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Channel

گایدلاین‌های درمانی | امیر مسگران

@latestguidelines

On this record: Growth · Engagement · What this channel posts · Reactions · Posts · Citations · Telegram's recommendations · Cite this entry

9,677subscribers

+181 since we began measuring on 7 August 2026

Risers and fallers across the register · movement among entries of 3,162–10,000.

Register entry

Telegram ID-1001794817277
TypeChannel
Username@latestguidelines
Descriptionآخرین گایدلاین‌ها و الگوریتم‌های درمانی دکتر امیر مسگران @latestguidelines @Commonmistakesmedic @serotoninshop @Aestheticmedizine
CreatedBetween 1 January 2022 and 31 March 2023— estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded7 August 2026
Last confirmed live27 August 2026
Measurements held9
Confirmed unchanged1 time, most recently 27 August 2026
On Telegramt.me/latestguidelines

Growth

9,4969,6779,586.57 August 2026 — 9,496 subscribers7 August 2026 — 9,496 subscribers8 August 2026 — 9,544 subscribers11 August 2026 — 9,578 subscribers15 August 2026 — 9,607 subscribers18 August 2026 — 9,615 subscribers21 August 2026 — 9,640 subscribers24 August 2026 — 9,655 subscribers27 August 2026 — 9,677 subscribers7 August 202627 August 2026
9 measurements spanning 20 days, net +181. 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 9,469–9,704 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
27 Aug 2026, 17:549,677+22
24 Aug 2026, 14:439,655+15
21 Aug 2026, 06:339,640+25
18 Aug 2026, 03:519,615+8
15 Aug 2026, 00:429,607+29
11 Aug 2026, 14:129,578+34
8 Aug 2026, 14:089,544+48
7 Aug 2026, 16:009,496no change
7 Aug 2026, 15:519,496first reading

Engagement

87 posts held, back to 3 August 2026the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 38 pagesof Telegram’s post history, 20 posts per page.

ERR · 30 days
24.0%
avg views ÷ 9,677 subscribers
Avg views / post
2,320
87 posts measured
Reaction rate
1.40%
reactions ÷ views · ER floor
Posts in window
87
of 87 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. It is computed over the 86 of 87 measured posts that carry a reaction reading, and over those same posts' views.

What these figures were computed from
WindowRolling 30 days · latest post in window 28 August 2026
Posts held87 (3 August 202628 August 2026)
Views total201,990
Reactions total2,787
Forwards / commentsnot exposed by the public surface — not measured, not estimated
Readings taken29 Aug 2026, 05:33 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.

What this channel posts

Photos
2,200
Videos
26
Links
96

Lifetime counters from Telegram’s own channel header, read 29 August 2026 — not the date at the top of this page, which is when the subscriber count was last read. A count marked was rounded by Telegram before we ever saw it — t.me prints these counters in full below 1,000 and to three significant figures above, so ≈142,000 means somewhere between 141,500 and 142,499.

Video runtime
53s
Average length
18s

Measured directly from 3 videos with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no mark.

Reaction mix

2,787 reactions across 86 posts, in 6 distinct kinds. The most used accounts for 62.3% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
1,73662.3%
👌47417.0%
🐳1936.93%
👀1806.46%
😍1244.45%
🆒802.87%

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 86 of the 87 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 2,787reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 87 most recent posts we hold, published 3 August 2026 to 28 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.

Recent posts

28 Aug 2026, 21:05 UTC≈1,210 views45 reactionsread 29 August 2026
Video

من ماه اول طرح:

👌31🐳8👀4🆒2

Signed Amir Mesgaran 👽

23 Aug 2026, 20:19 UTC≈3,110 views192 reactionsread 29 August 2026

من هر چند وقت یکبار دچار یک حس تنفر فراگیر از پزشکی و طبابت میشم که مدت دوره‌های تشدیش هم متغیر بوده. تو این دوره‌ها از هر نشانه‌ای که کوچکترین یادآوری برای من از این رشته و بیمارها داشته باشه، مثل جرقه‌ایه که کل روزمو بهم میزنه. البته قطعا من خصومت شخصی‌ای با این رشته و شغل ندارم، اما شرایطی که درش قرار گرفتیم باعث شده من ازش متنفر باشم. در نتیجه از هر چیزی که یادآور این رشته و در نتیجه رنج من باشه متنفرم. همچنین

177🐳11😍3🆒1

Signed Amir Mesgaran 👽

23 Aug 2026, 20:09 UTC≈2,760 views4 reactionsread 29 August 2026

قبلاً در مورد تشدید IPF نوشتم. بیماری ریوی در اسکلرودمی هم یک نوع ILD عه و میشه تقریباً به همین صورت مدیریتش کرد. این بیمار علاوه بر تنگی نفس، سرفه‌های شدید و حلق کاملاً اریتماتو هم داشت. در سمع ریه هم رال داشت.

