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Proton Therapy as Effective as Standard Radiation Therapy

By MedImaging International staff writers
Posted on 08 Jan 2020

Cancer patients who receive proton therapy experience similar cure rates and fewer serious side effects compared to those who undergo traditional X-ray radiation therapy (RT), claims a new study.

Researchers at the University of Pennsylvania (Penn; Philadelphia, USA), Washington University School of Medicine (WUSTL; St. Louis, MO, USA), and other institutions conducted a study involving 1,483 cancer patients, 391 of whom received proton therapy and 1,092 that underwent photon treatment. The patients suffered from non-metastatic brain cancer, head and neck cancer, lung cancer, gastrointestinal cancer, and gynecologic cancer, and were treated with concurrent chemotherapy and radiation. The primary outcome was grade-three or higher radiation side effects within 90 days of treatment.

The results revealed that 11.5% of proton patients experienced a grade three or higher side effect in the 90-day time frame, compared to 27.6% in the conventional photon group. The patients receiving proton therapy experienced fewer side effects despite the fact that they were, on average, older and had more medical problems than those receiving standard X-ray radiation therapy. A weighted analysis found that the relative risk of a severe toxicity was two-thirds lower for proton RT patients, but overall survival and disease-free survival were similar between the two groups. The study was published on December 26, 219, in JAMA Oncology.

“While radiation therapy can be curative for certain cancers, it also causes severe side effects -- such as difficulty swallowing, nausea and diarrhea -- that reduce quality of life and can, in some cases, require hospitalization,” said lead author Brian Baumann, MD, assistant professor of radiation oncology at WUSTL and adjunct professor at Penn. “We observed significantly fewer unplanned hospitalizations in the proton therapy group, which suggests the treatment may be better for patients and, perhaps, less taxing on the health-care system.”

Photon radiation typically uses multiple X-ray beams to attack a tumor target, but unavoidably deposits radiation in the normal tissues beyond the target, potentially damaging those tissues as the beam exits the body. Proton therapy, an alternative radiation, works differently, by directing positively charged protons at the tumor target, where they deposit the bulk of the radiation dose, with minimal residual radiation delivered beyond the target, potentially reducing side effects and damage to surrounding tissue

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University of Pennsylvania
Washington University School of Medicine

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64 (102.04315185547): 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`

65 (59.843063354492): select jos_twitters.link from jos_twitters where cat=10

66 (38.862228393555): select jos_facebook.link from jos_facebook where cat=10

67 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

68 (41.961669921875): select jos_linkedin.link from jos_linkedin where cat=10

69 (36.954879760742): SELECT fid FROM jos_deeppockets WHERE id=294780494 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294780494 AND published='1' LIMIT 1

70 (30.994415283203): 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`

71 (255.82313537598): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (211.95411682129): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

73 (59.127807617188): 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 (!!!!! 3960.132598877): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (86.069107055664): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (33.855438232422): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (26.226043701172): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (25.98762512207): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (25.033950805664): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (24.080276489258): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (24.795532226562): SELECT show_live FROM jos_com_show_setting LIMIT 1

88 (65.088272094727): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (28.133392333984): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

90 (30.994415283203): 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 (71.76399230957): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.961669921875): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (29.087066650391): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (46.014785766602): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (33.140182495117): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (31.948089599609): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (37.193298339844): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

105 (183.8207244873): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

106 (108.95729064941): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

107 (220.06034851074): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (309.94415283203): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

109 (655.17425537109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

110 (118.97087097168): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

111 (87.02278137207): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (641.1075592041): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

113 (837.08763122559): 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 (541.92543029785): 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 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

116 (48.160552978516): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

117 (78.916549682617): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

118 (41.961669921875): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

119 (47.206878662109): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

120 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

121 (288.96331787109): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

122 (!!!!! 76920.986175537): 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

123 (182.8670501709): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

124 (197.17216491699): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

125 (!!!!! 6999.0158081055): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780494 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780494 AND type='deeppockets_item' AND published='1' LIMIT 1

126 (!!!!! 2058434.9632263): ( 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 (!!!!! 1879321.8135834): ( 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 (119.92454528809): 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 (48.87580871582): 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 (75.101852416992): 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 (35.04753112793): 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 (37.908554077148): 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 (51.975250244141): 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 (579.1187286377): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

135 (513.07678222656): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (51.975250244141): SELECT name FROM jos_deeppockets WHERE id=213

137 (34.093856811523): SELECT name FROM jos_deeppockets WHERE id=213

138 (661.84997558594): 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

139 (586.98654174805): 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 (!!!!! 1832.0083618164): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

141 (!!!!! 3467.0829772949): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

142 (!!!!! 5800.9624481201): TRUNCATE TABLE jos_trademed_module

143 (!!!!! 2223.9685058594): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

144 (781.05926513672): 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=294780494 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (404.11949157715): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

146 (92.983245849609): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (85.830688476562): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

148 (52.928924560547): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

149 (!!!!! 1620.7695007324): 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

150 (102.99682617188): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

151 (72.956085205078): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

152 (!!!!! 2226.8295288086): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294780494 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294780494 AND type='deeppockets_item' AND published='1' LIMIT 1

153 (257.96890258789): 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)

154 (184.05914306641): 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 (123.97766113281): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

156 (319.00405883789): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

157 (174.99923706055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294780494 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294780494 AND published='1' LIMIT 1

158 (79.154968261719): select jos_twitters.link from jos_twitters where cat=10

159 (37.908554077148): select jos_facebook.link from jos_facebook where cat=10

160 (38.862228393555): select jos_google_plus.link from jos_google_plus where cat=10

161 (35.04753112793): select jos_linkedin.link from jos_linkedin where cat=10

162 (379.08554077148): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

163 (!!!!! 1410.0074768066): insert into jos_banners_delta values (14615,'2025-04-30 04:18:18','3.148.221.78','view'),(14202,'2025-04-30 04:18:18','3.148.221.78','view'),(14203,'2025-04-30 04:18:18','3.148.221.78','view')

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