Poimandres to Hermes Trismegistus. 1. Once, when mind had become intent on the things which are, and my understanding was raised to a great height, while. teacher of Hermes Trismegistus himself. During the fifteenth century Marsili. Ficino made the mistake of assuming that the title ‘Poimandres’, given at t heading of. The Divine Pymander of Hermes: Revelation of the Above and the Below. Hermes Trismegistus. CONTENTS. The Visions of Hermes · The Above and the Below.

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The Man fell in love with His own shadow and desired to hefmes into it. Now listen to the rest of the discourse that you long to hear: Since that day my Mind has been ever with me and in my own soul it hath hermed birth to the Word: The book is still in existence and continues to lead the disciples of this age into the presence of the Immortals. While probably not in its original form, having been remodeled during the first centuries of the Christian Era and incorrectly translated since, this work undoubtedly contains many of the original concepts of the Hermetic cultus.

Poimandres – Wikipedia

There’s more to it like the synagogue of satan, banksters, corrupted religions, corrupted families hiding behind a good name, corrupted government systems. We may see a lot of destruction as part of the transformation process of the new earth, so don’t worry and be happy.

There are two theories concerning his demise. Upon the fourth ring sits the Sun, and to this Lord are returned ambitions.

This mold was called the Archetypeand this Archetype was in the Supreme Mind long before the process of creation began. Bealive and keep your faith like a Jedi. The origin of the shepherd’s crook in religious symbolism may be traced to the Egyptian rituals. We are all blessed more then we trurly are aware of! In the worlds of men, Hermes sowed the seeds of wisdom and nourished the seeds with the Immortal Waters.

And the Word which appeared as a pillar of flame out of the darkness is the Son of God, born of the mystery of the Mind. Their nest is on a wild dangerous island. Reason is the offspring of Thought and Reason shall divide the Light from the darkness and establish Truth in the midst of the waters.

The Life and Teachings of Thoth Hermes Trismegistus

Learn deeply of the Mind and its mystery, for therein lies the secret of immortality. We create our reality like Heaven on Earth, peace, love, and light. The darkness below, receiving the hammer of the Word, was fashioned into an orderly universe. The punishment of desire is the agony of unfulfillment.

The Mysteries taught that the Universal Life was personified as a dragon. And he who thus had learned to know himself, had reached that Good that does transcend abundance; but he who through worldly love that same end leads astray, he expends his love upon his body — he stays in Darkness — and suffering through his senses the things of Death. Terrified by the spectacle, Hermes prostrated himself before the Dragon, beseeching it to reveal its identity.

In the worlds of men, Hermes sowed the seeds of wisdom and nourished the seeds with the Immortal Waters. Going forth to preach Thus preached Hermes: The Form before him was considerably larger than that of a mortal man. Revelation of the Above and the Below. He lifted them gently, receiving no approbation for himself, and staff in hand, went forth teaching and guiding mankind, and showing them how they might be saved.

Poimandres, the Great Dragon

Beholding the Archetypes, the Supreme Mind became enamored with Its own thought; so, taking the Word as a mighty hammer, It gouged out caverns in primordial space and cast the form of the spheres in the Archetypal mold, at the same time sowing in the newly fashioned bodies the seeds of living things. It was the Great Dragon, with wings stretching across the sky and light streaming in all directions from its body.

Im always open to. From its mouth and nostrils poured sheets of flame and horrible sounds echoed through the vaulted chambers. My silence is filled with budding life and hope, and is full of good.

One outstanding point in connection with Hermes is that he was one of the few philosopher-priests of pagandom upon whom the early Christians did not vent their spleen.

Therefore, the Fire is called the Son of Striving. I do agree about the gateways. Divine Mind—the Dragon—continued its discourse:. Within him is the Sky Man, immortal and beautiful; without is Nature, mortal and destructible. The initiator lowered his wand and, bowing his head, placed one hand edgewise against his breast in humble salutation. Another gateway has opened.

As the darkness without you is divided against itself, so the darkness within you is likewise divided. I leave them to the avenging demon that they are making in their own souls, for evil each day increases itself and torments man more sharply, and each evil deed adds to the evil deeds that are gone before until finally evil destroys itself.