4

Signed Amir Mesgaran 👽

23 Aug 2026, 19:25 UTC≈2,680 views1 reactionsread 29 August 2026

برای بیمار کیس اسکلرودرمی که با تشدید تنگی نفس اومده و SpO2 75 داره، چیکار میکنید؟

🆒1

Signed Amir Mesgaran 👽

22 Aug 2026, 06:52 UTC≈3,160 views3 reactionsread 29 August 2026
Photo

Photo, posted without a caption

3

Signed Amir Mesgaran 👽

22 Aug 2026, 06:50 UTC≈2,970 views18 reactionsread 29 August 2026

💡فینرنون (Finerenone) ✓ یک آنتاگونیست غیر استروئیدی گیرنده‌ی مینرالکورتیکوئیدی (آلدوسترون) (MRA). ▪️اندیکاسیون‌های درمانی: ۱. بیماری CKD مرتبط با دیابت نوع ۲. ۲. نارسایی قلبی با EF حفظ‌شده (≥40%) ▪️مکانیسم اثر: ✓ فینرنون به‌طور انتخابی، فعال‌سازی بیش‌ازحد گیرنده‌ی مینرالوکورتیکوئیدی (MR) رو مسدود میکنه. در نتیجه بازجذب سدیم توسط این گیرنده رو در بافت‌های اپیتلیالی (مثل کلیه) و غیراپیتلیالی (مثل عروق خونی و قلب) ه

15🐳2👌1

Signed Amir Mesgaran 👽

20 Aug 2026, 22:13 UTC≈2,730 views56 reactionsread 29 August 2026
Photo

اگه از اون دسته آدمهایی هستید که مکمل زینک رو به صورت منظم استفاده میکنید، یا مکمل‌های تقویت پوست و موی حاوی زینک مصرف میکنید، حتما اونایی رو انتخاب کنید که تو ترکیباتش مس رو هم داشته باشن. مصرف مزمن زینک می‌تونه باعث کاهش مس بشه.

49👌7

Signed Amir Mesgaran 👽

20 Aug 2026, 21:30 UTC≈2,780 views25 reactionsread 29 August 2026
Photo

از GINA 2020 مفهوم relieverها از صرفاً برونکودیلاتور به برونکودیلاتور+ICS تغییر پیدا کرد. آسم صرفاً ناشی از انسداد مکانیکی نیست، به همین دلیل هم در زمان تشدید نیاز به یک جزء ضدالتهابی هم هست. اگه بیمار از اسپری‌های ICS-formetrol استفاده میکنه، از همون هم به عنوان reliever میتونه استفاده کنه. اما اگه بیمار از سایر اسپری‌های ICS-LABA استفاده میکنه، برای reliever توصیه میشه به جای استفاده از سالبوتامول خالی از سالبوت

13👌12

Signed Amir Mesgaran 👽

20 Aug 2026, 00:04 UTC≈2,940 views68 reactionsread 29 August 2026

یه نکته‌ی جالب در مورد ناپروکسن متوجه شدم اینکه ناپروکسن سدیم هم تو ایران داریم. کلا ناپروکسن به دو صورته، یکی به فرم آزاد (base)، یکی هم به صورت سدیم. فرم نمک سدیم، سریع‌الاثرتره. من نمیدونستم که نمک سدیمش هم تو ایران هست، چون طبق معمول روی جعبه‌ها خیلی چیزها رو نمینویسن. قرص‌های ناپروکسن دوزهای ۲۵۰، ۳۷۵ و ۵۰۰ همه فرم آزادن و به علت انتریک کوتد بودن، Delayed release ان و پیک پلاسماییش ۶-۴ ساعت بعد از مصرف، ایجاد

65👌3

Signed Amir Mesgaran 👽

19 Aug 2026, 19:27 UTC≈2,800 views32 reactionsread 29 August 2026
Photo

مصرف قرص آلندرونیت به هر قرص و غذایی ارجحیت داره و باید حداقل نیم ساعت قبل از سایر قرص‌ها و غذا مصرف بشه. بنابراین اولین قرص صبح آلندرونیته و نیم ساعت بعدش لووتیروکسین و PPI و نیم ساعت بعدش صبحانه.

32

Signed Amir Mesgaran 👽

19 Aug 2026, 14:02 UTC≈3,030 views17 reactionsread 29 August 2026
Photo

یه کار واجب قبل از انجام کارهای زیبایی، انجام مشاوره و تعیین سطح انتظار واقع‌بینانه‌ی مراجعست. شما با فیلر نمیتونید شکل لب یکیو که خود لب دفرمه است رو تغییر بدید. اون نواقص رو میشه با کارهای دیگه مثل پیگمنتیشن تا حدودی رفع کرد. فیلر صرفاً همون فرم لبی که خودتون دارید رو آگمنت میکنه.

15👌2

Signed Amir Mesgaran 👽

19 Aug 2026, 13:23 UTC≈2,560 views9 reactionsread 29 August 2026

حکم مصرف آلندرونیت و لووتیروکسین و سایر داروها چیه؟

👀72

Signed Amir Mesgaran 👽

Showing the 12 most recent of 87 posts we hold for @latestguidelines. 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 — 951,330 of 1,624,904entries 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.

Republishes

Channels on the register whose posts this channel has forwarded.

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

Names

Channels on the register whose handles appear in this channel's posts.

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.

Appears in Telegram’s recommendations for other channels

The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.

کانال طِب اَطفال
@TebeAtfal · 51,593
Telegram ranks this channel #14 of 96 here — alongside 95 others — read 25 August 2026
Medical Jozveh
@medical_jozveh_channel · 122,471
Telegram ranks this channel #48 of 87 here — alongside 86 others — read 18 August 2026
صرفا نسخه‼️
@noooskhe · 49,359
Telegram ranks this channel #49 of 90 here — alongside 89 others — read 26 August 2026
آموزش نسخه خوانی
@noskhe_daro · 47,785
Telegram ranks this channel #73 of 90 here — alongside 89 others — read 26 August 2026
medistU | مدیستیو
@medistU · 53,551
Telegram ranks this channel #88 of 96 here — alongside 95 others — read 24 August 2026

This channel appears in 5 seed channels' Telegram-generated recommendation lists in total. Each is Telegram’s list for THAT channel, not this one — see how this is measured.

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.

“گایدلاین‌های درمانی | امیر مسگران” (@latestguidelines), 9,677 subscribers as measured 27 August 2026. Telegram Register, tgregister.com/channel/latestguidelines.

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.