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Cancer Patients Gain Access to Proton Therapy Treatments at German Clinic

By MedImaging International staff writers
Posted on 18 Feb 2010

A Munich proton therapy center has doubled its capacity with the successful commissioning of a second treatment room that will enable it to deliver intensity-modulated proton therapy using pencil-beam scanning technology.

"The commissioning of our second treatment gantry will enable us to double our capacity and we are very pleased to be able to offer advanced proton therapy to twice as many patients,” said Dr. Joerg Hauffe, chief executive officer of ProHealth, the Rinecker Proton Therapy Center's (RPTC; Munich, Germany) operating company. "We can now make more efficient use of this life-saving technology by switching the proton beam between rooms so we can treat in one room while we're setting up a patient for treatment in the other room. Before the year is out, we expect to commission three more treatment rooms.”

When completed, the Rinecker Proton Therapy Center will be a state-of-the-art proton facility with four gantry rooms and one fixed-beam room, the latter of which will specialize in treating delicate tumors such as small head, neck, and eye cancers and tumors close to the spinal cord. The two additional gantry rooms are due to be ready for clinical treatment during 2010.

Unlike conventional X-ray-based radiotherapy that utilizes photons and electrons, particle therapy involves delivering heavier proton particles to destroy tumors. Proton therapy enables oncologists to improve dose control and limit exposure to healthy tissue while treating cancer and other indications. As a result, proton technology is moving from research facilities into active cancer treatment clinics such as RPTC.

Dr. Hauffe noted that RPTC benefits from being able to offer Varian' Medical System's (Palo Alto, CA, USA) pencil-beam spot scanning delivery method, which offers distinct performance advantages for more precise dose distribution than is possible with other proton delivery systems. "We believe pencil-beam scanning is the best approach for patients because you can more easily and effectively shape the dose distribution as necessary and lessen exposure to critical organs such as the spinal cord, which is difficult to achieve using the standard scattering proton technique employed by most other proton centers. Studies show that we are lowering exposure to healthy tissue and making hypo-fractionation more of a reality in radiotherapy treatments,” commented Dr. Hauffe.

Hypo-fractionation involves delivering the prescribed dose in fewer treatment sessions, or fractions, thus reducing the number of times patients have to come for treatment.

More than 80 treatment courses have been concluded at RPTC and several more patients are currently undergoing treatment. The patients have come from Germany and 18 other countries, including Canada, Argentina, the United Kingdom, and Switzerland. Among these patients have been several children, as proton therapy's ability to limit exposure to healthy tissue is particularly valuable in pediatric treatments.

Lester Boeh, head of Varian's emerging businesses, said, "The Rinecker Proton Therapy Center is delivering the most advanced particle treatments available, and Varian is proud to be part of this ground-breaking venture.”

Varian Medical Systems, Inc. is a world-leading manufacturer of medical devices and software for treating cancer and other medical conditions with radiotherapy, radiosurgery, proton therapy, and brachytherapy.

The Rinecker Proton Therapy Center is the first fully certified proton radiation center in Europe, offering a complete hospital setting with five treatment rooms (gantries) for 4,000 patients per year. Sophisticated magnetic resonance imaging (MRI), computed tomography (CT), and positron emission tomography (PET)-CT systems provide precise diagnostics for three-dimensional (3D) proton radiation therapy planning.

Related Links:
Rinecker Proton Therapy Center
Varian Medical Systems

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58 (!!!!! 5630.9700012207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

59 (!!!!! 9846.2104797363): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

60 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

61 (!!!!! 11064.052581787): 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 (!!!!! 1559.9727630615): SELECT fid FROM jos_deeppockets WHERE id=294728023 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728023 AND published='1' LIMIT 1

63 (586.03286743164): 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=213 ORDER BY `ordering`

64 (499.96376037598): select jos_twitters.link from jos_twitters where cat=10

65 (119.92454528809): select jos_facebook.link from jos_facebook where cat=10

66 (451.08795166016): select jos_google_plus.link from jos_google_plus where cat=10

67 (94.890594482422): select jos_linkedin.link from jos_linkedin where cat=10

68 (607.96737670898): SELECT fid FROM jos_deeppockets WHERE id=294728023 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728023 AND published='1' LIMIT 1

69 (492.81120300293): 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=213 ORDER BY `ordering`

70 (!!!!! 1255.0354003906): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (535.01129150391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (57.93571472168): 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 (!!!!! 1111.9842529297): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (252.00843811035): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (94.175338745117): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (663.99574279785): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (152.8263092041): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (141.14379882812): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (320.9114074707): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 3651.8573760986): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (95.129013061523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (59.843063354492): 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 (!!!!! 3198.1468200684): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (68.902969360352): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (406.98051452637): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (53.167343139648): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (296.83113098145): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (61.03515625): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (191.92695617676): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (138.0443572998): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (976.0856628418): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 1587.1524810791): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

105 (302.07633972168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

106 (234.12704467773): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (715.97099304199): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 11586.904525757): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

109 (!!!!! 2521.9917297363): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

110 (383.85391235352): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (!!!!! 1533.9851379395): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1109.8384857178): 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 (!!!!! 4334.9266052246): 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 (!!!!! 1440.0482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

115 (!!!!! 3496.1700439453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

116 (258.9225769043): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

117 (99.897384643555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

118 (183.10546875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

119 (155.21049499512): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

120 (594.13909912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

121 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

122 (468.96934509277): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 68089.962005615): 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 (!!!!! 3212.9287719727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728023 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728023 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 19189.834594727): ( 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 (216.00723266602): ( 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 (888.10920715332): 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 (60.081481933594): 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 (741.00494384766): 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 (256.06155395508): 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 (377.89344787598): 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 (523.09036254883): 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 (!!!!! 1053.0948638916): 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 (63.180923461914): 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 (!!!!! 1614.0937805176): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (413.89465332031): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (!!!!! 1777.8873443604): SELECT name FROM jos_deeppockets WHERE id=213

138 (74.863433837891): SELECT name FROM jos_deeppockets WHERE id=213

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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (648.97537231445): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

142 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

143 (!!!!! 15651.941299438): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 11760.950088501): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (524.04403686523): 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=294728023 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 5017.9958343506): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (!!!!! 2989.0537261963): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (!!!!! 2599.0009307861): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

149 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

150 (!!!!! 2039.909362793): 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 (295.87745666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

152 (173.09188842773): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

153 (755.07164001465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728023 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728023 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (51.021575927734): 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=213 or channel_id is null)

155 (32.901763916016): 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=213 or channel_id is null)

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

157 (461.10153198242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

158 (!!!!! 1118.8983917236): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728023 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728023 AND published='1' LIMIT 1

159 (!!!!! 2548.9330291748): select jos_twitters.link from jos_twitters where cat=10

160 (52.928924560547): 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 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

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