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Staging Investigations in Early-Stage Breast Cancer Patients: Are Clinically Significant and Rational?

Introduction: Multiple studies have demonstrated that the yield of imaging for distant metastatic disease is low in patients with early-stage breast cancer without signs and symptoms of metastatic disease. So, a study was carried out to assess the clinical significance and usefulness of staging investigations in newly diagnosed early-stage breast cancer patients.

Materials and method: A retrospective review of medical records of 171 patients with early-stage (stage I & II) breast cancer referred to the Tumor Board & Radiation Oncology department of NICRH and one private hospital after having surgery & adjuvant chemotherapy during the two-year period (January 2019-December 2020), were performed. The staging investigations the patients underwent perioperatively and the value of those in detecting metastasis were evaluated.

 

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Whoops! There was an error.
ErrorException (E_NOTICE)
fwrite(): write of 1887 bytes failed with errno=122 Disk quota exceeded ErrorException thrown with message "fwrite(): write of 1887 bytes failed with errno=122 Disk quota exceeded" Stacktrace: #13 ErrorException in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php:131 #12 fwrite in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php:131 #11 Monolog\Handler\StreamHandler:streamWrite in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php:117 #10 Monolog\Handler\StreamHandler:write in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/RotatingFileHandler.php:119 #9 Monolog\Handler\RotatingFileHandler:write in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/AbstractProcessingHandler.php:39 #8 Monolog\Handler\AbstractProcessingHandler:handle in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Logger.php:344 #7 Monolog\Logger:addRecord in /home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Logger.php:712 #6 Monolog\Logger:error in /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/Logger.php:176 #5 Illuminate\Log\Logger:writeLog in /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/Logger.php:87 #4 Illuminate\Log\Logger:error in /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/LogManager.php:498 #3 Illuminate\Log\LogManager:error in /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Exceptions/Handler.php:114 #2 Illuminate\Foundation\Exceptions\Handler:report in /home1/bcpsjournal/public_html/app/Exceptions/Handler.php:37 #1 App\Exceptions\Handler:report in /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Bootstrap/HandleExceptions.php:81 #0 Illuminate\Foundation\Bootstrap\HandleExceptions:handleException in [internal]:0
Application frames (1) All frames (14)
13
ErrorException
…/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php131
12
fwrite
…/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php131
11
Monolog\Handler\StreamHandler streamWrite
…/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php117
10
Monolog\Handler\StreamHandler write
…/vendor/monolog/monolog/src/Monolog/Handler/RotatingFileHandler.php119
9
Monolog\Handler\RotatingFileHandler write
…/vendor/monolog/monolog/src/Monolog/Handler/AbstractProcessingHandler.php39
8
Monolog\Handler\AbstractProcessingHandler handle
…/vendor/monolog/monolog/src/Monolog/Logger.php344
7
Monolog\Logger addRecord
…/vendor/monolog/monolog/src/Monolog/Logger.php712
6
Monolog\Logger error
…/vendor/laravel/framework/src/Illuminate/Log/Logger.php176
5
Illuminate\Log\Logger writeLog
…/vendor/laravel/framework/src/Illuminate/Log/Logger.php87
4
Illuminate\Log\Logger error
…/vendor/laravel/framework/src/Illuminate/Log/LogManager.php498
3
Illuminate\Log\LogManager error
…/vendor/laravel/framework/src/Illuminate/Foundation/Exceptions/Handler.php114
2
Illuminate\Foundation\Exceptions\Handler report
…/app/Exceptions/Handler.php37
1
App\Exceptions\Handler report
…/vendor/laravel/framework/src/Illuminate/Foundation/Bootstrap/HandleExceptions.php81
0
Illuminate\Foundation\Bootstrap\HandleExceptions handleException
[internal]0
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php 
        if ($this->useLocking) {
            // ignoring errors here, there's not much we can do about them
            flock($this->stream, LOCK_EX);
        }
 
        $this->streamWrite($this->stream, $record);
 
        if ($this->useLocking) {
            flock($this->stream, LOCK_UN);
        }
    }
 
