GET https://rct.dev.bbntimes.com/science/are-physical-exams-just-theatre

Response
200 OK
IP
216.73.216.165
Profiled on
Token
8236d7

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 {#3649
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    3770 => Symfony\Component\WebLink\Link {#3770
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      -attributes: [
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    3768 => Symfony\Component\WebLink\Link {#3768
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      -attributes: [
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    3767 => Symfony\Component\WebLink\Link {#3767
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3766 => Symfony\Component\WebLink\Link {#3766
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      -attributes: [
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    3765 => Symfony\Component\WebLink\Link {#3765
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      -attributes: [
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    }
    3764 => Symfony\Component\WebLink\Link {#3764
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3763 => Symfony\Component\WebLink\Link {#3763
      -href: "/build/contact.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3762 => Symfony\Component\WebLink\Link {#3762
      -href: "/build/scroll-infinite-article.js"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3761 => Symfony\Component\WebLink\Link {#3761
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3760 => Symfony\Component\WebLink\Link {#3760
      -href: "/build/cookie-style.css"
      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3759 => Symfony\Component\WebLink\Link {#3759
      -href: "/build/term-condition-css.css"
      -rel: [
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      -attributes: [
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      ]
    }
    3758 => Symfony\Component\WebLink\Link {#3758
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      -rel: [
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      -attributes: [
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      ]
    }
    3757 => Symfony\Component\WebLink\Link {#3757
      -href: "/build/comment-css.css"
      -rel: [
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      -attributes: [
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      ]
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}
_route 
"article_show"
_route_params 
[
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  "slug" => "are-physical-exams-just-theatre"
]
_security_firewall_run 
"_security_main"
_stopwatch_token 
"7bcc5f"
category 
"science"
slug 
"are-physical-exams-just-theatre"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=nlru0ta8a80m4ouc3fkf0u8c36"
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, 02 Aug 2025 18:17:39 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 
"8236d7"

Cookies

Request Cookies

Key Value
PHPSESSID 
"nlru0ta8a80m4ouc3fkf0u8c36"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Sat, 02 Aug 25 18:16:58 +0000"
Last used 
"Sat, 02 Aug 25 18:17:37 +0000"
Lifetime 
0

Session Attributes

Attribute Value
_csrf/https-comment 
"j3QcyaOGjfmgTY8SLhawS19FbjN2qiBBovBlQ8mCL3s"
_csrf/https-cookie_accept 
"esIUzWSAajPUm_sh2wOsbvA88R-YZ2vLmhzrKRmQuis"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
[
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    "type" => "->"
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    "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" => "->"
  ]
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    "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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    "line" => 367
    "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"
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    "function" => "render"
    "class" => "Twig\Template"
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  [
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    "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"
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    "function" => "render"
    "class" => "Twig\Environment"
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    "line" => 453
    "function" => "doRenderView"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "line" => 253
    "function" => "doRender"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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  [
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    "line" => 126
    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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    "line" => 181
    "function" => "renderHeader"
    "class" => "App\Controller\AppController"
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  [
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    "function" => "handleRaw"
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  [
    "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"
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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" => "render"
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  [
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    "function" => "render"
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  [
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  [
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    "function" => "displayWithErrorHandling"
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  [
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    "function" => "display"
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    "line" => 394
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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" => "displayWithErrorHandling"
    "class" => "Twig\Template"
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  ]
  [
    "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"
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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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  [
    "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" => "->"
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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"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/src/Controller/ArticleController.php"
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    "function" => "render"
    "class" => "Symfony\Bundle\FrameworkBundle\Controller\AbstractController"
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  [
    "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"
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    "type" => "->"
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  [
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    "line" => 197
    "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/runtime/Runner/Symfony/HttpKernelRunner.php"
    "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"
    "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"
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    "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"
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    "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" => "->"
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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"
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    "type" => "->"
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    "function" => "handle"
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    "function" => "handle"
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    "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"
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  [
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      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
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    "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=nlru0ta8a80m4ouc3fkf0u8c36"
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/are-physical-exams-just-theatre"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/are-physical-exams-just-theatre"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"aI5WQRdRUvAcBi8ulnNxGgAAAE4"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/are-physical-exams-just-theatre"
REDIRECT_SCRIPT_URL 
"/science/are-physical-exams-just-theatre"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"aI5WQRdRUvAcBi8ulnNxGgAAAE4"
REDIRECT_URL 
"/public/science/are-physical-exams-just-theatre"
REMOTE_ADDR 
"216.73.216.165"
REMOTE_PORT 
"7941"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1754158657
REQUEST_TIME_FLOAT 
1754158657.1772
REQUEST_URI 
"/science/are-physical-exams-just-theatre"
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/are-physical-exams-just-theatre"
SCRIPT_URL 
"/science/are-physical-exams-just-theatre"
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 
"aI5WQRdRUvAcBi8ulnNxGgAAAE4"

