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CT Scans Shown Not to Interfere with Heart Rhythm Devices

By MedImaging International staff writers
Posted on 11 Mar 2014

When the US health administrators issued an advisory in 2008 warning that computed tomography (CT) imaging might interfere with pacemakers or implantable cardioverter-defibrillators, the medical community needed more evidence to support the health agency’s recommendations. Researchers now have reported their findings of the first study to evaluate the concern in “real world,” clinical practice. The results revealed that such negative interference, if it exists, is not significant enough to merit changes in clinical practice.

The study’s findings were published online February 2014, in the Journal of the American College of Cardiology. “The presence of cardiac devices should not delay or result in cancellation of clinically indicated CT imaging procedures,” stated the study’s senior author, Timm-Michael Dickfeld, MD, PhD, associate professor of medicine at the University of Maryland School of Medicine (Baltimore, MD, USA) and chief of electrophysiology at the Baltimore Veterans Affairs (VA) Medical Center.

The original US Food and Drug Administration (FDA) advisory, which encouraged this study, recommended having a physician present during CT scans, ready to take emergency measures to manage potential adverse events, and to examine the rhythm device in the patient after CT imaging to provide correct function. An updated FDA advisory, issued in 2013, did not emphasize routine device checks but called for a physician to be available when the CT involves continuous scanning over the device for more than a few seconds. The study’s lead investigator, cardiovascular medicine fellow Ayman Hussein, MD, said, “For CT scans for diagnostic purposes, the FDA advisory may warrant further evaluation.”

The researchers retrospectively studied the records of patients who underwent over 500 CT scans between July 2000 and May 2010 performed at the University of Maryland Medical Center and the Baltimore VA Medical Center. They looked for key adverse effects such as abnormally high or low heart rate, death, an immediate intervention, hospital admission, or secondary effects such as changes in the device caused by CT imaging. The scans did not produce any of the primary outcomes, whereas several slight secondary effects were observed in a small group of devices, but there was no definitive tie to CT. Similar changes were seen in a group of devices not exposed to CT.

“Clinicians and the FDA are collectively committed to patient safety,” noted Dr. Dickfeld. “We also must rely on outcome data that helps us decide on the course of action best for our patients. This study provides what is probably the best information we will have for years to come.”

Study coauthor Jean Jeudy Jr., MD, associate professor of diagnostic radiology and nuclear medicine at the University of Maryland School of Medicine, stated, “At the very least, the study may provide valuable input for reevaluation of the FDA’s original advisory.”

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66 (42.915344238281): select jos_google_plus.link from jos_google_plus where cat=10

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

68 (51.021575927734): SELECT fid FROM jos_deeppockets WHERE id=294751139 AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE id=294751139 AND published='1' LIMIT 1

69 (36.001205444336): 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=211 ORDER BY `ordering`

70 (448.94218444824): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

71 (416.04042053223): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

72 (56.982040405273): 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 (89.168548583984): SELECT show_live FROM jos_com_show_setting LIMIT 1

