We use cookies to understand how you use our site and to improve your experience. This includes personalizing content and advertising. To learn more, click here. By continuing to use our site, you accept our use of cookies. Cookie Policy.

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

Download Mobile App




Promising Results for Minimally Invasive Lung Biopsies

By HospiMedica staff writers
Posted on 18 Feb 2008
A new study suggests that endobronchial and transesophageal endoscopic ultrasound-guided fine-needle aspiration are more sensitive than the more traditional transbronchial needle aspiration.

Researchers at The Mayo Clinic (Jacksonville, FL, USA) hypothesized that not only would the combination of ultrasound-guided endobronchial and transesophageal biopsy procedures be more accurate than transbronchial needle aspiration, but that they would provide complementary and complete staging of the mediastinum, thus eliminating blind spots and achieving near-complete minimally invasive mediastinal staging in patients with suspected lung cancer. The researchers then proceeded to test this assumption by examining 138 patients with suspected lung cancer who met all study criteria.

The researchers found that of the 138 patients with suspected lung cancer in the study, 42 (30%) had malignant lymph nodes. The researchers found that the even the endobronchial procedure alone was more sensitive, detecting 69% of malignant lymph nodes, compared to only 36% detected with blind transbronchial needle aspiration. The combination of the endobronchial and transesophageal procedures also had higher estimated sensitivity and negative predictive value than either method alone. The two procedures also had higher sensitivity and higher negative predictive value for detecting lymph nodes in any mediastinal location and for patients without lymph-node enlargement on chest computerized tomography (CT). The study was published in the February 6, 2008, issue of the Journal of the American Medical Association (JAMA).

"It is a disadvantage that patients require two procedures rather than just one,” said lead author Michael Wallace, M.D. "But we found that all of our 138 patients really benefited from both. Moving forward, it will be interesting to define which patients might be able to have just one procedure.”

Mediastinoscopy (examination of the chest cavity using a lighted tube inserted under the sternum) is considered the current diagnostic standard, however, less invasive methods have emerged as potential alternatives. The researchers pointed out that if mediastinoscopy had been performed only when results from the endobronchial and transesophageal procedures were negative, this surgical procedure would have been avoided in 28% of patients in the study. If the procedures had been used to completely replace mediastinoscopy in all patients, 97% would have been correctly labeled as negative.


Related Links:
The Mayo Clinic
Gold Member
Electrode Solution and Skin Prep
Signaspray
Gold Member
Ultrasound System
FUTUS LE
Ultrasonic Diagnostic System
K10
Body Array Coil
12-Channel Body Array Coil 1.5 / 3.0 T