Sub Requests 6

CookieController :: renderAnalysis (token = 1b7b69)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"937a23"

AppController :: renderHeader (token = aabd64)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"cb8095"
slug 
"home"

ArticleController :: trendingArticle (token = 4ab939)

Key Value
_controller 
"App\Controller\ArticleController::trendingArticle"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"f2d900"
category 
"Science"

ArticleController :: relatedArticles (token = 291371)

Key Value
_controller 
"App\Controller\ArticleController::relatedArticles"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"fe9196"
current_article 
App\Entity\Article {#1094
  -id: 5510
  -title: "Are Physical Exams Just Theatre?"
  -slug: "are-physical-exams-just-theatre"
  -introtext: "<p>Learning the age old art of physical examination used to be an essential part of 1st year medical education. Not any more.</p>\r\n"
  -content: """
    \r\n
    <p>Technology has changed that.<a href="https://www.npr.org/templates/story/story.php?storyId=129931999" target="_blank" rel="nofollow noopener">&nbsp;"We're now often doing expensive tests, where in the past a physical exam would have given you the same information," says Jason Wasfy, a cardiologist-in-training at Massachusetts General Hospital in Boston.</a></p>\r\n
    <p>As a result, many doctors are abbreviating the time-honored physical exam -- or even skipping it altogether. Or, maybe they continue to do it, but for the wrong reasons.</p>\r\n
    <ol>\r\n
    <li>In an editorial recently published in&nbsp;<a href="http://www.nejm.org/doi/full/10.1056/NEJMp1507485?af=R&amp;rss=currentIssue" target="_blank" rel="nofollow noopener"><em>The New England Journal of Medicine</em></a>, Drs. Ateev Mehrotra and Allan Prochazka explored the complex issues surrounding annual physical exams. In the name of improving “value” in health care,<a href="https://www.health.harvard.edu/blog/a-checkup-for-the-checkup-do-you-really-need-a-yearly-physical-201510238473" target="_blank" rel="nofollow noopener">&nbsp;they argue that these routine visits should not continue.</a></li>\r\n
    <li>Telemedicine is diffusing into the practice of medicine and much of the diagnosing and treatment is done without a physical exam or uses remote sensing devices.</li>\r\n
    <li><a href="https://www.baltimoresun.com/opinion/op-ed/bs-ed-executive-health-20161013-story.html" target="_blank" rel="nofollow noopener">Executive health physical exams have dubious value&nbsp;</a>whether or not the physical exam in thrown in as part of the $5000 tab</li>\r\n
    </ol>\r\n
    <p>Electronic stethoscopes might improve what doctors hear, but&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5757962/" target="_blank" rel="nofollow noopener">research still needs to be implemented to validate the digital stethoscope as a way to increase value or eliminating the need for additional tests.</a></p>\r\n
    <p><a href="https://www.medgadget.com/2020/01/ekos-ai-powered-stethoscopes-detect-afib-heart-murmurs.html?utm_source=The+Medical+Futurist+Newsletter&amp;utm_campaign=fb0bf1e000-EMAIL_CAMPAIGN_2019_10_29_diabetes_companies_COPY_&amp;utm_medium=email&amp;utm_term=0_efd6a3cd08-fb0bf1e000-420606157" target="_blank" rel="nofollow noopener">Eko, a maker of high-end digital stethoscopes, has just received the first FDA clearance for its devices to use AI algorithms to automatically detect atrial fibrillation (AFib) and heart murmurs.&nbsp;</a>Using this capability, primary care physicians, who are not nearly as extensively trained at spotting heart issues, will be able to identify potential cases of AFib, as well as valvular and structural heart diseases, with an accuracy similar to seasoned cardiologists.</p>\r\n
    <p>The physician’s workflow remains practically the same as using a conventional stethoscope, except that Eko’s devices, which include a built-in single-lead ECG monitor, send their readings to a paired smartphone that displays what Eko’s AI thinks about the data</p>\r\n
