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Channel

نسخه لند

@NoskheLand

On this record: Topic · Growth · Engagement · What this channel posts · Reactions · Posts · Posts recorded as deleted · Polls · Citations · Handles named that no longer answer · Cite this entry

18,201subscribers

+4,139 since we began measuring on 7 August 2026

Risers and fallers across the register · movement among entries of 10,000–31,623.

Register entry

Telegram ID-1002462770994
TypeChannel
Username@NoskheLand
Descriptionنسخه لند | NoskheLand ✅هزارن نسخه اورژانس و درمانگاه ✅از شرح حال و سناریو تا درمان ✅آموزش کیس محور گرافی و سی تی و ECG ✅بررسی تشخیص افتراقی ها 👈جهت عضویت دائمی پیام بدید @Noskhe_Med 👈 هماهنگی برای تبلیغات @Noskhe_Med @Noskhelandbot : ربات مون
CreatedBetween 1 September 2024 and 31 March 2025 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded7 August 2026
Last confirmed live7 November 2026
Measurements held60
Confirmed unchanged1 time, most recently 7 November 2026
On Telegramt.me/NoskheLand

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 10 September 2026 and assigned it the closest of 31 fixed categories, at 75% 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

13,75018,42716,088.57 August 2026 — 14,062 subscribers7 August 2026 — 14,062 subscribers8 August 2026 — 14,056 subscribers9 August 2026 — 14,050 subscribers10 August 2026 — 14,043 subscribers11 August 2026 — 14,038 subscribers12 August 2026 — 14,031 subscribers13 August 2026 — 14,028 subscribers14 August 2026 — 14,017 subscribers16 August 2026 — 14,010 subscribers17 August 2026 — 14,006 subscribers18 August 2026 — 13,990 subscribers19 August 2026 — 13,979 subscribers20 August 2026 — 13,971 subscribers21 August 2026 — 13,962 subscribers23 August 2026 — 13,953 subscribers24 August 2026 — 13,945 subscribers26 August 2026 — 13,928 subscribers27 August 2026 — 13,913 subscribers28 August 2026 — 13,906 subscribers29 August 2026 — 13,899 subscribers30 August 2026 — 13,893 subscribers31 August 2026 — 13,886 subscribers1 September 2026 — 13,866 subscribers2 September 2026 — 13,860 subscribers3 September 2026 — 13,847 subscribers5 September 2026 — 13,837 subscribers8 September 2026 — 13,823 subscribers11 September 2026 — 13,815 subscribers13 September 2026 — 13,801 subscribers15 September 2026 — 13,794 subscribers17 September 2026 — 13,788 subscribers25 September 2026 — 13,750 subscribers4 October 2026 — 18,427 subscribers8 October 2026 — 18,368 subscribers12 October 2026 — 18,274 subscribers14 October 2026 — 18,233 subscribers15 October 2026 — 18,203 subscribers16 October 2026 — 18,199 subscribers17 October 2026 — 18,333 subscribers18 October 2026 — 18,324 subscribers19 October 2026 — 18,297 subscribers20 October 2026 — 18,281 subscribers21 October 2026 — 18,261 subscribers22 October 2026 — 18,236 subscribers23 October 2026 — 18,221 subscribers24 October 2026 — 18,317 subscribers25 October 2026 — 18,313 subscribers26 October 2026 — 18,309 subscribers27 October 2026 — 18,303 subscribers29 October 2026 — 18,297 subscribers29 October 2026 — 18,285 subscribers30 October 2026 — 18,269 subscribers1 November 2026 — 18,259 subscribers2 November 2026 — 18,233 subscribers3 November 2026 — 18,224 subscribers4 November 2026 — 18,222 subscribers5 November 2026 — 18,219 subscribers5 November 2026 — 18,210 subscribers7 November 2026 — 18,201 subscribers18,2017 August 20267 November 2026
60 measurements spanning 91 days, net +4,139. 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 13,048–19,129 and does not start at zero.
Measurement log — every subscribers count we have recorded, most recent 20 of 60
Measured (UTC)SubscribersChange
7 Nov 2026, 03:1018,201-9
5 Nov 2026, 23:2618,210-9
5 Nov 2026, 02:3018,219-3
4 Nov 2026, 03:3918,222-2
3 Nov 2026, 01:0718,224-9
2 Nov 2026, 01:1918,233-26
1 Nov 2026, 01:5618,259-10
30 Oct 2026, 22:4118,269-16
29 Oct 2026, 22:0818,285-12
29 Oct 2026, 00:3718,297-6
27 Oct 2026, 20:5618,303-6
26 Oct 2026, 17:5418,309-4
25 Oct 2026, 19:4518,313-4
24 Oct 2026, 16:5818,317+96
23 Oct 2026, 13:5618,221-15
22 Oct 2026, 13:4118,236-25
21 Oct 2026, 04:2118,261-20
20 Oct 2026, 05:0018,281-16
19 Oct 2026, 08:2118,297-27
18 Oct 2026, 11:4818,324first reading

