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/home/tahkoom/public_html/wp-content/plugins/complianz-gdpr/cookie/class-cookie.php
<?php defined( 'ABSPATH' ) or die( "you do not have access to this page!" );
if ( ! class_exists( "CMPLZ_COOKIE" ) ) {
	/**
	 * All properties are public, because otherwise the empty check on a property fails, and requires an intermediate variable assignment.
	 * https://stackoverflow.com/questions/16918973/php-emptystring-return-true-but-string-is-not-empty
	 */
	class CMPLZ_COOKIE {
		public $ID = false;
		public $object = false;
		public $name;

		/**
		 * Sync should the cookie stay in sync or not
		 *
		 * @var bool
		 */
		public $sync = true;

		/**
		 * Retention period
		 *
		 * @var string
		 */
		public $retention;
		public $type;
		public $service;
		public $serviceID;
		public $collectedPersonalData;
		public $cookieFunction;
		public $purpose;
		public $isTranslationFrom;
		public $lastUpdatedDate;
		public $lastAddDate;
		public $firstAddDate;
		public $synced;
		public $complete;
		public $slug = '';
		public $old;
		public $domain;
		public $isOwnDomainCookie = false;

		/**
		 * in CDB, we can mark a cookie as not relevant to users.
		 *
		 * @var int
		 */
		private $ignored;
		/**
		 * we do not actually delete it , otherwise it would be found on next run again
		 *
		 * @var
		 */
		public $deleted;
		/**
		 * give user the possibility to hide a cookie
		 *
		 * @var bool
		 */
		public $showOnPolicy = true;
		public $isMembersOnly;
		private $languages;
		public $language;

		function __construct( $name = false, $language = 'en', $service_name = false ) {
			if ( is_object($name) ){
				$this->name = $name->name;
				$this->ID = $name->ID;
				//after the sync, we are still missing the purpose in the objects. We load the cookie from the database to get the purpose.
				if ( !empty($name->purpose) ) {
					$this->object = $name;
				}
			} else if ( is_numeric( $name ) ) {
				$this->ID = (int) $name;
			} else {
				$this->name = $this->sanitize_cookie( $name );
			}

			$this->language = cmplz_sanitize_language( $language );
			if ( $service_name ) {
				$this->service = $service_name;
			}

			if ( $this->name !== false ) {
				//initialize the cookie with this id.
				$this->get();
			}
		}

		/**
		 * Add a new cookie for each passed language.
		 *
		 * @param             $name
		 * @param array       $languages
		 * @param string|bool $return_language
		 * @param bool        $service_name
		 * @param bool        $sync_on
		 *
		 * @return bool|int cookie_id
		 */

		public function add(
			$name, $languages = array( 'en' ), $return_language = false, $service_name = false, bool $sync_on = true
		) {
			//don't add cookies with the site url in the name
			if ( strpos($name, site_url())!==false ) {
				return false;
			}

			if ( !cmplz_user_can_manage() ) {
				return 0;
			}

			$this->name = $this->sanitize_cookie( $name );

			//the parent cookie gets "en" as default language
			$this->language = 'en';
			$return_id      = 0;
			$this->languages = cmplz_sanitize_languages( $languages );

			//check if there is a parent cookie for this name
			$this->get( true );
			//if no ID is found, insert  in the database
			if ( ! $this->ID ) {
				$this->service      = $service_name;
				$this->sync         = $sync_on;
				$this->showOnPolicy = true;
			}

			//we save, to update previous, but also to make sure last add date is saved.
			$this->lastAddDate = time();
			$this->save();

