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Partnership to Deliver European Society of Radiology Appropriate Use Web Service Guide Across Europe

By MedImaging International staff writers
Posted on 08 Dec 2014

Image: The ESR Guide was designed to provide electronically consumable appropriate use criteria in the United States and will deliver the same clinical decision support guidelines for the European market (Photo courtesy of ESR).

National Decision Support Company (NDSC; Andover, MA, USA) reported that it has executed an agreement with the European Society of Radiology (ESR; Vienna, Austria) to provide appropriate use criteria to the European market via ESR iGuide.

At European Congress of Radiology (ECR) 2014, the ESR announced a large-scale plan to develop clinical decision support guidelines for the European market. As part of this announcement, the ESR signed an agreement with the American College of Radiology (ACR; Reston, VA, USA) to utilize their experience in developing appropriate use criteria.

Through this new relationship, the ESR will leverage NDSC’s expertise in delivering electronically consumable appropriate use criteria in the United States to deliver the same experience to the European market. ESR experts will adapt ACR Select into imaging referral guidelines customized to the European market. Furthermore, the ESR will utilize NDSC content delivery capabilities to localize the criteria based on regional and institutional requirements, such as the availability of imaging equipment.

NDSC will act as the licensing agent for ESR iGuide across all European countries and be responsible for managing content delivery. “We’re excited about the opportunity to expand our presence into Europe,” said Michael Mardini, CEO, NDSC. “This relationship is directly in line with our strategy to deliver actionable, national standard content and we are pleased to have earned the trust of the ESR.”

This agreement further builds on NDSC’s recent successful rollout of ACR Select at the Hospital Clinic Barcelona (Spain), where appropriate use criteria were translated into Spanish and integrated with the hospital’s electronic health record (EHR). “For over a year we have been testing ACR Select in Spain with positive results,” said Lluis Donoso Bach, PhD, director of the Diagnostic Imaging Center, Hospital Clinic of Barcelona and ESR first vice-president. “The agreement between the ACR and NDSC enables us to develop Europe-wide criteria without reinventing appropriate use criteria and lets us leverage NDSC’s vast experience.”

The official launch of ESR iGuide is planned for the ECR 2015 in Vienna, Austria, March 4–8, 2015. NDSC demonstrated its latest developments at the Radiological Society of North America (RSNA) 2014 annual meeting, which took place November 30-December 5, 2014, in Chicago (IL, USA).

NDSC is the exclusive distributor of US standards clinical decision support (CDS) imaging guidelines. NDSC provides the technical platform, support, and licensing of digitally consumable CDS that continuously educates providers regarding the latest evidence-based approach to medicine without disrupting the doctor-patient relationship or delaying needed care.

ACR Select, provided by National Decision Support Company, is a complete web service version of American College of Radiology (ACR) Appropriateness Criteria (AC). ACR AC is a comprehensive US standards clinical decision support database that provides evidence-based decision support for the appropriate utilization of all medical imaging procedures. More than 300 volunteer physicians, representing more than 20 radiology and non-radiology specialty organizations, participate on the ACR AC expert panels, continuously updating these nationally transparent guidelines, and providing real-time access to the latest medical imaging decision support. The ACR Select platform can be easily integrated with computerized ordering and electronic health record (EHR) systems so healthcare organizations can effortlessly consume ACR AC guidelines and ensure that the right patient gets the right scan for the right indication.

Related Links:
National Decision Support Company
European Society of Radiology
American College of Radiology

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61 (!!!!! 9748.9356994629): 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 (!!!!! 3787.9943847656): SELECT fid FROM jos_deeppockets WHERE id=294756104 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756104 AND published='1' LIMIT 1

63 (115.87142944336): 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 (113.96408081055): select jos_twitters.link from jos_twitters where cat=10

65 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

66 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

67 (43.153762817383): select jos_linkedin.link from jos_linkedin where cat=10

68 (37.908554077148): SELECT fid FROM jos_deeppockets WHERE id=294756104 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294756104 AND published='1' LIMIT 1

69 (36.954879760742): 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 (472.06878662109): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (337.83912658691): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (51.021575927734): 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 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.769577026367): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1739.9787902832): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (!!!!! 4029.0355682373): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 5190.8493041992): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (93.936920166016): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (49.114227294922): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (53.882598876953): 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 (!!!!! 4786.0145568848): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (!!!!! 3170.0134277344): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (115.15617370605): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (57.93571472168): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (335.9317779541): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (70.095062255859): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (236.03439331055): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (262.97569274902): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (50.067901611328): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (144.95849609375): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (164.98565673828): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (142.09747314453): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (555.99212646484): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1230.9551239014): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

105 (!!!!! 3000.020980835): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

106 (96.797943115234): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (705.00373840332): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (859.02214050293): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

109 (455.14106750488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

110 (68.187713623047): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 3011.94190979): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1098.1559753418): 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 (586.98654174805): 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 (923.15673828125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

115 (241.99485778809): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

116 (!!!!! 3306.8656921387): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

117 (297.06954956055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

118 (467.06199645996): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

119 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

120 (467.77725219727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

121 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

122 (372.17140197754): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 51745.891571045): 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 (675.91667175293): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756104 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756104 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 16911.98348999): ( 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 (64.849853515625): ( 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 (695.22857666016): 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 (138.99803161621): 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 (895.97702026367): 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 (530.00450134277): 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 (731.9450378418): 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 (41.007995605469): 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 (40.054321289062): 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 (529.05082702637): 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 (!!!!! 2027.9884338379): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (!!!!! 1590.0135040283): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 2012.0143890381): SELECT name FROM jos_deeppockets WHERE id=217

138 (97.990036010742): SELECT name FROM jos_deeppockets WHERE id=217

139 (!!!!! 1149.1775512695): 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 (852.10800170898): 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 (!!!!! 6853.1036376953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

142 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

143 (!!!!! 5692.9588317871): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 6605.863571167): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (!!!!! 8612.8711700439): 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=294756104 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (820.87516784668): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (517.12989807129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (521.89826965332): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

149 (167.1314239502): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

150 (!!!!! 2130.9852600098): 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 (642.06123352051): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

152 (179.05235290527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

153 (345.94535827637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294756104 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294756104 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (274.8966217041): 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 (34.093856811523): 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 (355.00526428223): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 2002.9544830322): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

158 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294756104 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294756104 AND published='1' LIMIT 1

159 (721.93145751953): select jos_twitters.link from jos_twitters where cat=10

160 (292.06275939941): select jos_facebook.link from jos_facebook where cat=10

161 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

162 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

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