Engagement

45 posts held, back to 18 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 61 pages of Telegram’s post history, 20 posts per page.

ERR · 30 days
33.5%
avg views ÷ 18,201 subscribers
Avg views / post
6,100
8 posts measured
Reaction rate
0.236%
reactions ÷ views · ER floor
Posts in window
8
of 45 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
WindowRolling 30 days · latest post in window 6 November 2026
Posts held45 (18 November 2025 – 6 November 2026)
Views total48,830
Reactions total115
Forwards / commentsnot exposed by the public surface — not measured, not estimated
Readings taken7 Nov 2026, 16:00 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
35
Videos
26
Links
186

Lifetime counters from Telegram’s own channel header, read 7 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.

Reaction mix

1,236 reactions across 43 posts, in 22 distinct kinds. The most used accounts for 58.7% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
❤72658.7%
👍14411.7%
🔥13010.5%
🤔705.66%
👏282.27%
😢282.27%
🥴262.10%
🤷191.54%
💊110.89%
😍110.89%
🤯90.728%
🤷‍♀80.647%
👌70.566%
😁40.324%
🙊40.324%
🤩30.243%
🥰30.243%
⚡10.081%
❤‍🔥10.081%
👀10.081%
2 further kinds20.162%

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 43 of the 45 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 1,236 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 45 most recent posts we hold, published 18 November 2025 to 6 November 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

Telegram’s own ‘edited’ marker: 1 of 8 posts held from the last 30 days (12.5%) 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).

6 Nov 2026, 10:00 UTC≈2,450 views18 reactionsread 7 November 2026

✅ دختر ۱۹ ساله با سابقه چند ماهه عدم تحمل گرما، تعریق زیاد، اسهال آبکی، خستگی، کاهش وزن قابل‌توجه، آمنوره دوماهه، اضطراب، بی‌قراری و تپش قلب مراجعه کرده است. تست‌های بارداری منفی هستند و علائم علی‌رغم گذشت چندین هفته ادامه یافته‌اند. 🤯 تشخیص چیه و اولین اقدامات چی میباشد ؟ 😁 چه تشخیص افتراقی های مطرح است ؟ ‼️ برای دیدن پاسخ روی لینک زیر کلیک کنید 👉 https://t.me/NoskheLandbot?start=story_49

❤13👍3🥰1🙏1

1 Nov 2026, 18:20 UTC≈3,230 views9 reactionsread 5 November 2026

میدونستی تجویز GLP1 باعث مرگ یک خانم جوان شده؟ و پزشک تو دادگاه ... ماجراهای مفید بالینی در مدیکالید👇🏻👇🏻 https://t.me/+pc9ZnWj-kgplNDE0 https://t.me/+pc9ZnWj-kgplNDE0

❤4🤷3👍2

1 Nov 2026, 18:20 UTC≈3,120 views2 reactionsread 5 November 2026
Sticker

Sticker, posted without a caption

👍2

1 Nov 2026, 11:42 UTC≈6,020 views18 reactionsread 7 November 2026

#زنان #درد_پستان ➖➖➖➖➖➖➖➖➖➖➖ ✅ درد پستان ☑️ درد یک طرفه پستان ▪️کیست پستان 🔻حساسیت قبل از قاعدگی 🔻توده مانند ▪️ماستیت یا آبسه 🔻بیشتر در زنان شیرده 🔻همراه با تب و قرمزی و گرمی ▪️تروما ▪️فیبروآدنوما 🔻توده سفت و متحرک و غیرحساس ▪️اکتازی مجرای پستان 🔻در زنان میانسال؛ با ترشح چسبناک، سبز یا قهوه‌ای از نیپل همراه است ▪️پاپیلوم داخل مجرا 🔻 همراه با ترشح خونی یا سروزی یک‌طرفه از یک مجرا ☑️ درد دو طرفه پستان …

