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Automated Applications Devised to Simplify Echocardiography Workflow

By MedImaging International staff writers
Posted on 19 Apr 2011

Innovative, automated applications have been devised that significantly simplify echocardiography workflow and reduce exam times in both two-dimensional (2D) routine exams and volumetric imaging and analysis.

Siemens Healthcare (Erlangen, Germany) presented the 1.6 release of its Acuson SC2000 volume imaging ultrasound system at the 60th Annual Scientific Session and Expo of the American College of Cardiology in New Orleans (LA, USA) during April 2-5, 2011. More...

Building upon their leadership in echocardiography, Siemens also demonstrated how IN Focus Technology, derived from the Acuson Sequoia ultrasound system, provides high image quality and diagnostic confidence in echocardiography.

The Acuson SC2000 system is the only system that delivers the same detail resolution across the entire image without sacrificing frame rates. "Siemens Ultrasound has always pioneered paradigm-shifting technologies," said Dr. Norbert Gaus, CEO clinical products division, Siemens Healthcare. "The IN Focus Technology acquires and processes information at an unprecedented 2.88 gigabytes per second, faster than any echocardiography system in the world. This leads to never-before-seen detail and contrast resolution throughout the entire field of view delivering more clinically relevant information, ultimately benefiting a patient's diagnosis."

IN Focus Technology enables the user to focus on the entire field of view instead of a single focal zone revealing more detailed information in one image. By using the power of 64 parallel receive beams, IN Focus greatly improves image quality at all depths without any user intervention to display ideally the cardiac structure, motion, and blood flow information for superior and efficient diagnostic imaging.

The Acuson SC2000 system features the eSie Measure Workflow Acceleration package. This is the first application in the industry to provide fully automated measurements for routine echo exams, which increase workflow efficiency, as well as the reproducibility and quality of each exam, while additionally addressing the issue of repetitive stress injuries in sonographers. A result of developing artificial intelligence specifically for imaging systems, eSieScan workflow protocols developed by Siemens Corporate Research (Princeton, NJ, USA) were integrated into the system to additionally streamline exam workflows on both the user level and in the entire lab. Customizable according to user or department requirements, eSieScan workflow protocols dramatically reduce the need for user interaction and the number of keystrokes during the imaging process.

Called "Echo in a Heartbeat," Siemens' unique real-time full-volume imaging capabilities on the Acuson SC2000 system allow wider patient access by delivering vastly more diagnostic information than today's traditional 3D imaging methods. In one heart cycle and without stitching or electrocardiographic (ECG) gating, Echo in a Heartbeat acquires the full volume of the heart at a 90° x 90° angle and 16-cm depth at up to 40 volumes per second--including volumetric color flow and accurate volume quantification for the left and right ventricle. Easily integrated into a routine adult echocardiography exam, full-volume real-time imaging offers new workflow pathways to improve diagnostic confidence and efficiency.

Siemens has integrated a number of technologies resulting from the latest research and development into the Acuson SC2000 real-time full-volume ultrasound system. eSie LVA (left ventricle analysis) Volume is the latest knowledge-based application within a group of workflow acceleration techniques unique to Siemens. After acquiring a volume, eSie LVA automatically draws the contour of the left ventricle from the volume dataset, automatically generating ejection fraction (EF) and volume data in as little as 15 seconds. Using the latest machine learning technologies specifically developed for echocardiography by Siemens Corporate Research, the ACUSON SC2000 system compares the clinical case on hand with results from a database containing thousands of clinical cases. The full integration of the latest knowledge-based information technologies to detect and track volume contours enables this unmatched one-step calculation, which considerably reduces exam time and improves result consistency, finally leading to improved patient care. Giving physicians a better overview of available patient data, eSie LVA supports the standard American Heart Association (AHA) segmentation for 16 and 17 segments, standardizing exam protocols between computed tomography (CT), magnetic resonance imaging (MRI) and molecular imaging, ultimately offering physicians more comprehensive information about their patients.

Other features of the technology include syngo Velocity Vector Imaging (VVI) technology uses individual vectors to display direction and relative velocity of tissue from frame to frame to instantaneously measure motion at any point in the cardiac cycle. This unique visual representation of cardiac contraction-relaxation mechanics allows easy gathering of information for a variety of applications, including rapid assessment of ventricular synergy in heart failure.

Using sophisticated system intelligence based on learned pattern recognition technology, syngo Auto Left Heart (Auto LH) technology automatically generates left atrial and left ventricular volumes and ejection fractions rapidly and effectively.

The Rapid Stress volume stress-echo application features full-volume acquisition in one single heartbeat per stage and autoextraction of reference planes for comparison. The resulting volume stress workflow enables the only volume stress-echo solution for patients with arrhythmia. Consequently, faster acquisition time and comprehensive review of all wall segments in one single capture leads to potentially improved accuracy and timesavings.

