GET https://rct.dev.bbntimes.com/science/sad-state-of-american-hearts

Response
200 OK
IP
13.59.201.169
Profiled on
Token
766247

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller 
"App\Controller\ArticleController::show"
_firewall_context 
"security.firewall.map.context.main"
_links 
Symfony\Component\WebLink\GenericLinkProvider {#3637
  -links: [
    3758 => Symfony\Component\WebLink\Link {#3758
      -href: "/build/runtime.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3756 => Symfony\Component\WebLink\Link {#3756
      -href: "/build/644.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3755 => Symfony\Component\WebLink\Link {#3755
      -href: "/build/502.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3754 => Symfony\Component\WebLink\Link {#3754
      -href: "/build/app.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3753 => Symfony\Component\WebLink\Link {#3753
      -href: "/build/view-more.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3752 => Symfony\Component\WebLink\Link {#3752
      -href: "/build/term-condition.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3751 => Symfony\Component\WebLink\Link {#3751
      -href: "/build/contact.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3750 => Symfony\Component\WebLink\Link {#3750
      -href: "/build/scroll-infinite-article.js"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "script"
      ]
    }
    3749 => Symfony\Component\WebLink\Link {#3749
      -href: "/build/app.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3748 => Symfony\Component\WebLink\Link {#3748
      -href: "/build/cookie-style.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3747 => Symfony\Component\WebLink\Link {#3747
      -href: "/build/term-condition-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3746 => Symfony\Component\WebLink\Link {#3746
      -href: "/build/contact-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
    3745 => Symfony\Component\WebLink\Link {#3745
      -href: "/build/comment-css.css"
      -rel: [
        "preload" => "preload"
      ]
      -attributes: [
        "as" => "style"
      ]
    }
  ]
}
_route 
"article_show"
_route_params 
[
  "category" => "science"
  "slug" => "sad-state-of-american-hearts"
]
_security_firewall_run 
"_security_main"
_stopwatch_token 
"04c81e"
category 
"science"
slug 
"sad-state-of-american-hearts"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=qn9oel8j1ojntl4sqodcdev34g"
host 
"rct.dev.bbntimes.com"
user-agent 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level 
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control 
"no-cache, private"
content-type 
"text/html; charset=UTF-8"
date 
"Sat, 22 Feb 2025 08:40:00 GMT"
link 
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token 
"766247"

Cookies

Request Cookies

Key Value
PHPSESSID 
"qn9oel8j1ojntl4sqodcdev34g"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Sat, 22 Feb 25 08:39:55 +0000"
Last used 
"Sat, 22 Feb 25 08:39:58 +0000"
Lifetime 
0

