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Tanzanian Health Professionals to Benefit from New Ultrasound Technology

By MedImaging International staff writers
Posted on 24 Jul 2012

Clinicians in Tanzania recently received ultrasound product training to provide better healthcare for mothers and their infants.

In support of an evidence-based study sponsored by the Ifakara Health Institute (Mtwara, Tanzania), GE Healthcare (Chalfont St. Giles, UK) recently assisted in the product training of 14 Tanzanian healthcare professionals at the Kisarawe District Hospital. The project represents a research study supported by GE in Africa entitled “Enhancing Training and Appropriate Technologies for Mothers and Babies in Africa (ETATMBA),” the study will utilize both the ultrasound systems Vscan and Venue 40.

The project aims to evaluate healthcare technologic developments in Tanzania that will contribute to their Government’s efforts to accelerate the attainment of Millennium Development Goals 4 (reduce by two thirds, between 1990 and 2015, the under-five mortality rate) and 5 (improve maternal health). While the maternal mortality ratio in Tanzania has decreased in the last decade, the current maternal mortality ratio is still higher than the figure targeted to reach Millennium Development Goal 4 (MDG 4).

According to Dr. Godfrey Mbaruku, the Ifakara Institute’s deputy executive director, the most common causes of maternal death in developing countries include hemorrhaging, obstructed labor, sepsis, and hypertensive disorders. Although some of these maternal complications that lead to the loss of African women may not be predictable, many can be prevented at various stages of pregnancy, during delivery, and soon after. Regrettably, most of the African health systems are not well equipped with adequate and skilled staff, equipment, tools, and technologies. Innovative technologies, such as oxygen-in-a-bag, intensive therapy unit (ITU)-on-stretcher, and simple ultrasound systems, will be proposed through a series of projects in a phased manner. This is the first in the series of projects with the intention of advocating for the use of these technologies at a large scale in the future.

Training on the first project began in April 2012, using both GE’s Vscan and Venue 40. This first phase is aimed at testing the use of ultrasound in resource-poor settings and evaluating the acceptability, feasibility, impact, and cost-effectiveness of the ultrasound technologies on maternal and prenatal health. This is a cohort study with one intervention arm and one control arm that will run for one year. The intervention arm will include (1) Implementation of clinical guidelines and pathways that will be used by healthcare personnel (HCP); (2) a supportive and structured clinical training and workforce development; and (3) implementation of Venue 40 at the hospital and health center level and Vscan at the dispensary level.

Speaking at the start of the two weeks long training, Janeen Uzzell, director of healthcare programs for healthymagination said GE is focused on working with health sector stakeholders across Africa to advance access to quality and cost-effective healthcare. “For the past two years, GE’s healthymagination has been working with Ifakara Health Institute and the Tanzanian government through the Tanzania Ministry of Health to find an innovative, affordable business model for rural healthcare. This gave birth to a program that will develop, implement, and evaluate clinical service improvement through education, leadership training, and workforce development,” said MS. Uzzell.

According to Dr. Mbaruku, “this training further allows the possibilities of early detection and referral of complicated cases to referral centers which are staffed by specialists [ob/gyns and pediatricians], which in turn increases the quality and efficiency of the service given to the public. This study is extremely important because it will address the capacities of middle level providers [MLPs] who are the frontline health workers in the provision of health services to mothers in this country. This is due to the fact that early diagnosis and subsequently early treatment are key in the recognition and treatment of maternal complications, which are the main causes of deaths to these groups. The study will accomplish the needed transfer of appropriate technology to where it is really needed, i.e., at the grass roots level [rural areas] where 80% of the population resides.”