    /**
     * Write to stream
     * @param resource $stream
     * @param array $record
     */
    protected function streamWrite($stream, array $record)
    {
        fwrite($stream, (string) $record['formatted']);
    }
 
    private function customErrorHandler($code, $msg)
    {
        $this->errorMessage = preg_replace('{^(fopen|mkdir)\(.*?\): }', '', $msg);
    }
 
    /**
     * @param string $stream
     *
     * @return null|string
     */
    private function getDirFromStream($stream)
    {
        $pos = strpos($stream, '://');
        if ($pos === false) {
            return dirname($stream);
        }
 
        if ('file://' === substr($stream, 0, 7)) {
Arguments 
  1. "fwrite(): write of 1887 bytes failed with errno=122 Disk quota exceeded"
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php 
        if ($this->useLocking) {
            // ignoring errors here, there's not much we can do about them
            flock($this->stream, LOCK_EX);
        }
 
        $this->streamWrite($this->stream, $record);
 
        if ($this->useLocking) {
            flock($this->stream, LOCK_UN);
        }
    }
 
    /**
     * Write to stream
     * @param resource $stream
     * @param array $record
     */
    protected function streamWrite($stream, array $record)
    {
        fwrite($stream, (string) $record['formatted']);
    }
 
    private function customErrorHandler($code, $msg)
    {
        $this->errorMessage = preg_replace('{^(fopen|mkdir)\(.*?\): }', '', $msg);
    }
 
    /**
     * @param string $stream
     *
     * @return null|string
     */
    private function getDirFromStream($stream)
    {
        $pos = strpos($stream, '://');
        if ($pos === false) {
            return dirname($stream);
        }
 
        if ('file://' === substr($stream, 0, 7)) {
Arguments 
  1. stream resource @8
  timed_out: false
  blocked: true
  eof: false
  wrapper_type: "plainfile"
  stream_type: "STDIO"
  mode: "a"
  unread_bytes: 0
  seekable: true
  uri: "/home1/bcpsjournal/public_html/storage/logs/laravel-2024-11-21.log"
  options: []
}

  2. """
[2024-11-21 09:31:37] local.ERROR: file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded {"exception":"[object] (ErrorException(code: 0): file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded at /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122)\n
[stacktrace]\n
#0 [internal function]: Illuminate\\Foundation\\Bootstrap\\HandleExceptions->handleError(8, 'file_put_conten...', '/home1/bcpsjour...', 122, Array)\n
#1 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php(122): file_put_contents('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', 2)\n
#2 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php(83): Illuminate\\Filesystem\\Filesystem->put('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', true)\n
#3 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Store.php(129): Illuminate\\Session\\FileSessionHandler->write('Aur9zMRAB64oxV2...', 'a:3:{s:6:\"_toke...')\n
#4 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php(87): Illuminate\\Session\\Store->save()\n
#5 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(218): Illuminate\\Session\\Middleware\\StartSession->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
#6 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(189): Illuminate\\Foundation\\Http\\Kernel->terminateMiddleware(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
#7 /home1/bcpsjournal/public_html/public/index.php(60): Illuminate\\Foundation\\Http\\Kernel->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
#8 {main}\n
"} \n
"""
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/StreamHandler.php 
            $this->createDir();
            $this->errorMessage = null;
            set_error_handler(array($this, 'customErrorHandler'));
            $this->stream = fopen($this->url, 'a');
            if ($this->filePermission !== null) {
                @chmod($this->url, $this->filePermission);
            }
            restore_error_handler();
            if (!is_resource($this->stream)) {
                $this->stream = null;
                throw new \UnexpectedValueException(sprintf('The stream or file "%s" could not be opened: '.$this->errorMessage, $this->url));
            }
        }
 
        if ($this->useLocking) {
            // ignoring errors here, there's not much we can do about them
            flock($this->stream, LOCK_EX);
        }
 
        $this->streamWrite($this->stream, $record);
 
        if ($this->useLocking) {
            flock($this->stream, LOCK_UN);
        }
    }
 
