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Collaboration Aims to Halve CT Radiation Doses

By MedImaging International staff writers
Posted on 11 Jul 2012

A comprehensive program has been initiated to help healthcare providers incorporate computed tomography (CT) imaging technologies, education, and process improvements, and data analysis to reduce patient radiation dose from CT by up to 50%.

GE Healthcare (Chalfont St. Giles, UK) revealed the GE Blueprint for low dose, in which the company is focused on working with health systems and physicians to develop system-specific solutions--comprehensive “blueprints” that can help providers achieve low-dose, high-definition diagnostic capabilities. The program is designed to help health systems nationwide positively affect patient safety.

GE Chairman and CEO Jeffrey Immelt and North Shore-LIJ Health System (Lake Success, NY, USA) president and CEO Michael Dowling recently unveiled the GE Blueprint for low dose at North Shore-LIJ’s Center for Advanced Medicine. Following the model set by North Shore-LIJ, GE plans to engage with leading health systems across the united States-- representing 3,500 hospitals with 70% of all hospital admissions nationally--to share the GE Blueprint for low dose.

Conventionally, in CT imaging, high-image quality frequently required greater patient exposure to diagnostic radiation. Lower dose levels for the patient usually meant lower image clarity. Partnering with leading healthcare providers, GE is changing the equation. With GE’s Veo technology, for instance, physicians have achieved extremely clear chest CT images with less than 1 millisievert (mSv) of dose--some with radiation dose levels comparable to chest X-rays. For perspective, traditional chest CT scans can expose patients to anywhere from 5-10 mSv of radiation dose, and natural background radiation exposes the average individual to approximately 3 mSv per year.

Mr. Immelt said, “GE has provided low dose solutions for more than 30 years, and the GE Blueprint for low dose furthers our healthymagination vision of improving the cost, quality, and access of healthcare. We are pleased to recognize North Shore-LIJ’s vision and efforts already on this front.”

North Shore-LIJ president and CEO Michael Dowling noted, “maintaining the lowest possible radiation dose in imaging while delivering high quality diagnostics is a top priority. We are thrilled to collaborate with GE Healthcare through this important, impactful program and to build upon our leadership in dose management and North Shore-LIJ’s commitment to ensuring the utmost in safety and care for our patients.”

Utilizing a team of “low dose architects,” GE Blueprint helps health systems such as North Shore-LIJ develop system-specific, end-to-end dose management programs, including staff education, process improvements, equipment evaluations and CT technologies that can enable low-dose, high-definition imaging.

As part of their blueprint, North Shore-LIJ is incorporating 16 new advanced GE CT systems and low dose technologies, including DoseWatch, a first-of-its-kind management tool that helps providers measure, track, and optimize patient dose over time; Veo, an innovative CT image reconstruction technology that is helping physicians achieve some CT scans at under 1 millisievert with profound clarity; ASiR (adaptive statistical iterative reconstruction), a low dose image reconstruction technology, available across the GE Healthcare CT product range and used on over 1,200 systems for more than 12 million patient exams to date. (In clinical practice, the use of ASiR or Veo may reduce CT patient dose depending on the clinical task, patient size, anatomic location, and clinical practice. A consultation with a radiologist and a physicist should be mad e to determine the appropriate dose to obtain diagnostic image quality for the particular clinical task.)

After reviewing all imaging equipment in 2010 and instituting a three year plan to replace or upgrade more than USD 50 million in equipment, North Shore-LIJ achieved system-wide American College of Radiology (ACR; Reston, VA, USA) accreditation and 100% compliance with ACR’s “Image Wisely” and “Image Gently” pledges, started manually tracking CT patient exposure levels system-wide, and introduced a mandatory credentialing requirement for nonradiologists using medical radiation.

A year later, in August 2011, The Joint Commission issued a Sentinel Event Alert about the radiation risks of diagnostic imaging. “By installing new imaging technology that uses lower radiation doses for CT scans, the North Shore-LIJ Health System is addressing an important factor that can contribute to excess radiation dosing,” said Mark R. Chassin, MD, president of The Joint Commission.

