اللهم في ليلة الجمعة ارحم من هم في ودائعك، وأنزل عليهم نورا ورحمة ونعيماً في قبورهم، واجعل الجنة داراً لهم ، اللهم ارحم موتانا وجميع موتى المسلمين 🤍🤲
❤3🕊2
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "

Channel
@great11va
On this record: Growth · Engagement · Reactions · Posts · Polls · Cite this entry
2,123subscribers
-399 since we began measuring on 7 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
| Telegram ID | -1002379578261 |
|---|---|
| Type | Channel |
| Username | @great11va |
| Created | Between 1 September 2024 and 31 March 2025 — estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 7 August 2026 |
| Last confirmed live | 6 September 2026 |
| Measurements held | 11 |
| Confirmed unchanged | 1 time, most recently 6 September 2026 |
| On Telegram | t.me/great11va |
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 6 Sept 2026, 21:40 | 2,123 | -44 |
| 2 Sept 2026, 03:33 | 2,167 | -39 |
| 30 Aug 2026, 09:03 | 2,206 | -52 |
| 27 Aug 2026, 03:33 | 2,258 | -38 |
| 23 Aug 2026, 21:25 | 2,296 | -44 |
| 20 Aug 2026, 10:32 | 2,340 | -28 |
| 17 Aug 2026, 12:11 | 2,368 | -49 |
| 14 Aug 2026, 03:05 | 2,417 | -51 |
| 10 Aug 2026, 13:48 | 2,468 | -48 |
| 7 Aug 2026, 19:06 | 2,516 | -6 |
| 7 Aug 2026, 16:48 | 2,522 | first reading |
20 posts held, back to 4 August 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 1 page 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 6 August 2026. An engagement rate over an empty window would be a number about nothing.
31 reactions across 13 posts, in 5 distinct kinds. The most used accounts for 38.7% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 12 | 38.7% | |
| 👏 | 10 | 32.3% | |
| 🔥 | 4 | 12.9% | |
| 👍 | 3 | 9.68% | |
| 🕊 | 2 | 6.45% |
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 13 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 31 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 4 August 2026 to 6 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.
اللهم في ليلة الجمعة ارحم من هم في ودائعك، وأنزل عليهم نورا ورحمة ونعيماً في قبورهم، واجعل الجنة داراً لهم ، اللهم ارحم موتانا وجميع موتى المسلمين 🤍🤲
❤3🕊2
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
يعود بسبب حدوث انخفاض في تنظيم المستقبلات B2 Downregulation للآثار الجانبية خارج الرئة لذلك طمئن مريضك بأن الآثار المزعجة كالرعشة والتسرع ستتراجع وتختفي مع الوقت نتيجة هذا التكيف، ينما يستمر الدواء في توسيع الشعب وتسهيل التنفس بنجاح بدون مايفقد فعاليه وبس كذا
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
يعتبر عدم تطابق التهوية والتروية V/Oالناتج عن توسع الأوعية الدموية الرئوية في الأوعية التي كانت متضيقة سابق بسبب نقص الأكسجة Hypoxic Pulmonary Vasoconstriction) إلى تحويل الدم إلى مناطق سيئة التهوية ما يسبب انخفاضاً مؤقتاً في الضغط الجزئي للأكسجين الشرياني على الرغم من أن تأثير ناهضات \beta_2 في الممارسة العملية يكون صغيراً عادة الا أنه قد يكون كبيراً في بعض الأحيان لدى مرضى الانسداد الرئوي المزمن الشديد ويمكن الوقا…
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
نقص بوتاسيوم الدم يعتبر أحد الآثار الجانبية الخطيرة المحتملة ويرجع إلى تحفيز مستقبلاتbeta_2 لدخول البوتاسيوم إلى العضلات الهيكلية عبر تنشيط مضخة \+Na+/K ATPase والذي قد يكون ثانوياً أيضاً لارتفاع إفراز الأنسولين. قد يكون نقص بوتاسيوم الدم خطير في حالة نقص الأكسجة Hypoxiaكما هو الحال في الربو الحاد قد يتهيأ الجسم لاضطرابات نظم القلب Arrhythmias ومع ذلك من الناحية العملية نادرا ما نلاحظ اضطرابات نظم قلبية بعد استنش…
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
يرجع تسرع النبض والخفقان إلى: تحفيز القلب الانعكاسي (Reflex Tachycardia) الثانوي لتوسع الأوعية الدموية المحيطية عبر مستقبلات \beta_2. التحفيز المباشر لمستقبلات \beta_1 و \beta_2 في أذين القلب يحتوي قلب الإنسان على نسبة عالية نسبياً من مستقبلات beta_2 في الأذينين تحفيز مستقبلات عضلة القلب مع زيادة جرعات ناهضات beta_2.