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.
166 queries executed
1
(83.92333984375): SET sql_mode = 'MYSQL40'
2 (72.956085205078): SELECT folder, element, published, params FROM jos_mambots WHERE published >= 1 AND access <= 0 AND folder = 'system' ORDER BY ordering
3 (400.06637573242): SELECT template FROM jos_templates_menu WHERE client_id = 0 AND ( menuid = 0 OR menuid = 271480000 ) ORDER BY menuid DESC LIMIT 1
4 (317.81196594238): DELETE FROM jos_session WHERE time < 1755458942 AND guest = 1 AND userid = 0
5 (56.028366088867): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
6 (235.08071899414): SELECT * FROM jos_session WHERE session_id = '7725225d66a7e4996639c0c0658e69b6'
7 (139.95170593262): UPDATE jos_session SET `time`='1755459842',`userid`='0',`usertype`='\'\'',`username`='',`gid`='0',`guest`='1' WHERE session_id='7725225d66a7e4996639c0c0658e69b6'
8 (!!!!! 2067.0890808105): SELECT * FROM jos_menu WHERE id = 271480000
9 (918.86520385742): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
10 (!!!!! 1110.0769042969): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
11 (157.11784362793): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
12 (!!!!! 3058.910369873): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>271480000) AND (fid=214) ORDER BY id DESC, `created` DESC LIMIT 0,16
13 (!!!!! 15771.150588989): SELECT * FROM jos_deeppockets WHERE 1=1 AND cat=10 AND type='deeppockets_item' AND published='1' AND (id<>271480000) AND (fid=214) ORDER BY id DESC, `created` DESC LIMIT 0,16
14 (!!!!! 15691.041946411): 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=214 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=271480000 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
15 (!!!!! 6752.0141601562): 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=214 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=271480000 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
16 (!!!!! 2753.9730072021): 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=271480000 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
17 (!!!!! 4512.0716094971): 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=271480000 OR jos_number.channelID=0) ORDER BY RAND() DESC LIMIT 3
18 (!!!!! 1904.0107727051): SELECT name,id,title FROM jos_deeppockets WHERE id=214 LIMIT 1
19 (141.14379882812): SELECT name,id,title FROM jos_deeppockets WHERE id=214 LIMIT 1
20 (921.01097106934): SELECT dp.*, ch.title as channel, ch.name as channel_name FROM jos_deeppockets as dp LEFT JOIN jos_deeppockets as ch ON ch.id = dp.fid WHERE 1=1 AND dp.id=271470000 AND dp.type='deeppockets_item' AND dp.published='1' LIMIT 1
21 (!!!!! 3120.1839447021): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271470000 AND type='deeppockets_item' AND published='1' LIMIT 1
22 (!!!!! 3393.8884735107): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
23 (819.92149353027): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
24 (139.95170593262): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
25 (95.129013061523): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
26 (735.04447937012): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
27 (733.85238647461): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
28 (84.877014160156): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
29 (56.982040405273): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
30 (895.97702026367): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
31 (618.93463134766): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
32 (!!!!! 9184.8373413086): 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
33 (!!!!! 8274.7936248779): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 271470000 LIMIT 1
34 (!!!!! 1048.0880737305): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 271470000 LIMIT 1
35 (869.0357208252): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 271470000 LIMIT 1
36 (691.17546081543): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 271470000 LIMIT 1
37 (787.01972961426): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 271470000 LIMIT 1
38 (135.89859008789): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 271470000 LIMIT 1
39 (80.108642578125): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 271470000 LIMIT 1
40 (79.870223999023): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 271470000 LIMIT 1
41 (!!!!! 2638.1015777588): 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 = 271480000 ) ORDER BY ordering
42 (!!!!! 4372.1199035645): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
43 (!!!!! 3053.9035797119): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
44 (396.0132598877): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 98 AND `site_id` = 10 AND `published` = 1
45 (555.03845214844): SELECT * FROM jos_bannersmanager_banner WHERE `groupid` = 99 AND `site_id` = 10 AND `published` = 1
46 (490.90385437012): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
47 (344.03800964355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
48 (!!!!! 12637.138366699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
49 (137.0906829834): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
50 (667.09518432617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
51 (168.0850982666): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
52 (!!!!! 6509.0656280518): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
53 (103.95050048828): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
54 (!!!!! 3781.0802459717): SELECT name FROM jos_deeppockets WHERE id=271480000 LIMIT 1
55 (563.8599395752): SELECT name FROM jos_deeppockets_archive WHERE id=271480000 LIMIT 1
56 (!!!!! 2846.9562530518): 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'
57 (!!!!! 3467.0829772949): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
58 (!!!!! 1152.9922485352): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
59 (!!!!! 7369.9951171875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
60 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
61 (!!!!! 2468.1091308594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
62 (132.08389282227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
63 (149.96528625488): 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
64 (482.08236694336): SELECT fid FROM jos_deeppockets WHERE id=271480000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=271480000 AND published='1' LIMIT 1
65 (92.983245849609): 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=214 ORDER BY `ordering`
66 (69.856643676758): select jos_twitters.link from jos_twitters where cat=10
67 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10
68 (31.948089599609): select jos_google_plus.link from jos_google_plus where cat=10
69 (29.087066650391): select jos_linkedin.link from jos_linkedin where cat=10
70 (34.809112548828): SELECT fid FROM jos_deeppockets WHERE id=271480000 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=271480000 AND published='1' LIMIT 1
71 (34.093856811523): SELECT id,name,sponsor_text FROM jos_deeppockets dp left outer join jos_channel_sponsor cs on dp.id=cs.fid WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id=214 ORDER BY `ordering`
72 (278.94973754883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
73 (190.97328186035): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
74 (139.95170593262): 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`
75 (123.02398681641): SELECT show_live FROM jos_com_show_setting LIMIT 1