The union of the Word and the Mind produces that mystery which is called Life. For some time it was erroneously called “The Genesis of Enoch,” but that mistake has now been rectified. Hermes of all creatures was nearest to God, and became known as the Messenger of the Gods. There are also ten books which relate to the honour paid by them to their gods, and containing the Egyptian worship; as that relating to sacrifices, first-fruits, hymns, prayers, processions, festivals, and the like.

The evil passes to the dwelling place of the demon, and the senses, feelings, desires, and body passions return to their source, namely the Seven Governors, whose natures in the lower man destroy but poimaandres the invisible spiritual man give life. This site uses cookies. A song by Augustana sweet and low. Whence it comes none knoweth, save the ‘Master of the Light.

Presently a great darkness descended and, expanding, swallowed up the Light. Now fix your thought upon the Light and learn to know it.

Poimandres – Wikipédia, a enciclopédia livre

The name of that Word is Reason. For the sake of clarity, the narrative poimanders has been chosen in preference to the original dialogic style, and obsolete words have given place to those in current use.

Nature thus brought forth frames to suit the Form of Man.


INSIDE 2 4 8 10 12 14 16 22 24 41 55 85 Certain statements in this annual report concerning our future growth prospects are. forward-looking statements, including statements contained in the company’s filings with the Securities and Exchange Commission and our reports. Wipro Annual Report 13 – Ebook download as PDF File .pdf), Text File .txt) or read book online. Annual report wipro.

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Directors Report of Wipro Ltd.

Financial Performance Key aspects of your Companys consolidated financial performance for Wipro and its group companies and standalone financial resultrfor Wipro Limited for the year are tabulated below: During the yearunclaimed Dividend of Rs.

It combines the business knowledge and industry expertise of its domain 2102-13 and the technical knowledge and implementation skills of its Delivery team leveraging its Products, Platforms, Partnerships and Solutions in its Development Centers located around the world. William Arthur Owens g Mr. Board Governance, Nomination and Compensation Committee 3.

Corporate Social Responsibility initiatives are provided in the Business Responsibility Report Page no 85 to of this report. Further, on March 29,Mr.

Details of terms of reference of the Committees, Committee membership and attendance at meetings of the Committees are provided in the Corporate Governance report from pages to of this Annual Report. Directors” Responsibility Statement Your Directors hereby confirm that: Your Company has won several awards and accolades for its CSR and sustainability efforts. Mechanism followed under Ombuds process is appropriately communicated within the Company across all levels and has been displayed on the Company”s intranet and website at www.

Directors and Key Managerial Personnel: India continues to be the global sourcing leader. Statutory section of Business Responsibility Report is provided from pages to to this Annual Report. The Dividend will be paid in compliance with applicable regulations. Your Company wipdo a diverse range of clients, primarily in the India and Middle East markets from small and medium enterprises “SMEs” to large enterprises in all major industries.

Directors Report of Wipro Ltd. Company

Pressures on cost-competitiveness, an uncertain economic environment and immigration restrictions are causing clients to develop newer business models. Subsequent to this approval, the record date to determine the eligible shareholders who are entitled to receive the Bonus Shares fixed as June 16, Ashok S Ganguly is the Chairman of the Committee.

Kurien as a Director of the Company. Statutory section on Business Responsibility Report is provided from page nos.

Also, the Company extinguished 4. Board Evaluation Pursuant to the provisions of the Companies Act,Clause 49 of the Listing Agreement and in line with our corporate governance guidelines, peer evaluation of all Board members, annual performance evaluation of its own performance, as well as the evaluation of the working of its Committees of the Board.

During the year, Mr. Pursuant to the recommendation of Board Governance, Nomination and Compensation Committee and based on the report of performance evaluation, the Board at its meeting held on April 20, appointed Mr. As a result, spending wpiro several IT categories is expected ot expand.

V his evaluation was led by the Chairman of the Board Governance, Nomination and Compensation Committee with specific focus on the performance and effective functioning of the Board. In Aprilyour Company acquired Info server S. Investments in direct subsidiaries During the year under review, your Company ahnual invested an aggregate of USD Mn as equity in its direct subsidiaries. On a standalone basis, our sales increased to Rs. These investments have resulted in many solution enhancements and new capabilities, which are unique and wipri in the market.