    /**
     * Write to stream
     * @param resource $stream
     * @param array $record
     */
    protected function streamWrite($stream, array $record)
    {
        fwrite($stream, (string) $record['formatted']);
    }
 
    private function customErrorHandler($code, $msg)
    {
        $this->errorMessage = preg_replace('{^(fopen|mkdir)\(.*?\): }', '', $msg);
    }
Arguments 
  1. stream resource @8
  timed_out: false
  blocked: true
  eof: false
  wrapper_type: "plainfile"
  stream_type: "STDIO"
  mode: "a"
  unread_bytes: 0
  seekable: true
  uri: "/home1/bcpsjournal/public_html/storage/logs/laravel-2024-11-21.log"
  options: []
}

  2. array:8 [
  "message" => "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  "context" => array:1 [
    "exception" => ErrorException {#400
      #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
      #code: 0
      #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
      #line: 122
      #severity: E_NOTICE
    }
  ]
  "level" => 400
  "level_name" => "ERROR"
  "channel" => "local"
  "datetime" => DateTime @1732181497 {#415
    date: 2024-11-21 09:31:37.851986 UTC (+00:00)
  }
  "extra" => []
  "formatted" => """
    [2024-11-21 09:31:37] local.ERROR: file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded {"exception":"[object] (ErrorException(code: 0): file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded at /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122)\n
    [stacktrace]\n
    #0 [internal function]: Illuminate\\Foundation\\Bootstrap\\HandleExceptions->handleError(8, 'file_put_conten...', '/home1/bcpsjour...', 122, Array)\n
    #1 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php(122): file_put_contents('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', 2)\n
    #2 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php(83): Illuminate\\Filesystem\\Filesystem->put('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', true)\n
    #3 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Store.php(129): Illuminate\\Session\\FileSessionHandler->write('Aur9zMRAB64oxV2...', 'a:3:{s:6:\"_toke...')\n
    #4 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php(87): Illuminate\\Session\\Store->save()\n
    #5 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(218): Illuminate\\Session\\Middleware\\StartSession->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #6 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(189): Illuminate\\Foundation\\Http\\Kernel->terminateMiddleware(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #7 /home1/bcpsjournal/public_html/public/index.php(60): Illuminate\\Foundation\\Http\\Kernel->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #8 {main}\n
    "} \n
    """
]
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/RotatingFileHandler.php 
        $this->url = $this->getTimedFilename();
        $this->close();
    }
 
    /**
     * {@inheritdoc}
     */
    protected function write(array $record)
    {
        // on the first record written, if the log is new, we should rotate (once per day)
        if (null === $this->mustRotate) {
            $this->mustRotate = !file_exists($this->url);
        }
 
        if ($this->nextRotation < $record['datetime']) {
            $this->mustRotate = true;
            $this->close();
        }
 
        parent::write($record);
    }
 
    /**
     * Rotates the files.
     */
    protected function rotate()
    {
        // update filename
        $this->url = $this->getTimedFilename();
        $this->nextRotation = new \DateTime('tomorrow');
 
        // skip GC of old logs if files are unlimited
        if (0 === $this->maxFiles) {
            return;
        }
 
        $logFiles = glob($this->getGlobPattern());
        if ($this->maxFiles >= count($logFiles)) {
            // no files to remove
            return;
Arguments 
  1. array:8 [
  "message" => "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  "context" => array:1 [
    "exception" => ErrorException {#400
      #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
      #code: 0
      #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
      #line: 122
      #severity: E_NOTICE
    }
  ]
  "level" => 400
  "level_name" => "ERROR"
  "channel" => "local"
  "datetime" => DateTime @1732181497 {#415
    date: 2024-11-21 09:31:37.851986 UTC (+00:00)
  }
  "extra" => []
  "formatted" => """
    [2024-11-21 09:31:37] local.ERROR: file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded {"exception":"[object] (ErrorException(code: 0): file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded at /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122)\n
    [stacktrace]\n
    #0 [internal function]: Illuminate\\Foundation\\Bootstrap\\HandleExceptions->handleError(8, 'file_put_conten...', '/home1/bcpsjour...', 122, Array)\n
    #1 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php(122): file_put_contents('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', 2)\n
    #2 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php(83): Illuminate\\Filesystem\\Filesystem->put('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', true)\n
    #3 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Store.php(129): Illuminate\\Session\\FileSessionHandler->write('Aur9zMRAB64oxV2...', 'a:3:{s:6:\"_toke...')\n
    #4 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php(87): Illuminate\\Session\\Store->save()\n
    #5 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(218): Illuminate\\Session\\Middleware\\StartSession->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #6 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(189): Illuminate\\Foundation\\Http\\Kernel->terminateMiddleware(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #7 /home1/bcpsjournal/public_html/public/index.php(60): Illuminate\\Foundation\\Http\\Kernel->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #8 {main}\n
    "} \n
    """
]
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Handler/AbstractProcessingHandler.php 
 *
 * @author Jordi Boggiano <j.boggiano@seld.be>
 * @author Christophe Coevoet <stof@notk.org>
 */
abstract class AbstractProcessingHandler extends AbstractHandler
{
    /**
     * {@inheritdoc}
     */
    public function handle(array $record)
    {
        if (!$this->isHandling($record)) {
            return false;
        }
 
