vias venosas centrales prof. dr. luis del rio diez
DESCRIPTION
UN REPASO A LAS TECNICAS DE ABORDAJE AL SISTEMA VENOSO CENTRAL, ATRAVES DE LAS PUNCIONES VENOSAS. SE DESCRIBEN LOS DIFERENTES DISPOSITIVOS Y LAS TECNICAS PARA SU REALIZACION. SE COMENTAN LAS INDICACIONES, CONTRAINDICACIONES Y LAS COMPLICACIONES DE CADA UNA DE LAS TECNICAS. SE MUESTRAN ALGUNAS DE LAS TECNICAS MAS COMUNES PARA LA COLOCACION DE VIAS DE UN LUMEN Y PARA CATETERES DE HOMDIALISIS.TRANSCRIPT
5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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VBLS VHD@SLSVBLS VHD@SLS
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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XDL VBL VHD@SLXDL VBL VHD@SL
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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VBLS VHD@SLSVBLS VHD@SLS –– XD Y@C@ GH JBSW@UBLXD Y@C@ GH JBSW@UBL<252 F@USSALD SH LXW@BDWU@GXCH XD CLWHWHU GH M@AL
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
\XH VBL HOBK@\XH VBL HOBK@ !! CXLO HOBK@0CXLO HOBK@0VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SLCXLO SH JLCHU0CXLO SH JLCHU0
SH C@DFHCCB@DLU VBLS VHD@SLS YHUBFHUBCLS0SH C@DFHCCB@DLU VBLS VHD@SLS YHUBFHUBCLS0
SH CLDLOB[LU Y@U VHD@GBSHCCB@D0SH CLDLOB[LU Y@U VHD@GBSHCCB@D0SH UHLOB[LU VHD@YXDCB@DHS CHDWULOHS0SH UHLOB[LU VHD@YXDCB@DHS CHDWULOHS0C@D@[C@ OLS C@AYOBCLCB@DHS GH CLGL XDL0C@D@[C@ OLS C@AYOBCLCB@DHS GH CLGL XDL0SH C@A@ UHS@OVHU OLS C@AYOBCLCB@DHS0SH C@A@ UHS@OVHU OLS C@AYOBCLCB@DHS0WHDM@ LOWHUDLWBVLS0WHDM@ LOWHUDLWBVLS0
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
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CLWHWHUHS Y$B$C$C$CLWHWHUHS Y$B$C$C$ YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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VBLS VHD@SLSVBLS VHD@SLS
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VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS
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VBLS VHD@SLS CHDWULOHSVBLS VHD@SLS CHDWULOHS
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VBLS VHD@SLS CHDWULOHSVBLS VHD@SLS CHDWULOHSC@O@CLGLS Y@U VHDLSC@O@CLGLS Y@U VHDLSYHUBFHUBCLSYHUBFHUBCLS
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VBLS VHD@SLS CHDWULOHSVBLS VHD@SLS CHDWULOHSGH BDSHUCB@D YHUBFHUBCLGH BDSHUCB@D YHUBFHUBCL
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COLSBFBCLCB@D GH OLS VBLS VHD@SLSCOLSBFBCLCB@D GH OLS VBLS VHD@SLS
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3$ VBLS VHD@SLS CHDWULOHS GH LCCHS@ YHUBFHUBC@3$ VBLS VHD@SLS CHDWULOHS GH LCCHS@ YHUBFHUBC@CLWHWHUHS Y$B$C$Cs$CLWHWHUHS Y$B$C$Cs$
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SLY@U \XH R YLUL \XH 0Y@U \XH R YLUL \XH 0
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Y@U XH D@ GHEH BDMHUBU UHCBHD @YHULG@Y@U XH D@ GHEH BDMHUBU UHCBHD @YHULG@ Y@U \XH D@ WBHDH VHDLS YHUBFHUBCLSY@U \XH D@ WBHDH VHDLS YHUBFHUBCLSY@U \XH HS XD MULD \XHALG@Y@U \XH HS XD MULD \XHALG@Y@U \XH UH\XHUBUL J$Y$ YU@O@DMLGLY@U \XH UH\XHUBUL J$Y$ YU@O@DMLGLY@U \XH DHCHSBW@ C@DWU@OHS JHA@GBDLABC@SY@U \XH DHCHSBW@ C@DWU@OHS JHA@GBDLABC@SY@U \XH WBHDHS WLULS YUHVBLS MULVHSY@U \XH WBHDHS WLULS YUHVBLS MULVHS
