آنفلوانزا - پارت ۲ ج) زانامیویر (Zanamivir) دوز درمانی: 10 mg inhaled BID × 5 days درمان با این دارو در بیماران مبتلا به آسم یا COPD به دلیل خطر برونکواسپاسم توصیه نمیشود. د) پرامیویر (Peramivir) درمان با این دارو بهصورت انفوزیون وریدی انجام میشود و در برخی بیماران منتخب که امکان مصرف خوراکی ندارند، قابل بررسی است. دوز معمول بزرگسالان مبتلا به آنفلوانزای بدون عارضه: 600 mg IV once دوز باید در نارسایی کلیه تنظی…

Channel
مِدپلاس | Medjuu
@medjuu
On this record: Topic · Growth · Engagement · What this channel posts · Posts · Posts edited after publishing · Posts recorded as deleted · Polls · Citations · Telegram's recommendations · Cite this entry
8,519subscribers
-103 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 | -1001905506531 |
|---|---|
| Type | Channel |
| Username | @medjuu |
| Description | 🧑🏻⚕️👩🏻⚕️کانال ویژه پزشکان و دانشجویان پزشکی 💊اپروچ های شایع 💊اورژانسها 🔰اخبار 📄برگزارکننده کارگاه های پزشکی و پژوهشی ➕پشتیبانی،تبلیغ،تبادل: @medjuu_admin |
| Created | Between 1 March 2023 and 31 January 2024 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 5 November 2026 |
| Measurements held | 22 |
| Confirmed unchanged | 1 time, most recently 5 November 2026 |
| On Telegram | t.me/medjuu |
Topic
Education — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 11 September 2026 and assigned it the closest of 31 fixed categories, at 99% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and the other topics.
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 5 Nov 2026, 04:46 | 8,519 | +4 |
| 27 Oct 2026, 10:20 | 8,515 | -2 |
| 24 Oct 2026, 05:21 | 8,517 | -2 |
| 20 Oct 2026, 20:56 | 8,519 | +3 |
| 17 Oct 2026, 19:36 | 8,516 | +1 |
| 15 Oct 2026, 05:09 | 8,515 | +6 |
| 11 Oct 2026, 18:18 | 8,509 | -16 |
| 5 Oct 2026, 08:02 | 8,525 | +5 |
| 27 Sept 2026, 00:19 | 8,520 | -26 |
| 15 Sept 2026, 13:36 | 8,546 | -9 |
| 11 Sept 2026, 15:40 | 8,555 | -11 |
| 6 Sept 2026, 20:02 | 8,566 | -9 |
| 2 Sept 2026, 06:04 | 8,575 | -14 |
| 30 Aug 2026, 06:42 | 8,589 | +1 |
| 27 Aug 2026, 06:37 | 8,588 | -4 |
| 24 Aug 2026, 07:24 | 8,592 | -9 |
| 20 Aug 2026, 19:45 | 8,601 | -5 |
| 17 Aug 2026, 12:03 | 8,606 | -5 |
| 14 Aug 2026, 00:48 | 8,611 | -2 |
| 11 Aug 2026, 01:11 | 8,613 | first reading |
Engagement
47 posts held, back to 15 November 2025 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 34 pages of Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 14.1%
- avg views ÷ 8,519 subscribers
- Avg views / post
- 1,200
- 9 posts measured
- Reaction rate
- —
- this channel exposes no reaction counts
- Posts in window
- 9
- of 47 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.
| Window | Rolling 30 days · latest post in window 24 October 2026 |
|---|---|
| Posts held | 47 (15 November 2025 – 24 October 2026) |
| Views total | 10,834 |
| Reactions total | — |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 5 Nov 2026, 10:23 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
- 531
- Videos
- 86
- Links
- 563
Lifetime counters from Telegram’s own channel header, read 5 November 2026 — not the date at the top of this page, which is when the subscriber count was last read. Below Telegram’s rounding threshold, so these counts are exact.
- Video runtime
- 15m 44s
- Average length
- 15m 44s
Measured directly from 1 video 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.
Recent posts
Telegram’s own ‘edited’ marker: 4 of 9 posts held from the last 30 days (44.4%) carried it when this register last read them. The marker says a post was changed after publishing, not what it said before — this register holds the earlier wording only where an edit fell between two of its own reads (see the edit ledger and how it is measured).
