Сообщество специалистов здравоохранения, посвящённое вопросам лабораторной и клинической гемостазиологии.
🩸Самое важное о тестировании системы гемостаза.
Created
Between 1 October 2022 and 30 September 2023— estimated from Telegram’s id allocation, not measured. How this range is calculated.
2 measurements taken within a single day. 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 335–337 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)
Subscribers
Change
8 Aug 2026, 07:04
336
no change
8 Aug 2026, 00:01
336
first reading
Engagement
12 posts held, back to 22 June 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 pageof Telegram’s post history, 20 posts per page.
ERR · 30 days
33.9%
avg views ÷ 336 subscribers
Avg views / post
114
1 post measured
Reaction rate
7.89%
reactions ÷ views · ER floor
Posts in window
1
of 12 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 21 July 2026
Posts held
12 (22 June 2026 – 21 July 2026)
Views total
114
Reactions total
9
Forwards / comments
not exposed by the public surface — not measured, not estimated
Readings taken
8 Aug 2026, 07:04 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
28
Links
19
Lifetime counters from Telegram’s own channel header, read 8 August 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.
Reaction mix
193 reactions across 12 posts, in 6 distinct kinds. The most used accounts for 32.6% of them.
Every reaction kind recorded on the sample, most used first
Reaction
Count
Share
Share, drawn
👍
63
32.6%
❤
61
31.6%
🔥
43
22.3%
👌
15
7.77%
❤🔥
8
4.15%
👏
3
1.55%
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 12 of the 12 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 193reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 12 most recent posts we hold, published 22 June 2026 to 21 July 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.
Telegram Stars
Stars received
1
across the posts below
Posts paid on
1
of 12 we hold a reading for · 8%
Most on one post
1
single highest reading
A paid reaction is a reader spending Telegram Stars — bought with money — on a post by @werfenrussia. Telegram publishes the count on the public post preview alongside ordinary reactions, and this register reads it there. It is the only figure on this site that measures money moving rather than attention.
Stars are not reactions, and the two are never added. They are rendered in the same strip on Telegram and counted in the same shape, but one is a tap and the other is a purchase. The reaction totals and the engagement rate elsewhere on this page exclude every figure in this section, and no rate here is computed against a reaction count.
This is not revenue, and we publish no currency figure. What a Star costs a reader and what it pays a channel are different numbers, Telegram takes a share we cannot observe, and the terms have changed. Converting a Star count into money would be an estimate dressed as a measurement, so the count is where we stop.
Counted over the 12 most recent posts we hold for this entry, published 22 June 2026 to 21 July 2026. Star counts above 1,000 reach us in Telegram’s short form and carry the same three-significant-figure rounding as everything else on this page.
Advertising
Ad load
8.33%
1 of 12 posts carry an ad marker
Regulatory tokens
0
none — marked by hashtag only
Median views · ads
220
over 1 measured post
Median views · rest
240
over 11 measured posts
An ad marker, not a judgement about a post. A post is counted here because it carries one of two explicit markings: an erid token, which Russian law has required on paid placements since 2022 and which is issued against a specific advertising contract, or a #реклама / #ad hashtag in the body, which is the channel declaring it itself. The first is documentary; the second is a self-declaration and is weaker. No classifier reads the text and decides — nothing on this site guesses that a post is an advertisement.
This is a floor, and it can only ever be a floor.A channel that runs paid placements without marking them produces no marker for us to count, and an unmarked ad is indistinguishable from an ordinary post on the public surface. The ad load above therefore means “the share of posts that declared themselves”, never “the share of posts that were paid for”. A low figure is not evidence of a channel that runs few ads.
Both figures are medians, and no ratio between them is published. Each is a view reading that actually occurred on a post, picked by percentile_disc rather than averaged, so one viral post cannot move it and no interpolated value is invented between two readings. The sample on one side is under five posts, which is too thin to compare. The two figures are shown side by side with the count behind each, and deliberately not divided into a headline like “ads get x% fewer views” — an arithmetic that is easy to print and, at this sample size, means nothing.
Measured over the 12 most recent posts we hold, published 22 June 2026 to 21 July 2026. Views are the latest single reading held for each post, and any reading at or above 1,000 is rounded by Telegram to three significant figures.
Тромбозы от гормональных контрацептивов (КОК)
✅Повышение риска тромбоза происходит за счет нескольких факторов, а именно:
Повышение активности факторов свертывания (фактор 7,8,10) с одномоментным снижением активности естественных антикоагулянтов (протеин S, АТIII), уменьшение чувствительности активированного протеина С (наш собственные антикоагулянт) к активированному 5 фактору свертывания (приобретенная резистент…
📚КНИЖНАЯ ПОЛКА | Новая публикация команды DHD
Коллеги, представляем вашему вниманию свежую статью наших коллег — автором-корреспондентом выступил основатель DHD Петров Андрей Евгеньевич, а в соавторах — команда из РНХИ им. проф. А.Л. Поленова, Кыргызстана и Ставрополя.
📄 Статья: «Light Transmission Aggregometry for Antiplatelet Therapy Monitoring in Flow Diversion: A Retrospective Cohort Study»
О чём?
