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Handheld Hemodynamic Ultrasound System Aids Real-Time Decision Making for Critically Ill ICU Patients

By MedImaging International staff writers
Posted on 30 Jun 2022

Image: Zura handheld hemodynamic ultrasound system (Photo courtesy of Clarius)

The world's first handheld transesophageal echocardiography (TEE) system designed to manage and guide care for the most critically ill patients in the ICU enables more clinicians to accurately determine appropriate interventions in real-time.

Clarius Mobile Health (Vancouver, BC, Canada) and ImaCor Inc. (Jericho, NY, USA) have entered into a partnership that enables the availability of the world's first handheld TEE system designed to manage and guide care for the most critically ill patients in the ICU. The Zura Handheld Hemodynamic Ultrasound system powered by Clarius provides an instant, clear window to directly visualize preload and contractility over time, having received clearance by the U.S. Food and Drug Administration to help clinicians make the right decisions, at the right time.

The Zura Handheld Hemodynamic Ultrasound system is the companion device to the ClariTEE transesophageal echo probe. Now powered by Clarius, they comprise the first and only advanced handheld hemodynamic management platform for real-time decision making to care for the most at-risk patients. Pocket-sized, the 22-ounce handheld is a key advantage in the ICU where space is limited. The Zura Handheld operates with the Clarius Ultrasound App, which connects wirelessly to Apple and Android smart devices.

"A high-risk patient's hemodynamic status changes dramatically in a matter of minutes, often while clinicians are waiting for test results they submitted 15 minutes ago," said ImaCor's Founder, Scott Roth, MD. "The Zura Handheld provides instant and accurate information to guide patient management and it's proven to save lives. More than 20,000 patients have already benefitted from our cart-based Zura system. We're excited to make this life-saving device now highly accessible to more high acuity care teams with the introduction of our handheld system, which is easier to bring to the bedside, can be used to monitor multiple patients in real-time, and takes up no floor space. We chose to partner with Clarius for our handheld solution, because it delivers the highest image quality for the best patient care."

"Our collaboration with ImaCor is a powerful example of how Clarius is broadening access to medical imaging and helping clinicians to provide better specialized patient care," said Clarius Founder Laurent Pelissier. "We have intentionally designed our app-based ultrasound system to push the boundaries of medical imaging. It's an honor to work with Dr. Roth and his team to make his vision for better acute care a reality, improving patient care and saving lives."

Related Links:
Clarius Mobile Health
ImaCor Inc.

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61 (!!!!! 11841.058731079): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

62 (!!!!! 12528.18107605): 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 (!!!!! 7824.182510376): SELECT fid FROM jos_deeppockets WHERE id=294793686 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294793686 AND published='1' LIMIT 1

64 (!!!!! 8002.0427703857): 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 (!!!!! 7682.8002929688): select jos_twitters.link from jos_twitters where cat=10

66 (!!!!! 13036.012649536): select jos_facebook.link from jos_facebook where cat=10

67 (!!!!! 6721.9734191895): select jos_google_plus.link from jos_google_plus where cat=10

68 (!!!!! 6718.8739776611): select jos_linkedin.link from jos_linkedin where cat=10

69 (!!!!! 7930.0403594971): SELECT fid FROM jos_deeppockets WHERE id=294793686 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294793686 AND published='1' LIMIT 1

70 (945.8065032959): 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 (773.19145202637): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (!!!!! 3221.9886779785): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (!!!!! 7598.1616973877): 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 (!!!!! 2503.8719177246): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (187.87384033203): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (48.160552978516): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (160.93254089355): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (131.13021850586): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (219.10667419434): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (47.922134399414): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (154.97207641602): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (156.16416931152): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (545.02487182617): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (46.014785766602): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (45.061111450195): 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 (!!!!! 2629.9953460693): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (408.88786315918): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 2988.8153076172): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (85.830688476562): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (738.14392089844): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (69.141387939453): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (192.88063049316): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (215.05355834961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (373.84033203125): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (870.94306945801): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (!!!!! 3825.9029388428): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

106 (61.988830566406): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

107 (!!!!! 3057.0030212402): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (!!!!! 1085.9966278076): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (376.22451782227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

110 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

111 (497.10273742676): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (597.95379638672): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (!!!!! 1111.9842529297): 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 (447.98851013184): 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 (77.962875366211): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

116 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

117 (74.863433837891): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

118 (53.167343139648): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

119 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

120 (47.922134399414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

121 (405.07316589355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

122 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

123 (406.98051452637): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

124 (!!!!! 48371.076583862): 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 (633.00132751465): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793686 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793686 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 16866.92237854): ( 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 (87.02278137207): ( 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 (199.0795135498): 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 (36.954879760742): 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 (!!!!! 1943.1114196777): 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 (350.9521484375): 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 (584.84077453613): 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 (98.943710327148): 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 (33.855438232422): 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 (30.994415283203): 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 (509.97734069824): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (337.12387084961): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (173.80714416504): SELECT name FROM jos_deeppockets WHERE id=214

139 (35.04753112793): SELECT name FROM jos_deeppockets WHERE id=214

140 (529.05082702637): 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 (434.16023254395): 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 (63.896179199219): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

143 (46.968460083008): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

144 (!!!!! 14008.99887085): TRUNCATE TABLE jos_trademed_module

145 (!!!!! 1536.1309051514): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (117.06352233887): 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=294793686 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 1559.9727630615): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (!!!!! 2063.9896392822): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

150 (!!!!! 1452.9228210449): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

151 (!!!!! 4297.0180511475): 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 (!!!!! 1351.8333435059): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

153 (!!!!! 2902.0309448242): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

154 (46.014785766602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294793686 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294793686 AND type='deeppockets_item' AND published='1' LIMIT 1

155 (746.01173400879): 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 (46.014785766602): 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 (!!!!! 1186.1324310303): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

158 (!!!!! 1169.9199676514): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

159 (355.00526428223): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294793686 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294793686 AND published='1' LIMIT 1

160 (!!!!! 3678.0834197998): select jos_twitters.link from jos_twitters where cat=10

161 (652.07481384277): select jos_facebook.link from jos_facebook where cat=10

162 (530.95817565918): select jos_google_plus.link from jos_google_plus where cat=10

163 (586.03286743164): select jos_linkedin.link from jos_linkedin where cat=10

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