        $record = $this->processRecord($record);
 
        $record['formatted'] = $this->getFormatter()->format($record);
 
        $this->write($record);
 
        return false === $this->bubble;
    }
 
    /**
     * Writes the record down to the log of the implementing handler
     *
     * @param  array $record
     * @return void
     */
    abstract protected function write(array $record);
 
    /**
     * Processes a record.
     *
     * @param  array $record
     * @return array
     */
    protected function processRecord(array $record)
    {
Arguments 
  1. array:8 [
  "message" => "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  "context" => array:1 [
    "exception" => ErrorException {#400
      #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
      #code: 0
      #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
      #line: 122
      #severity: E_NOTICE
    }
  ]
  "level" => 400
  "level_name" => "ERROR"
  "channel" => "local"
  "datetime" => DateTime @1732181497 {#415
    date: 2024-11-21 09:31:37.851986 UTC (+00:00)
  }
  "extra" => []
  "formatted" => """
    [2024-11-21 09:31:37] local.ERROR: file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded {"exception":"[object] (ErrorException(code: 0): file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded at /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122)\n
    [stacktrace]\n
    #0 [internal function]: Illuminate\\Foundation\\Bootstrap\\HandleExceptions->handleError(8, 'file_put_conten...', '/home1/bcpsjour...', 122, Array)\n
    #1 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php(122): file_put_contents('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', 2)\n
    #2 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php(83): Illuminate\\Filesystem\\Filesystem->put('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', true)\n
    #3 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Store.php(129): Illuminate\\Session\\FileSessionHandler->write('Aur9zMRAB64oxV2...', 'a:3:{s:6:\"_toke...')\n
    #4 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php(87): Illuminate\\Session\\Store->save()\n
    #5 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(218): Illuminate\\Session\\Middleware\\StartSession->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #6 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(189): Illuminate\\Foundation\\Http\\Kernel->terminateMiddleware(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #7 /home1/bcpsjournal/public_html/public/index.php(60): Illuminate\\Foundation\\Http\\Kernel->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #8 {main}\n
    "} \n
    """
]
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Logger.php 
        }
        $ts->setTimezone(static::$timezone);
 
        $record = array(
            'message' => (string) $message,
            'context' => $context,
            'level' => $level,
            'level_name' => $levelName,
            'channel' => $this->name,
            'datetime' => $ts,
            'extra' => array(),
        );
 
        try {
            foreach ($this->processors as $processor) {
                $record = call_user_func($processor, $record);
            }
 
            while ($handler = current($this->handlers)) {
                if (true === $handler->handle($record)) {
                    break;
                }
 
                next($this->handlers);
            }
        } catch (Exception $e) {
            $this->handleException($e, $record);
        }
 
