Features Partner Sites Information LinkXpress hp
Sign In
Advertise with Us
GLOBETECH PUBLISHING LLC

Download Mobile App




Safety of Iodinated Contrast Use for Kidney CT Reaffirmed

By MedImaging International staff writers
Posted on 06 Feb 2020
New consensus statements declare that concerns over potential harms associated with intravenous (IV) contrast use for computerized tomography (CT) for kidney disease have been overstated.

The statements, issued by the American College of Radiology (ACR; Reston, VA, USA) and the National Kidney Foundation (New York, NY, USA), suggest that this is primarily to a historic lack of control groups sufficient to separate between contrast-induced acute kidney injury (CI-AKI) and contrast-associated AKI (CA-AKI), which is coincident to contrast media administration. The new consensus statements underscore the differences between them, and suggest properly distinguishing between the two in order to minimize overstating the risk of contrast use.

The ACR and National Kidney Foundation concluded that the use of intravenous contrast CT was safe for patients who have AKI, or have an estimated glomerular filtration rate (eGFR) of less than 30 mL/min per 1.73 m2; prophylaxis with intravenous normal saline is recommended. In individual high-risk circumstances, prophylaxis may be considered in patients with a higher estimated glomerular filtration, at the discretion of the ordering clinician. Contraindications include patients suffering from heart failure (HF), or if they are not undergoing maintenance dialysis.

Other key recommendations in the consensus statements are to avoid lowering IV contrast media dose below the diagnostic threshold; to avoid initiating or altering renal replacement therapy based solely on contrast media administration; to not allow the presence of a solitary kidney to influence the decision-making process regarding contrast-induced kidney injury; and to withhold prescribing toxic medications to high-risk patients. The statements were published on January 21, 2020, in Radiology.

“Whereas contrast-induced acute kidney injury suggests a causal relationship between contrast use and nephrotoxicity, contrast-associated injury indicates that there is no direct causal relationship between the two. Yet these two concepts are often incorrectly interlinked,” said Matthew Davenport, MD, of the University of Michigan (Ann Arbor, USA), who led the two consensus groups. “Modern data clarify that this perceived risk has been overstated. Our intent is to provide multidisciplinary guidance regarding the true risk to patients and how to apply a consideration of that risk to modern clinical practice.”

IV iodinated contrast media are commonly used with CT to evaluate disease and to determine treatment response. Radiologists and clinicians are routinely charged with balancing the potential risks of contrast media administration with diagnostic benefits, but this is often fraught with confusion, uncertainty, and heterogeneity, especially in AKI patients. As a result, iodinated contrast media is often denied or delayed in patients with reduced kidney function due to perceived risks of CI-AKI, creating potential for indirect harm related to delayed diagnosis and misdiagnosis.

Related Links:
American College of Radiology
National Kidney Foundation


Gold Member
Electrode Solution and Skin Prep
Signaspray
Gold Member
Ultrasound System
FUTUS LE
Double Sided Apron
Maxima
Silver Member
Solid State Kv/Dose Multi-Sensor
AGMS-DM+

Radcal

Channels

MRI

view channel
Image: An AI tool has shown tremendous promise for predicting relapse of pediatric brain cancer (Photo courtesy of 123RF)

AI Tool Predicts Relapse of Pediatric Brain Cancer from Brain MRI Scans

Many pediatric gliomas are treatable with surgery alone, but relapses can be catastrophic. Predicting which patients are at risk for recurrence remains challenging, leading to frequent follow-ups with... Read more

Nuclear Medicine

view channel
Image: In vivo imaging of U-87 MG xenograft model with varying mass doses of 89Zr-labeled KLG-3 or isotype control (Photo courtesy of L Gajecki et al.; doi.org/10.2967/jnumed.124.268762)

Novel Radiolabeled Antibody Improves Diagnosis and Treatment of Solid Tumors

Interleukin-13 receptor α-2 (IL13Rα2) is a cell surface receptor commonly found in solid tumors such as glioblastoma, melanoma, and breast cancer. It is minimally expressed in normal tissues, making it... Read more

Imaging IT

view channel
Image: The new Medical Imaging Suite makes healthcare imaging data more accessible, interoperable and useful (Photo courtesy of Google Cloud)

New Google Cloud Medical Imaging Suite Makes Imaging Healthcare Data More Accessible