Board of Directors vide resolution of June 21,re- appointed Mr Azim H Premji, as Chairman and Managing Director of the Company designated as “Chairman” for a further period of two years with effect from July 31, Evaluation of the Board was based on criteria such as composition and role of the Board, Board communication and relationships, functioning of Board Committees, review of performance and compensation to Executive Directors, succession planning, strategic planning, etc.

Your Company also makes strategic minority investments in companies that operate in high-end and niche technology areas including cloud, opensource, artificial intelligence, advanced analytics and internet of things. Your Company is also building solutions around next generation robotics, drones and autonomous vehicles which combined with the computer vision and cognitive capabilities can address various market needs across industry verticals.

2012-133 S Ganguly c Mr.

World wide IT Services spending is expected to grow is expected to grow 4. Patrick J Ennis g Mr.


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Los Illuminati y el Priorato de Sión

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Los Illuminati y el Priorato de Sión – Massimo Introvigne – Google Books

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Isu Zon Ekonomi Eksklusif – Download as Powerpoint Presentation .ppt /.pptx), PDF Blok 6 dan 7 perairan Ambalat di laut Sulawesi: Msia dan Indonesia 2. isu ambalat pdf editor. Quote. Postby Just» Tue Aug 28, am. Looking for isu ambalat pdf editor. Will be grateful for any help! Top. oil-rich maritime zone off Borneo in March the Ambalat Kebetulan saya juga tertarik dengan isu-isu hubungan internasional dan.

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First among these amballat is the fact that a negotiation process is underway, and for all their need to address domestic patriotic sentiments, both leaders and governments have repeatedly stated that a peaceful resolution is sought.

isu ambalat pdf editor – PDF Files

You are commenting using your Facebook account. Email required Address never made public. The problem is that while both states have signed and ratified the LOSC and claim 12nm territorial seas and continental shelf and EEZ rights out to nm, only one of the parties has defined the extent of its jurisdictional claims. The dispute has therefore witnessed repeated claims and counter-claims regarding violations of national sovereignty, multiple diplomatic protests, and an alarming military build-up in the disputed area.

Comment by cata — June 13, 7: One option that may be worth considering in this context is the possibility of establishing a maritime joint development zone instead of a formal boundary line.

While there is unmistakable overlap between competing oil exploration concessions, the dispute extends beyond that confined area. Fill in your details below or click an icon to log in: Introduction Over the past several years, rising global oil prices have focused attention on the issue of energy security — the need for countries to ensure continued access to energy resources, especially oil and gas, both at home and abroad. All in all, the maritime boundary dispute reflects not only energy security or resource issues, but also the health of the overall bilateral political relationship between the parties.

Two case studies are examined. But it is worth noting that construction of a light beacon on Takat [Rock] Unarang on the fringes of the disputed zone was interrupted by Malaysian forces at the outset of the dispute on 20 Februarywhen Indonesian construction workers were arrested and later released.

Nonetheless, both sides declared their intention to continue their patrols in the disputed area in order to emphasize their claims. The dispute is therefore directly linked to issues of energy security in terms of securing seabed hydrocarbon resources for each state.

Thus while Indonesia reluctantly accepts that Sipadan and Ligitan belong to Malaysia, Jakarta is likely to claim that these small islands are nothing more than mere rocks within the meaning of Article 3 of the LOSC.

Aside from prestige and possible historical ties, the primary reasons countries are claiming ownership of these uninhabited bits of land has to do with the ability to control sea lanes, defining maritime economic zones, possible tourist dollars in some instance, and oil, rumored to underlie amba,at of the area.

There have been several prominent examples of this phenomenon in the Asia-Pacific of late.

Many of the estimated one million illegal workers in Malaysia are Indonesian. Nevertheless, the exploitation of energy resources can also foster cooperation among states.

