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Orthothopedic Imaging Research Network Has Tools to Help Improve Joint Replacement Outcomes

By MedImaging International staff writers
Posted on 13 Apr 2011

New imaging technology for orthopedic research is the basis for a network connecting medical facilities in Halifax, Winnipeg, and Montreal, Canada. More...

The network will provide surgeons with clinical research measurement tools that are accurate and efficient to help improve outcomes for patients receiving joint replacement implants.

The technology was developed by Halifax Biomedical, Inc. (HBI; Mabou, Nova Scotia, Canada) and features Canon products. The first of its kind in Canada, the new network includes Capital Health in Halifax; Concordia Hip and Knee Institute (CHKI) in Winnipeg; and L'Hôpital Maisonneuve-Rosemont in Montreal. Participating facilities will combine their orthopedic research capabilities by standardizing imaging equipment, imaging procedures, and image analysis through HBI.

Each research facility within the Canadian RSA (radiostereometric analysis) network will use the same Halifax SR (stereo radiography) suite. Developed by HBI in conjunction with Canon Canada-authorized dealer Horizon Medical Services, Ltd. (Mississauga, Ontario, Canada), the Halifax SR Suite features Canon technology and enables the capture of RSA images. These three-dimensional (3D) images provide orthopedic surgeons with much greater accuracy compared to traditional X-rays.

During surgery, a patient's bones are marked with special metal markers (about the size of a small poppy seed) that show up in an X-ray. RSA imaging simultaneously provides two X-ray images of a patient's joint. Specialized software determines the location of the special markers to measure how the patient's implant has settled into the bone. Engineers and scientists conduct measurements at different time points or under different loads to evaluate whether a joint replacement has become loose. It has been shown that RSA is so accurate that problem implants can be detected before failure, earlier than other methods for joint replacement monitoring.

"RSA is a unique, powerful monitoring tool that helps surgeons accurately and quickly assess patient recovery after a knee or hip replacement,” Dr. Michael Dunbar, a leading researcher with Capital Health in Halifax. "RSA enables us to improve patient care as well as make most effective use of resources.”

By using similar equipment and HBI's centralized database for analysis, participating hospitals can increase their capacity for clinical trials. As a network, hospitals will be able to jointly recruit more patients and collect greater amounts of data in less time, for true multisite trials. For patients looking at joint replacement surgery, research conducted through the network will help surgeons make decisions on the best implant for their patients, by helping to predict better the long-term viability of the joint replacement.

At the basis of HBI's SR imaging suite, is Canon's CXDI-55C portable flat-panel detector. Implemented by Canon Canada partner Horizon Medical Services, Ltd., the Canon technology was selected for its high-quality images, both from a clinical X-ray perspective and for its ability to capture stereo X-ray images that allow researchers to make very accurate measurements of implant position and migration.

Related Links:
Halifax Biomedical
Horizon Medical Services
Canon USA

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61 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

62 (76.055526733398): 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 (511.16943359375): SELECT fid FROM jos_deeppockets WHERE id=294734505 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734505 AND published='1' LIMIT 1

64 (44.822692871094): 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 (45.061111450195): select jos_twitters.link from jos_twitters where cat=10

66 (29.087066650391): select jos_facebook.link from jos_facebook where cat=10

67 (32.186508178711): select jos_google_plus.link from jos_google_plus where cat=10

68 (27.894973754883): select jos_linkedin.link from jos_linkedin where cat=10

69 (33.140182495117): SELECT fid FROM jos_deeppockets WHERE id=294734505 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734505 AND published='1' LIMIT 1

70 (30.994415283203): 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 (344.99168395996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (326.15661621094): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (39.100646972656): 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 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (30.040740966797): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (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`

91 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

106 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

107 (86.069107055664): 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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (65.803527832031): 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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (110.86463928223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

110 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

111 (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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (886.91711425781): 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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (798.94065856934): 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 (576.97296142578): 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 (368.11828613281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

116 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

117 (94.175338745117): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

118 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

119 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

120 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

121 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

122 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

123 (262.97569274902): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 25779.962539673): 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 (597.00012207031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734505 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734505 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 10196.924209595): ( 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 (92.029571533203): ( 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 (63.896179199219): 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 (46.014785766602): 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 (66.041946411133): 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 (39.100646972656): 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 (285.86387634277): 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 (61.03515625): 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 (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

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 = 294802958 LIMIT 1

136 (441.07437133789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (266.07513427734): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=211

139 (70.095062255859): SELECT name FROM jos_deeppockets WHERE id=211

140 (560.99891662598): 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 (492.81120300293): 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 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

143 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

144 (!!!!! 11015.176773071): TRUNCATE TABLE jos_trademed_module

145 (92.983245849609): 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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (59.127807617188): 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=294734505 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (581.97975158691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

150 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

151 (!!!!! 1302.0038604736): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

153 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

154 (41.961669921875): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734505 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734505 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (36.001205444336): 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 (33.855438232422): 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 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

159 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734505 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734505 AND published='1' LIMIT 1

160 (35.04753112793): select jos_twitters.link from jos_twitters where cat=10

161 (28.848648071289): 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 (60.081481933594): select jos_linkedin.link from jos_linkedin where cat=10

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