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MRI Accidents Report 270% Increase over Four Years

By MedImaging International staff writers
Posted on 12 Mar 2009

According to a United States Food and Drug Administration (FDA) database, 2008 saw a 30% increase in the number of reported magnetic resonance imaging (MRI) accidents. In the four years following 2004, a FDA's database catalogues a 270% increase in MRI accidents. But what may be even more troubling than the dramatic increase in reported accidents are the numbers not included in the FDA's data.

The extreme power of the magnets used for MRI imaging (typically tens-of-thousands of times greater than our exposure to the Earth's own magnetic field) can readily draw ferromagnetic materials to the scanner, sometimes with deadly results. These types of accidents, frequently referred to as ‘projectile' or ‘missile' accidents, are the most common MRI accident and yet comprise a slim minority of the FDA's accident reports, according to the FDA's MAUDE (Manufacturer and User Facility Device Database Experience) database.

The failure to report projectile accidents is one reason why many experts believe that the FDA's data may represent only 1% of the actual number of MRI accidents that occur, suggesting that the frequency and variety of accidents is far greater than is widely believed by the industry. Most MRI accidents, including missile events, are the type of accidents that are frequently classified as "never events.” These are negative outcomes, such as wrong-site surgeries, that could readily be avoided by adherence to contemporary best practices, according to Tobias Gilk, president and MRI safety director of Mednovus, Inc. (Leucadia, CA, USA), a company that provides products and service in the MR safety industry.

Effective screening of patients, visitors, and even staff, is of critical importance prior to allowing the individuals near the MRI scanner. This screening is comprised of both a clinical screening, intended to find potential complications or contraindications for the MRI exam, such as pacemakers or intolerance for contrast agents, and a physical screening to help assure that ubiquitous ferromagnetic materials are not brought into the MRI scanner room.

The single revolution in pre-MRI screening, providing new protections above traditional verbal screening and medical record review, is the ferromagnetic detector. Whereas conventional "airport-style” metal detectors alarm on aluminum, titanium, and other non-magnetic metals of which many appliance for the MRI suite are made, the new generation of ferromagnetic-only detectors alarm exclusively on those materials that are attracted to the immense magnetic field of the MRI scanner.

In the interest of enhancing MRI safety, ferromagnetic detection prescreening systems have been recommended by the UK Medicines and Health Regulatory Agency (MHRA; London, UK), FDA, the Joint Commission (Oakbrook Terrace, Il, USA), the American College of Radiology (Reston, VA, USA), and other professional bodies. But the benefits to the MRI provider in reducing the likelihood of injurious accidents are not solely altruistic.

In 2008, the US Department of Veterans Affairs (VA; Washington, DC, USA) published their average cost of a MRI projectile accident, exclusive of equipment downtime overhead costs, at US$43,172 per incident. Providers that depend on perprocedure reimbursement would likely compound the VA's direct costs with significant additional costs associated with lost patient throughput. Whereas ferromagnetic detection products can considerably reduce the risks of projectile accidents when used appropriately, they should be viewed as an integral adjunct to thorough and conscientious conventional screening practices and not a replacement for traditional methods, according to the MAUDE database.

With the profound increase in MRI accident rates and the high costs of MRI system repair and downtime, there are coincident professional and financial imperatives to reduce the likelihood of adverse outcomes in the MRI environment. One solution that should be first at every MRI provider's list should be the ferromagnetic detector, according to Mr. Gilk.

MAUDE data represent reports of adverse events involving medical devices. The data consist of voluntary reports since June 1993, user facility reports since 1991, distributor reports since 1993, and manufacturer reports since August 1996.

Mednovus has a pre-MRI screening development project with the National Research Council, Canada (NRC)--the Canadian government research organization comparable to National Institutes of Health (NIH) in the United States.

Mednovus is a corporation that provides products and service in the MR safety industry.