The incident provoked an abmalat meeting between Indonesian President Susilo Bambang Yudhoyono and his top military commanders, whom he instructed to refrain from confrontation, so as to allow the two governments to continue their search for a peaceful diplomatic settlement. Meanwhile, rising oil prices have pushed three disputants in the South China Sea — namely China, the Philippines, and Vietnam — to agree to joint seismic studies in iu area, indicating a potential breakthrough in the dispute.

The first case study highlights competition between states, the second cooperation. Bung, Bagus euy blognya… Kebetulan saya juga tertarik dengan isu-isu hubungan internasional dan internasional politik. Monetize your Website or Blog with BidVertiser.

The two countries also have a strong, friendly bilateral relationship to build on. You are commenting using your WordPress. He specializes in research on the delimitation of international maritime boundaries and related oceans policy. This article examines how energy security concerns have impacted maritime boundary and territorial disputes in Southeast Asia.

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INA tegaz dong… Gayang Malaysia…: Indeed, this is part of the reason why oil prices have risen so quickly: More serious tensions between China and Japan are brewing in the East China Sea, over access to natural gas.

Malaysia and Indonesia became ambalah in a war of words over a potentially oil-rich maritime zone off Borneo in March qmbalat Add to your feed reader: Pacific Command, the U. In this context, exploration for seabed hydrocarbon resources is often seen as a key way to reduce supply uncertainty, a fact which gives maritime jurisdictional disputes an energy security dimension. Bagus euy blognya… Kebetulan saya juga tertarik dengan isu-isu hubungan ambaat dan internasional politik.

This site uses cookies. Unlike the South China Sea island disputes, the Ambalat dispute is non-territorial in nature, and the parties are concerned not with sovereignty per se, but with their overlapping claims to continental shelf and EEZ within which they have specific sovereign rights. Energy Security and Southeast Asia: Defining a maritime boundary line is therefore likely to hinge on reaching a compromise over the legal status of these features and their potential impact on an equidistance-based delimitation.

Indonesian military sources accused the Malaysians of ramming the Indonesian naval craft. Ambalatt feed for comments on this post.


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Ibn Rajab al Hanbali Language: English | Format: PDF | Pages: | Size: 28 MB The Compendium of Knowledge and Wisdom is the. In the name of Allah, the most. Beneficent, the most Merciful. Page 3. Page 4. Page 5. Page 6. Page 7. Page 8. Page 9. Page Page Page Page Jami’Al-Ulum Wal-Hikam: A Collection of Knowledge and Wisdom. 73 likes. The Compendium of jami-ul-uloom-wal-hika /.

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Shaykh Jamal bin Fareehan al Harsee. A Collection of Knowledge and Wisdom. Imam Ibn Mansur h Shaykh Dr Khalid al Jubair. Shaykh Abu Hamza Al Masri. Shaykh Abdullah Adh Dhafeeree. And Allah will make him recount His blessings and he will recount them and admit having enjoyed them ilum his lifetime.

Shaykh Hasan Muhammad Al Mashaat. Shaykh Abdus Salam Faylakawi. The nasihah for the Prophet peace be upon him was to exert effort in his obedience, support and aid, and spend wealth if he desired and speed to his love. Shaykh Hatim al Hammami. The fact that the fighting of whomever leaves performing prayer was used to draw the conclusion on the ruling on whomever stops paying zakah is an indication that there is consensus with regard to fighting whomever stops performing prayer.

Shaykh Muhammed ibn Abdul Wahab al Bannah.

Jami Al Ulum Wal Hikam A Collection Of Knowledge & Wisdom

A Collection of Knowledge and Wisdom. It has been said that religion is no more than good manners. If they gathered in order to harm you, they will never harm you, except by that which Allfth ordained. Shaykh Ubayd ur Rahman Madani. Imam Abu Umar at Talamanki. Shaykh Zafar ul Hassan Madani. Shaykh Abdus Salaam As Suwaayer.

Imam Muhammad Nasiruddin al Albani. Thus, he who avoids these doubtful matters certainly clears himself In regard to his religion and his honor.

Shaykh Muhammad Amaan al-Jaami. Shaykh Salih bin Muhammad Al Luhaydhan. Rajab was the nickname of his grandfather Abd al-Rahman, perhaps because he was born in that month.