❤16👍2

21 Oct 2026, 14:08 UTC≈8,870 views23 reactionsread 7 November 2026
Photo

⁉️ کیس 38 مرد ۲۳ ساله‌ای بدون سابقه بیماری قلبی، به‌دلیل چند نوبت تپش قلب ناگهانی و سریع مراجعه می‌کند. حملات ناگهان شروع می‌شوند و پس از چند دقیقه خوب می‌شوند. معاینه قلبی نکته خاصی ندارد. ✅ تشخیص Wolff–Parkinson ➖➖➖➖➖➖➖ 🔑 ویژگی‌های کلیدی ECG 🔸 PR interval <120 ms 🔸 Delta wave شروع QRS به‌صورت کند و شیب‌دار دیده می‌شود ⬅️ موج دلتا. ‼️اگه میخوای کیس های قلب رو کاربردی یاد بگیری به ادمین پیام بده 👇 ◾️ @Nosk…

❤14🔥7🤩2

18 Oct 2026, 14:37 UTC≈8,240 views9 reactionsread 7 November 2026

✅ مردی ۲۲ ساله با سابقه افسردگی که تحت درمان میباشد پس از مصرف خودسرانه چند قرص ترامادول، با تب بالا، تعریق شدید، بی‌قراری، گیجی و کاهش سطح هوشیاری به اورژانس منتقل شد. در معاینه، پوست گرم و برافروخته، لرزش شدید و حرکات غیرطبیعی چشم‌ها مشاهده می‌شود. 🤯 تشخیص محتمل چیست؟ 🤔 اولین اقدام درمانی چی هست ؟ 👈 جهت مشاهده پاسخ روی لینک زیر کلیک کنید https://t.me/NoskheLandbot?start=story_48

❤4👍2🤯2👌1

15 Oct 2026, 14:14 UTC≈9,720 views29 reactionsread 7 November 2026

#فشار_خون #قلب ➖➖➖➖➖➖➖➖➖➖ ✅ انتخاب داروی مناسب در فشار خون مزمن ☑️ HFrEF (EF < 40%) ✅ داروهای مناسب ( به ترتیب ) ▪️ACEi / ARB ▪️Beta-blockers (Carvedilol, Bisoprolol, Metoprolol) ❗️ بتابلاکر ها فقط در فرم پایدار و مزمن توصیه می‌شوند. در HF حاد ممنوعند. ⛔️ داروهای ممنوع: ▪️Verapamil / Diltiazem ➖➖➖➖➖➖➖➖➖➖ ☑️ Acute Pulmonary Edema ✅ داروهای مناسب ( به ترتیب ) ▪️Nitroglycerin ▪️Clevidipine / Nitroprusside …

❤21👍5🔥2🤓1

13 Oct 2026, 18:29 UTC≈7,180 views7 reactionsread 7 November 2026

‼️ برای دیدن پاسخ و نسخه این مورد روی لینک زیر کلیک کنید 👇 ✅ https://t.me/NoskheLandbot?start=story_47

❤3🔥2👍1👏1

6 Oct 2026, 15:37 UTC≈11,000 views35 reactionsread 7 November 2026

🔴 مرد ۱۹ ساله با ۶ ساعت درد شکمی پیشرونده و استفراغ به اورژانس مراجعه کرده است. درد تیز، کرامپی و کولیکی بوده و ابتدا هر ۱۰ دقیقه رخ می‌داده، اما اکنون بصورت مداوم شده است و شدت آن افزایش یافته است. طی ۳ ساعت اخیر ۴ بار استفراغ داشته که ابتدا حاوی غذای شب قبل، سپس زرد رنگ و بدون خون بوده است. بیمار اخرین بار دفع مدفوع حجیم و انفجاری داشته است ➖➖➖➖➖➖➖➖➖➖ 🤯 تشخیص چیست و چه اقداماتی باید انجام داد ⁉️ ⬅️ پاسخ فردا در …