Medical imaging is a critical tool used to diagnose patients, and there are billions of medical images scanned globally each year. Imaging data accounts for about 90% of all healthcare data1 and, until... Read more
Copyright © 2000-2025 Globetech Media. All rights reserved.
165 queries executed
1
(!!!!! 11814.117431641): SET sql_mode = 'MYSQL40'
2 (!!!!! 7783.1745147705): SELECT folder, element, published, params FROM jos_mambots WHERE published >= 1 AND access <= 0 AND folder = 'system' ORDER BY ordering
3 (!!!!! 7593.1549072266): SELECT template FROM jos_templates_menu WHERE client_id = 0 AND ( menuid = 0 OR menuid = 294780788 ) ORDER BY menuid DESC LIMIT 1
4 (!!!!! 4108.9057922363): DELETE FROM jos_session WHERE time < 1754333320 AND guest = 1 AND userid = 0
5 (!!!!! 4354.0000915527): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
6 (!!!!! 7113.9335632324): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
7 (!!!!! 7810.115814209): SELECT session_id FROM jos_session WHERE session_id = 'a0c45c8c57f3724e069606d9c920bd90'
8 (!!!!! 12174.129486084): INSERT INTO jos_session ( `session_id`,`time`,`username`,`gid`,`guest` ) VALUES ( 'a0c45c8c57f3724e069606d9c920bd90','1754334220','','0','1' )
9 (!!!!! 5429.9831390381): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
10 (!!!!! 3834.9628448486): SELECT * FROM jos_bannersmanager_banner WHERE site_id = 10 AND published = 1 AND groupid = 55 LIMIT 1
11 (!!!!! 5456.9244384766): SELECT * FROM jos_menu WHERE id = 294780788
12 (!!!!! 2286.1957550049): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
13 (912.90473937988): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
14 (875.94985961914): SELECT dp.*, ch.title as channel, ch.name as channel_name, 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
15 (!!!!! 1816.0343170166): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294780788) AND (fid=211) ORDER BY id DESC, `created` DESC LIMIT 0,16
16 (356.91261291504): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>294780788) AND (fid=211) ORDER BY id DESC, `created` DESC LIMIT 0,16
17 (!!!!! 4439.115524292): 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='P' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_item.fid=211 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 ) AND (jos_number.channelID=294780788 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
18 (!!!!! 5863.9049530029): 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='P' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_item.fid=211 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 ) AND (jos_number.channelID=294780788 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
19 (!!!!! 6859.0641021729): 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='P' 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 ) AND (jos_number.channelID=294780788 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
20 (!!!!! 1732.1109771729): 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='P' 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 ) AND (jos_number.channelID=294780788 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
21 (!!!!! 4968.1663513184): SELECT name,id,title FROM jos_deeppockets WHERE id=211 LIMIT 1
22 (52.928924560547): SELECT name,id,title FROM jos_deeppockets WHERE id=211 LIMIT 1
23 (!!!!! 6494.0452575684): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
24 (!!!!! 5215.8832550049): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
25 (!!!!! 4844.9039459229): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
26 (!!!!! 2026.0810852051): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
27 (787.01972961426): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
28 (633.00132751465): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
29 (!!!!! 2426.8627166748): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
30 (283.95652770996): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
31 (!!!!! 4179.0008544922): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
32 (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_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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
33 (!!!!! 3556.9667816162): SELECT conference_items.channel_id, conference_items.tracking_code FROM conference_items LEFT JOIN conference_groups ON conference_groups.id = conference_items.group_id LEFT JOIN jos_deeppockets ON jos_deeppockets.id = conference_items.channel_id LEFT JOIN jos_journal ON jos_journal.cat = jos_deeppockets.cat AND jos_journal.real = 1 AND jos_journal.directory IS NOT NULL WHERE 1 = 1 ORDER BY conference_items.id
34 (!!!!! 1147.0317840576): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294780788 LIMIT 1
35 (250.10108947754): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294780788 LIMIT 1
36 (586.03286743164): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294780788 LIMIT 1
37 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294780788 LIMIT 1
38 (45.061111450195): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294780788 LIMIT 1
39 (326.87187194824): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294780788 LIMIT 1
40 (41.007995605469): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294780788 LIMIT 1
41 (39.100646972656): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294780788 LIMIT 1
42 (!!!!! 1434.0877532959): SELECT id, title, module, position, content, showtitle, params FROM jos_modules AS m INNER JOIN jos_modules_menu AS mm ON mm.moduleid = m.id WHERE m.published = 1 AND m.access <= 0 AND m.client_id != 1 AND ( mm.menuid = 0 OR mm.menuid = 294780788 ) ORDER BY ordering
43 (!!!!! 11121.988296509): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
44 (617.02728271484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
45 (!!!!! 4824.8767852783): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 98 AND `site_id` = 10 AND `published` = 1
46 (!!!!! 5537.9867553711): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 99 AND `site_id` = 10 AND `published` = 1
47 (!!!!! 2297.1630096436): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
48 (262.97569274902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
49 (!!!!! 1929.9983978271): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
50 (!!!!! 1440.0482177734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
51 (!!!!! 3768.9208984375): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
52 (!!!!! 1007.080078125): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
53 (!!!!! 6849.0505218506): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
54 (!!!!! 1487.0166778564): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
55 (729.08401489258): SELECT name FROM jos_deeppockets WHERE id=294780788 LIMIT 1
56 (354.05158996582): SELECT name FROM jos_deeppockets_archive WHERE id=294780788 LIMIT 1
57 (361.91940307617): SELECT a.* FROM jos_components AS a WHERE ( a.admin_menu_link = 'option=com_syndicate' OR a.admin_menu_link = 'option=com_syndicate&hidemainmenu=1' ) AND a.option = 'com_syndicate'
58 (102.04315185547): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
59 (729.79927062988): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
60 (!!!!! 3307.1041107178): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
61 (105.85784912109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
62 (!!!!! 6801.1283874512): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
63 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
64 (531.91184997559): 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
65 (831.12716674805): SELECT fid FROM jos_deeppockets WHERE id=294780788 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294780788 AND published='1' LIMIT 1