			//we now should have an ID, which will be the parent item
			$parent_ID = $this->ID;

			if ( $return_language === 'en' ) {
				$return_id = $this->ID;
			}

			//make sure each language is available
			foreach ( $this->languages as $language ) {
				if ( $language === 'en' ) {
					continue;
				}
				$translated_cookie = new CMPLZ_COOKIE( $name, $language, $service_name );
				if ( ! $translated_cookie->ID ) {
					$translated_cookie->sync         = $sync_on;
					$translated_cookie->showOnPolicy = true;
				}
				$translated_cookie->domain            = $this->domain;
				$translated_cookie->isTranslationFrom = $parent_ID;
				$translated_cookie->service           = $service_name;
				$translated_cookie->lastAddDate       = time();
				$translated_cookie->save();
				if ( $return_language && $language === $return_language ) {
					$return_id = $translated_cookie->ID;
				}

			}

			return $return_id;

		}

		public function __get( $property ) {
			if ( property_exists( $this, $property ) ) {
				return $this->$property;
			}
		}

		public function __set( $property, $value ) {
			if ( property_exists( $this, $property ) ) {
				$this->$property = $value;
			}

			return $this;
		}

		/**
		 * Delete this cookie, and all translations linked to it.
		 */

		public function delete($permanently=false) {
			if ( ! cmplz_user_can_manage() ) {
				return;
			}
			if ( ! $this->ID ) {
				return;
			}

			$translations = $this->get_translations();
			global $wpdb;
			foreach ( $translations as $ID ) {
				if ($permanently){
					$wpdb->delete($wpdb->prefix . 'cmplz_cookies', array('ID' => $ID));
				} else {
					$wpdb->update(
						$wpdb->prefix . 'cmplz_cookies',
						array( 'deleted' => true ),
						array( 'ID' => $ID )
					);
				}
			}
		}

		/**
		 * Restore a deleted cookie
		 */

		public function restore() {
			if ( ! cmplz_user_can_manage() ) {
				return;
			}
			if ( ! $this->ID ) {
				return;
			}

			$translations = $this->get_translations();
			global $wpdb;
			foreach ( $translations as $ID ) {
				$wpdb->update(
					$wpdb->prefix . 'cmplz_cookies',
					array( 'deleted' => false ),
					array( 'ID' => $ID )
				);
			}
		}


		public function get_translations() {
			global $wpdb;
			//check if this cookie is a parent
			if ( ! $this->isTranslationFrom ) {
				//is parent. Get all cookies where translationfrom = this id
				$parent_id = $this->ID;
			} else {
				//not parent.
				$parent_id = $this->isTranslationFrom;
			}

			$sql = $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where isTranslationFrom = %s", $parent_id );
			$results      = $wpdb->get_results( $sql );
			$translations = wp_list_pluck( $results, 'ID' );

			//add the parent id
			$translations[] = $parent_id;

			return $translations;
		}

		/**
		 * Retrieve the cookie data from the table
		 *
		 * @param bool $parent get only the parent cookie, not a translation
		 */

		private function get( bool $parent = false ) {
			global $wpdb;

			if ( ! $this->name && ! $this->ID ) {
				return;
			}
			$sql = '';
			if ( $parent ) {
				$sql = " AND isTranslationFrom = FALSE";
			}

			//if the service is set, we check within the service as well.
			if ( $this->service ) {
				$service = new CMPLZ_SERVICE($this->service, $this->language );
				if ($service->ID) {
					$sql .= $wpdb->prepare(" AND serviceID = %s", $service->ID);
				}
			}

			if ($this->object){
				$cookie = $this->object;
			} else if ( $this->ID ) {
				$cookie = wp_cache_get('cmplz_cookie_'.$this->ID, 'complianz');
				if ( !$cookie ) {
					$cookie = $wpdb->get_row( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where ID = %s ", $this->ID ) );
					wp_cache_set('cmplz_cookie_'.$this->ID, $cookie, 'complianz', HOUR_IN_SECONDS);
				}
			} else {
				$cookie = $wpdb->get_row( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where name = %s and language = %s $sql", $this->name, $this->language ) );
				//if not found with service, try without service.
				if ( !$cookie ) {
					$cookie = $wpdb->get_row( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where name = %s and language = %s", $this->name, $this->language ) );
				}
			}

