Channel

Занудная педиатрия для педиатров — Роман Шиян

@zanped

On this record: Growth · Engagement · Reactions · Posts · Citations · Cite this entry

4,477subscribers

+57 since we began measuring on 6 August 2026

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

Register entry

Telegram ID	-1002896225115
Type	Channel
Username	@zanped
Created	Between 1 June 2025 and 31 August 2025 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded	6 August 2026
Last confirmed live	2 September 2026
Measurements held	11
Confirmed unchanged	1 time, most recently 2 September 2026
On Telegram	t.me/zanped

Growth

11 measurements spanning 28 days, net +57. 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 4,410–4,486 and does not start at zero.

Measurement log — every subscribers count we have recorded
Measured (UTC)	Subscribers	Change
2 Sept 2026, 18:45	4,477	+4
30 Aug 2026, 23:38	4,473	-1
28 Aug 2026, 07:34	4,474	+20
25 Aug 2026, 05:38	4,454	+20
22 Aug 2026, 10:22	4,434	+8
18 Aug 2026, 19:58	4,426	+3
16 Aug 2026, 05:07	4,423	+2
12 Aug 2026, 15:38	4,421	+2
9 Aug 2026, 14:15	4,419	-1
6 Aug 2026, 04:04	4,420	no change
6 Aug 2026, 03:06	4,420	first reading

Engagement

20 posts held, back to 8 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 6 pages of Telegram’s post history, 20 posts per page.

Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 20 posts for this entry, the most recent from 2 August 2026. An engagement rate over an empty window would be a number about nothing.

Reaction mix

791 reactions across 20 posts, in 11 distinct kinds. The most used accounts for 32.0% of them.

Every reaction kind recorded on the sample, most used first
Reaction	Count	Share
❤	253	32.0%
🔥	212	26.8%
👍	97	12.3%
🤔	81	10.2%
🤯	66	8.34%
😱	57	7.21%
💔	13	1.64%
👀	5	0.632%
😢	3	0.379%
🫡	3	0.379%
😁	1	0.126%

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 20 of the 20 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 791 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 20 most recent posts we hold, published 8 July 2026 to 2 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

2 Aug 2026, 13:21 UTC781 views44 reactionsread 8 August 2026

Мальчик 4 лет с лихорадкой, кашлем и одышкой. Получал сальбутамол и антибактериальную терапию без эффекта. В возрасте 20 дней был госпитализирован в связи с бронхиолитом. Далее было несколько эпизодов бронхообструктивного синдрома, которые хорошо отвечали на терапию ингаляционными глюкокортикостероидами и не требовали госпитализации. Семейная история атопических заболеваний. При осмотре одышка, частый кашель, карти…

👍19❤17🔥5🫡3

Signed Роман Шиян

2 Aug 2026, 10:47 UTC798 views12 reactionsread 8 August 2026

Photo

Мальчик 4 лет с лихорадкой, кашлем и одышкой

🤔12

Signed Роман Шиян

29 Jul 2026, 12:32 UTC≈1,250 views35 reactionsread 8 August 2026

Рецидивирующий бронхообструктивный синдром и интермиттирующее лечение азитромицином Поскольку недавно эта тема вызвала тут большой интерес. Вот напомню об одной интересной работе. 📖 Stokholm J., et al. Azithromycin for Episodes with Asthma-Like Symptoms in Young Children Aged 1-3 Years: A Randomised, Double-Blind, Placebo-Controlled Trial. Lancet Respir Med, 2016; 4 (1): 19-26. Рандомизированное двойное слепое кли…

🔥17❤12👍6

Signed Роман Шиян

29 Jul 2026, 12:29 UTC959 views4 reactionsread 8 August 2026

Photo

Рецидивирующий бронхообструктивный синдром и интермиттирующее лечение азитромицином

❤3🔥1

Signed Роман Шиян

29 Jul 2026, 11:40 UTC≈1,070 views33 reactionsread 8 August 2026

Симптомы и респираторные вирусы у маленьких детей 📖 Payne D., et al. Symptoms Associated with Respiratory Pathogens in Young Children: 2019-2025. Pediatrics, 2026, Jul 27. Online ahead of Print. В период с 2019 по 2025 год у более тысячи детей возраста от 2 недель до 5 лет в штате Огайо в США еженедельно брали мазки из носоглотки для исследования методом ПЦР на распространенные респираторные патогены и дважды в нед…