🩺 آنفلوانزا (Influenza)؛ از تشخیص تا درمان و پیشگیری آنفلوانزا یک عفونت حاد تنفسی ناشی از ویروسهای Influenza است که بهویژه در سالمندان، کودکان خردسال، زنان باردار و بیماران دارای بیماریهای زمینهای میتواند موجب عوارض جدی شود. تشخیص بهموقع بیماران پرخطر و شروع سریع درمان ضدویروسی، از مهمترین اقدامات بالینی است. ▪️عامل بیماری و انتقال ویروسهای آنفلوانزای انسانی عمدتاً شامل موارد زیر هستند: Influenza A: عامل اپ…
🩺 مدیریت جامع کبد چرب؛ از تشخیص تا درمان پارت ۲ ۵. درمان دارویی کبد چرب هیچ دارویی برای تمام بیماران مبتلا به استئاتوز ساده اندیکاسیون ندارد. انتخاب درمان باید بر اساس مرحله بیماری، وجود MASH، شدت فیبروز و بیماریهای همراه انجام شود. ۱. داروهای کاهش وزن و آگونیستهای GLP-1 داروهایی مانند Semaglutide و Tirzepatide در بیماران واجد شرایط، بهویژه افراد مبتلا به چاقی یا دیابت نوع ۲، میتوانند برای اندیکاسیون متابولیک …
🩺 مدیریت جامع کبد چرب؛ از تشخیص تا درمان پارت ۱ ▪️تعریف و طبقهبندی اصطلاح قدیمی NAFLD بهتدریج با اصطلاحات جدید جایگزین شده است: ✔️ MASLD: بیماری کبد چرب مرتبط با اختلالات متابولیک؛ وجود استئاتوز کبدی همراه با حداقل یک عامل خطر قلبیمتابولیک. ✔️ MASH: شکل التهابی بیماری که علاوه بر تجمع چربی، با آسیب سلولی و التهاب کبدی مشخص میشود؛ اصطلاح قدیمی آن NASH است. ✔️Fibrosis: تشکیل بافت فیبروز در پاسخ به آسیب مزمن کبدی…
اختلالات چربی خون ۲ ▪️نرسیدن به هدف LDL با استاتین: ابتدا پایبندی بیمار به درمان، دوز مصرفی، تداخلات دارویی و علل ثانویه را بررسی کنید و در صورت درست بودن: ✔️Ezetimibe دوز: 10 mg PO daily کاهش اضافی LDL-C: معمولاً حدود ۱۵ تا ۲۵٪. 📍در صورت ناکافیبودن پاسخ به حداکثر استاتین قابلتحمل، بهویژه در بیماران پرخطر، افزودن ازتیمایب گزینه مناسبی است. ✔️مهارکنندههای PCSK9 Evolocumab Alirocumab 📍در بیماران منتخب پرخطر که ب…
🩺 مدیریت اختلالات چربی خون (Dyslipidemia) پارت ۱ 📌 اهمیت بالینی اختلال چربی خون یکی از عوامل مهم خطر بیماریهای قلبیعروقی آترواسکلروتیک (ASCVD) است. افزایش LDL-C با تشکیل پلاک آترواسکلروتیک ارتباط علّی دارد؛ بنابراین هدف اصلی درمان، کاهش خطر انفارکتوس میوکارد، سکته مغزی و سایر عوارض آترواسکلروز است، نه صرفاً طبیعیکردن آزمایش. اجزای اصلی پروفایل چربی: LDL-C: هدف اصلی درمان در اغلب بیماران. HDL-C: شاخص خطر؛ افزا…
🔰 نتایج نهایی آزمون دستیاری اعلام شد Sanjeshp.ir @MEDJUU
🦠 طاعون | Plague طاعون یک عفونت حاد و بالقوه کشنده ناشی از Yersinia pestis است. انتقال عمدتاً از طریق گزش کک آلوده، تماس با بافت حیوان آلوده و در نوع ریوی از طریق ترشحات تنفسی رخ میدهد. ▪️تظاهرات بالینی ✔️بوبونیک: تب حاد + لنفادنوپاتی بسیار دردناک (Bubo)، معمولاً اینگوینال، آگزیلاری یا سرویکال. ✔️سپتیسمیک: تب شدید، شوک، DIC و نارسایی چندعضوی؛ ممکن است بدون بوبو باشد. ✔️ریوی: تب، سرفه، تنگی نفس، درد قفسه سینه و گا…
مرد ۳۵ سالهای پس از شکار خرگوش وحشی با تب، لرز و یک لنفنود اینگوینال بسیار دردناک مراجعه کرده است. در اسمیر مستقیم آسپیراسیون لنفنود، باسیلهای گرممنفی با رنگپذیری دو قطبی (Safety-pin appearance) دیده میشوند. محتملترین تشخیص کدام است؟
- مننگوکوکسمی11%
- Plague32%
- لپتوسپیروز شدید41%
- تب خونریزیدهنده کریمه-کنگو16%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
🩹 سیلیکون در پیشگیری و درمان اسکار #پوست سیلیکون موضعی به شکل ژل یا شیت یکی از روشهای غیرتهاجمی رایج برای پیشگیری و کنترل اسکار هیپرتروفیک و کلوئید است. شواهد نشان میدهد اثر آن احتمالاً بیشتر از طریق ایجاد یک لایه نیمهاکلوژن، افزایش هیدراتاسیون لایه شاخی و کاهش فعالیت فیبروبلاستها و تولید بیشازحد کلاژن است. ⁉️چه زمانی شروع کنیم؟ فقط پس از اپیتلیالیزاسیون کامل زخم. روی زخم باز، ترشحدار یا عفونی استفاده نشود. د…