			//if there's still no match, try to do a fuzzy match
			if ( ! $cookie ) {
				$cookies = $wpdb->get_results( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where language = %s $sql", $this->language ) );
				$cookies = wp_list_pluck( $cookies, 'name', 'ID' );
				$cookie_id = $this->get_fuzzy_match( $cookies, $this->name );

				//if no cookie_id found yet, try without service
				if ( !$cookie_id ) {
					$cookies = $wpdb->get_results( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where language = %s", $this->language ) );
					$cookies = wp_list_pluck( $cookies, 'name', 'ID' );
					$cookie_id = $this->get_fuzzy_match( $cookies, $this->name );
				}

				if ( $cookie_id ) {
					$cookie = $wpdb->get_row( $wpdb->prepare( "select * from {$wpdb->prefix}cmplz_cookies where ID = %s", $cookie_id ) );
				}
			}

			if ( $cookie ) {
				$this->ID                    = $cookie->ID;
				$this->name                  = substr($cookie->name, 0, 200); //maximize cookie name length
				$this->serviceID             = $cookie->serviceID;
				$this->sync                  = (bool) $cookie->sync;
				$this->language              = $cookie->language;
				$this->ignored               = (bool) $cookie->ignored;
				$this->deleted               = (bool) $cookie->deleted;
				$this->retention             = $cookie->retention;
				$this->type                  = $cookie->type;
				$this->isOwnDomainCookie     = (bool) $cookie->isOwnDomainCookie;
				$this->domain                = $cookie->domain;
				$this->cookieFunction        = $cookie->cookieFunction;
				$this->purpose               = html_entity_decode($cookie->purpose);
				$this->isMembersOnly         = $cookie->isMembersOnly && cmplz_get_option('wp_admin_access_users') === 'yes';
				$this->collectedPersonalData = $cookie->collectedPersonalData;
				$this->isTranslationFrom     = $cookie->isTranslationFrom;
				$this->showOnPolicy          = (bool) $cookie->showOnPolicy;
				$this->lastUpdatedDate       = $cookie->lastUpdatedDate;
				$this->lastAddDate           = $cookie->lastAddDate;
				$this->firstAddDate          = $cookie->firstAddDate;
				$this->slug                  = $cookie->slug;
				$this->synced                = $cookie->lastUpdatedDate > 0;
				$this->old                   = $cookie->lastAddDate < strtotime( '-3 months' ) && $cookie->lastAddDate > 0;
			}

			//legacy, upgrade data
			if ( empty($this->domain) ) {
				if ( $this->isOwnDomainCookie) {
					$this->domain = 'self';
				} else {
					$this->domain = 'thirdparty';
				}
			}

			/**
			 * Don't translate purpose with Polylang, as polylang does not use the fieldname to translate. This causes mixed up strings when context differs.
			 * To prevent newly added cookies from getting translated, only translate when not in admin or cron, leaving front-end, where cookies aren't saved.
			 */
			if ( $this->language !== 'en' && !is_admin() && !wp_doing_cron() ) {
				if ( !defined('POLYLANG_VERSION') || !$this->sync ) {
					if (!empty($this->purpose) ) $this->purpose = cmplz_translate($this->purpose, 'cookie_purpose');
				}
				if (!empty( $this->retention ) ) $this->retention = cmplz_translate( $this->retention, 'cookie_retention' );
				if (!empty( $this->cookieFunction) ) $this->cookieFunction = cmplz_translate($this->cookieFunction, 'cookie_function');
				if (!empty( $this->collectedPersonalData) ) $this->collectedPersonalData = cmplz_translate($this->collectedPersonalData, 'cookie_collected_personal_data');
			}

			/**
			 * complianz cookie retention can be retrieved form this site
			 */

			if ( !empty( $this->name) ) {
				if ( strpos( $this->name, 'cmplz' ) !== false || strpos( $this->name, 'complianz' ) !== false ) {
					$this->retention = cmplz_sprintf( __( "%s days", "complianz-gdpr" ), cmplz_get_option( 'cookie_expiry' ) );
				}
			}