74 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

75 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

76 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

77 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

78 (32.901763916016): SELECT show_live FROM jos_com_show_setting LIMIT 1

79 (37.908554077148): SELECT show_live FROM jos_com_show_setting LIMIT 1

80 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

81 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

82 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

83 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

84 (36.001205444336): SELECT show_live FROM jos_com_show_setting LIMIT 1

85 (35.04753112793): SELECT show_live FROM jos_com_show_setting LIMIT 1

86 (34.093856811523): SELECT show_live FROM jos_com_show_setting LIMIT 1

87 (82.015991210938): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

88 (41.007995605469): SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

89 (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`

90 (82.015991210938): SELECT show_live FROM jos_com_show_setting LIMIT 1

91 (58.174133300781): SELECT show_live FROM jos_com_show_setting LIMIT 1

92 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

93 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

94 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

95 (39.100646972656): SELECT show_live FROM jos_com_show_setting LIMIT 1

96 (36.954879760742): SELECT show_live FROM jos_com_show_setting LIMIT 1

97 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

98 (43.153762817383): SELECT show_live FROM jos_com_show_setting LIMIT 1

99 (40.054321289062): SELECT show_live FROM jos_com_show_setting LIMIT 1

100 (39.815902709961): SELECT show_live FROM jos_com_show_setting LIMIT 1

101 (38.862228393555): SELECT show_live FROM jos_com_show_setting LIMIT 1

102 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

103 (41.007995605469): SELECT show_live FROM jos_com_show_setting LIMIT 1

104 (131.13021850586): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

105 (72.002410888672): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

106 (83.92333984375): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

107 (77.962875366211): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

108 (117.06352233887): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

109 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

110 (77.009201049805): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

111 (746.9654083252): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

112 (796.07963562012): 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 (630.14030456543): 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 (193.11904907227): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

115 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

116 (77.009201049805): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

117 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

118 (71.048736572266): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

119 (56.982040405273): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

120 (82.969665527344): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

121 (53.882598876953): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

122 (412.94097900391): SELECT * FROM trending_articles WHERE `journal_id` = 10 AND `timestamp` <= NOW() + INTERVAL 7 DAY ORDER BY `order`

123 (!!!!! 24184.942245483): 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 (597.00012207031): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751139 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751139 AND type='deeppockets_item' AND published='1' LIMIT 1

125 (!!!!! 8498.9070892334): ( 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 (108.95729064941): ( 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 (416.99409484863): 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

128 (45.061111450195): 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 (293.01643371582): 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

130 (144.00482177734): 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 (225.06713867188): 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

132 (41.007995605469): 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 (255.82313537598): 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

134 (60.081481933594): 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 (480.17501831055): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

136 (379.08554077148): SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

137 (345.94535827637): SELECT name FROM jos_deeppockets WHERE id=211

138 (94.890594482422): SELECT name FROM jos_deeppockets WHERE id=211

139 (584.84077453613): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

140 (481.84394836426): 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 '((;)|(^))211((;)|($))' AND catid IN (0,110) ORDER BY publish_up ASC LIMIT 3

141 (75.817108154297): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

142 (61.03515625): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

143 (!!!!! 12426.853179932): TRUNCATE TABLE jos_trademed_module

144 (126.12342834473): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

145 (56.982040405273): 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=294751139 AND (dp.type='deeppockets_item' OR dp.type='deeppockets_item_link') AND dp.published='1' LIMIT 1

146 (585.07919311523): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

147 (89.168548583984): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND (type='deeppockets_item' OR type='deeppockets_item_link') AND published='1' LIMIT 1

148 (64.13459777832): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

149 (42.915344238281): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

150 (!!!!! 1255.0354003906): 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 (62.942504882812): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

152 (46.014785766602): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

153 (63.896179199219): SELECT fid FROM jos_deeppockets WHERE cat=10 AND id=294751139 AND type='deeppockets_item' AND published='1' union SELECT fid FROM jos_deeppockets_archive WHERE cat=10 AND id=294751139 AND type='deeppockets_item' AND published='1' LIMIT 1

154 (45.061111450195): 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=211 or channel_id is null)

155 (50.067901611328): 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=211 or channel_id is null)

156 (61.03515625): SELECT livesite FROM jos_dp_categories WHERE id=10 AND published='1' LIMIT 1

157 (82.015991210938): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

158 (43.869018554688): SELECT * FROM jos_deeppockets WHERE 1=1 AND id=294751139 AND published='1' union SELECT * FROM jos_deeppockets_archive WHERE 1=1 AND id=294751139 AND published='1' LIMIT 1

159 (138.99803161621): select jos_twitters.link from jos_twitters where cat=10

160 (46.968460083008): select jos_facebook.link from jos_facebook where cat=10

161 (45.061111450195): select jos_google_plus.link from jos_google_plus where cat=10

162 (42.915344238281): select jos_linkedin.link from jos_linkedin where cat=10

163 (349.99847412109): update jos_bannersmanager_banner set impmade=impmade+1 where id in(14615,14202,14203)

164 (!!!!! 1363.99269104): insert into jos_banners_delta values (14615,'2025-08-19 01:11:20','216.73.216.0','view'),(14202,'2025-08-19 01:11:20','216.73.216.0','view'),(14203,'2025-08-19 01:11:20','216.73.216.0','view')

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