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World's First Studies with Bedside Portable MRI in Pediatric ECMO Patients Demonstrate Safety and Efficacy

By MedImaging International staff writers
Posted on 07 Apr 2023

Extracorporeal membrane oxygenation (ECMO) is a medical procedure that involves oxygenating the blood outside the body. Patients who require ECMO therapy are critically ill and may have lung failure, heart failure, or infections. Children who require this specialized procedure can only receive treatment at a specialized treatment center where they can be closely monitored. For this vulnerable patient population, it is often necessary to perform an MRI of the brain to assess relevant structures. However, transportation to a fixed MRI device is challenging for the treatment team due to the unique needs of ECMO patients during MRI diagnostics.

Now, a neonatology team at Bonn University Hospital (UKB, Bonn, Germany) has conducted the world's first study of children receiving ECMO therapy using mobile magnetic resonance imaging (MRI). The findings of the successful, innovative study of the first four pediatric ECMO patients using the mobile MRI suggest that the scan can be performed safely without any problems. The patients in the study were a newborn, a two-year-old, a nine-year-old, and a ten-year-old child. The mobile MRI was used for routine examinations and for further diagnosis of abnormalities, such as oxygen deficiency at birth. To evaluate the image quality of the mobile low-field MRI, a comparison image was taken in the permanently installed normal-field MRI for each of the children examined.

The results of the study were more than satisfactory. While the image resolution of the mobile MRI was not as high as that of a stationary device, the image data obtained were suitable for emergency diagnosis and could be retrieved instantly. The researchers were able to identify brain hemorrhages, strokes, and acute changes, such as cerebrospinal fluid buildup, in the children examined thus far and commence the appropriate treatments immediately. For instance, one of the children being studied was diagnosed with a significant brain hemorrhage using the mobile MRI, and prompt treatment was provided.

“The new findings prove that the scan can be performed safely,” said Prof. Andreas Müller, Director of the Department of Neonatology at UKB. “We obtained meaningful MRI images of the brain without changing the position of the neck cannula and without compromising the children's safety status. This represents an immense success for future MRI examinations of newborns and larger children who can only survive through the use of ECMO therapy.”

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66 (743.86596679688): SELECT fid FROM jos_deeppockets WHERE id=294796774 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796774 AND published='1' LIMIT 1

67 (501.87110900879): 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=212 ORDER BY `ordering`

68 (532.15026855469): select jos_twitters.link from jos_twitters where cat=10

69 (41.961669921875): select jos_facebook.link from jos_facebook where cat=10

70 (30.994415283203): select jos_google_plus.link from jos_google_plus where cat=10

71 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

72 (!!!!! 1466.0358428955): SELECT fid FROM jos_deeppockets WHERE id=294796774 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294796774 AND published='1' LIMIT 1

73 (41.007995605469): 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=212 ORDER BY `ordering`

74 (303.98368835449): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

75 (229.83551025391): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

76 (37.908554077148): 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`

77 (66.041946411133): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (49.114227294922): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (44.107437133789): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (30.040740966797): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

90 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (45.061111450195): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

92 (27.894973754883): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

93 (32.186508178711): 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`

94 (401.97372436523): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (46.968460083008): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (231.98127746582): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (30.994415283203): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (32.186508178711): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (96.797943115234): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (248.19374084473): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

107 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

108 (472.06878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

109 (114.91775512695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

110 (160.93254089355): 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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (545.02487182617): 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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (745.05805969238): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

113 (136.13700866699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

114 (493.04962158203): 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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

115 (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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

116 (841.85600280762): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

117 (!!!!! 1473.9036560059): SELECT dp.name, dp.id, dp2.name as channel, ex.name as author_name, ex.specialization, ex.images FROM jos_deeppockets as dp LEFT JOIN jos_experts as ex ON ex.id = dp.author LEFT JOIN jos_deeppockets as dp2 ON dp2.id = dp.fid WHERE dp.author != 0 AND dp.cat = 10 AND dp.published = 1 AND ( (dp.fid = 294743300) OR (dp.fid = 294743301) OR (dp.fid = 294743302) OR (dp.fid = 294743303) OR (dp.fid = 294743304) OR (dp.fid = 294743305) OR (dp.fid = 294743306) OR (dp.fid = 294743307) OR (dp.fid = 294743308) OR (dp.fid = 294743309) OR (dp.fid = 294743310) ) ORDER BY RAND() LIMIT 1

118 (90.122222900391): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

119 (423.90823364258): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

120 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

121 (38.862228393555): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

122 (51.975250244141): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

123 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

124 (821.11358642578): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

125 (!!!!! 54171.085357666): 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 (91.075897216797): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

127 (48.87580871582): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

128 (396.0132598877): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796774 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796774 AND type='deeppockets_item' AND published='1' LIMIT 1

129 (!!!!! 1263930.0823212): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

130 (841.14074707031): ( SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.video != '' AND dp.video_source != '' AND dp.cat = 10 AND dp.published = 1 AND dp.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) UNION ( SELECT dpa.id, dpa.name, dpa.title, dpa.video, dpa.video_source, dpa.created FROM jos_deeppockets_archive AS dpa WHERE dpa.video != '' AND dpa.video_source != '' AND dpa.cat = 10 AND dpa.published = 1 AND dpa.type != 'deeppockets_item_link' ORDER BY created DESC LIMIT 3 ) ORDER BY created DESC LIMIT 3

131 (!!!!! 2531.0516357422): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

132 (70.095062255859): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800513 LIMIT 1

133 (611.0668182373): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

134 (56.982040405273): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800359 LIMIT 1

135 (159.97886657715): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

136 (269.17457580566): SELECT dp.id, dp.name, dp.title, dp.video, dp.video_source, dp.created FROM jos_deeppockets AS dp WHERE dp.id = 294800361 LIMIT 1

137 (!!!!! 1420.0210571289): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

138 (336.88545227051): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

139 (355.95893859863): SELECT name FROM jos_deeppockets WHERE id=212

140 (36.001205444336): SELECT name FROM jos_deeppockets WHERE id=212

141 (662.08839416504): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

142 (401.02005004883): 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 '((;)|(^))212((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

143 (574.11193847656): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

144 (316.14303588867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

145 (!!!!! 17841.100692749): TRUNCATE TABLE jos_trademed_module

146 (!!!!! 7402.8968811035): 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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

147 (!!!!! 6204.1282653809): 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=294796774 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

148 (!!!!! 1027.1072387695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

149 (304.9373626709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

150 (385.04600524902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

151 (55.074691772461): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

152 (!!!!! 1248.1212615967): 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 (404.83474731445): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

154 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

155 (370.97930908203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294796774 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294796774 AND type='deeppockets_item' AND published='1' LIMIT 1

156 (44.107437133789): 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=212 or channel_id is null)

157 (37.908554077148): 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=212 or channel_id is null)

158 (235.08071899414): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

159 (260.1146697998): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

160 (111.10305786133): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294796774 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294796774 AND published='1' LIMIT 1

161 (260.82992553711): select jos_twitters.link from jos_twitters where cat=10

162 (76.055526733398): select jos_facebook.link from jos_facebook where cat=10

163 (116.82510375977): select jos_google_plus.link from jos_google_plus where cat=10

164 (31.948089599609): select jos_linkedin.link from jos_linkedin where cat=10

165 (810.86158752441): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

166 (!!!!! 4047.155380249): insert into jos_banners_delta values (14615,'2025-04-30 13:18:21','18.219.58.157','view'),(14202,'2025-04-30 13:18:21','18.219.58.157','view'),(14203,'2025-04-30 13:18:21','18.219.58.157','view')

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