        return true;
    }
 
    /**
     * Ends a log cycle and frees all resources used by handlers.
     *
     * Closing a Handler means flushing all buffers and freeing any open resources/handles.
     * Handlers that have been closed should be able to accept log records again and re-open
     * themselves on demand, but this may not always be possible depending on implementation.
     *
     * This is useful at the end of a request and will be called automatically on every handler
Arguments 
  1. array:8 [
  "message" => "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  "context" => array:1 [
    "exception" => ErrorException {#400
      #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
      #code: 0
      #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
      #line: 122
      #severity: E_NOTICE
    }
  ]
  "level" => 400
  "level_name" => "ERROR"
  "channel" => "local"
  "datetime" => DateTime @1732181497 {#415
    date: 2024-11-21 09:31:37.851986 UTC (+00:00)
  }
  "extra" => []
  "formatted" => """
    [2024-11-21 09:31:37] local.ERROR: file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded {"exception":"[object] (ErrorException(code: 0): file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded at /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:122)\n
    [stacktrace]\n
    #0 [internal function]: Illuminate\\Foundation\\Bootstrap\\HandleExceptions->handleError(8, 'file_put_conten...', '/home1/bcpsjour...', 122, Array)\n
    #1 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php(122): file_put_contents('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', 2)\n
    #2 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/FileSessionHandler.php(83): Illuminate\\Filesystem\\Filesystem->put('/home1/bcpsjour...', 'a:3:{s:6:\"_toke...', true)\n
    #3 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Store.php(129): Illuminate\\Session\\FileSessionHandler->write('Aur9zMRAB64oxV2...', 'a:3:{s:6:\"_toke...')\n
    #4 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Session/Middleware/StartSession.php(87): Illuminate\\Session\\Store->save()\n
    #5 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(218): Illuminate\\Session\\Middleware\\StartSession->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #6 /home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Http/Kernel.php(189): Illuminate\\Foundation\\Http\\Kernel->terminateMiddleware(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #7 /home1/bcpsjournal/public_html/public/index.php(60): Illuminate\\Foundation\\Http\\Kernel->terminate(Object(Illuminate\\Http\\Request), Object(Illuminate\\Http\\Response))\n
    #8 {main}\n
    "} \n
    """
]
/home1/bcpsjournal/public_html/vendor/monolog/monolog/src/Monolog/Logger.php 
     * @param  array  $context The log context
     * @return bool   Whether the record has been processed
     */
    public function err($message, array $context = array())
    {
        return $this->addRecord(static::ERROR, $message, $context);
    }
 
    /**
     * Adds a log record at the ERROR level.
     *
     * This method allows for compatibility with common interfaces.
     *
     * @param  string $message The log message
     * @param  array  $context The log context
     * @return bool   Whether the record has been processed
     */
    public function error($message, array $context = array())
    {
        return $this->addRecord(static::ERROR, $message, $context);
    }
 
    /**
     * Adds a log record at the CRITICAL level.
     *
     * This method allows for compatibility with common interfaces.
     *
     * @param  string $message The log message
     * @param  array  $context The log context
     * @return bool   Whether the record has been processed
     */
    public function crit($message, array $context = array())
    {
        return $this->addRecord(static::CRITICAL, $message, $context);
    }
 
    /**
     * Adds a log record at the CRITICAL level.
     *
     * This method allows for compatibility with common interfaces.
Arguments 
  1. 400

  2. "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"

  3. array:1 [
  "exception" => ErrorException {#400
    #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
    #code: 0
    #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
    #line: 122
    #severity: E_NOTICE
  }
]
/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/Logger.php 
     * @return void
     */
    public function write($level, $message, array $context = [])
    {
        $this->writeLog($level, $message, $context);
    }
 
    /**
     * Write a message to the log.
     *
     * @param  string  $level
     * @param  string  $message
     * @param  array  $context
     * @return void
     */
    protected function writeLog($level, $message, $context)
    {
        $this->fireLogEvent($level, $message = $this->formatMessage($message), $context);
 
        $this->logger->{$level}($message, $context);
    }
 
    /**
     * Register a new callback handler for when a log event is triggered.
     *
     * @param  \Closure  $callback
     * @return void
     *
     * @throws \RuntimeException
     */
    public function listen(Closure $callback)
    {
        if (! isset($this->dispatcher)) {
            throw new RuntimeException('Events dispatcher has not been set.');
        }
 
        $this->dispatcher->listen(MessageLogged::class, $callback);
    }
 
    /**
Arguments 
  1. "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"

  2. array:1 [
  "exception" => ErrorException {#400
    #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
    #code: 0
    #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
    #line: 122
    #severity: E_NOTICE
  }
]
/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/Logger.php 
     *
     * @param  string  $message
     * @param  array  $context
     * @return void
     */
    public function critical($message, array $context = [])
    {
        $this->writeLog(__FUNCTION__, $message, $context);
    }
 
