are similar and completely embedded. Furthermore, the platform has a design requirement that ensures there are collaborative tools reflecting a move towards radiology connecting with other stakeholders for example, associated radiologists, patients, GPs and other healthcare workers.

Mobile tools are also front and center to the platform. “Today we clearly have a case requiring mobile sign off from radiologists with mobile reporting lists. The iPad is FDA [US Food and Drug Administration] approved for diagnostic viewing, and the platform is notable for operating on all web browsers and vendor neutral archives (VNA). These features of collaborative and mobile tools enhance the efficiency of workflow,” added Mr. Vandewyngaerde.

The trend towards using one integrated system is reflective of a robust move towards integration in healthcare systems generally. There are different drivers pushing for this type of imaging. “Firstly, there is a consolidation of hospitals that work together for cost reasons or that share workflow for diagnostic reasons, or because radiologists are not all available around the clock,” he explained. “Many hospitals are interested in referring to each other’s expertise for second opinions. The Netherlands is a clear case in point where hospitals are joining forces.”

Mr. Vandewyngaerde also highlighted that the move from vertical care to integrated care, which is strongly promoted by the European Commission and encourages multiagency and multidisciplinary working with a patient-centric view. “We see this happening now in the UK, and in Belgium, and in regions of Spain. It isn’t about intra-muros but an extra-muros approach with a patient who is more empowered and engaged in their healthcare,” he said, asserting that medical imaging was a classic example of how this works. With the Enterprise Imaging platform, the patient receives a notification advising the report is available with access to the image which they can share with their GP or for a second opinion elsewhere.

“If your imaging system is not configurable and does not support this workflow to operate with these approaches then you are lost,” concluded Mr Vandewyngaerde.

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63 (87.02278137207): 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 (50.067901611328): select jos_twitters.link from jos_twitters where cat=10

65 (28.133392333984): select jos_facebook.link from jos_facebook where cat=10

66 (28.133392333984): select jos_google_plus.link from jos_google_plus where cat=10

67 (25.98762512207): select jos_linkedin.link from jos_linkedin where cat=10

68 (28.133392333984): SELECT fid FROM jos_deeppockets WHERE id=294763175 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294763175 AND published='1' LIMIT 1

69 (31.948089599609): 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 (242.94853210449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (210.04676818848): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (46.968460083008): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (40.054321289062): 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 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (27.894973754883): 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 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

105 (42.200088500977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

106 (107.0499420166): 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (61.03515625): 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

110 (42.915344238281): 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (509.97734069824): 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2494.0967559814): 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 (!!!!! 5175.1136779785): 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 (!!!!! 3766.0598754883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

115 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

116 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

117 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

118 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

119 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

120 (298.97689819336): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 46831.846237183): 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 (141.85905456543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

123 (62.227249145508): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

124 (622.98774719238): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763175 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763175 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 908935.07003784): ( 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 (72.956085205078): ( 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 (50.067901611328): 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 (36.001205444336): 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 (43.153762817383): 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 (27.894973754883): 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 (26.941299438477): 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 (26.941299438477): 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 (451.08795166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (782.01293945312): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (41.961669921875): SELECT name FROM jos_deeppockets WHERE id=216

136 (30.994415283203): SELECT name FROM jos_deeppockets WHERE id=216

137 (478.02925109863): 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 (437.02125549316): 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 (70.095062255859): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

140 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

141 (!!!!! 8589.9829864502): TRUNCATE TABLE jos_trademed_module

142 (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 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (55.074691772461): 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=294763175 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (824.92828369141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (59.127807617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

147 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

148 (!!!!! 1070.9762573242): 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 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

150 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

151 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294763175 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294763175 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (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)

153 (31.948089599609): 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 (38.862228393555): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

156 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294763175 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294763175 AND published='1' LIMIT 1

157 (39.100646972656): select jos_twitters.link from jos_twitters where cat=10

158 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

159 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

160 (30.994415283203): select jos_linkedin.link from jos_linkedin where cat=10

161 (308.99047851562): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1052.8564453125): insert into jos_banners_delta values (14615,'2025-04-30 12:45:27','52.15.53.236','view'),(14202,'2025-04-30 12:45:27','52.15.53.236','view'),(14203,'2025-04-30 12:45:27','52.15.53.236','view')

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