			//get serviceid from service name
			if ( $this->serviceID ) {
				$service       = new CMPLZ_SERVICE( $this->serviceID, $this->language );
				$this->service = $service->name;
			}

			$this->complete = ( !empty( $this->name )
			                    && !empty( $this->purpose )
			                    && !empty( $this->retention )
			                    && !empty( $this->service )
			);

		}

		/**
		 * - opslaan service ID met ID uit CDB
		 * - Als SERVICE ID er nog niet is, toevoegen in tabel
		 * - Synce services met CDB
		 */


		/**
		 * Saves the data for a given Cookie, or creates a new one if no ID was passed.
		 *
		 * @param bool $updateAllLanguages
		 */

		public function save( $updateAllLanguages = false ) {
			if ( !cmplz_user_can_manage() ) {
				return;
			}

			//let's skip cookies with this site url in the name
			if ( strpos($this->name, site_url())!==false ) {
				return;
			}

			//don't save empty items.
			if ( empty( $this->name ) ) {
				return;
			}
			//get serviceid from service name
			if ( !empty( $this->service ) ) {
				$service = new CMPLZ_SERVICE( $this->service, $this->language );
				if ( ! $service->ID ) {
					$languages       = $this->get_used_languages();
					$this->serviceID = $service->add( $this->service, $languages, $this->language );
				} else {
					$this->serviceID = $service->ID;
				}
			}

			/**
			 * complianz cookie retention can be retrieved from this site
			 */

			if ( strpos( $this->name, 'cmplz' ) !== false || strpos( $this->name, 'complianz' ) !== false ) {
				$this->retention = cmplz_sprintf( __( "%s days", "complianz-gdpr" ), cmplz_get_option( 'cookie_expiry' ) );
			}

			/**
			 * Don't translate with Polylang, as polylang does not use the fieldname to translate. This causes mixed up strings when context differs.
			 */

			if ( $this->language === 'en' ) {
				if ( ! defined( 'POLYLANG_VERSION' ) || ! $this->sync ) {
					cmplz_register_translation( $this->purpose, 'cookie_purpose' );
				}
				cmplz_register_translation( $this->retention, 'cookie_retention' );
				cmplz_register_translation( $this->cookieFunction, 'cookie_function' );
				cmplz_register_translation( $this->collectedPersonalData, 'cookie_collected_personal_data' );
			}

			//update legacy data
			if ( empty($this->domain) ) {
				if ( $this->isOwnDomainCookie ) {
					$this->domain = 'self';
				} else {
					$this->domain = 'thirdparty';
				}
			}
			$update_array = array(
				'name'                  => sanitize_text_field( $this->name ),
				'retention'             => sanitize_text_field( $this->retention ),
				'type'                  => sanitize_text_field( $this->type ),
				'isOwnDomainCookie'     => (bool) $this->isOwnDomainCookie,
				'serviceID'             => (int) $this->serviceID,
				'domain'                => sanitize_text_field( $this->domain ),
				'cookieFunction'        => sanitize_text_field( $this->cookieFunction ),
				'purpose'               => sanitize_text_field( $this->purpose ),
				'isMembersOnly'         => (bool) $this->isMembersOnly,
				'collectedPersonalData' => sanitize_text_field( $this->collectedPersonalData ),
				'sync'                  => $this->sync,
				'ignored'               => (bool) $this->ignored,
				'deleted'               => (bool) $this->deleted,
				'language'              => cmplz_sanitize_language( $this->language ),
				'isTranslationFrom'     => (int) $this->isTranslationFrom,
				'showOnPolicy'          => $this->showOnPolicy,
				'lastUpdatedDate'       => (int) $this->lastUpdatedDate,
				'lastAddDate'           => (int) $this->lastAddDate,
				'slug'                  => empty($this->slug) ? '' : sanitize_title( $this->slug ),
			);
			if ( empty( $this->firstAddDate) ) {
				$update_array['firstAddDate'] = time();
			}