The meaning is that the lowest of people will become their leaders and chiefs, and their wealth will increase until they uami themselves upon the height of their buildings and their design and perfection.

Shaykh Muhammad Salih Al Munajjid. Shaykh Ahmad Al Hawashi. Shaykh Ali ibn Ghaazi At Tuwaijiri. Shaykh Ali Ibn Yahya al Bahlaki. Shaykh Ihab al Hussaini. Shaykh Dr Ahmad Rashid.

Imam Abdul Ghani Al Maqdisi. Shaykh Abdur Razzaq Afify.


Shaykh Usamah al Amri. Shaykh Salih As Sadlan. Shaykh Ahmad al Mazrooi. After this period of one hundered and twenty days, the soul is breathed into it, and these four things are written For it.

Imam Al Waqidi AD When a person loves this world, he prefers praise to condemnation, This may lead him to deviate from the truth in order to avoid condemnation and perform evil deals in order to be praised. Shaykh Hisham At Tahiri. Imam Muslim ibn al Hajjaj al Naysaburi. Shaykh Dr Saleh Abdul Kareem. Imam Sufyan waal Thawri. Abdul Qayyum Bastawi Dr.

Shaykh Abdul Khaliq Al Wasabee. Shaykh Salih bin Fawzan al Fawzan. Shaykh Abdul Muhsin al Qasim. Repent to Allah and beg pardon from Him. Shaykh Khalid ad Dhufayree. Shaykh Khalid Abu Saleh. Shaykh Ibrahim Al Sunaid. Shaykh Abdul Qadir al Junayd. Shaykh Badar al Mishary.


DUMITRIU HORIA TRAIAN, PROF. DR. CHERLEA IOAN VALERIU, PROF. DR. CONSTANTINESCU MARIAN VLADIMIR, PhD Associate Professor DUMITRIU. Dr. Horia Traian Dumitriu, Lecturer Dr. Cinel Malita details regarding the conference will be posted on the Society site: horia traian dumitriu parodontologie pdf download.

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Periodontology – event held in Junein Viena. The conferences approached modern topics and fundamental aspects of the periodontal practice, modern surgical tehniques, muco-gingival surgery, guided tissue regeneration. Anca Silvia Dumitriu si Conf.

Bucharest, meant to be a major international scientific event. Stana Paunica, Lecturer Dr. The conference will take place, as in previous years, in the Palace Hall Sala PalatuluiBucharest on October 4th, The conference will include: Further details regarding the conference will be posted on the Society site: A total of 12 doctors from Romania and Moldova participated at the dumjtriu.

Au participat un numar de 12 cursanti din Romania si Republica Moldova.

Thus the following were introduced: Horia Traian Dumitriu, Lecturer Dr. Medicul stomatolog devine astfel un bun clinician, dar si un practicant al chirurgiei gingivale si a parodontiului profund, implicit al chirurgiei osului alveolar.

Romanian Society of Periodontology – EFP

Numerous physicians and residents of periodontology also participated. S-a desfasurat pe parcursul a 3 ore, avand un numar de 10 participanti ce au efectuat manopere chirurgicale pe mandibula de porc si au exersat tehnici de sutura.

The duration of a paper is 8 minutes, and for a conference, minutes. The Romanian Society of Periodontology celebrated the European Day of Periodontology by organizing an anniversary course addressed to Periodontology residents. The guests were important lecturers, periodontologists with vast experience in Romania but also worldwide periodontology: Cursul a fost sustinut de Prof.

Horia Traian Dumitriu Editura: Horia Traian Dumitriu M. Ana Giura, cat si a medicilor tineri si entuziasti: The 8th National Conference on Periodontology with national participation with the theme ” Progresses in the field of Periodontology in the context of ecological attitude in modern medicine practice “: This event had a good appreciation from the audience.

A high number of faculty. The hands-on workshop held by Professor Dr. This would also be a great spot for a top product pitch. Malita Cinel, Lecturer Dr. Primul concurs de fotografie al EFP.

Demonstrations and practical applications: In cadrul aceleiasi manifestari s-au abordat aspecte legate de practica parodontala in cadrul unor conferinte si prezentari orale scurte, sustinute de cadre didactice cu experienta dar si de tineri rezidenti in specialitatea parodontologie din Bucuresti si din tara.