    /**
     * Log an error message to the logs.
     *
     * @param  string  $message
     * @param  array  $context
     * @return void
     */
    public function error($message, array $context = [])
    {
        $this->writeLog(__FUNCTION__, $message, $context);
    }
 
    /**
     * Log a warning message to the logs.
     *
     * @param  string  $message
     * @param  array  $context
     * @return void
     */
    public function warning($message, array $context = [])
    {
        $this->writeLog(__FUNCTION__, $message, $context);
    }
 
    /**
     * Log a notice to the logs.
     *
     * @param  string  $message
     * @param  array  $context
     * @return void
Arguments 
  1. "error"

  2. "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"

  3. array:1 [
  "exception" => ErrorException {#400
    #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
    #code: 0
    #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
    #line: 122
    #severity: E_NOTICE
  }
]
/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Log/LogManager.php 
     *
     * @return void
     */
    public function critical($message, array $context = [])
    {
        $this->driver()->critical($message, $context);
    }
 
    /**
     * Runtime errors that do not require immediate action but should typically
     * be logged and monitored.
     *
     * @param string $message
     * @param array  $context
     *
     * @return void
     */
    public function error($message, array $context = [])
    {
        $this->driver()->error($message, $context);
    }
 
    /**
     * Exceptional occurrences that are not errors.
     *
     * Example: Use of deprecated APIs, poor use of an API, undesirable things
     * that are not necessarily wrong.
     *
     * @param string $message
     * @param array  $context
     *
     * @return void
     */
    public function warning($message, array $context = [])
    {
        $this->driver()->warning($message, $context);
    }
 
    /**
     * Normal but significant events.
Arguments 
  1. "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"

  2. array:1 [
  "exception" => ErrorException {#400
    #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
    #code: 0
    #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
    #line: 122
    #severity: E_NOTICE
  }
]
/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Exceptions/Handler.php 
     */
    public function report(Exception $e)
    {
        if ($this->shouldntReport($e)) {
            return;
        }
 
        if (method_exists($e, 'report')) {
            return $e->report();
        }
 
        try {
            $logger = $this->container->make(LoggerInterface::class);
        } catch (Exception $ex) {
            throw $e;
        }
 
        $logger->error(
            $e->getMessage(),
            array_merge($this->context(), ['exception' => $e]
        ));
    }
 
    /**
     * Determine if the exception should be reported.
     *
     * @param  \Exception  $e
     * @return bool
     */
    public function shouldReport(Exception $e)
    {
        return ! $this->shouldntReport($e);
    }
 
    /**
     * Determine if the exception is in the "do not report" list.
     *
     * @param  \Exception  $e
     * @return bool
     */
Arguments 
  1. "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"

  2. array:1 [
  "exception" => ErrorException {#400
    #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
    #code: 0
    #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
    #line: 122
    #severity: E_NOTICE
  }
]
/home1/bcpsjournal/public_html/app/Exceptions/Handler.php 
 
    /**
     * A list of the inputs that are never flashed for validation exceptions.
     *
     * @var array
     */
    protected $dontFlash = [
        'password',
        'password_confirmation',
    ];
 
    /**
     * Report or log an exception.
     *
     * @param  \Exception  $exception
     * @return void
     */
    public function report(Exception $exception)
    {
        parent::report($exception);
    }
 
    /**
     * Render an exception into an HTTP response.
     *
     * @param  \Illuminate\Http\Request  $request
     * @param  \Exception  $exception
     * @return \Illuminate\Http\Response
     */
    public function render($request, Exception $exception)
    {
        return parent::render($request, $exception);
    }
}
Arguments 
  1. ErrorException {#400
  #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  #code: 0
  #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
  #line: 122
  #severity: E_NOTICE
}
/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Foundation/Bootstrap/HandleExceptions.php 
    }
 