66 (51.021575927734): 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`
67 (!!!!! 4150.8674621582): select jos_twitters.link from jos_twitters where cat=10
68 (314.95094299316): select jos_facebook.link from jos_facebook where cat=10
69 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10
70 (39.100646972656): select jos_linkedin.link from jos_linkedin where cat=10
71 (308.03680419922): SELECT fid FROM jos_deeppockets WHERE id=294780788 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294780788 AND published='1' LIMIT 1
72 (!!!!! 3430.1280975342): 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`
73 (791.07284545898): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
74 (407.93418884277): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
75 (51.975250244141): 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`
76 (64.849853515625): SELECT show_live FROM jos_com_show_setting LIMIT 1
77 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1
78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
79 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1
80 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
81 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
82 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1
83 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1
84 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1
85 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (746.9654083252): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1
88 (!!!!! 3140.2111053467): SELECT show_live FROM jos_com_show_setting LIMIT 1
89 (114.91775512695): SELECT show_live FROM jos_com_show_setting LIMIT 1
90 (!!!!! 4395.9617614746): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
91 (293.97010803223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
92 (55.074691772461): 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`
93 (!!!!! 7458.9252471924): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (!!!!! 7961.9884490967): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (!!!!! 7833.0039978027): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (!!!!! 6859.7793579102): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (!!!!! 2552.0324707031): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (95.129013061523): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (!!!!! 1042.8428649902): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (!!!!! 4918.098449707): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (!!!!! 7946.9680786133): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (!!!!! 5872.0111846924): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (!!!!! 2065.896987915): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (!!!!! 3983.0207824707): SELECT show_live FROM jos_com_show_setting LIMIT 1
106 (156.87942504883): SELECT show_live FROM jos_com_show_setting LIMIT 1
107 (865.93627929688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
108 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
109 (232.93495178223): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
110 (607.96737670898): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
111 (!!!!! 1249.0749359131): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
112 (295.87745666504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
113 (260.1146697998): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
114 (766.03889465332): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
115 (795.12596130371): 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
116 (!!!!! 1248.1212615967): 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
117 (95.844268798828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
118 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
119 (437.02125549316): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
120 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
121 (343.08433532715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
122 (240.80276489258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
123 (294.92378234863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
124 (213.1462097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
125 (429.86869812012): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
126 (!!!!! 65363.883972168): 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
127 (!!!!! 1870.1553344727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780788 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780788 AND type='deeppockets_item' AND published='1' LIMIT 1
128 (58.174133300781): ( 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
129 (43.869018554688): ( 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
130 (237.94174194336): 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
131 (41.961669921875): 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
132 (376.93977355957): 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
133 (42.915344238281): 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
134 (40.054321289062): 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
135 (209.09309387207): 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
136 (41.961669921875): 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
137 (38.14697265625): 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
138 (!!!!! 1674.8905181885): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
139 (463.00888061523): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
140 (374.79400634766): SELECT name FROM jos_deeppockets WHERE id=211
141 (141.14379882812): SELECT name FROM jos_deeppockets WHERE id=211
142 (914.8120880127): 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((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
143 (!!!!! 1061.2010955811): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
144 (!!!!! 2223.014831543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
145 (231.98127746582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
146 (!!!!! 17729.043960571): TRUNCATE TABLE jos_trademed_module
147 (!!!!! 2169.132232666): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
148 (189.06593322754): 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=294780788 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
149 (!!!!! 5779.0279388428): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
150 (343.79959106445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
151 (!!!!! 3290.1763916016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
152 (138.0443572998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
153 (!!!!! 2385.8547210693): 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
154 (610.8283996582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
155 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
156 (574.11193847656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780788 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780788 AND type='deeppockets_item' AND published='1' LIMIT 1
157 (56.982040405273): 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)
158 (38.862228393555): 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)
159 (39.100646972656): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
160 (560.04524230957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
161 (68.902969360352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780788 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780788 AND published='1' LIMIT 1
162 (796.07963562012): select jos_twitters.link from jos_twitters where cat=10
163 (50.067901611328): select jos_facebook.link from jos_facebook where cat=10
164 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10
165 (36.954879760742): select jos_linkedin.link from jos_linkedin where cat=10