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Remote Programming of Cardiac Implantable Devices Safe for MRI Scan, Shows Study

By MedImaging International staff writers
Posted on 05 May 2022

More than 60 million magnetic resonance imaging (MRI) scans are performed worldwide each year, but imaging for the millions of patients with cardiac implantable electronic devices (CIEDs) such as pacemakers is a logistical challenge, because of concerns with how the magnetic field affects the implants. More...

Now, a new study reveals safe and effective reprogramming of these devices is possible, even from a remote location. Remote programming could reduce the need to reschedule MRI scans and other procedures that require device programming in case there is no device representative or other qualified personnel present on-site to perform the task.

Researchers at the University of Missouri School of Medicine (Columbia, MO, USA) conducted an observational study of 209 patients at MU Health Care’s University Hospital who underwent remote programming of their device for MRI using Medtronic RM CareLink technology. Of those scans, 51 were performed urgently. An MRI technician started each session by contacting an off-site operator and placing a programming wand on the patient’s CIED, enabling the programmer to access the device remotely and switch to an MRI-safe mode. After completing the scan, the remote programmer returned the device to the patient’s baseline settings.

“During this study, none of the patients experienced any symptoms during the scan, no one needed any changes to the baseline settings afterward, and there were no technology issues,” said senior author Sandeep Gautam, MD, associate professor of clinical medicine. “The estimated time saved per scan was 18 to 38 minutes per patient, calculated by measuring the device representative's travel time to the MRI suite.”

“We believe this technology will reduce unnecessary use of health care resources and manpower,” added Gautam. “This will eventually lead to reduction in health care costs, as it will require a smaller number of personnel for device programming, eliminate travel cost and may be especially helpful in rural areas where access to health care is limited.”

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University of Missouri School of Medicine

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58 (67.949295043945): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (912.18948364258): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

60 (!!!!! 1940.9656524658): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

61 (101.08947753906): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

62 (279.90341186523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

63 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

64 (!!!!! 1608.8485717773): 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

65 (!!!!! 3854.9900054932): SELECT fid FROM jos_deeppockets WHERE id=294792786 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792786 AND published='1' LIMIT 1

66 (113.01040649414): 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`

67 (257.01522827148): select jos_twitters.link from jos_twitters where cat=10

68 (40.054321289062): select jos_facebook.link from jos_facebook where cat=10

69 (42.200088500977): select jos_google_plus.link from jos_google_plus where cat=10

70 (33.855438232422): select jos_linkedin.link from jos_linkedin where cat=10

71 (51.975250244141): SELECT fid FROM jos_deeppockets WHERE id=294792786 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294792786 AND published='1' LIMIT 1

72 (39.100646972656): 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`

73 (509.97734069824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (427.0076751709): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (47.922134399414): 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`

76 (97.990036010742): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (!!!!! 3293.0374145508): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (123.02398681641): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (58.174133300781): 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`

93 (!!!!! 2861.0229492188): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (125.88500976562): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (65.803527832031): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (60.081481933594): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (51.975250244141): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (43.869018554688): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (53.882598876953): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (42.915344238281): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (146.15058898926): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

108 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

109 (141.85905456543): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (658.98895263672): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

112 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

113 (739.09759521484): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (507.83157348633): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (67.949295043945): 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=294792771 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (390.05279541016): 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=294792771 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

117 (!!!!! 1017.0936584473): 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

118 (796.07963562012): 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

119 (!!!!! 3934.1449737549): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

120 (123.02398681641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

121 (122.0703125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

122 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

123 (97.036361694336): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

124 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

125 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

126 (43.153762817383): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

127 (676.87034606934): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

128 (!!!!! 63535.928726196): 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

129 (746.01173400879): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792786 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792786 AND type='deeppockets_item' AND published='1' LIMIT 1

130 (!!!!! 22837.87727356): ( 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

131 (109.91096496582): ( 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

132 (74.863433837891): 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

133 (51.021575927734): 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

134 (81.062316894531): 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

135 (36.954879760742): 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

136 (468.96934509277): 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

137 (62.942504882812): 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

138 (50.067901611328): 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

139 (48.160552978516): 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

140 (518.0835723877): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

141 (359.05838012695): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

142 (80.108642578125): SELECT name FROM jos_deeppockets WHERE id=212

143 (47.922134399414): SELECT name FROM jos_deeppockets WHERE id=212

144 (745.05805969238): 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

145 (843.04809570312): 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

146 (!!!!! 2663.8507843018): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

147 (155.92575073242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

148 (!!!!! 19661.903381348): TRUNCATE TABLE jos_trademed_module

149 (276.08871459961): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

150 (108.95729064941): 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=294792786 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

151 (535.01129150391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

152 (!!!!! 3062.9634857178): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

153 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

154 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

155 (!!!!! 1858.9496612549): 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

156 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

157 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

158 (72.956085205078): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294792786 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294792786 AND type='deeppockets_item' AND published='1' LIMIT 1

159 (!!!!! 3931.0455322266): 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=0 or channel_id is null)

160 (153.0647277832): 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=0 or channel_id is null)

161 (118.01719665527): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

162 (!!!!! 1266.9563293457): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

163 (164.03198242188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294792786 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294792786 AND published='1' LIMIT 1

164 (51.021575927734): select jos_twitters.link from jos_twitters where cat=10

165 (44.107437133789): select jos_facebook.link from jos_facebook where cat=10

166 (74.148178100586): select jos_google_plus.link from jos_google_plus where cat=10

167 (51.021575927734): select jos_linkedin.link from jos_linkedin where cat=10

168 (!!!!! 3260.1356506348): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

169 (!!!!! 2504.1103363037): insert into jos_banners_delta values (14615,'2025-08-04 10:55:10','216.73.216.210','view'),(14202,'2025-08-04 10:55:10','216.73.216.210','view'),(14203,'2025-08-04 10:55:10','216.73.216.210','view')

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