Работа посв…
🔬 АЧТВ: один тест — разные ответы
АЧТВ — скрининг на дефицит факторов VIII, IX, XI, XII, но его чувствительность критически зависит от реагента: типа активатора (диоксид кремния/силика, эллаговая кислота, каолин), источника и концентрации фосфолипидов (ФЛ).
🔑 Принцип: ↓ ФЛ → ↑ чувствительность — и к дефициту факторов, и к волчаночному антикоагулянту (ВА). Фосфолипидная поверхность необходима для сборки теназного и п…
🧬Мутация FV типа Лейден🧬
Роль наследственной тромбофилии в рамках первичной и вторичной профилактики венозных и артериальных тромботических осложнений, а также потерь беременности является одним из самых часто задаваемых и обсуждаемых вопросов, который собрал достаточно статей, консенсусов, упоминаний в клинических рекомендациях.
И вот авторы коротких заметок в JAMA решили вновь вернуться к этой проблеме и напомн…
🧪 Полибрен vs Гепариназа: зачем нужны два нейтрализатора и почему одним не обойтись? - вопрос от эксперта
Пациент на гепарине, а нам нужно оценить его гемостаз in vitro. Гепарин в образце удлиняет клоттинговые тесты. Чтобы «видеть сквозь гепарин», в реагенты добавляют нейтрализаторы. Но их несколько, а работают они по-разному.
⚙️ Полибрен — маскировка гепарина.
Полибрен (гексадиметрина бромид) — синтетический поликат…
🧬 Функциональный тест APC-R и мутация FV Лейден (генетика): нужны ли оба теста?
Давайте разберём интересную тему, которая часто вызывает вопросы — зачем нужен функциональный тест APC-R, если есть генетика на FV Лейден?
Спойлер: это не взаимозаменяемые методы. И вот почему 👇
🔬 Как работает классический функциональный тест
Всё просто: добавляем в плазму пациента активированный протеин С и смотрим, насколько удлиняется…
🎭 Загадочная роль β2ГП1 🎭
...и антител к нему в патогенезе АФС.
β-2-гликопротеин 1 (β2ГП1), состоящий из 5 доменов, является ключевой мишенью для антител при АФС. На протяжении 25 лет авторы по-разному представляли его структуру, не приходя к единому мнению:
🎭 В 1999 году с помощью рентгеновской кристаллографии, которая требовала высокой концентрации соли и кислот, увидели J-образную форму;
🎭 В 2002 применили мет…
🧪 ВОЛЧАНОЧНЫЙ АНТИКОАГУЛЯНТ: КОКТЕЙЛЬ, КОТОРЫЙ НЕЛЬЗЯ ЗАМЕНИТЬ
Почему ВА — самый сильный отдельный предиктор тромбоза при АФС и что за ним стоит на молекулярном уровне.
🔑 Три критериальных теста на АФС выявляют антитела к белкам-кофакторам на фосфолипидных мембранах, но по-разному. аКЛ и анти-β2GPI определяют антитела напрямую (иммуноанализ). ВА выявляет их функциональный эффект на свёртывание (коагуляционный тест).
…
🔬 АНАФИЛАКСИЯ И КОАГУЛОПАТИЯ
Когда аллергия запускает ДВС-синдром
По материалам: Levy JH et al., J Thromb Haemost, 2026 и др.
👇 На схеме во вложении — вся патофизиология одной картинкой.
Мы привыкли думать об анафилаксии как о «шоке + бронхоспазме + отёке». Но есть специфическое осложнение, о котором редко говорят: ДВС-синдром.
📚 ДВА ФЕНОТИПА ДВС (ISTH, 2025)
🔴 Тромботический — свёртывание↑, фибринолиз подавлен → м…
🐟 Корректор гемостаза из спермы лосося 🐟
... - это протамина сульфат.
Именно такая интересная информация содержится в свежей обзорной статье, опубликованной в NEJM в июне 2026 года, систематизирующей данные по всем доступным и перспективным антидотам инактиваторам антикоагулянтов. Тема приобрела особую актуальность после отзыва андексанета альфа с рынка США в декабре 2025 года, что существенно изменило подходы к …
🧬 Почему тромболизис при инсульте работает не у всех? Роль нейтрофильных ловушек (NETs)
Обзор Huang et al. (Semin Thromb Hemost, 2025) систематизирует данные о механизме, который может существенно дополнить наше понимание резистентности к тромболизису при остром ишемическом инсульте. Разберём основные находки 👇
1️⃣ Что такое NETs?
Нейтрофильные внеклеточные ловушки — это сети из ДНК, гистонов и ферментов (эластаза, м…
🔥6👍5❤4❤🔥1
Showing the 12 most recent of 12 posts we hold for @werfenrussia. 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.
Stars beside a post are paid reactions — Telegram Stars, bought with money and spent on that post. They are a different unit from reactions and are never added to them, here or anywhere else on this page.
Citation-graph rank
Citation-graph rank — 282,148 of 1,480,688entries 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
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.
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 8 August 2026 — this
entry's latest reading, not the date you are reading this.
“Гемостазиология для врачей 🩸” (@werfenrussia), 336 subscribers as measured 8 August 2026. Telegram Register, tgregister.com/channel/werfenrussia.
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.