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
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YLUL XDL JBGULWLCB@D YLUHDWHULO JLEBWXLOYLUL XDL JBGULWLCB@D YLUHDWHULO JLEBWXLOYLUL XD YU@CHGBABHDW@ \XBUXUMBC@ C@AYOHK@YLUL XD YU@CHGBABHDW@ \XBUXUMBC@ C@AYOHK@YLUL UHY@DHU MULDGHS V@OXAHDHSYLUL UHY@DHU MULDGHS V@OXAHDHSYLUL LOBAHDWLCB@D YLUHDWHULO *DYW ó DYC"YLUL LOBAHDWLCB@D YLUHDWHULO *DYW ó DYC"
YLUL UHLOB[LU \XBAB@WHULYBLYLUL UHLOB[LU \XBAB@WHULYBLYLUL JHA@GBLOB[LUYLUL JHA@GBLOB[LUYLUL YLSLU SXSWLDCBLS BUUBWLDWHSYLUL YLSLU SXSWLDCBLS BUUBWLDWHSYLUL LGABDBSWULU SLDMUH R/@ JHA@GHUBVLG@SYLUL LGABDBSWULU SLDMUH R/@ JHA@GHUBVLG@SYLUL C@O@CLU XD CLWHWHU GH WHUA@GBOXCB@DYLUL C@O@CLU XD CLWHWHU GH WHUA@GBOXCB@DYLUL C@O@CLU XD ALUCLYLS@S *WULD/GHF"YLUL C@O@CLU XD ALUCLYLS@S *WULD/GHF"
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
\XBHD HS HO YLCBHDWH0 C@A@ HSWL0 \XH OH YLSL0\XBHD HS HO YLCBHDWH0 C@A@ HSWL0 \XH OH YLSL0
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
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GHCBGBHDG@ XDL VBL VHD@SLGHCBGBHDG@ XDL VBL VHD@SL
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VBLS VHD@SLSVBLS VHD@SLSCOLSBFBCLCB@D SHMÛD HO WBHAY@ GH YHUALDHDCBLCOLSBFBCLCB@D SHMÛD HO WBHAY@ GH YHUALDHDCBL
CLWHWHUHSCLWHWHUHS GH C@UW@ WBHAY@GH C@UW@ WBHAY@
++ VBLSVBLS VHD@SLSVHD@SLS YHUBFHUBCLSYHUBFHUBCLSCLWHWHUHSCLWHWHUHS GH WBHAY@ BDWHUAHGB@GH WBHAY@ BDWHUAHGB@++
++ Y$B$C$CsY$B$C$Cs$$++ VHD@YXDCB@DHS VHD@YXDCB@DHS CHDWULOHS CHDWULOHS + GBSHCCB@DHS VHD@SLS+ GBSHCCB@DHS VHD@SLS
CLWHWHUHSCLWHWHUHS GH WBHAY@ YU@O@DMLG@GH WBHAY@ YU@O@DMLG@++ CLWHWHUHSCLWHWHUHS SHABBAYOLDWLEOHSSHABBAYOLDWLEOHS @ WXDHOB[LG@S@ WXDHOB[LG@S++ CLWHWHUHSCLWHWHUHS W@WLOAHDWHW@WLOAHDWH BAYOLDWLEOHSBAYOLDWLEOHS / CLWÂ/ CLWÂ!!
WHUHS C@D UHSHUV@UB@ / Y@UWLOHS /WHUHS C@D UHSHUV@UB@ / Y@UWLOHS / SBVLAsSBVLAsYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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VBLS VHD@SLS YHUBFHUBCLSVBLS VHD@SLS YHUBFHUBCLS
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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VBLS VHD@SLS CHDWULOHSVBLS VHD@SLS CHDWULOHS !! VHD@GBSHCCB@DHSVHD@GBSHCCB@DHSYLUL WBHAY@S BDWHUAHGB@SYLUL WBHAY@S BDWHUAHGB@S
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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5/14/2018 Vias Venosas Centrales Prof. Dr. Luis Del Rio Diez - slidepdf.com
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CLWHWHUHS AXOWBOXAHDCLWHWHUHS AXOWBOXAHD
GH 2 Fu$ GH C@@NGH 2 Fu$ GH C@@N
CLWHWHU GH CXLWU@ VBLS GH LUU@]CLWHWHU GH CXLWU@ VBLS GH LUU@]
NBW YLUL C@O@CLCB@D CLWHWHU GH WUBYOHNBW YLUL C@O@CLCB@D CLWHWHU GH WUBYOHVBL = Fuhdcj GH LUU@]VBL = Fuhdcj GH LUU@]
LUU@] mlugEoxh¤ CLWJHWHU * C`ehuwxul Ldwbsâywbcl"LUU@] mlugEoxh¤ CLWJHWHU * C`ehuwxul Ldwbsâywbcl"
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
CLWHWHU GH G@EOH VBLCLWHWHU GH G@EOH VBL
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CLWHWHU GH WUHS VBLSCLWHWHU GH WUHS VBLS
CLWHWHU C@D ELO@DCLWHWHU C@D ELO@D
CLWHWHUHSCLWHWHUHS
CLWHWHU GH WHUA@GBOXCB@DCLWHWHU GH WHUA@GBOXCB@D