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
الرعشة Tremors هي آثر جانبي متوقع ومؤقت نتيجة تحفيز مستقبلات beta_2 العضلية وتزول تدريجياً مع زوال تأثير الدواء
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
بعد تحسن أعراض التنفس وانجلاء الصفير Wheezing لاحظ الطبيب والصيدلاني التغيرات التالية على المريض: الارتعاش الشديد (Severe Tremors): ارتعاش ناعم ومزعج جداً في اليدين مع عدم قدرة المريض على إمساك كوب الماء. تسارع النبض والخفقان (Tachycardia & Palpitations): ارتفع معدل النبض إلى 116 نبضة/دقيقة. نقص بوتاسيوم الدم (Hypokalemia): انخفض البوتاسيوم في التحليل إلى 3.0mEq/L انخفاض مؤقت في أكسجين الدم الشرياني PaO2 Drop…
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
#Clinical_Case_study شاب عمره 22 عاماً حضر إلى قسم الطوارئ يعاني من أزمة ربو حادة (Acute Asthma Exacerbation) تم إعطاؤه جلسات رذاذ مكررة من السالبيوتامول (Salbutamol Nebulization) بجرعات عالية ومكثفة خلال ساعتين للسيطرة على الأزمة.
Signed 'Y.𝐀𝐥𝐟𝐚𝐪𝐢𝐡 "
A 10-year-old obese girl with newly diagnosed depressive illness is being advised to start antidepressant treatment. Which of the following is best to initiate?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
👍1
Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️
Which antidepressant drug must be avoided in a 21-year-old female with a history of seizure disorder?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
👍1
Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️
A 68-year-old man is diagnosed with major depressive disorder. Which drug is best?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
👍1
Signed 𓂁 ⚕️ 𝑹𝒂𝒚𝒂𝒏 ⚕️
انضموا لقناتنا قناة التعليقات عشان تظهر كل مناقشاتنا وأسئلتنا بشكل مرتب: https://t.me/pharmagreat
👏2
Showing the 12 most recent of 20 posts we hold for @great11va. 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.
The 6 most recent of 7 polls we hold for this entry, as Telegram rendered them when we read the post. A poll’s figures keep moving after that, so each one is dated.
A 68-year-old man is diagnosed with major depressive disorder. Which drug is best?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
A 10-year-old obese girl with newly diagnosed depressive illness is being advised to start antidepressant treatment. Which of the following is best to initiate?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which antidepressant drug must be avoided in a 21-year-old female with a history of seizure disorder?
Shares as published, totalling 101%. No per-option vote count is published by Telegram, so none is shown.
Which of the following drugs that are used in mania has a narrow therapeutic index?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following is the suitable mood stabilizer for a pregnant woman with bipolar disorder?
Shares as published. No per-option vote count is published by Telegram, so none is shown.
Which of the following mood stabilizer would be most appropriate in a patient with liver disease?
Shares as published, totalling 101%. 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 20 most recent posts we hold, published 4 August 2026 to 6 August 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.
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 6 September 2026 — this entry's latest reading, not the date you are reading this.
“Pharmacy greats” (@great11va), 2,123 subscribers as measured 6 September 2026. Telegram Register, tgregister.com/channel/great11va.
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.