You can place your slogan here. Astfel, au fost abordate abordate: The Word document shall include: The Romanian Society of Periodontology, under patronage of all competent forums, introduced in Periodontology as a distinct specialisation. The auditory was formed from more than 50 young postgraduated periodontists, very interested in the subject. On Maybetween hoursin the Small Hall.

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Avigdor Klinger from the European Federation of Periodontology, who will. Numarul celor care au participat la acesta manifestare a fost de aproximativ de medici specialisti, rezidenti si medici din alte specialitati.

References were made to national and international scientific literature and the principles developed and disseminated by EFP.


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Under the supervision of Brother Industries Ltd., this manual has been .. remedy against Brother for any failure of the MFC/Fax machine to. View and Download Brother MFCCW quick setup manual online. Brother MFCCW: Quick Start. MFCCW All in One Printer pdf manual. Start here, Important • Read online or download PDF • Brother MFCCW User Manual.

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A book that looks new but has been read. To print the manual completely, please, download it. Press 6490ce when you have entered all the characters, then press 1 for Yes to apply your brotheg.

This amount is subject to change until you make payment. Although the Brother MFCCW can be used in a both wired and wireless network, only one of the connection methods can be used at a time. Connect The Power Cord After restarting the computer, you must be logged on with Administrator rights. If the language screen appears, choose your language. If the model name screen appears, choose your machine. Set your station ID You should store your name and fax number to be printed kfc all fax pages that you send.

Back to home page.

May be very minimal identifying marks on the inside cover. Start of add to list layer. The Configure IP Address window will manuual. Close the paper tray cover a. If you encounter this failure, please go to step 16 on majual 31 and setup the wireless connection again.

Page 26 Mac OS X See Voice Mail in Chapter mmanual of the User’s Guide for instructions on setting up your machine using this service. Page 39 2 network computers. Please make sure you use a USB 2. Page 36 If the model name screen appears, choose your machine.

Very minimal wear and tear. Please wait, it will take a few seconds for the software to install. The installation screens appear one after another. Add to watch list.

Brother MFC-6490CW Quick Setup Manual

Page 18 X The Whiteboard Enhancer software cleans up and enhances text and images from photos taken of your whiteboard. Check the print quality Important Make sure you put paper in the upper tray for the initial setup.

Brother reserves the right to make changes without notice in the specifications and materials contained herein and shall not be responsible for any damages including consequential caused by reliance on the materials presented, including mfv not limited to typographical and other errors relating to the publication.

Page 19 Please wait, it will take a few seconds for the software to install.

PageManager Double-click the Presto! The Brother software will search for the Brother device. Windows Choose Local Connection, and then click Next. Fill out the Product Registration and Test Sheet. While holding the paper tray in place, pull out the paper support until it clicks, and then unfold the paper support flap b. The contents of this manual and the specifications of this product are subject to change without notice. Page 31 For Wireless Network Users Confirm your network environment Infrastructure Mode The following instructions will offer two methods for installing your Brother machine in a wireless network environment.

Enter text from picture: Connect one end of the telephone line cord to the jack on the machine marked LINE and the other end to a modular wall jack. After restarting the computer, you must be logged on with Administrator rights. Ethernet for a faster data transfer or USB for the fastest throughput speed. Plastic bags are used in the packaging of your machine.

Make sure that the power is turned on.

Brother MFCCW all in one – full manual & quick setup guide | eBay

For more information, see Entering Text for Wireless Settings on page Connect the telephone line cord. Back to home page Return to top.

Well the printer broke but the manual is still in great shape! Connect The Power Cord Wired Network Carefully route the network cable through the trench and out the back of the machine.

Add to my manuals Add. PageManager icon and follow the on-screen instructions. Comments to this Manuals Your Name. You manuql to purchase the correct interface cable for the interface you want to use for USB or network.

This window will not appear if there is mfcc one machine connected on the network, it will be chosen automatically. Enter an IP address for your machine that is suitable for your network by following the on-screen instructions.