Session Attributes

Attribute Value
_csrf/https-comment 
"85WzJXjtm1DskQ5O06An9MVZjRg4_tFySY6z1mc2isQ"
_csrf/https-cookie_accept 
"GQnLuAEPrlgJrxvrVHRhDRlFEgv225NI1T68Fq0HkbA"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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    "function" => "require_once"
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-csrf/TokenStorage/SessionTokenStorage.php"
    "line" => 79
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-csrf/TokenStorage/SessionTokenStorage.php"
    "line" => 52
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
[
  [
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    "type" => "->"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/AppVariable.php"
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    "function" => "getToken"
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    "function" => "twig_get_attribute"
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    "class" => "__TwigTemplate_824a013e4f3f4a68e03a2d244e765025"
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    "function" => "displayWithErrorHandling"
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    "line" => 379
    "function" => "display"
    "class" => "Twig\Template"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/TemplateWrapper.php"
    "line" => 38
    "function" => "render"
    "class" => "Twig\Template"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Environment.php"
    "line" => 280
    "function" => "render"
    "class" => "Twig\TemplateWrapper"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 448
    "function" => "render"
    "class" => "Twig\Environment"
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  [
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    "line" => 453
    "function" => "doRenderView"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 253
    "function" => "doRender"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/src/Controller/AppController.php"
    "line" => 126
    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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  [
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    "line" => 181
    "function" => "renderHeader"
    "class" => "App\Controller\AppController"
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  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpCache/SubRequestHandler.php"
    "line" => 86
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Fragment/InlineFragmentRenderer.php"
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    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpCache\SubRequestHandler"
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  [
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    "function" => "render"
    "class" => "Symfony\Component\HttpKernel\Fragment\InlineFragmentRenderer"
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    "function" => "render"
    "class" => "Symfony\Component\HttpKernel\Fragment\FragmentHandler"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/Extension/HttpKernelRuntime.php"
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    "function" => "render"
    "class" => "Symfony\Component\HttpKernel\DependencyInjection\LazyLoadingFragmentHandler"
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  [
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Template.php"
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    "function" => "block_header"
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  [
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    "function" => "displayBlock"
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    "function" => "displayWithErrorHandling"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/var/cache/dev/twig/c3/c336f4e76fc20e4db84e3be131276b68.php"
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    "function" => "display"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Template.php"
    "line" => 394
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    "class" => "__TwigTemplate_3ce0324a396de697d1fad9fabd68df72"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Template.php"
    "line" => 367
    "function" => "displayWithErrorHandling"
    "class" => "Twig\Template"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Template.php"
    "line" => 379
    "function" => "display"
    "class" => "Twig\Template"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/TemplateWrapper.php"
    "line" => 38
    "function" => "render"
    "class" => "Twig\Template"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/twig/twig/src/Environment.php"
    "line" => 280
    "function" => "render"
    "class" => "Twig\TemplateWrapper"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 448
    "function" => "render"
    "class" => "Twig\Environment"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 453
    "function" => "doRenderView"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/framework-bundle/Controller/AbstractController.php"
    "line" => 253
    "function" => "doRender"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/src/Controller/ArticleController.php"
    "line" => 277
    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Http\Firewall\ContextListener:171
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-http/Firewall/ContextListener.php"
    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/WrappedListener.php"
    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 220
    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 56
    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/TraceableEventDispatcher.php"
    "line" => 139
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 214
    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 202
    "function" => "filterResponse"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
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  [
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    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
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    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV 
"dev"
APP_SECRET 
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN 
"*"
DATABASE_URL 
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY 
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY 
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN 
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD 
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG 
"1"
BASE 
"/public"
CONTEXT_DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX 
""
DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE 
"RESPONDER"
GATEWAY_INTERFACE 
"CGI/1.1"
HTTPS 
"on"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=qn9oel8j1ojntl4sqodcdev34g"
HTTP_HOST 
"rct.dev.bbntimes.com"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
PATH 
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF 
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX 
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI 
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING 
""
REDIRECT_BASE 
"/public"
REDIRECT_HTTPS 
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/sad-state-of-american-hearts"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/sad-state-of-american-hearts"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"Z7mNX7iBoyj8JZ8-HGxvPAAAAAw"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/sad-state-of-american-hearts"
REDIRECT_SCRIPT_URL 
"/science/sad-state-of-american-hearts"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"Z7mNX7iBoyj8JZ8-HGxvPAAAAAw"
REDIRECT_URL 
"/public/science/sad-state-of-american-hearts"
REMOTE_ADDR 
"13.59.201.169"
REMOTE_PORT 
"61661"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1740213599
REQUEST_TIME_FLOAT 
1740213599.0587
REQUEST_URI 
"/science/sad-state-of-american-hearts"
SCRIPT_FILENAME 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME 
"/public/index.php"
SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/sad-state-of-american-hearts"
SCRIPT_URL 
"/science/sad-state-of-american-hearts"
SERVER_ADDR 
"5.196.1.209"
SERVER_ADMIN 
"[no address given]"
SERVER_NAME 
"rct.dev.bbntimes.com"
SERVER_PORT 
"443"
SERVER_PROTOCOL 
"HTTP/1.1"
SERVER_SIGNATURE 
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE 
"Apache"
SSL_TLS_SNI 
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS 
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID 
"Z7mNX7iBoyj8JZ8-HGxvPAAAAAw"

Sub Requests 6

CookieController :: renderAnalysis (token = f2b74e)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"2a5b8c"

AppController :: renderHeader (token = 252a92)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
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ArticleController :: trendingArticle (token = 55e1e7)

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ArticleController :: relatedArticles (token = bd7039)