🩺 سندرم روده تحریکپذیر (IBS) یک اختلال مزمنِ تعامل مغز–روده است که با درد عودکننده شکم و تغییر در دفعات یا شکل مدفوع مشخص میشود. 🔹 تشخیص؛ Rome IV: درد شکمی ≥۱ روز/هفته طی ۳ ماه اخیر، همراه با ≥۲ مورد: • ارتباط با دفع • تغییر دفعات مدفوع • تغییر شکل مدفوع شروع علائم ≥۶ ماه قبل. فنوتیپها: IBS-C (یبوست)، IBS-D (اسهال)، IBS-M (مختلط)، IBS-U. 🚩 علائم هشدار: خونریزی گوارشی، کاهش وزن، کمخونی فقر آهن، تب، شروع جدید در…
🔴 اختلال شایع در سامانه تامین اجتماعی برای پزشکان تازه فارغ التحصیل شده پزشک پس از ثبت نسخه کدرهگیری صادر میشود ولی داروخانه با کدرهگیری و کدملی بیمار نسخه را یافت نمیکند. جهت رفع مشکل وارد سامانه زیر شوید و درخواست رسیدگی را ثبت کنید: 1420.tamin.ir @MEDJUU
Showing the 12 most recent of 47 posts we hold for @medjuu. 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.
Posts edited after publishing
@medjuu edited 1 post after it first published — the same permalink now carries different wording than the one this register originally read, caught because our own crawl held a copy of the earlier text.
An edit is not deception. Typo fixes, price updates and corrections look exactly like this too — this register can tell you the wording changed and when, not why. How this is measured.
- First edit seen
- 22 August 2026
- Most recent edit
- 22 August 2026
Posts recorded as deleted after publishing
We recorded 5 posts on @medjuu as deleted — posts this register held that were missing from the channel’s public page on two separate reads, taken from different network addresses at least an hour apart.
A deletion is not wrongdoing. This register can see that a post it held is no longer on the channel’s public page, and when — not why. Expired ad placements, reposts, rotating links and corrections all look the same. This is a count of recorded detections, not an exact total: it misses deletions we could not see, because only a post we held and later re-read inside the page can be seen to go, and it may include a small number of wrong records. How this is measured.
- First seen missing
- 22 August 2026
- Most recent seen missing
- 26 August 2026
- Median time before seen missing
- 3 days
- Seen missing in the last 30 days
- 0
Polls
The poll we hold for this entry, as Telegram rendered it when we read the post. A poll’s figures keep moving after that, so each one is dated.
مرد ۳۵ سالهای پس از شکار خرگوش وحشی با تب، لرز و یک لنفنود اینگوینال بسیار دردناک مراجعه کرده است. در اسمیر مستقیم آسپیراسیون لنفنود، باسیلهای گرممنفی با رنگپذیری دو قطبی (Safety-pin appearance) دیده میشوند. محتملترین تشخیص کدام است؟
- مننگوکوکسمی11%
- Plague32%
- لپتوسپیروز شدید41%
- تب خونریزیدهنده کریمه-کنگو16%
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Percentages only — there are no per-option vote counts here, because Telegram publishes none. The public post preview gives each option’s share and a single voter total, and nothing else. Multiplying one by the other would produce a per-option tally that looks measured and is not: the shares are rounded to whole numbers before we ever see them. We print what was published and leave the column that does not exist empty.