❤16🔥9👍8

Signed Роман Шиян

25 Jul 2026, 14:39 UTC≈1,510 views96 reactionsread 8 August 2026

Девочки 4 и 6 лет с отечностью ушных раковин Фото 1: девочка 4 лет с жалобами на безболезненную отечность и покраснение мочки ушной раковины в течение 4 недель. Фото 2: девочка 6 лет с жалобами на безболезненную отечность и покраснение завитка ушной раковины в течение 5 месяцев. Обе девочки обратились к врачу весной. В конце лета и осенью гуляли на природе, где обитают клещи. Иммуноблот с множественными положитель…

🤯34🔥26❤22👍14

Signed Роман Шиян

25 Jul 2026, 13:18 UTC≈1,330 views20 reactionsread 8 August 2026

Photo

Девочки 4 и 6 лет с отечностью ушных раковин

🤔17❤3

Signed Роман Шиян

25 Jul 2026, 09:34 UTC≈1,460 views47 reactionsread 8 August 2026

Азитромицин и бронхообструктивный синдром 📖 Denninghoff K., et al. Azithromycin for Preschoolers with Wheezing in the Emergency Department. N Engl J Med, 2026; May 18. Online ahead of print. Бронхообструктивный синдром (БОС) — распространенное состояние среди детей дошкольного возраста. Большинство эпизодов БОС в этом возрасте связано с респираторными вирусами, особенно с риновирусами. Ранее в нескольких работах б…

❤35🔥7👍5

Signed Роман Шиян

25 Jul 2026, 09:33 UTC≈1,180 views5 reactionsread 8 August 2026

Photo

Азитромицин и бронхообструктивный синдром

❤5

Signed Роман Шиян

19 Jul 2026, 10:21 UTC≈1,720 views64 reactionsread 8 August 2026

Восточная медицина, вена на указательном пальце и тяжелая пневмония 📖 Hoang M., et al. Diagnostic Accuracy of the Index Finger Vein Inspection for Assessing Paediatric Pneumonia Severity. Arch Dis Child, 2026; 111 (8): 703-708. Тяжелая пневмония — не только локализованная инфекция легких, но и избыточный системный воспалительный ответ с массивным выбросом ИЛ-6 и ФНО-α c дисфункцией эндотелия, вазодилатацией и повыш…

🔥27❤19👍12🤯6

Signed Роман Шиян

19 Jul 2026, 10:19 UTC≈1,340 views13 reactionsread 8 August 2026

Photo

Восточная медицина, вена на указательном пальце и тяжёлая пневмония

🤔12🔥1

Signed Роман Шиян

18 Jul 2026, 16:46 UTC≈1,560 views69 reactionsread 8 August 2026

Ранее здоровая девочка, 1 год 3 месяца. В течение суток лихорадка и кожные высыпания. При осмотре температура 38,6°C, ЧСС 169 в минуту, АД 94/59 мм рт. ст., время наполнения капиллярного русла менее 2 секунд, пальпируемая пурпура на коже конечностей и лица, напряженный отек от стоп (фото 1 и 2). Гемоглобин 131 г/л, лейкоциты 16,6×10⁹/л, нейтрофилы 11,1×10⁹/л, тромбоциты 407×10⁹/л. Коагулограмма нормальная. СРБ 20 м…

❤37🔥18👍8😱4🤔2

Signed Роман Шиян

Showing the 12 most recent of 20 posts we hold for @zanped. 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.

Forward network

Republished by

Channels on the register that have forwarded this channel's posts into their own feed.

Занудная педиатрия — Роман Шиян
@drshnr · 37,2445 posts Лекар Лойко
@lekar_loiko · 6,2231 post

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.

Занудная педиатрия — Роман Шиян
@drshnr · 37,24417 posts Лекар Лойко
@lekar_loiko · 6,2232 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.

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 2 September 2026 — this entry's latest reading, not the date you are reading this.

“Занудная педиатрия для педиатров — Роман Шиян” (@zanped), 4,477 subscribers as measured 2 September 2026. Telegram Register, tgregister.com/channel/zanped.

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.