			global $wpdb;
			//if we have an ID, we update the existing value
			if ( $this->ID ) {
				$wpdb->update( $wpdb->prefix . 'cmplz_cookies', $update_array, array( 'ID' => $this->ID ) );
			} else {
				$wpdb->insert( $wpdb->prefix . 'cmplz_cookies', $update_array );
				$this->ID = $wpdb->insert_id;
			}

			if ( $updateAllLanguages ) {
				//keep all translations in sync
				$translationIDS = $this->get_translations();
				foreach ( $translationIDS as $translationID ) {
					if ( $this->ID == $translationID ) {
						continue;
					}
					$translation                 = new CMPLZ_COOKIE( $translationID );
					$translation->name                  = $this->name;
					$translation->serviceID             = $this->serviceID;
					$translation->sync                  = $this->sync;
					$translation->isMembersOnly         = $this->isMembersOnly;
					$translation->slug                  = $this->slug;
					$translation->showOnPolicy          = $this->showOnPolicy;
					$translation->deleted               = $this->deleted;
					$translation->ignored               = $this->ignored;
					$translation->domain                = $this->domain;
					$translation->save();
				}
			}
			cmplz_delete_transient('cmplz_cookie_shredder_list');
			wp_cache_delete('cmplz_cookie_'.$this->ID, 'complianz');
		}


		private function get_used_languages() {
			global $wpdb;

			$sql = "SELECT language FROM {$wpdb->prefix}cmplz_cookies group by language";
			$languages = $wpdb->get_results( $sql );
			$languages = wp_list_pluck( $languages, 'language' );

			return $languages;
		}

		/**
		 * Validate a cookie string
		 *
		 * @param $cookie
		 *
		 * @return string|bool
		 */

		private function sanitize_cookie( $cookie ) {
			if ( ! $this->is_valid_cookie( $cookie ) ) {
				return false;
			}

			$cookie = sanitize_text_field( $cookie );

			//100 characters max
			$cookie = substr($cookie, 0, 100);

			//remove whitespace
			$cookie = trim( $cookie );

			//strip double and single quotes
			$cookie = str_replace( '"', '', $cookie );
			return str_replace( "'", '', $cookie );
		}

		/**
		 * Check if a cookie is of a valid cookie structure
		 *
		 * @param $id
		 *
		 * @return bool
		 */

		private function is_valid_cookie( $id ) {
			if ( ! is_string( $id ) || empty($id) ) {
				return false;
			}

			$pattern = '/[a-zA-Z0-9\_\-\*]/i';

			return (bool) preg_match( $pattern, $id );
		}


		private function get_fuzzy_match( $cookies, $search ) {
			//to prevent match from wp_comment_123 on wp_*
			//we keep track of all matches, and only return the longest match, which is the closest match.
			$match            = false;
			$new_match        = false;
			$match_length     = 0;
			$new_match_length = 0;
			$partial          = '*';

			//clear up items without any match possibility
			foreach ( $cookies as $post_id => $cookie_name ) {
				if ( strpos( $cookie_name, $partial ) === false ) {
					unset( $cookies[ $post_id ] );
				}
			}

			foreach ( $cookies as $post_id => $compare_cookie_name ) {
				//check if the string "partial" is in the comparison cookie name
				//check if it has an underscore before or after the partial. If so, take it into account

				//get the substring before or after the partial
				$str1 = substr( $compare_cookie_name, 0,
					strpos( $compare_cookie_name, $partial ) );
				$str2 = substr( $compare_cookie_name,
					strpos( $compare_cookie_name, $partial )
					+ strlen( $partial ) );
				//a partial match is enough on this type