CLWHWHU C@@NCLWHWHU C@@N SYHCWUXASYHCWUXA UHCXEBHUW@ C@D LWEUHCXEBHUW@ C@D LWEYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSCXLDW@ OB\XBG@ YXHG@ YLSLUCXLDW@ OB\XBG@ YXHG@ YLSLU00
FLCW@UHS \XH BDFOXRHDFLCW@UHS \XH BDFOXRHD
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\\
GBLAHWU@GBLAHWU@ BDWHUD@ GHOBDWHUD@ GHO CLWHWHUCLWHWHU
VBSC@SBGLG GHO OB\XBG@ BDFXDGBGVBSC@SBGLG GHO OB\XBG@ BDFXDGBG
LOWXUL GHO OB\XBG@ BDFXDGBG@LOWXUL GHO OB\XBG@ BDFXDGBG@ *MULVHGLG"*MULVHGLG"
YUHSB@DYUHSB@D GHO SBSWHALGHO SBSWHAL BDFXS@UBDFXS@UYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS
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HOBMBHDG@ XD CLWHWHUHOBMBHDG@ XD CLWHWHU\XH CLOBEUH SHOHCCB@D@0\XH CLOBEUH SHOHCCB@D@0
HD \XH HSCLOL O@ ABG@0HD \XH HSCLOL O@ ABG@0
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HSCLOL FULDCHSLHSCLOL FULDCHSL FUHDCJFUHDCJ ó F$ó F$
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::SHUBHSHUBH HDHOSHDHDHOSHD *D"*D" !!WBY@ DWBY@ D YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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SBSWHALS GH AHGBGLSSBSWHALS GH AHGBGLSYLUL CLWHWHUHSYLUL CLWHWHUHS
HSCLOLS GH AHGBGLSHSCLOLS GH AHGBGLSFUHDCJFUHDCJ
YXOMLGLSYXOMLGLSCHDWBAHWU@SCHDWBAHWU@S
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSGBSWBDWLS SHUBHSGBSWBDWLS SHUBHS !! AHGBGLS XWBOHSAHGBGLS XWBOHS
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XDL YXOMLGL ;XDL YXOMLGL ; 58aa58aa / 5$8 ca/ 5$8 caXDXD FUHDCJFUHDCJ; 9$33 aa *Lyu`z$"; 9$33 aa *Lyu`z$"
<7 Ml 1 5$< aa G$B$+<7 Ml 1 5$< aa G$B$+<6 Ml 1 <$= aa G$B$+<6 Ml 1 <$= aa G$B$+++$ $ $$ $ $
+ YLUL+ YLUL LDMB@CLWJLDMB@CLWJ ALUCLALUCL LEE@WWLEE@WW
LMXKL D *LMXKL D *HDHOSHDHDHOSHD" <9 1 5$3 L 5$6 aa *S/Alucl" G$B$" <9 1 5$3 L 5$6 aa *S/Alucl" G$B$
MXBLSMXBLS AHWLOBCLSAHWLOBCLS;;9$935/9$938/9$93:‑; 9$:</9$:2/9$2= aa9$935/9$938/9$93:‑; 9$:</9$:2/9$2= aa
CLWHWHUCLWHWHU N 3<; 5$5/5$3 aa G$B$N 3<; 5$5/5$3 aa G$B$CLWHWHUCLWHWHU N 38; <$7/<$6 aa G$B$N 38; <$7/<$6 aa G$B$+ YLUL HO+ YLUL HO YVCYVC HO G$H$ VLUBL SHMÛD HO FLEUBCLDWH Y@U HO MU@S@U GH OL YLUHG$HO G$H$ VLUBL SHMÛD HO FLEUBCLDWH Y@U HO MU@S@U GH OL YLUHG$
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
V@OXAHDHS GH BDFXSB@DV@OXAHDHS GH BDFXSB@DSHMÛD HO G$B$ GHO CLWHWHUSHMÛD HO G$B$ GHO CLWHWHU
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LDMB@CLWJLDMB@CLWJ <7 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <28<7 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <28 cccc/abd+/abd+LDMB@CLWJLDMB@CLWJ <6 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <89<6 Ml / 5‑$$$$$$$$$$$$$$$$$$$$$$$ <89 cccc/abd+/abd+
CLWHWHUCLWHWHU CHDWULO <6 Ml / <7 ca $$$$$$$$$$ 2<CHDWULO <6 Ml / <7 ca $$$$$$$$$$ 2< cccc/abd+/abd+CLWHWHUCLWHWHU CHDWULO <6 Ml / 39 ca $$$$$$$$$$ 87CHDWULO <6 Ml / 39 ca $$$$$$$$$$ 87 cccc/abd+/abd+++ Ahgbg` c`d lmxl c`uubhdwh l clágl obeuh shmûd ol fxhu{l gh mulvhglg * LddAhgbg` c`d lmxl c`uubhdwh l clágl obeuh shmûd ol fxhu{l gh mulvhglg * Ldd HahumHahum AhgAhg <2:3><5;<72"<2:3><5;<72"