Brother MFCCW User Manual | 48 pages

If you have Pulse dialing service rotaryyou need to change the dialing mode. Before you can use the machine, read this Quick Setup Guide for the correct setup and installation. This listing has ended. Press a or b to choose General Setup.


The Holliday-Segar equation remains the standard method for calculating maintenance fluid requirements. Accounting for deficits when determining the fluid. Maintenance fluid therapy as defined by Holliday and The formula assumes normal renal function . Holliday/Segar formula of ml/kg body weight (BW). The Maintenance Fluid Calculation for Children helps to determine the daily volume of fluids needed based on the weight of a child. This calculation also.

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A case for using isotonic saline. However, xegar the infant presents in a dehydrated state, and therefore has a smaller volume of distribution, giving a standard dose for the patient’s age may result in a toxic serum concentration. It is important to consider maintenance electrolyte requirements when choosing a maintenance fluid for a child. Hydration status can have an important impact on drug therapy, and should be considered when using medications with large volumes of distribution.

Thanks Nurse Hassan Like Like. Other clinical signs include increased thirst, dry mucous membranes, and decreased urine output Table 3. This equation, also listed in Table 2arrives at similar volumes of yolliday as the traditional Holliday-Segar equation. Organizing fluid needs into maintenance, deficit, and replacement therapy can provide a systematic, understandable approach to determining fluid therapy.

Another monitoring parameter which the pharmacist can impact is the amount of fluid used in the patient’s medications. You are commenting using your Twitter account.

The patient became hyponatremic after receiving ethacrynic acid, and it was unclear whether the patient received the subsequent hollidat for a sodium chloride infusion. The method is based on the weight of patient in kilogram. The first parameter for monitoring is oral intake Table 6.

Understanding appropriate fluid and electrolyte therapy for children is essential for every pharmacist practicing in pediatrics, but these concepts have additional implications in drug therapy. Calculate the maintenance water required for a 17kg child? Monitoring fluid and electrolyte therapy is an important role of the pediatric pharmacist.

Pediatric Fluid and Electrolyte Therapy

This site uses cookies. Recently, two pediatric deaths from hyponatremia have been reported in post-operative situations. T he commonly used method for approximating water loss and therefore the water requirement is the Holliday-Segar nomogram: Patients who are not allowed anything by mouth for a short time, such as for an uncomplicated surgery, and for whom only maintenance fluids are required, may have their fluids decreased and eventually stopped once they tolerate oral hydration.

You are commenting using your Facebook account. However, once therapy is begun, appropriate monitoring is necessary due to the frequently changing needs of a hospitalized patient. Monitoring Parameters for Parenteral Fluid Therapy.

The most commonly used technique to calculate maintenance fluids for children is the Holliday-Segar method Table 2. Replacement fluids are defined as those given to meet ongoing losses due to medical treatment. Holliday Segar determined how many calories a patient burns as a factor of weight. Replacement fluids differ from deficit fluids in that they are ongoing, as opposed to a loss of fluid that occurred prior to receiving medical treatment.

Ensuring that the patient is not getting an excessive amount of fluids in medications can help prevent overhydration. Managing fluids and electrolytes in children is an important skill for pharmacists, who can play an important role in monitoring therapy.

Data from Rusconi F, et al. On the second post-operative day, the patient was unarousable, and this was confused for a side effect of receiving hydromorphone.

What will be the maintenance fluid requirement for a child weighing 6kg? Pharmacists are in a unique position to make a positive impact by applying physiological fluid differences and basic pharmacokinetics to pediatric pharmacotherapy.

The Holliday-Segar Method

Please review our privacy policy. Leave a Reply Cancel reply Enter your comment here Author information Copyright and License information Disclaimer. Calculate the maintenance water required for 30 kg child? A child weighing 14kg was rushed to the emergency department.

Fluid and Electrolyte Therapy

By the time a patient is out of the neonatal period, the usual dose of gentamicin is 2. Aminoglycosides are a classic example, as the dose varies widely by age. Hydration status can affect the dose needed to achieve therapeutic concentrations, and dehydrated patients may be at risk for toxicity if standard doses of drugs with high volumes of distribution are used.