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First-of-its-Kind Catheterization Lab Gives Patients Greater Control over Environment to Help Ease Anxiety

By MedImaging staff writers
Posted on 12 Mar 2008

A new catheterization lab suite is an interactive, people-focused healthcare environment that combines design and technology to create a more comfortable experience for patients and staff, potentially increasing operational effectiveness. More...

Philips Medical Systems (Best, The Netherlands) announced the installation of its 50th Ambient Experience suite at Fairview Hospital in Cleveland, OH, USA. The catheterization (cath) lab suite installed at Fairview, one of the hospitals in the world-renowned Cleveland Clinic Health System,

In addition to Fairview Hospital, The Villages Regional Hospital (The Villages, FL, USA), and the King Faisal Specialist Hospital & Research Center (KFSH; Riyadh, Saudi Arabia) have completed installations of Ambient Experience cath lab suites in January 2008. Royal Charité hospital (Berlin, Germany) also completed an Ambient Experience magnetic resonance imaging (MRI) suite installation.

Philips' Ambient Experience integrates architecture, design, and enabling technologies, such as lighting, sound, projection, and radio frequency identification (RFID), to allow patients to personalize their environment and wrap themselves in a relaxing ambience. By calming the patient, Ambient Experience can help procedures progress more smoothly, making the clinician's job easier. The design also eliminates unnecessary physical barriers in the imaging suite for better patient and staff interaction.

"Entering the cath lab for a heart procedure can be very scary for patients, so allowing them to choose the lighting and sound to create an environment such as a beach setting, can help to put them at ease with their surroundings,” said Victor Hall, vice president of cardiac services at Fairview Hospital. "The lighting actually makes our lab appear bigger, which helps to calm patients and alleviate feelings of claustrophobia. In addition, the Ambient lab has created a more comfortable and soothing environment for our doctors and nurses to perform procedures.”

The Philips Ambient Experience was conceived on the premise of providing a positive environment for patients and healthcare professionals to enhance clinical processes and patient care. As part of the company's focus on ways people and technology can interact in a more comfortable, natural way, Philips placed special attention to patient-friendly environments for healthcare facilities. By incorporating leading-edge design elements, advanced medical technology, sophisticated lighting, and consumer-friendly electronics, the Philips Ambient Experience creates a soothing and pleasing environment for hospital patients of all ages.

Philips works with hospitals and healthcare facilities to customize Ambient design features around their specific desires and needs. "With four Ambient Experience installations completed in the first month of the year alone, it's clear that Philips' patient-focused approach is gaining traction around the world,” commented Steve Rusckowski, executive vice president and chief executive officer, Philips Healthcare. "Ambient Experience is a great way for hospitals to differentiate themselves by demonstrating their commitment to their patients and staff. It also offers tangible benefits, including increased patient throughput resulting from a streamlined workflow.”

For children, Philips also provides the KittenScanner, a miniature computed tomography (CT) system that is an educational tool to help explain in a playful way how a CT scanner works. Children select a toy, place it on a miniature exam table, and slide it into the KittenScanner to learn why the toy is ‘sick.' Animation appears on a screen that shows children what doctors are looking for inside the toy and tells them a story about each one. The kid-sized scanner was designed by Philips to provide children with an opportunity to use a scanner and learn how it works to help ease their minds about their own exam and assist in reducing anxiety levels.

In 2005, the world's first Ambient Experience suite opened at Advocate Lutheran General Children's Hospital (Park Ridge, IL, USA). This Ambient Experience pediatric radiology suite was designed to create a soothing environment that enables children to relax while undergoing CT scans. The overall goal of the design was to make children more comfortable while potentially reducing the need for sedation and repeat examinations.

Up to now, 50 hospitals have installed the Philips Ambient Experience including 31 in the United States, Canada, and Puerto Rico, six in Asia Pacific, 11 in Europe, and two in the Middle East. There are several types of Ambient Experience suites installed globally, including MR, CT, mammography, catheterization (cath) lab suites, and outpatient imaging centers. Philips continues to evaluate other settings where Ambient Experience may deliver added benefits to care.

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57 (455.85632324219): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1134.8724365234): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

59 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

60 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

61 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

62 (87.976455688477): 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

63 (501.15585327148): SELECT fid FROM jos_deeppockets WHERE id=274360000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=274360000 AND published='1' LIMIT 1

64 (44.107437133789): 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=211 ORDER BY `ordering`

65 (52.213668823242): select jos_twitters.link from jos_twitters where cat=10

66 (30.994415283203): select jos_facebook.link from jos_facebook where cat=10

67 (29.802322387695): select jos_google_plus.link from jos_google_plus where cat=10

68 (28.848648071289): select jos_linkedin.link from jos_linkedin where cat=10

69 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=274360000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=274360000 AND published='1' LIMIT 1

70 (34.093856811523): 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=211 ORDER BY `ordering`

71 (325.91819763184): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (273.9429473877): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (37.908554077148): 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`

74 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (29.087066650391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (32.901763916016): 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`

91 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

106 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

107 (51.975250244141): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (46.014785766602): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

110 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

111 (55.789947509766): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (609.8747253418): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (540.01808166504): 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 (315.18936157227): 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

115 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

116 (69.856643676758): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

117 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

118 (36.954879760742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

119 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

120 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

121 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

122 (35.04753112793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

123 (243.9022064209): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 19702.911376953): 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

125 (490.90385437012): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=274360000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=274360000 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 6968.0213928223): ( 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 (95.129013061523): ( 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

128 (38.14697265625): 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 (28.848648071289): 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

130 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

131 (29.087066650391): 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

132 (272.03559875488): 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 (35.04753112793): 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

134 (29.087066650391): 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 (27.179718017578): 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

136 (448.94218444824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (308.99047851562): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=211

139 (29.087066650391): SELECT name FROM jos_deeppockets WHERE id=211

140 (522.85194396973): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (458.0020904541): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

143 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

144 (!!!!! 8286.9529724121): TRUNCATE TABLE jos_trademed_module

145 (90.122222900391): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (60.081481933594): 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=274360000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (842.09442138672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

150 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

151 (!!!!! 1204.9674987793): 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

152 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

153 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

154 (37.193298339844): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=274360000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=274360000 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (35.04753112793): 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=211 or channel_id is null)

156 (31.948089599609): 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=211 or channel_id is null)

157 (32.901763916016): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (102.04315185547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

159 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=274360000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=274360000 AND published='1' LIMIT 1

160 (36.001205444336): select jos_twitters.link from jos_twitters where cat=10

161 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

162 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

163 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

164 (268.93615722656): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

165 (!!!!! 1111.0305786133): insert into jos_banners_delta values (14615,'2025-08-25 00:10:46','216.73.216.171','view'),(14202,'2025-08-25 00:10:46','216.73.216.171','view'),(14203,'2025-08-25 00:10:46','216.73.216.171','view')

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