				//$str2: match should end with this string
				if ( strlen( $str1 ) === 0 ) {
					$len     = strlen( $search ); //"*test" : 5
					$pos     = strpos( $search, $str2 ); //"*test" : 1
					$sub_len = strlen( $str2 ); // 4
					if ( $pos !== false && ( $len - $sub_len == $pos ) ) {
						$new_match_length = strlen( $str1 ) + strlen( $str2 );
						$new_match        = $post_id;
					}
					//match should start with this string
				} elseif ( strlen( $str2 ) === 0 ) {

					$pos = strpos( $search, $str1 );
					if ( $pos === 0 ) {
						$new_match_length = strlen( $str1 ) + strlen( $str2 );
						$new_match        = $post_id;
					}
				} else {
					$len2     = strlen( $search ); //"*test" : 5
					$pos2     = strpos( $search, $str2 ); //"*test" : 1
					$sub_len2 = strlen( $str2 ); // 4
					if ( strpos( $search, $str1 ) === 0
					     && strpos( $search, $str2 ) !== false
					     && ( $len2 - $sub_len2 == $pos2 )
					) {
						$new_match_length = strlen( $str1 ) + strlen( $str2 );
						$new_match        = $post_id;
					}
				}

				if ( $new_match_length > $match_length ) {
					$match_length = $new_match_length;
					$match        = $new_match;
				}
			}

			return $match;
		}

	}
}

/**
 * Install cookies table
 * */
add_action( 'cmplz_install_tables', 'cmplz_install_cookie_table' );
function cmplz_install_cookie_table() {
	//only load on front-end if it's a cron job
	if ( !is_admin() && !wp_doing_cron() ) {
		return;
	}

	if (!wp_doing_cron() && !cmplz_user_can_manage() ) {
		return;
	}
	if ( get_option( 'cmplz_cookietable_version' ) != CMPLZ_VERSION ) {
		require_once( ABSPATH . 'wp-admin/includes/upgrade.php' );
		global $wpdb;
		$charset_collate = $wpdb->get_charset_collate();
		$table_name      = $wpdb->prefix . 'cmplz_cookies';
		$sql             = "CREATE TABLE $table_name (
             `ID` int(11) NOT NULL AUTO_INCREMENT,
            `name` varchar(250) NOT NULL,
            `slug` varchar(250) NOT NULL,
            `sync` int(11) NOT NULL,
            `ignored` int(11) NOT NULL,
            `retention` text NOT NULL,
            `type` text NOT NULL,
            `serviceID` int(11) NOT NULL,
            `cookieFunction` text NOT NULL,
            `collectedPersonalData` text NOT NULL,
            `purpose` text NOT NULL,
            `language` varchar(6) NOT NULL,
            `isTranslationFrom` int(11) NOT NULL,
            `isOwnDomainCookie` int(11) NOT NULL,
            `domain` text NOT NULL,
            `deleted` int(11) NOT NULL,
            `isMembersOnly` int(11) NOT NULL,
            `showOnPolicy` int(11) NOT NULL,
            `lastUpdatedDate` int(11) NOT NULL,
            `lastAddDate` int(11) NOT NULL,
            `firstAddDate` int(11) NOT NULL,
              PRIMARY KEY  (ID)
            ) $charset_collate;";
		dbDelta( $sql );

		/**
		 * Services
		 */
		$table_name = $wpdb->prefix . 'cmplz_services';
		$sql        = "CREATE TABLE $table_name (
                 `ID` int(11) NOT NULL AUTO_INCREMENT,
                 `name` varchar(250) NOT NULL,
                 `slug` varchar(250) NOT NULL,
                 `serviceType` varchar(250) NOT NULL,
                 `category` varchar(250) NOT NULL,
                 `thirdParty` int(11) NOT NULL,
                 `sharesData` int(11) NOT NULL,
                 `secondParty` int(11) NOT NULL,
                 `privacyStatementURL` varchar(250) NOT NULL,
                 `language` varchar(6) NOT NULL,
                `isTranslationFrom` int(11) NOT NULL,
                `sync` int(11) NOT NULL,
                `lastUpdatedDate` int(11) NOT NULL,
                  PRIMARY KEY  (ID)
                ) $charset_collate;";
		dbDelta( $sql );