CLWHWHUCLWHWHU CHDWULO <6 Ml / 59 ca $$$$$$$$$$CHDWULO <6 Ml / 59 ca $$$$$$$$$$ 3799cc3799cc//jujuC`d S`oxcbód slobdl d`ualo l whayhulwxul laebhdwh r l <99 ca gh lowxul ghsgh ol clehchul gho ylcbhdwh$ *C`d S`oxcbód slobdl d`ualo l whayhulwxul laebhdwh r l <99 ca gh lowxul ghsgh ol clehchul gho ylcbhdwh$ *Luu`}Luu`}""
CLWHWHUCLWHWHU GH G@EOH OXAHD <5 Fu$ / 59 ca *:‑" rGH G@EOH OXAHD <5 Fu$ / 59 ca *:‑" r <5Ml<5Ml
gh G$B$ Clgl oxahd *gh G$B$ Clgl oxahd *Yu`zYu`z$ R Gbswlo"$$$$$$$$$$$$ R Gbswlo"$$$$$$$$$$$ 2999cc2999cc//juju++++ Vlo`uhs lyu`zbalg`s *vluáld hd clgl ox{"Vlo`uhs lyu`zbalg`s *vluáld hd clgl ox{"
CLWHUCLWHU G@EOXG@EOX OXAHD <5 Fu/<6 ca/OXAHD <5 Fu/<6 ca/ <5Ml<5Ml$$$$ <<999cc<<999cc//juju++++Vlo`uhs lyu`zbalg`s |xh vluáld shmûd sb w`ala`s olVlo`uhs lyu`zbalg`s |xh vluáld shmûd sb w`ala`s ol wxexolgxulwxexolgxul yu`zbalo ` ol gbswloyu`zbalo ` ol gbswlo
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
UHSXABHDG@ C@A@ COLSBFBCLU OLS VBLS VHD@SLSUHSXABHDG@ C@A@ COLSBFBCLU OLS VBLS VHD@SLS
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SHMÛD HO SBWB@SHMÛD HO SBWB@YHUBFHUBCLSYHUBFHUBCLSCHDWULOHSCHDWULOHSCHDWULOHS GH LCCHS@ YHUBFHUBC@CHDWULOHS GH LCCHS@ YHUBFHUBC@
SHMÛD HO WBHAY@ GH YHUALDHDCBLSHMÛD HO WBHAY@ GH YHUALDHDCBLHSWLDCBLS C@UWLSHSWLDCBLS C@UWLSGH WBHAY@ BDWHUAHGB@GH WBHAY@ BDWHUAHGB@
SHMÛD OL WHCDBCL GH C@O@CLCB@DSHMÛD OL WHCDBCL GH C@O@CLCB@DY@U VHD@YXDCB@DY@U VHD@YXDCB@DGBUHCWLGBUHCWLSHOGBDMHUSHOGBDMHUSHOGBDMHU A@GBFBCLG@SHOGBDMHU A@GBFBCLG@
Y@U GBSHCCB@DY@U GBSHCCB@D
SHMÛD HO WBY@ GH CLWHWHUSHMÛD HO WBY@ GH CLWHWHUALWHUBLOALWHUBLO
DXAHU@ GH OXCHSDXAHU@ GH OXCHS YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
OLSOLS VBLSVBLS VHD@SLS CHDWULOHSVHD@SLS CHDWULOHS
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+ BDGBCLCB@DHS+ BDGBCLCB@DHS
++ LDLW@ABLLDLW@ABL
+ C@AYOBCLCB@DHS+ C@AYOBCLCB@DHS
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
VBLS VHD@SLS CHDWULOHSVBLS VHD@SLS CHDWULOHS !! BDGBCLCB@DHSBDGBCLCB@DHS
FOXBG@WHULYBLFOXBG@WHULYBL *X$W$B$X$C$B$C$CBUXMBLS HSYHCBFBCLS/@WULS"*X$W$B$X$C$B$C$CBUXMBLS HSYHCBFBCLS/@WULS"
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A@DBW@UH@ JHA@GBDLABC@ BDVLSBV@A@DBW@UH@ JHA@GBDLABC@ BDVLSBV@ *CLWHWHU GH WHUA@GBOXCB@D"*CLWHWHU GH WHUA@GBOXCB@D"
AHGBCB@D GH Y$V$C$ *C@A@ XDBC@ UHMBSWU@ BDVLSBV@"AHGBCB@D GH Y$V$C$ *C@A@ XDBC@ UHMBSWU@ BDVLSBV@"
LOBAHDWLCB@D YLUHDWHULO *D$Y$W$ @ D$Y$C$"LOBAHDWLCB@D YLUHDWHULO *D$Y$W$ @ D$Y$C$"
\XBAB@WHULYBL\XBAB@WHULYBL
BDFXSB@D GH GU@MLS/SXSW$ JBYHUW@DBCLS @ BUUBWLDWHSBDFXSB@D GH GU@MLS/SXSW$ JBYHUW@DBCLS @ BUUBWLDWHSLXSHDCBL GH CLYBWLO VHD@S@ YHUBFHUBC@LXSHDCBL GH CLYBWLO VHD@S@ YHUBFHUBC@
+\XHALG@S/ W@ZBC@ALD@S/C@OLYSLG@S/ @EHS@S/WULXALWB[LG@S+\XHALG@S/ W@ZBC@ALD@S/C@OLYSLG@S/ @EHS@S/WULXALWB[LG@S
UHDLOHS CU@DBC@S YLUL YUHSHUVLU VHDLS YHUBFHUBCLSUHDLOHS CU@DBC@S YLUL YUHSHUVLU VHDLS YHUBFHUBCLS
ALGXULCB@D GH FBSWXOLS LALGXULCB@D GH FBSWXOLS L!!VV
JHA@GBLOBSBS LMXGLJHA@GBLOBSBS LMXGL YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS!!YXDW@S HSHDCBLOHYXDW@S HSHDCBLOH
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C@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL LDLW@ABLLDLW@ABL GH OLGH OL UHMB@DUHMB@DC@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL WHCDBCLWHCDBCL HOHMBGLHOHMBGL