    /**
     * Handle an uncaught exception from the application.
     *
     * Note: Most exceptions can be handled via the try / catch block in
     * the HTTP and Console kernels. But, fatal error exceptions must
     * be handled differently since they are not normal exceptions.
     *
     * @param  \Throwable  $e
     * @return void
     */
    public function handleException($e)
    {
        if (! $e instanceof Exception) {
            $e = new FatalThrowableError($e);
        }
 
        try {
            $this->getExceptionHandler()->report($e);
        } catch (Exception $e) {
            //
        }
 
        if ($this->app->runningInConsole()) {
            $this->renderForConsole($e);
        } else {
            $this->renderHttpResponse($e);
        }
    }
 
    /**
     * Render an exception to the console.
     *
     * @param  \Exception  $e
     * @return void
     */
    protected function renderForConsole(Exception $e)
    {
        $this->getExceptionHandler()->renderForConsole(new ConsoleOutput, $e);
Arguments 
  1. ErrorException {#400
  #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  #code: 0
  #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
  #line: 122
  #severity: E_NOTICE
}
[internal]
Arguments 
  1. ErrorException {#400
  #message: "file_put_contents(): write of 299 bytes failed with errno=122 Disk quota exceeded"
  #code: 0
  #file: "/home1/bcpsjournal/public_html/vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php"
  #line: 122
  #severity: E_NOTICE
}

Environment & details:

