9 measurements spanning 20 days, net +348. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 6,823–7,275 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
27 Aug 2026, 22:02
7,223
+125
24 Aug 2026, 15:08
7,098
+55
20 Aug 2026, 16:12
7,043
+15
17 Aug 2026, 19:54
7,028
+15
14 Aug 2026, 08:19
7,013
+40
10 Aug 2026, 23:51
6,973
+96
8 Aug 2026, 05:36
6,877
+2
7 Aug 2026, 19:32
6,875
no change
7 Aug 2026, 19:19
6,875
first reading
Engagement
18 posts held, back to 12 July 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 11 pagesof Telegram’s post history, 20 posts per page.
ERR · 30 days
19.5%
avg views ÷ 7,223 subscribers
Avg views / post
1,410
5 posts measured
Reaction rate
2.00%
reactions ÷ views · ER floor
Posts in window
6
of 18 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate.
What these figures were computed from
Window
Rolling 30 days · latest post in window 19 August 2026
Posts held
18 (12 July 2026 – 19 August 2026)
Views total
7,050
Reactions total
141
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
20 Aug 2026, 17:20 UTC
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Reaction mix
380 reactions across 17 posts, in 2 distinct kinds. The most used accounts for 99.5% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
❤
378
99.5%
👍
2
0.526%
No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.
Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.
Coverage. Reactions were read on 17 of the 18 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 380reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 18 most recent posts we hold, published 12 July 2026 to 19 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.
خب بعد از مدتی سلام!
ما همیشه اصرار بر این داشتیم که خلاصههایی که مینویسیم دستنویس (hand made!) باشه. علتش اینه که وقتی مینویسی میفهمی که این مطلب وقتی برای خودت هنوز جا نیفتاده و مبهمه چطور میتونی به بقیه منتقلش کنی! یادمه چندبار یه سری از همکارا مطلب فرستادن و حتی سوتیهای(عمدی) AI رو هم ادیت نزده بودن که ما هم مطلبشون رو نذاشتیم. اگه قرار باشه خلاصه و ... رو همشو بدیم چت جپت و... خب بنظرم شما خیلی بهتر از ما می…
ساخت اینفوگرافیک پزشکی به کمک هوش مصنوعی
این روزها در هر کانال آموزش پزشکی، پر از اینفوگرافیکهایی است که generative AI ساخته. اگر اطلاعات ورودی که داده شده مناسب باشد، معمولاً هم تصاویر خوب و با کیفیتی از نظر علمی میشوند.
اما یک مسئلهٔ مهم را فراموش نکنیم.
درست کردن نقشه ذهنی، نقشه مفهومی، اینفوگرافیک، چارچوب و ... از روشهایی است که یادگیری را کند میکند. این کند شدن فرایند و کلنجار رفتن با اطلاعات است که یادگ…
UpToDate's Common Approaches pinned «سلام خدمت همکاران گرامی مدتیه که من و دکتر عزیزی بهخاطر مشغلههای کاری، فرصت نکردیم مثل قبل محتوای جدید و منظم منتشر کنیم. با این حال سعی میکنیم خلاصههایی رو که شخصاً از مقالات آپتودیت آماده کردهبودیم ولی هنوز فرصت ضبط پادکستشون پیش نیومده، داخل چنل بگذاریم…»
▪️نکات عوارض شوک الکتریکی
شوک الکتریکی در تمام مقاطع بارداری ایمن است ولی مانیتور FHR بعد از پروسیجر توصیه میشود.
تغییرات ST-T بعد از شوک در ECG غیراختصاصی و خودمحدود شونده بوده و نباید به عنوان تنها کرایتریا برای تشخیص ایسکمی استفاده شود.
وقوع آریتمیهای بطنی ارتباطی با تعداد شوک دادهشده ندارد و نمیتوان با داروی آنتیآریتمی از وقوع آنها پیشگیری کرد.
احتمال نیاز به پیس قلبی (از جهت بلاک یا برادیکاردیها) بلا…
✅ کاردیوورژن و دفیبریلیشن
UpToDate 2026
▪️مقدار انرژی لازم برای شوک (بایفازیک) در شرایط مختلف:
▫️بزرگسالان:
شوک سینک (کاردیوورژن):
در SVT با ۱۰۰-۵۰ ژول در ابتدا
در AF و فلاتر دهلیزی: ۲۰۰ ژول
در VT با نبض: ۱۰۰ ژول
شوک آسینک (دفیبریلیشن):
اگر QRSها پهن و Bizarre بودند یا VT پلیمورفیک بود: ۲۰۰ ژول (حداکثر انرژی موجود دستگاه)
در VF یا VT بدون نبض: ۲۰۰ ژول (حداکثر انرژی موجود دستگاه)
▫️اطفال:
شوک سینک (کاردیوورژن)…
سلام خدمت همکاران گرامی
مدتیه که من و دکتر عزیزی بهخاطر مشغلههای کاری، فرصت نکردیم مثل قبل محتوای جدید و منظم منتشر کنیم.
با این حال سعی میکنیم خلاصههایی رو که شخصاً از مقالات آپتودیت آماده کردهبودیم ولی هنوز فرصت ضبط پادکستشون پیش نیومده، داخل چنل بگذاریم تا شرایط برای برگشت به روال قبلی مهیا بشه.
در ضمن اگر از بین شما همکاران و دوستان علاقهمند کسی تمایل به همکاری در تولید محتوا داره، خیلی خوشحال میشیم بهمون …
▪️آنتیبیوتیک پروفیلاکسی:
▫️اندیکاسیون:
➖ نفوذ تا درم یا Crush injury
➖ زخمهای پانکچر (خصوصاً ناشی از گربه)
➖ انجام دبریدمان
➖ بستن زخم به صورت اولیه یا تاخیری
➖ زخم روی دست، صورت یا ژنیتال
➖ زخم نزدیک استخوان، مفصل یا گرفتوسکولار
➖ زخم در محل با سابقه سلولیت قبلی یا اختلال وریدی/لنفاوی
➖ نقص ایمنی (شامل دیابت)
➖ بیماری کبدی
➖ اختلال مصرف الکل
➖ زخمهایی که هیچ مراقبتی برای ۸ ساعت و بیشتر دریافت نکردهاند.
▫️دارو…
✅ اپروچ به گازگرفتگی سگ و گربه
UpToDate 2026
1️⃣ مراقبتهای اولیه زخم:
▫️کنترل خونریزی با فشار مستقیم روی موضع
▫️تمیز کردن زخم با آب و صابون برای ۲۰-۱۵ دقیقه یا بتادین
(اگر تحمل نداشت میتوان ابتدا از بیحسی موضعی استفاده کرد)
▫️شستن با آب پرفشار یا سالین استریل و حذف دبریهای واضح و خارجکردن اجسام خارجی از زخم
▪️ ارزیابی بالینی زخم:
▫️بررسی کامل ROM مفاصل مجاور، بررسی نورووسکولار دیستال زخم، تخمین عمق زخم و ار…
❤15👍2
Signed Sina Maleki
Showing the 12 most recent of 18 posts we hold for @common_approaches. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.
Citation-graph rank
Citation-graph rank — 804,835 of 1,625,404entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.
Mentions
Named by 2 registered channels — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.
Cite this entry
A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 27 August 2026 — this
entry's latest reading, not the date you are reading this.
“UpToDate's Common Approaches” (@common_approaches), 7,223 subscribers as measured 27 August 2026. Telegram Register, tgregister.com/channel/common_approaches.
Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.