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54 (210.04676818848): SELECT name FROM jos_deeppockets_archive WHERE id=294734576 LIMIT 1

55 (69.141387939453): 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'

56 (103.95050048828): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

57 (531.91184997559): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (!!!!! 1803.8749694824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

59 (97.990036010742): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

60 (193.83430480957): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

61 (74.148178100586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

62 (132.08389282227): select cover from jos_number where journalid in (5) and cover is not null order by left(issue,2)+right(issue,2)*12 desc limit 1

63 (615.11993408203): SELECT fid FROM jos_deeppockets WHERE id=294734576 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734576 AND published='1' LIMIT 1

64 (458.0020904541): 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`

65 (93.936920166016): select jos_twitters.link from jos_twitters where cat=10

66 (42.915344238281): select jos_facebook.link from jos_facebook where cat=10

67 (41.007995605469): select jos_google_plus.link from jos_google_plus where cat=10

68 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

69 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE id=294734576 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294734576 AND published='1' LIMIT 1

70 (46.014785766602): 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`

71 (344.99168395996): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (336.1701965332): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (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`

74 (77.962875366211): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (68.187713623047): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (46.014785766602): SELECT id,name,title FROM jos_deeppockets WHERE cat=10 AND TYPE='file_folder' AND published=1 AND id != 294743300 AND id != 294743301 AND id != 294743302 AND id != 294743303 AND id != 294743304 AND id != 294743305 AND id != 294743306 AND id != 294743307 AND id != 294743308 AND id != 294743309 AND id != 294743310 AND metakey != 'aacc' ORDER BY `ordering`

91 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.809112548828): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (38.14697265625): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (66.995620727539): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (104.18891906738): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

106 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

107 (73.19450378418): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (69.141387939453): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (130.89179992676): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

110 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

111 (73.909759521484): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (730.03768920898): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (869.0357208252): 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 (615.11993408203): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

115 (199.0795135498): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

116 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

117 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

118 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

119 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

120 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

121 (76.055526733398): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

122 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

123 (427.0076751709): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 27235.03112793): SELECT * FROM jos_deeppockets WHERE jos_deeppockets.cat = 10 AND jos_deeppockets.type = 'deeppockets_item' AND jos_deeppockets.published = 1 AND jos_deeppockets.created + INTERVAL 14 DAY >= NOW() ORDER BY jos_deeppockets.hits DESC LIMIT 7

125 (617.02728271484): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734576 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734576 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (70.095062255859): ( 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 (43.153762817383): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

128 (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

129 (36.001205444336): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803337 LIMIT 1

130 (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

131 (34.809112548828): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294803276 LIMIT 1

132 (35.04753112793): 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 (32.901763916016): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets_archive AS dp WHERE dp.id = 294803276 LIMIT 1

134 (49.114227294922): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

135 (36.954879760742): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294802958 LIMIT 1

136 (664.94941711426): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (521.89826965332): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (430.82237243652): SELECT name FROM jos_deeppockets WHERE id=214

139 (48.87580871582): SELECT name FROM jos_deeppockets WHERE id=214

140 (749.11117553711): 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

141 (644.20700073242): 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

142 (95.129013061523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

143 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

144 (!!!!! 11443.138122559): TRUNCATE TABLE jos_trademed_module

145 (118.01719665527): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (81.062316894531): 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=294734576 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (600.09956359863): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

150 (69.141387939453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

151 (!!!!! 1559.9727630615): SELECT jos_item.* FROM jos_item INNER JOIN jos_number ON jos_item.numberID=jos_number.id WHERE 1=1 AND (jos_item.imgMini<>'') AND jos_item.type='L' AND jos_item.numberID= ( SELECT jos_number.id FROM jos_number WHERE jos_number.journalID IN (10) and jos_number.id in (select distinct jos_number.id from jos_number join jos_item on jos_item.numberid=jos_number.id where jos_item.type='P') ORDER BY (CONVERT(SUBSTRING(issue,1,2),SIGNED) + (CONVERT(SUBSTRING(issue,3,2),SIGNED)*100)) DESC LIMIT 0,1 ) ORDER BY RAND() DESC LIMIT 6

152 (93.936920166016): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

153 (66.995620727539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

154 (56.982040405273): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294734576 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294734576 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (44.822692871094): 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=214 or channel_id is null)

156 (41.007995605469): 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=214 or channel_id is null)

157 (54.121017456055): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (190.01960754395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

159 (116.82510375977): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294734576 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294734576 AND published='1' LIMIT 1

160 (56.982040405273): select jos_twitters.link from jos_twitters where cat=10

161 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

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

163 (37.908554077148): select jos_linkedin.link from jos_linkedin where cat=10

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