GE Blueprint’s goal is to work with healthcare providers to slash their average patient exposure by up to 50%, based on longitudinal tracking of average dose. The dose reduction goal is the result of a comprehensive program covering a full array of dose reduction principles. It is not solely based on equipment features. Individual site achievement will vary and any percentage reduction is dependent on the initial baseline for that site. In all cases, diagnostic image quality must be maintained.

Related Links:
GE Healthcare
GE Blueprint for Low Dose
North Shore-LIJ Health System

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57 (!!!!! 3525.0186920166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

58 (!!!!! 3941.0591125488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

59 (!!!!! 1796.0071563721): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

60 (106.0962677002): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

61 (513.07678222656): 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 (898.83804321289): SELECT fid FROM jos_deeppockets WHERE id=294741526 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741526 AND published='1' LIMIT 1

63 (380.9928894043): 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 (!!!!! 3771.0666656494): select jos_twitters.link from jos_twitters where cat=10

65 (111.10305786133): select jos_facebook.link from jos_facebook where cat=10

66 (47.206878662109): select jos_google_plus.link from jos_google_plus where cat=10

67 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

68 (62.942504882812): SELECT fid FROM jos_deeppockets WHERE id=294741526 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741526 AND published='1' LIMIT 1

69 (38.862228393555): 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 (447.03483581543): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (324.01084899902): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (50.067901611328): 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 (!!!!! 3965.1393890381): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (139.95170593262): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (298.97689819336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (52.928924560547): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (183.10546875): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (274.8966217041): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (!!!!! 2136.9457244873): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (238.18016052246): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (40.054321289062): 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 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (!!!!! 2376.7948150635): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (118.97087097168): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (181.91337585449): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (216.96090698242): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (190.97328186035): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (231.02760314941): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (!!!!! 4148.9601135254): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

105 (!!!!! 4261.9705200195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

106 (62.942504882812): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (838.9949798584): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 6160.0208282471): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

109 (!!!!! 7014.9898529053): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

110 (184.05914306641): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (957.96585083008): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (!!!!! 1064.0621185303): 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 (984.90715026855): 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 (598.19221496582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

115 (355.00526428223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

116 (161.17095947266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

117 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

118 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

119 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

120 (392.19856262207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

121 (63.180923461914): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

122 (!!!!! 2524.8527526855): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 56257.963180542): 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 (648.02169799805): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741526 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741526 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 18179.178237915): ( 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 (61.988830566406): ( 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 (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

128 (35.04753112793): 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 (92.983245849609): 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 (39.815902709961): 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 (468.01567077637): 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 (55.789947509766): 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 (36.001205444336): 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 (31.948089599609): 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 (500.91743469238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (331.87866210938): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (77.962875366211): SELECT name FROM jos_deeppockets WHERE id=211

138 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=211

139 (828.02772521973): 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 (851.15432739258): 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 (!!!!! 7988.9297485352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

142 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

143 (!!!!! 16514.06288147): TRUNCATE TABLE jos_trademed_module

144 (224.11346435547): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (923.87199401855): 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=294741526 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (!!!!! 3437.0422363281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (169.99244689941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (126.12342834473): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

149 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

150 (!!!!! 2449.0356445312): 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 (!!!!! 2669.8112487793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

152 (147.10426330566): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

153 (!!!!! 4004.0016174316): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741526 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741526 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (133.99124145508): 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 (55.074691772461): 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 (!!!!! 3526.9260406494): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (242.94853210449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

158 (104.90417480469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741526 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741526 AND published='1' LIMIT 1

159 (72.956085205078): select jos_twitters.link from jos_twitters where cat=10

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

161 (39.100646972656): 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

163 (475.16822814941): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1507.9975128174): insert into jos_banners_delta values (14615,'2025-08-19 17:47:59','216.73.216.0','view'),(14202,'2025-08-19 17:47:59','216.73.216.0','view'),(14203,'2025-08-19 17:47:59','216.73.216.0','view')

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