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App\Entity\Article {#1094
  -id: 3505
  -title: "Sad State of American Hearts"
  -slug: "sad-state-of-american-hearts"
  -introtext: "<p>My lament is literal, not figurative.&nbsp;As&nbsp;<a href="https://twitter.com/DrDavidKatz/status/1089191357279801344" target="_blank" rel="nofollow noopener">a humanist</a>, I might well have cause to lament the figurative state of the American heart, too: the roiling churn of diverse “isms” that are the new normal, disfiguring and pockmarking the ideals and values a big-hearted land of inclusiveness has long beamed to the world.&nbsp;But my lament is literal.&nbsp;To paraphrase an&nbsp;<a href="https://www.nbcnews.com/health/heart-health/nearly-half-americans-have-heart-or-blood-vessel-disease-new-n965421" target="_blank" rel="nofollow noopener"><em>NBC News headline</em></a>&nbsp;that stated the case bluntly:&nbsp;<em>almost half of all Americans have heart disease</em>.</p>\r\n"
  -content: """
    \r\n
    <p>So, my fellow Americans: feel that thump in your chest?&nbsp;Now, flip a coin.&nbsp;You are in one camp or the other.&nbsp;</p>\r\n
    <p>Actually, I think the situation is quite a bit worse than that.&nbsp;The statistics in play here refer only to adults, and thus ignore the earlier, inchoate versions of all the same risks in our children.&nbsp;They refer only to overt evidence of cardiovascular disease, not to the risk factors for risk factors that are on plain display long prior.&nbsp;</p>\r\n
    <p>Do a more expansive version of much the same math, in other words, and the conclusion is far bleaker.&nbsp;If you are an American adult, and have a heart, either it is in some state of sad peril, or you and your vitality are the anomaly- consigned to the enviable region of rounding error.&nbsp;Nice to have a bit of&nbsp;<a href="https://www.linkedin.com/pulse/2019-resolving-aspire-david-l-katz-md-mph-facpm-facp-faclm/" target="_blank" rel="noopener">company there</a>.</p>\r\n
    <p>The statistics in question come from a report entitled&nbsp;<a href="https://www.ahajournals.org/doi/10.1161/CIR.0000000000000659" target="_blank" rel="nofollow noopener"><em>Heart Disease and Stroke Statistics—2019 Update: A Report From the American Heart Association</em></a>,<em>&nbsp;</em>published yesterday (1/31/19) in&nbsp;<em>Circulation</em>.&nbsp;As detailed in&nbsp;<a href="https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000000659" target="_blank" rel="nofollow noopener">the full report</a>, the work represents a year-long effort by a multidisciplinary group of experts with the&nbsp;<em>American Heart Association</em>, the&nbsp;<em>National Institutes of Health</em>, and other government agencies to compile and disclose the most current data on heart disease, stroke, and cardiovascular risk factors in the U.S.</p>\r\n
    <p>As implied by the NBC News headline, and&nbsp;<a href="http://time.com/5517619/americans-heart-disease/" target="_blank" rel="nofollow noopener">others just like it</a>, the salient implication is an increase in the prevalence of cardiovascular disease over recent years, and a related increase, albeit modest, in&nbsp;<a href="https://www.usatoday.com/story/news/health/2019/01/31/heart-disease-nearly-half-u-s-adults-have-it-study-finds/2729955002/" target="_blank" rel="nofollow noopener">cardiovascular deaths</a>.</p>\r\n
    <p>Let that sink in for a moment- in this age of emergency angioplasty and drug-eluting stents; of newly devised bioengineered agents to inhibit platelets and lower lipids; of robotic surgery, and CT-based calcium scoring- cardiovascular deaths have gone&nbsp;<em>up</em>.&nbsp;</p>\r\n
    <p>We in&nbsp;<a href="https://www.acpm.org/" target="_blank" rel="nofollow noopener">preventive</a>&nbsp;and&nbsp;<a href="https://www.lifestylemedicine.org/" target="_blank" rel="nofollow noopener">lifestyle medicine</a>&nbsp;have long noted that despite the profound limitations of modern medicine with regard to promoting health or vitality, it is astonishingly good at forestalling death.&nbsp;That is the very reason we have so much “chronic” disease; what used to kill us now meets its match in the CCU or ICU.&nbsp;The result is generally a stalemate: the disease and treatment go on together, for years or even decades.</p>\r\n
    <p>In that context, even a slight rise in cardiovascular&nbsp;<em>death</em>&nbsp;is truly startling, and alarming.</p>\r\n
    <p>Such alarm bespeaks high drama, and indeed, I believe this report- running to 473 pages and covering the&nbsp;<em>Heart Association’s</em>&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pubmed/30658065" target="_blank" rel="nofollow noopener">check list</a>&nbsp;known as&nbsp;<em>Life’s Simple 7</em>&nbsp;(smoking, physical activity, diet, weight, cholesterol, blood pressure, and glucose control) as well as sleep and other topics notable for including social determinants of health- signifies just that.&nbsp;But before affirming the drama, and exploring the implications of it, there is one welcome reason to dial it down a notch.&nbsp;</p>\r\n