The shares need not add up to 100. Rounding alone puts many polls at 99 or 101. A poll that allows more than one answer per voter runs well past 100 by design, and several here do. The bars are drawn against a fixed 100% track at each option’s own percentage rather than normalised to the total, so a poll that exceeds it shows that it does instead of being quietly rescaled.
Read from the 47 most recent posts we hold, published 15 November 2025 to 24 October 2026. Telegram labels each poll by kind — an anonymous poll, a quiz, a closed set of final results — and that label is reproduced rather than paraphrased.
Forward network
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
Named by 1 registered channel — 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.
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.
@medical_drugs1 · 51,423
Telegram ranks this channel #10 of 95 here — alongside 94 others — read 24 August 2026
@differential_diagnosis1 · 32,108
Telegram ranks this channel #11 of 87 here — alongside 86 others — read 5 September 2026
@medilancer · 98,866
Telegram ranks this channel #13 of 93 here — alongside 92 others — read 18 August 2026
@Learningvideos99 · 39,750
Telegram ranks this channel #15 of 91 here — alongside 90 others — read 31 August 2026
@schoolofmedicine_ir · 26,820
Telegram ranks this channel #16 of 93 here — alongside 92 others — read 12 September 2026
@Doctor_MIB_iran · 40,407
Telegram ranks this channel #17 of 89 here — alongside 88 others — read 26 August 2026
@medofast_balini · 36,766
Telegram ranks this channel #18 of 90 here — alongside 89 others — read 4 September 2026
@Balinoma · 22,808
Telegram ranks this channel #20 of 91 here — alongside 90 others — read 25 September 2026
@MSS_twitter · 18,739
Telegram ranks this channel #21 of 92 here — alongside 91 others — read 5 October 2026
@medical_jozveh_channel · 127,082
Telegram ranks this channel #25 of 87 here — alongside 86 others — read 18 August 2026
@medofast_oloompaye · 22,689
Telegram ranks this channel #27 of 91 here — alongside 90 others — read 20 September 2026
@PDFbankdaro · 32,248
Telegram ranks this channel #28 of 94 here — alongside 93 others — read 5 September 2026
@lmedixl · 40,282
Telegram ranks this channel #28 of 85 here — alongside 84 others — read 31 August 2026
@Medical_line · 38,402
Telegram ranks this channel #31 of 90 here — alongside 89 others — read 1 September 2026
@medicaluniversity · 83,278
Telegram ranks this channel #31 of 89 here — alongside 88 others — read 18 August 2026
@TebeAtfal · 52,120
Telegram ranks this channel #32 of 96 here — alongside 95 others — read 25 August 2026
@drjian · 26,607
Telegram ranks this channel #33 of 90 here — alongside 89 others — read 12 September 2026
@havin_hosseiny · 50,411
Telegram ranks this channel #37 of 84 here — alongside 83 others — read 24 August 2026
@dr_keivani · 24,192
Telegram ranks this channel #40 of 88 here — alongside 87 others — read 23 September 2026
@med_skills · 37,909
Telegram ranks this channel #41 of 92 here — alongside 91 others — read 31 August 2026
@ostaadteb · 30,012
Telegram ranks this channel #43 of 87 here — alongside 86 others — read 8 September 2026
@pdfvahidzali · 87,405
Telegram ranks this channel #44 of 90 here — alongside 89 others — read 18 August 2026
@Olumpaye99 · 25,627
Telegram ranks this channel #45 of 95 here — alongside 94 others — read 14 September 2026
@medistU · 54,110
Telegram ranks this channel #45 of 96 here — alongside 95 others — read 24 August 2026
This channel appears in 33 seed channels' Telegram-generated recommendation lists in total, of which the 24 where it ranks highest are shown above. 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 5 November 2026 — this entry's latest reading, not the date you are reading this.
“مِدپلاس | Medjuu” (@medjuu), 8,519 subscribers as measured 5 November 2026. Telegram Register, tgregister.com/channel/medjuu.
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.