C@D@CBABHDW@ GHC@D@CBABHDW@ GH WHCDBCLSWHCDBCLS LOWHUDLWBVLSLOWHUDLWBVLSC@D@CBABHDW@ GH OLS Y@SBEOHS C@AYOBCLCB@DHSC@D@CBABHDW@ GH OLS Y@SBEOHS C@AYOBCLCB@DHS
C@D@CHU C@A@ WULWLU OLS C@AYOBCLCB@DHSC@D@CHU C@A@ WULWLU OLS C@AYOBCLCB@DHS
HZYHUBHDCBL @HZYHUBHDCBL @ SXYHUVBSB@DSXYHUVBSB@D LGHCXLGLSLGHCXLGLS
LGHCXLGL LDWBSHYSBL GH OL UHMBÓDLGHCXLGL LDWBSHYSBL GH OL UHMBÓD
BDFBOWULCB@DBDFBOWULCB@D C@DC@D LDHSWHSBC@LDHSWHSBC@ O@CLO GH W@GL/SO@CLO GH W@GL/S
OL/SOL/S UHMB@DUHMB@D//DHSDHS L YXD[LU$L YXD[LU$ YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
HZYOBCLCB@DHZYOBCLCB@D LO YLCBHDWH *SB HSWL OXCBG@"LO YLCBHDWH *SB HSWL OXCBG@"
YXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHYXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOH*C@DWBDXLCB@D"*C@DWBDXLCB@D"
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ALDB@EULS YLUL UHYOHWLU HO S$V$ALDB@EULS YLUL UHYOHWLU HO S$V$Y@SBCB@DY@SBCB@D GHGH WUHDGHOHAEXUMWUHDGHOHAEXUMU@GBOO@U@GBOO@ BDWHUHSCLYXOLUBDWHUHSCLYXOLUBDCOBDLCB@DBDCOBDLCB@D GHO YLCBHDWHGHO YLCBHDWHALDB@EUL GHALDB@EUL GH VLOSLOVLVLOSLOVL C@DWBDXLC@DWBDXL
$ $ $$ $ $
LVLDCH SXLVH Y@U O@S YOLD@S *‟D` ylslu gh olum`‑"LVLDCH SXLVH Y@U O@S YOLD@S *‟D` ylslu gh olum`‑"
YUHSB@DYUHSB@D DHMLWBVL C@DWBDXLDHMLWBVL C@DWBDXL
XS@ GH KHUBDML LGHCXLGL *WLALÜ@ 8 lXS@ GH KHUBDML LGHCXLGL *WLALÜ@ 8 l <9cc<9cc""
LOBDHLU/GBUHCCB@DLU OL LMXKL SBMXBHDG@ HO HKHLOBDHLU/GBUHCCB@DLU OL LMXKL SBMXBHDG@ HO HKH
GH OL VHDL \XH SH BDWHDWL YXD[LUGH OL VHDL \XH SH BDWHDWL YXD[LU YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHSYXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHS*C@DWBDXLCB@D"*C@DWBDXLCB@D"
BDWU@GXCCB@DBDWU@GXCCB@D GH OL LMXKL C@D HO EBSHO JLCBLGH OL LMXKL C@D HO EBSHO JLCBL
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LUUBELLUUBEL
U@WLCB@DU@WLCB@D GHO EBSHO JLCBL LELK@ CXLDG@ HDWU@GHO EBSHO JLCBL LELK@ CXLDG@ HDWU@
OL LMXKL HD OL OX[ VHD@SLOL LMXKL HD OL OX[ VHD@SL@EWHDHU EXHD UHW@UD@ VHD@S@ *@EWHDHU EXHD UHW@UD@ VHD@S@ *LSYLSY//BDFXSB@DBDFXSB@D""
D@ UHWBULU HOD@ UHWBULU HO CLWHWHUCLWHWHU HSWLDG@ OL LMXKLHSWLDG@ OL LMXKLC@O@CLGL HD OL VHDLC@O@CLGL HD OL VHDL
SXLVHSXLVH GHSC@DHZB@DGHSC@DHZB@D GH LMXKL/KHUBDMLGH LMXKL/KHUBDML *XSLU*XSLU OXHUOXHU SOBY"SOBY"
C@UU@E@ULU HSWLDCBL HD VHDLC@UU@E@ULU HSWLDCBL HD VHDL *UHW@UD@HFHCW@*UHW@UD@HFHCW@ SBF@DSBF@D""
FBKLCB@DFBKLCB@D LGHCXLGL GHOLGHCXLGL GHO CLWHWHUCLWHWHU YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHSYXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHS*C@DWBDXLCB@D"*C@DWBDXLCB@D"
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V@OVHU L C@UU@E@ULU XEBCLCBÓD GHO CLWHWHUV@OVHU L C@UU@E@ULU XEBCLCBÓD GHO CLWHWHU
AHGBCB@D GH YVC *WHCDBCL LGHCXLGL"AHGBCB@D GH YVC *WHCDBCL LGHCXLGL"
C@DWU@O ULGB@MULFBC@C@DWU@O ULGB@MULFBC@
SXSYHDGHU OXHM@ GH WUHS BDWHDW@S FLOOBG@S RSXSYHDGHU OXHM@ GH WUHS BDWHDW@S FLOOBG@S R
D@ BDWHDWLU HD OLG@ C@DWULOLWHULO SBD UZ$D@ BDWHDWLU HD OLG@ C@DWULOLWHULO SBD UZ$UHLOB[LU Y$V$C$ HD JHABW@ULZ LVHDLG@SUHLOB[LU Y$V$C$ HD JHABW@ULZ LVHDLG@S
LXAHDWLU O@S CXBGLG@S HD YLCBHDWHS HD LAU$LXAHDWLU O@S CXBGLG@S HD YLCBHDWHS HD LAU$
YXD[LU [@DLS GH YBHO SLDLYXD[LU [@DLS GH YBHO SLDL *\XHALG@S/OHSB@DHS YUHVBLS"*\XHALG@S/OHSB@DHS YUHVBLS"
