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Interventional X-Ray Market Threatened by Lower Procedural Volumes and Budget Freezes

By MedImaging International staff writers
Posted on 16 Mar 2011

With global revenues estimated at just over US$2.5 billion in 2009, interventional X-ray imaging equipment is an established and mature market. However, recent reports of decreasing procedural volume and capital expenditure freezes have threatened demand for interventional X-ray equipment, according to new market research.

A new report from InMedica (Wellingborough, UK), a market research company, has evaluates this trend, and highlights the future potential drivers of market recovery. Recent economic conditions, healthcare reform, and severe spending cuts have provided challenging conditions for interventional X-ray suppliers in the past three years, with many hospitals delaying or cancelling orders of new interventional X-ray systems. While the ongoing shift to digital flat panel detector technology (FPD) has prevented significant market decline, it has not stimulated strong double-digit growth either. In spite of this, opportunities for market growth remain.

The ongoing fight to reduce healthcare expenditure in developed healthcare markets is driving demand for "cost-effective" equipment, with physicians and administrators reaching to find the balance of price vs. performance. In response, manufacturers are exploiting digital interoperability, offering combined hybrid suites in a variety of customizable solutions. "Catheter labs, surgical suites, and an array of imaging technology is now being combined by the larger imaging manufacturers, in a bid to help hospital administrators improve equipment utilization and lower costs," explained Stephen Holloway, market analyst at InMedica. "While the initial cost of "hybrid" room solutions may be higher, the long-term efficiency savings for many institutions and clinics often outweigh the initial investment."

Digital FPD systems are now viewed as the industry standard for room-based angiography and cardiology X-ray, with the vast majority of new and replacement sales in the digital segment. Despite this, the digital FPD mobile C-arm X-ray market is less established. "In the past, the high cost of FPD panels meant production of digital mobile C-arm systems was not viable for manufacturers," continued Mr. Holloway. "However, falling panel prices and the continued digitalization of imaging systems has driven demand for digital C-arms in the past three years."
In addition, improvement in navigational software, user-interface, and system ergonomics has fuelled demand, with two manufacturers now producing FPD mobile C-arm systems for a variety of clinical applications. Subsequently, InMedica forecasts that the world market for digital mobile C-arm equipment will almost double by 2014. "Mobile C-arm X-ray systems also provide a flexible interventional solution for many smaller clinics and hospitals. Often in these scenarios, digital room-based interventional X-ray equipment is too expensive, so mobile digital systems offer a lower-cost alternative, but with the majority of necessary features."

Escalating healthcare expenditure, cost freezes, and health reform in developed global healthcare markets is driving X-ray manufacturers to invest in new and developing healthcare systems. Brazil, China, India, and the South East Asian (ASEAN) region have all shown explosive economic growth and rapid infrastructure development over the past 10 years, and are investing heavily in improving healthcare services. Most of the investment in these regions is dedicated to the provision of fundamental healthcare services, but the potential market for advanced interventional systems is yet to be fulfilled.

Mr. Holloway added, "Many of the larger imaging manufacturers are currently fighting hard to win customers and installed base by investing in lower-cost modalities such as ultrasound and X-ray. In the long-term, these manufacturers plan to develop these markets to realize the market potential for high-value advanced interventional X-ray equipment."

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60 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

61 (111.10305786133): 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

62 (527.85873413086): SELECT fid FROM jos_deeppockets WHERE id=294733867 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733867 AND published='1' LIMIT 1

63 (313.99726867676): 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=217 ORDER BY `ordering`

64 (275.1350402832): select jos_twitters.link from jos_twitters where cat=10

65 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 8414.0300750732): select jos_google_plus.link from jos_google_plus where cat=10

67 (132.08389282227): select jos_linkedin.link from jos_linkedin where cat=10

68 (721.93145751953): SELECT fid FROM jos_deeppockets WHERE id=294733867 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294733867 AND published='1' LIMIT 1

69 (54.121017456055): 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=217 ORDER BY `ordering`

70 (385.99967956543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (288.00964355469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (41.007995605469): 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 (!!!!! 1986.9804382324): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (80.82389831543): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1552.8202056885): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (!!!!! 1277.9235839844): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (59.127807617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4620.0752258301): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

105 (128.03077697754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

106 (168.0850982666): 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=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (695.94383239746): 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=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 3592.9679870605): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

109 (133.03756713867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

110 (102.99682617188): 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=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (550.0316619873): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets_archive as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.id=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (687.1223449707): 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 (370.02563476562): 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 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

115 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

116 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

117 (55.789947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

118 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

120 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

121 (40.769577026367): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

122 (730.99136352539): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 46962.022781372): 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

124 (591.99333190918): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733867 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733867 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 15055.894851685): ( 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 (61.03515625): ( 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 (!!!!! 2343.8930511475): 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

128 (56.028366088867): 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 (370.02563476562): 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

130 (41.007995605469): 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 (236.98806762695): 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

132 (39.100646972656): 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 (245.09429931641): 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

134 (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

135 (921.01097106934): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1186.1324310303): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (574.11193847656): SELECT name FROM jos_deeppockets WHERE id=217

138 (54.121017456055): SELECT name FROM jos_deeppockets WHERE id=217

139 (!!!!! 1021.8620300293): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (812.05368041992): 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 '((;)|(^))217((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (!!!!! 1091.0034179688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

142 (261.06834411621): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

143 (!!!!! 4649.1622924805): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3846.1685180664): 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=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (158.07151794434): 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=294733867 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 6159.0671539307): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 1140.1176452637): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

149 (465.15464782715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

150 (!!!!! 2658.1287384033): 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

151 (!!!!! 1631.0214996338): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

152 (300.16899108887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

153 (!!!!! 2887.9642486572): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294733867 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294733867 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (219.82192993164): 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=217 or channel_id is null)

155 (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=217 or channel_id is null)

156 (401.97372436523): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (862.12158203125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

158 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294733867 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294733867 AND published='1' LIMIT 1

159 (!!!!! 4621.9825744629): select jos_twitters.link from jos_twitters where cat=10

160 (83.208084106445): select jos_facebook.link from jos_facebook where cat=10

161 (210.04676818848): select jos_google_plus.link from jos_google_plus where cat=10

162 (118.97087097168): select jos_linkedin.link from jos_linkedin where cat=10

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