    <ol>\r\n
    <li><a href="https://www.sciencedaily.com/releases/2018/12/181212135044.htm" target="_blank" rel="nofollow noopener">Stethoscopes carried by health care practitioners are loaded with diverse bacteria, including some that can cause healthcare-associated infections, according to a study</a>. Maybe getting it off your neck is not such a bad idea after all.</li>\r\n
    </ol>\r\n
    <p>6.&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453739/" target="_blank" rel="nofollow noopener">While there are certainly examples of physical exam altering diagnostic accuracy,</a>&nbsp;most medical students are taught “Listen to your patient; he is telling you the diagnosis.” Of course Osler said that over 100 years ago when he had more than 20 minutes for a visit, no EMRs , and no billing code compliance time sucks.</p>\r\n
    <p>7. Even if you have a doctor use a stethoscope or perform a physical exam, it is unlikely that he or she will be competent to do it.&nbsp;<a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5453739/" target="_blank" rel="nofollow noopener">Several recent studies document the decline in physical examination skills among physicians</a>. When do you think was the last time your ophthalmologist or otolaryngologist used the stethoscope the drug company gave her at graduation?</p>\r\n
    <p>8. Many physical exams are done so doctors can document they did them so they can bill for doing them even if they listen to your lungs through three layers of clothes.</p>\r\n
    <p>9. Many physical exams are so perfunctory (shine a light in your throat and say "ah", put a stethoscope on your chest, feel your abdomen, strike your knee with a reflex hammer) as to render them useless and merely therapeutic theatre.</p>\r\n
    <p>10. It is a last chance way to put some high touch into the visit.</p>\r\n
    <p>Yes, t<a href="https://www.psychologytoday.com/us/blog/overcoming-pain/200809/the-laying-hands-makes-comeback" target="_blank" rel="nofollow noopener">he laying on of hands has some therapeutic value.</a></p>\r\n
    <p><a href="https://www.cdc.gov/handwashing/index.html" target="_blank" rel="nofollow noopener">Just make sure you wash them.</a>&nbsp;They&nbsp;<a href="https://www.cdc.gov/coronavirus/2019-ncov/about/prevention-treatment.html" target="_blank" rel="nofollow noopener">might have coronavirus on them.</a></p>\r\n
    <p>Arlen Meyers, MD, MBA is the President and CEO of t<a href="http://www.sopenet.org/" target="_blank" rel="nofollow noopener">he Society of Physician Entrepreneurs</a>&nbsp;on <a href="mailto:Twitter@SoPEOfficial and">Twitter@SoPEOfficial and</a>&nbsp;<a href="http://www.facebook.com/sopenet" target="_blank" rel="nofollow noopener">Facebook,</a></p>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1581009603 {#1145
    date: 2020-02-06 17:20:03.0 UTC (+00:00)
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  -updatedAt: DateTime @1581011939 {#1150
    date: 2020-02-06 17:58:59.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 1807
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1581009603 {#1148
    date: 2020-02-06 17:20:03.0 UTC (+00:00)
  }
  -metakey: ""
  -metadesc: "Learning the age old art of physical examination used to be an essential part of 1st year medical education. Not any more."
  -robots: null
  -publishedAt: DateTime @1581009603 {#1147
    date: 2020-02-06 17:20:03.0 UTC (+00:00)
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  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 365c61)

Key Value
_controller 
"App\Controller\AppController::renderFooter"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"0e4a9c"

CookieController :: renderCookie (token = 1c10fd)

Key Value
_controller 
"App\Controller\CookieController::renderCookie"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"d72184"