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHSYXDCB@DHS VHD@SLS CHDWULOHS/YXDW@S HSHDCBLOHSC@DWBDXLCB@DC@DWBDXLCB@D
HD G GH F J GH DHD G GH F J GH D
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OOHDLG@ GH OL FBCJL GH C@DWU@OOOHDLG@ GH OL FBCJL GH C@DWU@OSHMXBU O@S OBDHLABHDW@S YLUL HO CXBGLG@ GHSHMXBU O@S OBDHLABHDW@S YLUL HO CXBGLG@ GHOLS VBLS VHD@SLS GH CLGL CHDWU@$OLS VBLS VHD@SLS GH CLGL CHDWU@$
+ CLAEB@ GHO SBSWHAL BDFXS@U+ CLAEB@ GHO SBSWHAL BDFXS@U+ OLVLG@ GH O@S OXAHDHS+ OLVLG@ GH O@S OXAHDHS+ CBHUUH JHYLUBDBC@+ CBHUUH JHYLUBDBC@ + CXULCB@D GHO SBWB@ GH BDMUHS@ *WBY@ YHUB@GBCBGLG"+ CXULCB@D GHO SBWB@ GH BDMUHS@ *WBY@ YHUB@GBCBGLG"
UHC@UGLU OL BDCBGHDCBL GH B$U$C$UHC@UGLU OL BDCBGHDCBL GH B$U$C$
UHC@UGLU \XH XDL YXDCB@D VHD@SL HS XDUHC@UGLU \XH XDL YXDCB@D VHD@SL HS XD
VHUGLGHU@ LCW@ \XBUXUMBC@VHUGLGHU@ LCW@ \XBUXUMBC@ *CXBGLG@S*CXBGLG@S !!LDWBSHYSBLLDWBSHYSBL!!CLAY@"CLAY@"
WHCDBCL UBMXU@SL R LSHYSBL CXBGLG@SLWHCDBCL UBMXU@SL R LSHYSBL CXBGLG@SL
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDW@S HSHDCBLOHS GH XDL VHD@YXDCB@DYXDW@S HSHDCBLOHS GH XDL VHD@YXDCB@D
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C@D@CBABHDW@ GH OLC@D@CBABHDW@ GH OL
LDLW@ABLLDLW@ABLGH OL UHMB@D L YXD[LUGH OL UHMB@D L YXD[LU
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
JXHC@ SXYULHSWHUDLOJXHC@ SXYULHSWHUDLOH$C$A$ JL[ HSWHUDLOH$C$A$ JL[ HSWHUDLO
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V$R$H$V$R$H$
JXHC@JXHC@WUBLDMXO@ GHWUBLDMXO@ GH
HSWHUD@DHSWHUD@D
COLVBCXOLCOLVBCXOLF@SBWL GH A@JUHDJHBAF@SBWL GH A@JUHDJHBA
SHGBOO@WSHGBOO@W
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
@YHUCXO@ W@ULZBC@@YHUCXO@ W@ULZBC@ !! SX LDLW@ABLSX LDLW@ABL
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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VHDL SXECOLVBLVHDL SXECOLVBL
LUWHUBL SXECOLVBLLUWHUBL SXECOLVBL
C@SWBOOL <C@SWBOOL <
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
LUWHUBL CLU@WBGL
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VHDL RXMXOLUBDWHUDL
VHDL RXMXOLUHZWHUDL
LUWHUBL
SXECOLVBLVHDL SXECOLVBL
YUBAHUL C@SWBOOL
CXYXOL YOHXULO
+ C@DFOXHDWH VHD@S@GH YBU@M@FF
HSCLOHD@LDWHUB@U
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
MLDMOB@
HSWUHOOLG@
CLU@WBGL YUBABWBVL
VHDL RXMXOLU
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VHUWBCH GHO
BDWHUDL
LUWHUBL SXECOLVBL
YXOA@D
VHDL SXECOLVBL
COLVBCXOL
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSC@AYOBCLCB@DHSC@AYOBCLCB@DHS C@A@ COLSBFBCLUOLS0C@A@ COLSBFBCLUOLS0
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<$<$ UHOLCB@DLGLS C@D OL VHD@YXDCB@DUHOLCB@DLGLS C@D OL VHD@YXDCB@D
$$
CLWHWHU$CLWHWHU$
3$ UHOLCB@DLGLS C@D XDL ALOL WHCDBCL3$ UHOLCB@DLGLS C@D XDL ALOL WHCDBCLGH C@O@CLCB@DGH C@O@CLCB@D *BDLGHCXLGL/SBD UHMOLS"*BDLGHCXLGL/SBD UHMOLS"
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
VHD@YXDCB@DHSVHD@YXDCB@DHS––C@AYOBCLCB@DHSC@AYOBCLCB@DHS!!COLSBFBCLCB@DCOLSBFBCLCB@D
BDAHGBLWLS BDAHGBLWLS HAE@OBSA@ HAE@OBSA@ LHUH@ LHUH@
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WLY@DLABHDW@ CLUGBLC@ WLY@DLABHDW@ CLUGBLC@ UXYWXUL GH UXYWXUL GH CLWHWHU CLWHWHU R HAE@OBSA@ R HAE@OBSA@ YXDCB@D YXDCB@D LUWHUBLO LUWHUBLO