    <p>As&nbsp;<a href="https://www.nbcnews.com/health/heart-health/nearly-half-americans-have-heart-or-blood-vessel-disease-new-n965421" target="_blank" rel="nofollow noopener">noted prominently in much of the media coverage</a>&nbsp;of the AHA report, the definition of high blood pressure was altered between this report and the last.&nbsp;The threshold was formerly set at 140/90, but has been revised down to 130/80.&nbsp;As a result, millions of Americans who didn’t meet criteria for high blood pressure before, now do.&nbsp;This is not a change in actual condition; it is a change in cataloguing.&nbsp;We saw just such an overnight bump in the prevalence of obesity years ago when that definition was revised.</p>\r\n
    <p>But while there is an argument there for mitigating our alarm, the counter-argument is rather robust as well.&nbsp;The definition of high blood pressure, or “hypertension,” was not revised downward without reason.&nbsp;The most recent evidence suggests that what was once considered the high-normal range of blood pressure is associated not only with increased risk of heart attack and stroke, but with&nbsp;<a href="https://www.sciencemag.org/news/2019/01/high-blood-pressure-treatment-could-stall-dementia" target="_blank" rel="nofollow noopener">dementia</a>&nbsp;as well.&nbsp;The new approach to cataloguing BP is well justified.&nbsp;Stated differently: we are not over-diagnosing cardiovascular disease now; we were under-diagnosing it all along.&nbsp;The wake-up alarm stands.</p>\r\n
    <p>So, let’s concede without reservation, this is dramatic.&nbsp;Gather in any room with adult friends, family, co-workers, or strangers for that matter.&nbsp;A cinema; supermarket; church, temple, or mosque; the bank; a school; a party; shopping mall or…football stadium.&nbsp;Look around.&nbsp;Half of everyone there has some form of cardiovascular disease and will suffer chronic infirmity, premature death, or both as a result of it.&nbsp;Look in the mirror, too- because you could well be with that half.</p>\r\n
    <p>That, though, is not the claim to drama here.&nbsp;The true claim to drama is that&nbsp;<a href="https://www.linkedin.com/pulse/20131110133420-23027997-what-really-kills-us/" target="_blank" rel="noopener">almost none of this disease needs to happen</a>.&nbsp;Almost none.</p>\r\n
    <p>More than a quarter century ago,&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pubmed/8411605" target="_blank" rel="nofollow noopener">a report on much the same topic</a>- chronic disease and premature death in America- made clear that 80% or more of it all could be eliminated simply by not smoking, being active, and&nbsp;<a href="https://www.annualreviews.org/doi/full/10.1146/annurev-publhealth-032013-182351" target="_blank" rel="nofollow noopener">eating reasonably well</a>.&nbsp;With attention to the full list of “root causes” of premature death, even more of it could be eradicated.&nbsp;In the years since, that message has only ever been&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pubmed/19667296" target="_blank" rel="nofollow noopener">reaffirmed in the peer-reviewed literature</a>.&nbsp;Populations like the&nbsp;<a href="https://www.bluezones.com/" target="_blank" rel="nofollow noopener"><em>Blue Zones</em></a><em>,</em>&nbsp;and the&nbsp;<a href="https://www.nytimes.com/2012/09/25/health/in-the-bolivian-amazon-a-yardstick-for-modern-health.html" target="_blank" rel="nofollow noopener"><em>Tsimane</em></a>, show us that cardiovascular disease does not need to happen as we age- a profound insight that first inspired&nbsp;<a href="https://www.truehealthinitiative.org/wordpress/wp-content/uploads/2017/07/SCS-White-Paper.THI_.8-1-17.pdf" target="_blank" rel="nofollow noopener">the inimitable efforts of Ancel Keys</a>.&nbsp;The experience in&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pubmed/30083543" target="_blank" rel="nofollow noopener">North Karelia, Finland</a>, shows that what we know about the prevention of heart disease by lifestyle means can be introduced and made to work in beleaguered populations- like our own.</p>\r\n
    <p>Roughly half of us all- meaning half of you reading this now- have cardiovascular disease in one form or another, whether you know it yet or not.&nbsp;Many in the other half have earlier versions of all the same risk factors, and will trade camps in the fullness of time.&nbsp;This is the sad state of cardiovascular health in America now.&nbsp;It is increasingly the sad state of the modern world as well.</p>\r\n
    <p>But let us take heart, not lose it, over this provocation.&nbsp;We have long known how to leverage lifestyle to eradicate this scourge.&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pubmed/19667297" target="_blank" rel="nofollow noopener">Knowledge is power</a>&nbsp;the moment we decide to translate what we have long known into what we routinely do.&nbsp;This report is simply a reminder that now- would not be too soon.</p>
    """
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  -metadesc: "My lament is literal, not figurative.\u{A0}As\u{A0}a humanist, I might well have cause to lament the figurative state of the American heart, too: the roiling churn of diverse “isms” that are the new normal, disfiguring and pockmarking the ideals and values a big-hearted land of inclusiveness has long beamed to the world.\u{A0}But my lament is literal.\u{A0}To paraphrase an\u{A0}NBC News headline\u{A0}that stated the case bluntly:\u{A0}almost half of all Americans have heart disease."
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AppController :: renderFooter (token = 1875ea)

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CookieController :: renderCookie (token = 983bc7)

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