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CT Manufacturers Unveil New Industry-Wide Medical Radiation Patient Safety Features

By MedImaging International staff writers
Posted on 26 Mar 2010

As part of its ongoing commitment to ensuring safe, appropriate, and effective medical imaging and radiation therapy, a U.S. imaging alliance announced a new industry-wide commitment to address more expansively patient safety in medical imaging by including new radiation dose safeguards.

A new radiation dose check feature will provide an alert to computed tomography (CT) machine operators when recommended radiation dose levels--as determined by hospitals and imaging centers--will be exceeded. The alert is designed to provide a clear indication to healthcare providers when radiation dose adjustments made for a patient's exam would result in delivering a dose higher than the facility's predetermined dose threshold for routine use. Known as a "reference dose,” this dose threshold level at which the new alert will appear will be set by clinicians. The Medical Imaging & Technology Alliance (MITA; Arlington, VA, USA) and its member companies stand ready to work with professional organizations, regulatory bodies, and individual clinicians on implementing this feature and to assist in establishing these diagnostic reference dose values.

Moreover, manufacturers said today they are also committed to including an additional safeguard that will allow hospitals and imaging facilities to set maximum radiation dose limits that would prevent CT scanning at higher, potentially dangerous radiation levels. This feature is designed to prevent the use of hazardous levels of radiation that could lead to burns, hair loss, or other injuries.

"Manufactures have revolutionized CT scanning by developing technology that delivers quality images at a radiation dose far below what it was just twenty years ago,” said Dave Fisher, executive director of MITA. "Today's commitment builds on that history of innovation and our long-standing dedication to ensuring the safe, appropriate, and effective use of our industry's cutting-edge medical technologies. Manufactures are already working on--or in some cases have already implemented--a version of these new patient safeguards and will be able to include them on new releases of CT products and to begin deploying them to currently installed CT systems before the end of this year.”

MITA's announcement was also applauded by the Alliance for Radiation Safety in Pediatric Imaging, which leads the Image Gently campaign to reduce radiation dose to children who undergo medical imaging exams. "We need to ensure that all imaging exams that use medical radiation are performed in the safest way possible,” said Marilyn Goske, M.D., chair of the Alliance and professor of radiology at Cincinnati Children's Hospital Medical Center (Cincinnati, OH, USA). "The safeguards proposed by MITA represent a major step forward in managing radiation dose during CT scans performed on children, who are much more sensitive to radiation than adults.”

The MITA plan builds upon existing manufacturer safety measures--including equipment safety standards, protocol development, quality and safety checks, provider education programs, and physician-developed medical guidelines--to minimize radiation dose as much as possible and to provide even greater degrees of coordination, transparency and reporting in the delivery of medical radiation.

This initiative follows MITA's recent announcement of its eight key principles to reduce unnecessary radiation exposure and medical errors: (1) Expanding and integrating appropriateness criteria into physician decision-making. (2) Creating a national dose registry to ensure longitudinal tracking of dose levels for patients across the United States. (3) Adopting a standardized storage of diagnostic imaging information within electronic health records. (4) Expanding mandatory accreditation for advanced imaging facilities. (5) Establishing minimum standards for hospital and imaging facility personnel who perform medical imaging exams and deliver radiation therapy treatments. (6) Developing minimum standards for training and education for hospital and imaging facility personnel and checklists to reduce medical errors. (7) Expanding and standardizing the reporting of medical errors associated with medical radiation across stakeholders in a manner that is transparent for patients, families, and physicians. (8) Working with stakeholders to develop radiation dose reference values to provide a data point to compare the dose level of a specific procedure. MITA commits to working with other stakeholders to develop the most appropriate way to incorporate this information into manufacturers' technology.

"It is critical that patients continue to have access to innovative medical imaging and radiation therapy solutions that save lives, help people avoid unnecessary surgery and reduce overall health care costs,” said David Fisher, executive director of MITA. "To that end, the imaging community is pleased to take the lead on the dose check initiative to provide new industry solutions while enhancing collaboration among all stakeholders to ensure appropriate use of life-saving medical radiation technologies proven to improve health outcomes and quality of life for millions of Americans.”

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Medical Imaging & Technology Alliance

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59 (150.91896057129): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

60 (65.088272094727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

61 (!!!!! 2038.9556884766): 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 (!!!!! 3841.8769836426): SELECT fid FROM jos_deeppockets WHERE id=294728658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728658 AND published='1' LIMIT 1

63 (138.99803161621): 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`

64 (70.095062255859): select jos_twitters.link from jos_twitters where cat=10

65 (33.140182495117): select jos_facebook.link from jos_facebook where cat=10

66 (36.954879760742): select jos_google_plus.link from jos_google_plus where cat=10

67 (34.093856811523): select jos_linkedin.link from jos_linkedin where cat=10

68 (44.107437133789): SELECT fid FROM jos_deeppockets WHERE id=294728658 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294728658 AND published='1' LIMIT 1

69 (35.04753112793): 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`

70 (382.90023803711): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (236.98806762695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (61.988830566406): 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 (73.909759521484): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (53.167343139648): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (31.948089599609): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (35.04753112793): 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 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (79.154968261719): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (120.87821960449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

105 (!!!!! 4091.9780731201): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

106 (97.036361694336): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (71.048736572266): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

109 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

110 (53.167343139648): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (639.91546630859): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1065.9694671631): 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 (766.03889465332): 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 (550.0316619873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

115 (177.14500427246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

116 (88.930130004883): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

117 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

118 (57.220458984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

119 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

120 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

121 (44.822692871094): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

122 (324.96452331543): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 48238.039016724): 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 (!!!!! 8939.0277862549): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728658 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 15015.125274658): ( 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 (99.897384643555): ( 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 (56.982040405273): 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 (31.948089599609): 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 (46.968460083008): 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 (30.994415283203): 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 (236.98806762695): 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 (51.021575927734): 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 (49.114227294922): 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 (39.815902709961): 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 (778.1982421875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (658.03527832031): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (209.09309387207): SELECT name FROM jos_deeppockets WHERE id=211

138 (41.007995605469): SELECT name FROM jos_deeppockets WHERE id=211

139 (!!!!! 1055.0022125244): 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

140 (753.87954711914): 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 (488.0428314209): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

142 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

143 (!!!!! 10732.889175415): TRUNCATE TABLE jos_trademed_module

144 (!!!!! 2249.002456665): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (112.05673217773): 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=294728658 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (481.12869262695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (100.13580322266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (88.214874267578): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

149 (54.121017456055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

150 (!!!!! 1595.0202941895): 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 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

152 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

153 (40.054321289062): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294728658 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294728658 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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=211 or channel_id is null)

155 (29.087066650391): 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 (45.061111450195): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (!!!!! 1415.9679412842): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

158 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294728658 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294728658 AND published='1' LIMIT 1

159 (77.009201049805): select jos_twitters.link from jos_twitters where cat=10

160 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

161 (31.232833862305): select jos_google_plus.link from jos_google_plus where cat=10

162 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10

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