LUUBWABLS CLUGBLCLS LUUBWABLS CLUGBLCLS OHSB@D OHSB@D DHUVB@SL DHUVB@SL ALOY@SBCB@D ALOY@SBCB@D GHO GHO CLWHWHU CLWHWHU DHXA@W@ULZ DHXA@W@ULZ
JHA@W@ULZ JHA@W@ULZ
WLUGBLS WLUGBLS B$U$C$ *BDFHCCB@DHS UHOLCB@DLGLS C@D HO B$U$C$ *BDFHCCB@DHS UHOLCB@DLGLS C@D HO CLWHWHU CLWHWHU" " WU@AE@SBS VHD@SL UHOLCB@DLGL C@D HO WU@AE@SBS VHD@SL UHOLCB@DLGL C@D HO CLWHWHU CLWHWHU HU@SB@D HU@SB@D GHO VLS@ GHO VLS@
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS –– C@AYOBCLCB@DHSC@AYOBCLCB@DHS
<$<$ DHXA@W@ULZDHXA@W@ULZ5$5$ JHA@W@ULZJHA@W@ULZ33 YXDCB@DYXDCB@D LUWHUBLOLUWHUBLO
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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5$5$ JHA@W@ULZJHA@W@ULZ3$3$ YXDCB@DYXDCB@D LUWHUBLOLUWHUBLO7$ JHALW@ALS BAY@UWLDWHS7$ JHALW@ALS BAY@UWLDWHS8$8$ YXDCB@DYXDCB@D GHO GXCW@GHO GXCW@ W@ULZBC@W@ULZBC@6$ BS\XHABLS GHO S$D$C$6$ BS\XHABLS GHO S$D$C$=$=$ JBGU@W@ULZJBGU@W@ULZ **SXHU@W@ULZSXHU@W@ULZ/@WU@S"/@WU@S"
$$
2$ HAE@OBL Y@U2$ HAE@OBL Y@U CLWHWHUCLWHWHU<9$ OHSB@DHS<9$ OHSB@DHS YOHZXLOHSYOHZXLOHS<<$ WU@AE@SBS VHD@SLS<<$ WU@AE@SBS VHD@SLS<5$ UXYWXUL VHD@SL<5$ UXYWXUL VHD@SL
<3$ JHALW@AL<3$ JHALW@AL AHGBLSWBDLOAHGBLSWBDLO<7$ JHALW@AL UHWU@YHUBW@DHLO<7$ JHALW@AL UHWU@YHUBW@DHLO<8$ FBSWXOLS<8$ FBSWXOLS LUWHUB@LUWHUB@!!VHD@SLSVHD@SLS<6$<6$ HU@SB@DHU@SB@D GH OL YLUHG VHD@SLS Y@U HOGH OL YLUHG VHD@SLS Y@U HO CLWHWHUCLWHWHU
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHS !! C@AYOBCLCB@DHSC@AYOBCLCB@DHSC@DWBDXLCB@DC@DWBDXLCB@D
<=$<=$ SHXG@LDHUBSALSSHXG@LDHUBSALS<:<: SHYSBSSHYSBS Y@UY@U CLWHWHUCLWHWHU
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$$ HXG DH AHXG DH A<:$<:$ SHYSBSSHYSBS Y@UY@U CLWHWHUCLWHWHU<2$ BDFHCCB@DHS S@EUH HO SBWB@ GH OL<2$ BDFHCCB@DHS S@EUH HO SBWB@ GH OL YXDCB@DYXDCB@D
59$59$ GBSF@DBLSGBSF@DBLS5<$ GBSDHL5<$ GBSDHL55$ HDFBSHAL55$ HDFBSHAL SXECXWLDH@SXECXWLDH@ *SBD*SBD DzDz""
53$53$ JBGU@AHGBLSWBD@JBGU@AHGBLSWBD@
57$ HDG@CLUGBWBS57$ HDG@CLUGBWBS58$58$ YHUF@ULCB@DYHUF@ULCB@D AB@CLUGBCLAB@CLUGBCL56$ SLDMULG@ UHWU@MULG@56$ SLDMULG@ UHWU@MULG@ YHUBCLWHWHUYHUBCLWHWHU5=$5=$ YLUHSBLYLUHSBL//YLULOBSBSYLULOBSBS GHO DHUVB@GHO DHUVB@ FUHDBC@FUHDBC@5:$ FOHEBWBS5:$ FOHEBWBS \XBABCL\XBABCL//SHYWBCLSHYWBCL/WU@AE@FOHEBWBS/WU@AE@FOHEBWBS52$52$ OHSB@DOHSB@D WUL\XHLOWUL\XHLO39$39$ \XBO@W@ULZ\XBO@W@ULZ
3<$ ALO3<$ ALO Y@SBCB@DY@SBCB@D GHOGHO CLWHWHUCLWHWHUYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@D SXECOLVBL; C@AYOBCLCB@DHSYXDCB@D SXECOLVBL; C@AYOBCLCB@DHS
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DHXA@W@ULZDHXA@W@ULZYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
VHD@YXDCB@DHSVHD@YXDCB@DHS
C@AYOBCLCB@DHSC@AYOBCLCB@DHS
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C@AYOBCLCB@DHSC@AYOBCLCB@DHS
C@DWU@O ULGB@MULFBC@C@DWU@O ULGB@MULFBC@Y@SW YXDCB@DY@SW YXDCB@D
DHXA@W@ULZDHXA@W@ULZ
CLWHWHU SXECOLVB@CLWHWHU SXECOLVB@
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLS CHDWULOHSYXDCB@DHS VHD@SLS CHDWULOHSC@AYOBCLCB@DHSC@AYOBCLCB@DHS
C@DWBDXLCB@DC@DWBDXLCB@D
L C@D@CHUOLSL C@D@CHUOLS
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L$ C@D@CHUOLSL$ C@D@CHUOLS
E$ YHDSLUOLSE$ YHDSLUOLS $$ !!