Related Links:
MAUDE Database
Mednovus

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56 (894.78492736816): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

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58 (241.04118347168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

59 (!!!!! 7075.0713348389): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

60 (!!!!! 6828.0696868896): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

61 (!!!!! 7550.0011444092): 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 (!!!!! 4407.1674346924): SELECT fid FROM jos_deeppockets WHERE id=294722372 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722372 AND published='1' LIMIT 1

63 (579.1187286377): 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=212 ORDER BY `ordering`

64 (!!!!! 2394.9146270752): select jos_twitters.link from jos_twitters where cat=10

65 (!!!!! 7950.0675201416): select jos_facebook.link from jos_facebook where cat=10

66 (!!!!! 7985.8303070068): select jos_google_plus.link from jos_google_plus where cat=10

67 (!!!!! 7896.1849212646): select jos_linkedin.link from jos_linkedin where cat=10

68 (!!!!! 4651.0696411133): SELECT fid FROM jos_deeppockets WHERE id=294722372 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294722372 AND published='1' LIMIT 1

69 (!!!!! 1362.0853424072): 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=212 ORDER BY `ordering`

70 (!!!!! 5665.0638580322): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (!!!!! 7670.8793640137): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 8009.9105834961): 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 (!!!!! 2074.0032196045): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (431.06079101562): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (293.97010803223): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (646.11434936523): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (523.09036254883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (391.00646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (156.16416931152): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (504.0168762207): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (!!!!! 1907.8254699707): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (!!!!! 1777.8873443604): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (56.982040405273): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 1306.0569763184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (807.04689025879): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (61.03515625): 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 (!!!!! 1478.910446167): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (307.08312988281): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (228.1665802002): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (972.03254699707): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 2065.896987915): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (444.88906860352): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (325.91819763184): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (239.84909057617): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (532.86552429199): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (328.06396484375): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1451.9691467285): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

105 (452.04162597656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

106 (495.91064453125): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (682.83081054688): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 5691.0514831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

109 (!!!!! 3365.0398254395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

110 (461.10153198242): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1726.8657684326): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 2662.8971099854): 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 (!!!!! 7296.085357666): 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 (!!!!! 6973.9818572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

115 (!!!!! 8090.0192260742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

116 (!!!!! 7070.0645446777): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

117 (!!!!! 8072.1378326416): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

118 (!!!!! 7282.9723358154): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

119 (!!!!! 7689.9528503418): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

120 (!!!!! 7665.8725738525): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

121 (!!!!! 8337.9745483398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

122 (282.04917907715): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 243549.10850525): 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 (!!!!! 3371.9539642334): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722372 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722372 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (91.075897216797): ( 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 (37.908554077148): ( 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 (72.956085205078): 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 (41.961669921875): 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 (82.969665527344): 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 (40.054321289062): 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 (30.040740966797): 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 (30.040740966797): 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 (34.809112548828): 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 (30.040740966797): 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 (460.14785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (374.07875061035): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (213.1462097168): SELECT name FROM jos_deeppockets WHERE id=212

138 (38.862228393555): SELECT name FROM jos_deeppockets WHERE id=212

139 (681.87713623047): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (609.8747253418): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

142 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

143 (!!!!! 15989.780426025): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 3026.008605957): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (418.18618774414): 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=294722372 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (458.0020904541): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 1775.0263214111): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (144.00482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

149 (236.03439331055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

150 (!!!!! 2899.169921875): 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 (!!!!! 3813.9820098877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

152 (!!!!! 11995.077133179): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

153 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294722372 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294722372 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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=212 or channel_id is null)

155 (30.994415283203): 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=212 or channel_id is null)

156 (33.855438232422): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

158 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294722372 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294722372 AND published='1' LIMIT 1

159 (110.86463928223): select jos_twitters.link from jos_twitters where cat=10

160 (133.99124145508): select jos_facebook.link from jos_facebook where cat=10

161 (126.12342834473): select jos_google_plus.link from jos_google_plus where cat=10

162 (!!!!! 2563.9533996582): select jos_linkedin.link from jos_linkedin where cat=10

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