Related Links:
Ifakara Health Institute
GE Healthcare

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56 (443.93539428711): 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 (67.949295043945): SELECT dp.*, ch.title as channel, exp.name as author_name, exp.specialization as author_specialization, exp.images as author_photo FROM jos_deeppockets as dp LEFT JOIN jos_experts as exp ON exp.id = dp.author LEFT JOIN jos_deeppockets as ch ON dp.fid = ch.id WHERE 1=1 AND dp.cat=10 AND dp.id=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

58 (597.00012207031): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

59 (!!!!! 3371.9539642334): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

60 (704.05006408691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

61 (!!!!! 6689.0716552734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

62 (96.08268737793): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

63 (!!!!! 4055.0231933594): 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 (!!!!! 1045.9423065186): SELECT fid FROM jos_deeppockets WHERE id=294741758 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741758 AND published='1' LIMIT 1

65 (!!!!! 1336.0977172852): 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 (!!!!! 2635.9558105469): select jos_twitters.link from jos_twitters where cat=10

67 (!!!!! 1430.0346374512): select jos_facebook.link from jos_facebook where cat=10

68 (104.90417480469): select jos_google_plus.link from jos_google_plus where cat=10

69 (437.97492980957): select jos_linkedin.link from jos_linkedin where cat=10

70 (340.93856811523): SELECT fid FROM jos_deeppockets WHERE id=294741758 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294741758 AND published='1' LIMIT 1

71 (424.86190795898): 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 (943.89915466309): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 5223.9894866943): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (733.1371307373): 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 (!!!!! 7030.0102233887): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (!!!!! 8131.9808959961): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (!!!!! 6206.0356140137): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (!!!!! 1729.0115356445): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (!!!!! 3995.8953857422): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (687.1223449707): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (!!!!! 1396.8944549561): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (222.92137145996): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (850.91590881348): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (219.10667419434): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (28.848648071289): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (102.99682617188): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (217.91458129883): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (!!!!! 1250.9822845459): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (34.093856811523): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (314.95094299316): 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 (!!!!! 4486.083984375): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (325.91819763184): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (139.95170593262): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (178.09867858887): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (349.99847412109): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (179.05235290527): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (189.06593322754): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (146.86584472656): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (!!!!! 5578.9947509766): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

107 (388.86070251465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

108 (295.87745666504): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (761.98577880859): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1528.9783477783): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

111 (608.92105102539): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

112 (767.94624328613): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (519.0372467041): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (!!!!! 2999.0673065186): 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 (!!!!! 1849.889755249): 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 (!!!!! 1263.1416320801): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

117 (528.81240844727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

118 (!!!!! 1645.0881958008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

119 (489.95018005371): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

120 (!!!!! 1396.1791992188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

121 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

122 (!!!!! 1235.9619140625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

123 (244.140625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

124 (435.82916259766): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 44348.955154419): 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

126 (!!!!! 4978.8951873779): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741758 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741758 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (52.928924560547): ( 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 (51.975250244141): ( 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 (439.88227844238): 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 (41.007995605469): 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 (!!!!! 1344.9192047119): 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 (277.04238891602): 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 (47.922134399414): 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 (395.05958557129): 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 (326.15661621094): 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 (158.07151794434): 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 (!!!!! 3696.9184875488): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (762.939453125): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (405.07316589355): SELECT name FROM jos_deeppockets WHERE id=214

140 (37.908554077148): SELECT name FROM jos_deeppockets WHERE id=214

141 (566.95938110352): 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 (509.02366638184): 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

143 (571.96617126465): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

144 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

145 (!!!!! 13249.87411499): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 6892.9195404053): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (149.01161193848): 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=294741758 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (524.99771118164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (308.03680419922): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (!!!!! 3916.0251617432): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

151 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

152 (!!!!! 3369.0929412842): 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

153 (!!!!! 5666.0175323486): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

154 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

155 (81.062316894531): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294741758 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294741758 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (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=214 or channel_id is null)

157 (40.054321289062): 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)

158 (61.988830566406): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (!!!!! 1036.1671447754): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

160 (!!!!! 1133.918762207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294741758 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294741758 AND published='1' LIMIT 1

161 (!!!!! 2133.846282959): select jos_twitters.link from jos_twitters where cat=10

162 (!!!!! 4167.0799255371): select jos_facebook.link from jos_facebook where cat=10

163 (602.00691223145): select jos_google_plus.link from jos_google_plus where cat=10

164 (793.9338684082): select jos_linkedin.link from jos_linkedin where cat=10

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