🥴17🤷‍♀7❤5🔥2😁2👏1🤯1

4 Oct 2026, 15:03 UTC≈11,400 views14 reactionsread 7 November 2026
Photo

✅ خانم ۵۸ ساله‌ای، به‌طور ناگهانی دچار تنگی نفس شدید و درد پلوریتیک قفسه سینه و احساس تپش قلب شده است. هنگام راه رفتن دچار سرگیجه می‌شود و بیمار مضطرب و تاکی‌کارد است ‼️ تشخیص چیه ؟ و اولین اقدام درمانی چیست ؟ ⬅️ برای دیدن پاسخ کلیک کنید

🤯6🔥5❤1🥰1😍1

2 Oct 2026, 08:52 UTC≈13,000 views45 reactionsread 7 November 2026

#داروهای_ممنوعه_با_الکل ➖➖➖➖➖➖➖➖➖➖ ✅ داروهایی که با الکل تداخل دارند: 1️⃣آنتی‌بیوتیک‌ها: 🔴Metronidazole 🔴Tinidazole 🔴Cefotetan 🔴Cefoperazone ⚠️ خطر: واکنش شبه - دی‌سولفیرام (تهوع، استفراغ، گرگرفتگی، تاکی‌کاردی) ➖➖➖➖➖➖➖➖➖➖ 2️⃣داروهای روان‌پزشکی: 🔴Benzodiazepines ( Diazepam, Lorazepam, Alprazolam) 🔴Antidepressants ( Amitriptyline, Sertraline, Fluoxetine) 🔴Barbiturates ( Phenobarbital) ⚠️ خطر: افسردگی شدید CNS، خو…

❤36🔥4👏2😁2👍1

29 Sept 2026, 16:17 UTC≈10,900 views62 reactionsread 7 November 2026

🔴 مرد ۲۴ ساله‌ای با بی‌قراری، تهوع، استفراغ، تعریق و احساس تنگی نفس به اورژانس مراجعه می‌کند. از حدود ۸ ساعت قبل دچار وزوز گوش و کاهش شنوایی خفیف شده و طی چند ساعت اخیر تنفس‌های سریع و عمیق پیدا کرده است. بیمار تب ندارد و فشارخون ۱۲۵/۷۵، نبض ۱۱۸، RR=32 و SpO₂=98% در هوای اتاق است. و ریه‌ها بدون یافته قابل توجه هستند. شکم نرم است و تندرنس واضح ندارد. ✅ آزمایش‌ها: 🔹 Na = 140 🔹K = 4.1 🔹Cl = 100 🔹HCO₃ = 15 🔹Glucose = 1…

🤔44❤10💊4👍2🔥2

Showing the 12 most recent of 45 posts we hold for @NoskheLand. 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 recorded as deleted after publishing

We recorded 4 posts on @NoskheLand 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
31 August 2026
Most recent seen missing
31 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.

9 Feb 2026, 14:25 UTCAnonymous Quiz1,830 voters approx.

بیمار مرد ۴۶ ساله‌ای با درد قفسه سینه، احساس فشار پشت جناغ و تعریق به اورژانس مراجعه کرده است. بیمار اظهار می‌کند از دو روز قبل دچار علائم سرماخوردگی بوده و هم‌زمان از تنگی نفس، سرفه و بدن‌درد نیز شکایت دارد. تجویز کدام دارو خطرناک می‌باشد؟ @NoskheLand

  1. قرص سرما خوردگی بزرگسالان5%
  2. دگزامتازون17%
  3. کتورولاک25%
  4. همه موارد54%

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 45 most recent posts we hold, published 18 November 2025 to 6 November 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

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 7 November 2026 — this entry's latest reading, not the date you are reading this.

“نسخه لند” (@NoskheLand), 18,201 subscribers as measured 7 November 2026. Telegram Register, tgregister.com/channel/NoskheLand.

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.