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Neurofeedback Shows Promise as Tinnitus Treatment

By MedImaging International staff writers
Posted on 13 Dec 2017

Image: The standard approach to fMRI neurofeedback (Photo courtesy of the Radiological Society of North America).

Functional MRI (fMRI) demonstrates that neurofeedback training (NFT) has the potential to reduce the severity of tinnitus or even eliminate it, according to a new study.

Researchers at Wright State University (Fairborn, OH, USA) conducted a clinical study involving 18 healthy volunteers with normal hearing in order to determine the potential efficacy of self-regulation of the primary auditory cortex to treat tinnitus via real-time fMRI neurofeedback; volunteers underwent five fMRI-NFT sessions, composed of an initial simple auditory fMRI followed by two runs of auditory cortex fMRI-NFT. fMRI results were recorded using single-shot echoplanar imaging, an MRI technique that is sensitive to blood oxygen levels, providing an indirect measure of brain activity.

The simple auditory fMRI was taken in an MRI scanner, with the volunteers wearing noise-canceling earplugs. The run was comprised of six blocks containing a 20 second period of no auditory stimulation, followed by a 20 second period of white noise stimulation at 90 dB. Auditory cortex activity was then defined from a region using the activity during the preceding auditory run, and continuously updated during fMRI-NFT using a simple bar plot, accompanied by 90 dB white noise stimulation for the duration of the scan.

The participants then participated in the fMRI-NFT phase, receiving white noise through their earplugs while viewing activity in their primary auditory cortex as a bar on a screen. Each fMRI-NFT run contained eight blocks separated into a 30 second relax period followed by a 30 second lower period. Volunteers were instructed to watch the bar during the relax condition, and actively lower the bar by decreasing auditory cortex activity. Many participants focused on breathing, as it gave them a feeling of control, and diverted their attention away from sound. The study was presented at the annual meeting of the Radiological Society of North America (RSNA), held during November 2017 in Chicago (IL, USA).

“The idea is that in people with tinnitus there is an over-attention drawn to the auditory cortex, making it more active than in a healthy person,” said lead author and study presenter Matthew Sherwood, PhD, of the department of biomedical, industrial, and human factors engineering. “Our hope is that tinnitus sufferers could use neurofeedback to divert attention away from their tinnitus and possibly make it go away. Ultimately, we'd like take what we learned from MRI and develop a neurofeedback program that doesn't require MRI to use, such as an app or home-based therapy that could apply to tinnitus and other conditions.”

Tinnitus is the perception of sound within the human ear when no actual sound is present. It is not a disease, but a condition that can result from a wide range of underlying causes, including neurological damage, ear infections, oxidative stress, foreign objects in the ear, nasal allergies, wax build-up, and exposure to loud sounds. While it may be an accompaniment of sensorineural hearing loss or congenital hearing loss, or a side effect of certain medications, the most common cause is noise-induced hearing loss. Tinnitus is common, with about 20% of people between 55 and 65 years old report symptoms on a general health questionnaire, and 11.8% on more detailed tinnitus-specific questionnaires.

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67 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

68 (76.055526733398): SELECT fid FROM jos_deeppockets WHERE id=294771842 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294771842 AND published='1' LIMIT 1

69 (35.04753112793): 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=215 ORDER BY `ordering`

70 (370.02563476562): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (309.94415283203): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (50.067901611328): 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`

73 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (68.187713623047): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (49.114227294922): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (29.802322387695): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (36.001205444336): 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`

90 (72.002410888672): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (27.894973754883): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (28.133392333984): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (45.061111450195): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (110.14938354492): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

105 (70.810317993164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

106 (55.074691772461): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (46.014785766602): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (79.154968261719): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

109 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

110 (66.995620727539): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (509.97734069824): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (635.14709472656): 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

113 (359.05838012695): 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 (107.0499420166): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

115 (79.870223999023): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

116 (142.09747314453): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

117 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

118 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

119 (40.054321289062): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

120 (334.02442932129): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

121 (!!!!! 52114.963531494): 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

122 (129.93812561035): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

123 (113.96408081055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

124 (!!!!! 3195.04737854): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771842 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771842 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 548446.89369202): ( 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

126 (145.91217041016): ( 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 (58.889389038086): 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

128 (38.14697265625): 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

129 (72.956085205078): 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

130 (46.014785766602): 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

131 (45.061111450195): 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

132 (34.093856811523): 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

133 (704.05006408691): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

134 (529.05082702637): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (53.167343139648): SELECT name FROM jos_deeppockets WHERE id=215

136 (36.954879760742): SELECT name FROM jos_deeppockets WHERE id=215

137 (705.00373840332): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

138 (579.833984375): 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 '((;)|(^))215((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

139 (98.943710327148): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

140 (67.949295043945): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

141 (!!!!! 12945.175170898): TRUNCATE TABLE jos_trademed_module

142 (139.95170593262): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

143 (82.015991210938): 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=294771842 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (589.84756469727): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

145 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (94.890594482422): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

147 (60.081481933594): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

148 (!!!!! 1574.9931335449): 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

149 (92.029571533203): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

150 (68.187713623047): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

151 (106.0962677002): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294771842 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294771842 AND type='deeppockets_item' AND published='1' LIMIT 1

152 (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=215 or channel_id is null)

153 (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=215 or channel_id is null)

154 (64.849853515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

155 (87.976455688477): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

156 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294771842 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294771842 AND published='1' LIMIT 1

157 (64.849853515625): select jos_twitters.link from jos_twitters where cat=10

158 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

159 (38.14697265625): select jos_google_plus.link from jos_google_plus where cat=10

160 (43.153762817383): select jos_linkedin.link from jos_linkedin where cat=10

161 (400.06637573242): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

162 (!!!!! 1689.9108886719): insert into jos_banners_delta values (14615,'2025-06-20 15:02:00','216.73.216.120','view'),(14202,'2025-06-20 15:02:00','216.73.216.120','view'),(14203,'2025-06-20 15:02:00','216.73.216.120','view')

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