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Post-Treatment PSA Level May Predict RT Outcomes

By MedImaging International staff writers
Posted on 14 Jun 2018

Prostate-specific antigen (PSA) levels three months after radiotherapy (RT) are strong markers of prostate cancer outcomes, according to a new study.

Researchers at the University of California, San Diego (UCSD, USA) and Dana-Farber Cancer Institute (Boston, MA, USA) conducted a study involving 5,783 patients with intermediate-risk or high-risk localized prostate cancer diagnosed in the years 2000-2015 and treated with RT and androgen deprivation therapy. The aim of the study was to examine the association between three-month post-RT PSA level and biochemical progression-free survival (bPFS), prostate cancer-specific survival (PCSS), and overall survival (OS).

In all, there were 2,651 patients with intermediate-risk and 3,132 with high-risk disease, with about 11% harboring a three-month PSA level higher than 0.50 ng/mL, which was found to be strongly associated with each outcome, as compared to patients with a three-month PSA value lower than 0.10 ng/mL. When the groups were analyzed separately, three-month PSA level was found to be predictive of OS in the high-risk group, but not in the intermediate-risk group. The study was published on May 4, 2018, in Cancer.

“The three month post‐RT PSA level appears to be a strong prognostic biomarker for bPFS, PCSS, and OS in patients with intermediate‐risk and high‐risk prostate cancer, particularly those with high‐risk disease,” concluded lead author Alex Bryant, BSc, of the UCSD department of radiation medicine and applied sciences, and colleagues. “The three month PSA measurement may augment clinical decision making and holds promise as a potential surrogate endpoint in clinical trials.”

PSA is a glycoprotein enzyme secreted by the epithelial cells of the prostate gland, and is encoded in humans by the kallikrein-3 (KLK3) gene. PSA is produced for the ejaculate, where it liquefies semen in the seminal coagulum, allowing sperm to swim freely; it is also believed to be involved in dissolving cervical mucus, allowing the entry of sperm into the uterus. PSA is present in small quantities in the serum of men with healthy prostates, but is elevated in the presence of prostate cancer, prostatitis or benign prostatic hyperplasia (BPH).

Related Links:
University of California, San Diego
Dana-Farber Cancer Institute

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65 (308.03680419922): 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=213 ORDER BY `ordering`

66 (167.1314239502): select jos_twitters.link from jos_twitters where cat=10

67 (41.007995605469): select jos_facebook.link from jos_facebook where cat=10

68 (35.04753112793): select jos_google_plus.link from jos_google_plus where cat=10

69 (28.133392333984): select jos_linkedin.link from jos_linkedin where cat=10

70 (44.822692871094): SELECT fid FROM jos_deeppockets WHERE id=294773826 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294773826 AND published='1' LIMIT 1

71 (33.140182495117): 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=213 ORDER BY `ordering`

72 (277.04238891602): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (299.93057250977): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

74 (72.956085205078): 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 (283.95652770996): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (96.797943115234): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (104.18891906738): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (58.889389038086): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (92.983245849609): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (56.028366088867): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (49.829483032227): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (55.074691772461): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (97.990036010742): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (75.101852416992): SELECT show_live FROM jos_com_show_setting LIMIT 1

89 (268.93615722656): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (60.081481933594): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

91 (57.93571472168): 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 (!!!!! 4601.9554138184): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (!!!!! 1309.871673584): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (!!!!! 2562.9997253418): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (54.121017456055): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (26.941299438477): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

106 (90.837478637695): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

107 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

108 (100.13580322266): 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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

110 (!!!!! 1385.9272003174): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

111 (73.909759521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

112 (47.206878662109): 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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (503.0632019043): 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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

114 (786.06605529785): 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 (540.97175598145): 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 (166.89300537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

117 (113.01040649414): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

118 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

119 (58.174133300781): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

120 (87.02278137207): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

121 (58.889389038086): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

122 (416.99409484863): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 78994.035720825): 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

124 (250.81634521484): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

125 (202.89421081543): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

126 (!!!!! 2244.9493408203): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294773826 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294773826 AND type='deeppockets_item' AND published='1' LIMIT 1

127 (!!!!! 1102216.0053253): ( 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 (121.8318939209): ( 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 (43.869018554688): 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

130 (30.040740966797): 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

131 (40.054321289062): 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

132 (27.894973754883): 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

133 (28.133392333984): 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

134 (27.179718017578): 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

135 (507.11631774902): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (378.84712219238): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (222.20611572266): SELECT name FROM jos_deeppockets WHERE id=213

138 (33.140182495117): SELECT name FROM jos_deeppockets WHERE id=213

139 (435.82916259766): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (380.9928894043): 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 '((;)|(^))213((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

142 (45.061111450195): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

143 (!!!!! 9103.0597686768): TRUNCATE TABLE jos_trademed_module

144 (106.8115234375): 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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (72.002410888672): 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=294773826 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (973.93989562988): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (64.849853515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

149 (86.069107055664): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

150 (!!!!! 1294.1360473633): 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

151 (!!!!! 1740.2172088623): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

152 (56.028366088867): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

153 (!!!!! 1105.0701141357): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294773826 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294773826 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (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=213 or channel_id is null)

155 (38.14697265625): 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=213 or channel_id is null)

156 (92.029571533203): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (221.96769714355): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

158 (75.101852416992): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294773826 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294773826 AND published='1' LIMIT 1

159 (216.00723266602): select jos_twitters.link from jos_twitters where cat=10

160 (31.948089599609): select jos_facebook.link from jos_facebook where cat=10

161 (82.015991210938): select jos_google_plus.link from jos_google_plus where cat=10

162 (67.949295043945): select jos_linkedin.link from jos_linkedin where cat=10

163 (421.04721069336): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 4126.7871856689): insert into jos_banners_delta values (14615,'2025-04-30 07:48:21','18.118.187.83','view'),(14202,'2025-04-30 07:48:21','18.118.187.83','view'),(14203,'2025-04-30 07:48:21','18.118.187.83','view')

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