empty
empty
empty
empty
empty
Key Value
LSPHP_ENABLE_USER_INI 
"on"
PATH 
"/usr/local/bin:/usr/bin:/bin"
TEMP 
"/tmp"
TMP 
"/tmp"
TMPDIR 
"/tmp"
PWD 
"/"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
CONTENT_LENGTH 
"0"
HTTP_HOST 
"bcpsjournal.org"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
HTTP_X_HTTPS 
"1"
REDIRECT_REDIRECT_UNIQUE_ID 
"Zz79-fMYhRfY97CTCF7D4QABf1w"
REDIRECT_REDIRECT_QS_ConnectionId 
"173218149779638240962654"
REDIRECT_REDIRECT_SCRIPT_URL 
"/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://bcpsjournal.org/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"bcpsjournal.org"
REDIRECT_REDIRECT_HTTP2 
"on"
REDIRECT_REDIRECT_H2PUSH 
"off"
REDIRECT_REDIRECT_H2_PUSH 
"off"
REDIRECT_REDIRECT_H2_PUSHED 
""
REDIRECT_REDIRECT_H2_PUSHED_ON 
""
REDIRECT_REDIRECT_H2_STREAM_ID 
"1"
REDIRECT_REDIRECT_H2_STREAM_TAG 
"962654-1666-1"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"Zz79-fMYhRfY97CTCF7D4QABf1w"
REDIRECT_QS_ConnectionId 
"173218149779638240962654"
REDIRECT_SCRIPT_URL 
"/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
REDIRECT_SCRIPT_URI 
"https://bcpsjournal.org/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
REDIRECT_HTTPS 
"on"
REDIRECT_SSL_TLS_SNI 
"bcpsjournal.org"
REDIRECT_HTTP2 
"on"
REDIRECT_H2PUSH 
"off"
REDIRECT_H2_PUSH 
"off"
REDIRECT_H2_PUSHED 
""
REDIRECT_H2_PUSHED_ON 
""
REDIRECT_H2_STREAM_ID 
"1"
REDIRECT_H2_STREAM_TAG 
"962654-1666-1"
REDIRECT_STATUS 
"200"
UNIQUE_ID 
"Zz79-fMYhRfY97CTCF7D4QABf1w"
QS_ConnectionId 
"173218149779638240962654"
SCRIPT_URL 
"/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
SCRIPT_URI 
"https://bcpsjournal.org/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
HTTPS 
"on"
SSL_TLS_SNI 
"bcpsjournal.org"
HTTP2 
"on"
H2PUSH 
"off"
H2_PUSH 
"off"
H2_PUSHED 
""
H2_PUSHED_ON 
""
H2_STREAM_ID 
"1"
H2_STREAM_TAG 
"962654-1666-1"
SERVER_SIGNATURE 
""
SERVER_SOFTWARE 
"Apache"
SERVER_NAME 
"bcpsjournal.org"
SERVER_ADDR 
"192.185.140.108"
SERVER_PORT 
"443"
REMOTE_ADDR 
"18.116.12.7"
DOCUMENT_ROOT 
"/home1/bcpsjournal/public_html"
REQUEST_SCHEME 
"https"
CONTEXT_PREFIX 
""
CONTEXT_DOCUMENT_ROOT 
"/home1/bcpsjournal/public_html"
SERVER_ADMIN 
"webmaster@bcpsjournal.org"
SCRIPT_FILENAME 
"/home1/bcpsjournal/public_html/public/index.php"
REMOTE_PORT 
"47148"
REDIRECT_URL 
"/public/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
SERVER_PROTOCOL 
"HTTP/2.0"
REQUEST_METHOD 
"GET"
QUERY_STRING 
""
REQUEST_URI 
"/journal-details/staging-investigations-in-early-stage-breast-cancer-patients-are-clinically-significant-and-rational"
SCRIPT_NAME 
"/public/index.php"
PHP_SELF 
"/public/index.php"
REQUEST_TIME_FLOAT 
1732181497.8054
REQUEST_TIME 
1732181497
argv 
[]
argc 
0
APP_NAME 
"Laravel"
APP_ENV 
"local"
APP_KEY 
"base64:niSS5FWDNwT7pudPDTq5NyRiJZTGVD7s6t6jVaQXAGY="
APP_DEBUG 
"true"
APP_URL 
"http://localhost"
LOG_CHANNEL 
"stack"
DB_CONNECTION 
"mysql"
DB_HOST 
"127.0.0.1"
DB_PORT 
"3306"
DB_DATABASE 
"bcpsjour_laravel"
DB_USERNAME 
"bcpsjour_laravel"
DB_PASSWORD 
"bcpsjour_laravel"
BROADCAST_DRIVER 
"log"
CACHE_DRIVER 
"file"
QUEUE_CONNECTION 
"sync"
SESSION_DRIVER 
"file"
SESSION_LIFETIME 
"120"
REDIS_HOST 
"127.0.0.1"
REDIS_PASSWORD 
"null"
REDIS_PORT 
"6379"
MAIL_DRIVER 
"smtp"
MAIL_HOST 
"smtp.mailtrap.io"
MAIL_PORT 
"2525"
MAIL_USERNAME 
"a17a19b50cbf67"
MAIL_PASSWORD 
"aa018c2abec954"
MAIL_ENCRYPTION 
"null"
PUSHER_APP_ID 
""
PUSHER_APP_KEY 
""
PUSHER_APP_SECRET 
""
PUSHER_APP_CLUSTER 
"mt1"
MIX_PUSHER_APP_KEY 
""
MIX_PUSHER_APP_CLUSTER 
"mt1"
Key Value
APP_NAME 
"Laravel"
APP_ENV 
"local"
APP_KEY 
"base64:niSS5FWDNwT7pudPDTq5NyRiJZTGVD7s6t6jVaQXAGY="
APP_DEBUG 
"true"
APP_URL 
"http://localhost"
LOG_CHANNEL 
"stack"
DB_CONNECTION 
"mysql"
DB_HOST 
"127.0.0.1"
DB_PORT 
"3306"
DB_DATABASE 
"bcpsjour_laravel"
DB_USERNAME 
"bcpsjour_laravel"
DB_PASSWORD 
"bcpsjour_laravel"
BROADCAST_DRIVER 
"log"
CACHE_DRIVER 
"file"
QUEUE_CONNECTION 
"sync"
SESSION_DRIVER 
"file"
SESSION_LIFETIME 
"120"
REDIS_HOST 
"127.0.0.1"
REDIS_PASSWORD 
"null"
REDIS_PORT 
"6379"
MAIL_DRIVER 
"smtp"
MAIL_HOST 
"smtp.mailtrap.io"
MAIL_PORT 
"2525"
MAIL_USERNAME 
"a17a19b50cbf67"
MAIL_PASSWORD 
"aa018c2abec954"
MAIL_ENCRYPTION 
"null"
PUSHER_APP_ID 
""
PUSHER_APP_KEY 
""
PUSHER_APP_SECRET 
""
PUSHER_APP_CLUSTER 
"mt1"
MIX_PUSHER_APP_KEY 
""
MIX_PUSHER_APP_CLUSTER 
"mt1"
0. Whoops\Handler\PrettyPageHandler