76 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1
77 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1
78 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1
79 (54.836273193359): SELECT show_live FROM jos_com_show_setting LIMIT 1
80 (166.17774963379): SELECT show_live FROM jos_com_show_setting LIMIT 1
81 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1
82 (!!!!! 1008.9874267578): SELECT show_live FROM jos_com_show_setting LIMIT 1
83 (230.07392883301): SELECT show_live FROM jos_com_show_setting LIMIT 1
84 (492.09594726562): SELECT show_live FROM jos_com_show_setting LIMIT 1
85 (!!!!! 1182.0793151855): SELECT show_live FROM jos_com_show_setting LIMIT 1
86 (!!!!! 1784.086227417): SELECT show_live FROM jos_com_show_setting LIMIT 1
87 (305.17578125): SELECT show_live FROM jos_com_show_setting LIMIT 1
88 (428.91502380371): SELECT show_live FROM jos_com_show_setting LIMIT 1
89 (!!!!! 1163.9595031738): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
90 (!!!!! 5836.9636535645): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
91 (91.791152954102): 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`
92 (!!!!! 1209.9742889404): SELECT show_live FROM jos_com_show_setting LIMIT 1
93 (!!!!! 4315.8531188965): SELECT show_live FROM jos_com_show_setting LIMIT 1
94 (!!!!! 1135.1108551025): SELECT show_live FROM jos_com_show_setting LIMIT 1
95 (419.13986206055): SELECT show_live FROM jos_com_show_setting LIMIT 1
96 (!!!!! 5658.1497192383): SELECT show_live FROM jos_com_show_setting LIMIT 1
97 (789.88075256348): SELECT show_live FROM jos_com_show_setting LIMIT 1
98 (!!!!! 3005.9814453125): SELECT show_live FROM jos_com_show_setting LIMIT 1
99 (!!!!! 3153.0857086182): SELECT show_live FROM jos_com_show_setting LIMIT 1
100 (!!!!! 2864.1223907471): SELECT show_live FROM jos_com_show_setting LIMIT 1
101 (!!!!! 1118.8983917236): SELECT show_live FROM jos_com_show_setting LIMIT 1
102 (646.82960510254): SELECT show_live FROM jos_com_show_setting LIMIT 1
103 (864.02893066406): SELECT show_live FROM jos_com_show_setting LIMIT 1
104 (576.97296142578): SELECT show_live FROM jos_com_show_setting LIMIT 1
105 (397.92060852051): SELECT show_live FROM jos_com_show_setting LIMIT 1
106 (!!!!! 3444.9100494385): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
107 (374.07875061035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
108 (521.89826965332): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
109 (899.07646179199): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
110 (!!!!! 4157.0663452148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
111 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
112 (!!!!! 2870.0828552246): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
113 (!!!!! 1111.9842529297): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
114 (477.07557678223): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
115 (982.99980163574): 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=271470000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
116 (831.12716674805): 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 (547.88589477539): 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
118 (151.15737915039): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
119 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
120 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
121 (52.213668823242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
122 (57.93571472168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
123 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
124 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
125 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
126 (707.86476135254): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`
127 (!!!!! 68325.996398926): 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
128 (802.99377441406): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=271480000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=271480000 AND type='deeppockets_item' AND published='1' LIMIT 1
129 (79.870223999023): ( 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 (55.074691772461): ( 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
131 (50.783157348633): 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 (50.067901611328): 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
133 (123.02398681641): 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 (51.975250244141): 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
135 (49.114227294922): 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 (46.968460083008): 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
137 (66.995620727539): 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 (46.968460083008): 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
139 (485.89706420898): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
140 (447.98851013184): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
141 (55.789947509766): SELECT name FROM jos_deeppockets WHERE id=214
142 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=214
143 (830.88874816895): 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 '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
144 (861.88316345215): SELECT *, DATE_FORMAT(publish_up,'%d %b %Y') AS date_publish_up, DATE_FORMAT(publish_down,'%d %b %Y') AS date_publish_down FROM jos_events WHERE state=1 AND publish_up > NOW() and extra_info REGEXP '((;)|(^))214((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3
145 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
146 (59.843063354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
147 (!!!!! 7885.9329223633): TRUNCATE TABLE jos_trademed_module
148 (236.98806762695): 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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
149 (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_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=271480000 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1
150 (566.95938110352): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
151 (184.05914306641): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1
152 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
153 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
154 (!!!!! 1717.0906066895): 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
155 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
156 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
157 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=271480000 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=271480000 AND type='deeppockets_item' AND published='1' LIMIT 1
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=0 or channel_id is null)
159 (36.954879760742): 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=0 or channel_id is null)
160 (37.908554077148): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1
161 (170.94612121582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
162 (!!!!! 3369.0929412842): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=271480000 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=271480000 AND published='1' LIMIT 1
163 (90.122222900391): select jos_twitters.link from jos_twitters where cat=10
164 (53.882598876953): select jos_facebook.link from jos_facebook where cat=10
165 (43.153762817383): select jos_google_plus.link from jos_google_plus where cat=10
166 (46.968460083008): select jos_linkedin.link from jos_linkedin where cat=10