		//don't set to preload false, as we need this one in the get_cookies function.
		update_option( 'cmplz_cookietable_version', CMPLZ_VERSION );

	}
}
طبيبك في جيبك لكن هل يشعر بنبضك – tahkoom.com
معرفة

طبيبك في جيبك لكن هل يشعر بنبضك

كتبت شروق عارف                                                                                                         مع التطور السريع للتكنولوجيا وتزايد اعتمدنا على الإنترنت في مختلف المجالات برز الطب عن بعد كأحد أهم التحولات في مجال الرعاية الصحية خصوصا بعد جائحة كورونا التي فرضت واقع جديد يحتم علينا العزلة مما دفعنا للبحث عن بدائل أمنة وفعالة للتشخيص والعلاج دون الحاجة لزيارة الطبيب ورغم ما يقدمه الطب عن بعد من من عدة حلول أهمها تقليل النفقات والحد من الازدحام ولكن مع هذا التطور بدأت تظهر تساؤلات مهمة أبرزهم هل يمكن الاعتماد عليه كبديل كامل للفحص التقليدي؟ وهل يضمن دقة التشخيص وكفاءة العلاج؟ أم أنه يظل أداة مساعدة مهمة لكنها لا تغني عن التواصل المباشر مع الطبيب في عيادته؟

الطب عن بعد دعم مكمل لا بديل
‏ صرح أحد الأطباء بأن الطب عن بعد يمكن أن يكون فعالا جدا في بعض الحالات مثل متابعة الأمراض المزمنة أو إعطاء نصائح أولية لكنه لا يمكن أن يحل محل الفحص وتابع حديثه قائلا هناك تفاصيل لا يمكن معرفتها من خلال شاشة الهاتف مثل نبض القلب أو ملامح التعب أو بعض التغيرات وهذه أمور لا تظهر عبر الكاميرا كما وأوضح أن الطب عن بعد ساهم في تقليل الضغط على المستشفيات وساعد في تقليل العدوى لكنه لا يمكن أن يعتمد عليه بشكل أساسي
الأسنان لا تفحص عن بعد
من جانبه صرح أحد الأطباء  في جراحة الفم والأسنان أن الطب عن بعد لا يصلح في تخصص مثل الأسنان وذلك لاعتمادها الكبير على الفحص اليدوي والرؤية الدقيقة للحالة وأضاف كيف يمكنني أن اشخص التهاب في اللثة أو كسر في السن عبر شاشة هناك تفاصيل لا ترى إلا بالفحص المباشر سواء من خلال الأشعة أو أدوات الكشف الدقيقة وتابع قائلا الطب عن بعد قد يكون مفيد فقط في الاستشارة الأولية أو متابعة بعض الحالات البسيطة بعد العلاج لكن لا يمكن الاعتماد عليه في تشخيص أو وضع خطة علاجية دون معاينة فعلية

وأشار محذرا أن الطب عن بعد في مجال طب الأسنان قد يكون خطر وذلك لأن أي خطأ في التشخيص قد يؤدي إلى مضاعفات صحية للمريض موكدا أن التقنية تظل أداة مساعدة وليست بديلا عن الطبيب
ومن جانبه يؤكد  أن التواصل المباشر بين الطبيب والمريض هو عنصر أساسي في طب الأسنان موضح أن بعض الأعراض قد لا تفهم بشكل دقيق إلا من خلال تفاعل مباشر وتابع حديثه قائلا حتى مع توفر صور أو مقاطع فيديو يظل هناك فارق كبير بين ما يرى عبر الشاشة وما يمكن للطبيب ملاحظته أثناء الكشف

ويبقى الطب عن بعد أداة فعالة في تحسين الوصول إلى ‏خدمات الرعاية الصحية لكنه في النهاية يظل وسيلة مساعدة لا تغني عن دور الطبيب والفحص المباشرة

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