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Ultrasound Monitor Delivers Blood Flow Data on Demand

By MedImaging International staff writers
Posted on 27 Mar 2019

A novel system combines 3D ultrasound imaging with advanced algorithms to automate visual and quantitative blood flow monitoring after surgery.

The Sonavex (Baltimore, MD, USA) EchoSure device is a portable ultrasound system designed for non-expert users designed to rapidly detect postoperative clot formation by automatically identifying loss of flow through blood vessels. More...

For example, in the case of reconstructive surgery, it could detect a reduction in blood flow to tissues before symptoms appear. Echosure is designed to work with the EchoMark implant, which serves as a marker for soft tissue sites during surgery. As a result of its ultrasonic reflective properties, doctors can precisely visualized the area during follow-up evaluations.

EchoSure uses deep learning algorithms to derive where the ultrasound beam is coming from, and can then compute the volumetric flow rate through the vessels of interest so it can quantify the blood flow rate over time. In addition to the device itself, there is also a mobile app so that surgeons can monitor their patients remotely. This allows for more frequent monitoring, and more chances for intervention, as surgeons and nurses no longer need a trained sonographer to read the ultrasound and understand the blood flow data.

“For decades, the surgical community has sought a simple, fast and non-invasive way to accurately quantify blood flow after microvascular and vascular surgeries,” said microvascular surgeon Devin O’Brien Coon, MD, chief medical officer and president of Sonavex. “Putting ultrasound technology in the hands of bedside nurses for the first time may enable detection of vascular compromise earlier than clinical observation alone, providing opportunities for more rapid intervention and improved patient outcomes.”

“The key goal is to be able to detect the problems associated with microvascular and vascular surgeries with high risk of post-op complications. A complication of microvascular surgery is necrosis as a result of reduced blood flow and oxygen,” concluded David Narrow, CEO of Sonavex. “The gold standard for reconstructive surgery is to do a clinical exam of the reconstructive tissue to assess whether it’s starting to get colder, or bluer, or starting to appear to be in its early stages of necrosis. It’s basically waiting for the tissue to be almost dead to tell if there is a problem.”

Doppler ultrasound can detect moving cells or structures and measure their direction and speed of movement based on the Doppler effect, which evaluates movement by measuring changes in frequency of the echoes reflected. In many instances, Doppler ultrasound has replaced x-ray angiography, as it permits real-time viewing of blood flow that cannot be obtained by other methods.

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60 (!!!!! 1656.0554504395): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

61 (!!!!! 3780.1265716553): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

62 (234.84230041504): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

63 (124.93133544922): 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 (701.1890411377): SELECT fid FROM jos_deeppockets WHERE id=294777418 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777418 AND published='1' LIMIT 1

65 (408.17260742188): 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 (82.015991210938): select jos_twitters.link from jos_twitters where cat=10

67 (46.014785766602): select jos_facebook.link from jos_facebook where cat=10

68 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

69 (42.200088500977): select jos_linkedin.link from jos_linkedin where cat=10

70 (60.081481933594): SELECT fid FROM jos_deeppockets WHERE id=294777418 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294777418 AND published='1' LIMIT 1

71 (48.160552978516): 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 (401.02005004883): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (364.06517028809): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (61.03515625): 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 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (48.87580871582): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (71.048736572266): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (88.930130004883): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (61.988830566406): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (87.02278137207): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (69.856643676758): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (!!!!! 3952.0263671875): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (81.062316894531): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (647.06802368164): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (288.96331787109): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (63.180923461914): 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 (51.021575927734): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (!!!!! 5159.1396331787): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (108.00361633301): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (27.179718017578): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (221.01402282715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

107 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

108 (59.127807617188): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (49.114227294922): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (89.883804321289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

111 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

112 (106.0962677002): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (638.96179199219): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (592.94700622559): 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 (336.88545227051): 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 (81.062316894531): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

117 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

118 (51.021575927734): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

119 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

120 (41.007995605469): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

121 (38.14697265625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

122 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

123 (37.908554077148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

124 (344.03800964355): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 35086.870193481): 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 (602.00691223145): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777418 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777418 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 19376.039505005): ( 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 (123.02398681641): ( 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 (82.015991210938): 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 (46.968460083008): 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 (66.995620727539): 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 (43.153762817383): 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 (293.97010803223): 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 (75.817108154297): 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 (58.889389038086): 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 (40.054321289062): 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 (491.85752868652): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (382.1849822998): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (208.85467529297): SELECT name FROM jos_deeppockets WHERE id=214

140 (163.79356384277): SELECT name FROM jos_deeppockets WHERE id=214

141 (566.00570678711): 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 (701.1890411377): 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 (118.01719665527): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

144 (127.79235839844): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

145 (!!!!! 16805.88722229): TRUNCATE TABLE jos_trademed_module

146 (98.943710327148): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (64.849853515625): 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=294777418 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 2117.8722381592): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

151 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

152 (!!!!! 1446.9623565674): 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 (116.10984802246): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

154 (66.041946411133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

155 (39.100646972656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294777418 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294777418 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (34.093856811523): 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 (30.994415283203): 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 (43.869018554688): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

160 (50.067901611328): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294777418 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294777418 AND published='1' LIMIT 1

161 (44.822692871094): select jos_twitters.link from jos_twitters where cat=10

162 (30.040740966797): select jos_facebook.link from jos_facebook where cat=10

163 (30.040740966797): select jos_google_plus.link from jos_google_plus where cat=10

164 (38.14697265625): select jos_linkedin.link from jos_linkedin where cat=10

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