G$ WULWLUOLS *Y@U SB @ Y@U @WU@"G$ WULWLUOLS *Y@U SB @ Y@U @WU@"
H$ D@ C@DFBLUSHH$ D@ C@DFBLUSH !!‟‟ W@G@S OLS SXFUBA@S ‟W@G@S OLS SXFUBA@S ‟
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@DHS VHD@SLSYXDCB@DHS VHD@SLS
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VBLS GH LE@UGLKH R WHCDBCLSVBLS GH LE@UGLKH R WHCDBCLS
UHCXHUGH; ‟SH GHEH HOHMBU L\XHOOL/S WHCDBCL/S C@D OL \XH SH HSWH ALS FLABOBLUB[LG@ \XH @FUH[CLD OL ALR@U SBAYOBCBGLG R XWBOB[LU
HO ALWHUBLO ALS LGHCXLG@ YLUL CLGL XDL GH HOOLS‑
CXBGLG@;CXBGLG@; ‟SB OL WLSL GH C@AYOBCLCB@DHS \XH XG$ Y@SHH HS AHD@U GHO8(; UHLOBCH VHD@YXDCB@DHS SB HS ALR@U; CLDLOBCH‑
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
VHDL RXMXOLU BDWHUDLVBL LDWHUB@U
RXMXOLU BDWHUDL
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jjjj
jjjj
jjjj
jjjj VBL Y@SWHUB@U
VHDL RXMXOLU BDWHUDLVBL AHGBL
jjjj
jjjjVHDL RXMXOLU
HZWHUDL
VHDL SXECOLVBLBDFULCOLVBCXOLU
SXYULCOLVBCXOLU
OLS VBLS GH LE@UGLKHOLS VBLS GH LE@UGLKHALS C@AXDHSALS C@AXDHS
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
LE@UGLKH L OL VHDL RXMXOLU BDWHUDLLE@UGLKH L OL VHDL RXMXOLU BDWHUDL
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VBL LDWHUB@UVBL LDWHUB@U VBL Y@SWHUB@UVBL Y@SWHUB@U
VBL AHGBLVBL AHGBLYU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@D GH OL VHDL RXMXOLU BDWHUDLYXDCB@D GH OL VHDL RXMXOLU BDWHUDLLOMXDLS VHDWLKLS / BDGBCLCB@DHSLOMXDLS VHDWLKLS / BDGBCLCB@DHS
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LDLW@ABL C@DSWLDWH R GH FLCBO XEBCLCBÓDLDLW@ABL C@DSWLDWH R GH FLCBO XEBCLCBÓD CHUCLDBL L OL YBHOCHUCLDBL L OL YBHO GBVHUSLS VBLS YLUL LE@UGLUOLGBVHUSLS VBLS YLUL LE@UGLUOL HS XD VLS@ GH EXHD CLOBEUHHS XD VLS@ GH EXHD CLOBEUH
EXHDL LCCHSBEOBGLG LXD HD C@OLYSLG@SEXHDL LCCHSBEOBGLG LXD HD C@OLYSLG@S GBSWLDCBL LO SBSWHAL CLVLO C@UWLGBSWLDCBL LO SBSWHAL CLVLO C@UWL FLCBO LE@UGLKH HD XD YLCBHDWH LDHSWHSBLG@FLCBO LE@UGLKH HD XD YLCBHDWH LDHSWHSBLG@ ALR@U GBSWLDCBL L OL CXYXOL YOHXULOALR@U GBSWLDCBL L OL CXYXOL YOHXULO VHDL GH LOW@ FOXK@ C@D SXS BAYOBCLDCBLSVHDL GH LOW@ FOXK@ C@D SXS BAYOBCLDCBLS GHKL OBEUH O@S AASSGHKL OBEUH O@S AASS
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
YXDCB@D GH OL VHDL RXMXOLU BDWHUDLYXDCB@D GH OL VHDL RXMXOLU BDWHUDLLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DHSLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DHS
YLCBHDWH \XH D@ C@OLE@ULYLCBHDWH \XH D@ C@OLE@UL
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YLCBHDWH C@D CXHOO@ C@UW@ R M@UG@YLCBHDWH C@D CXHOO@ C@UW@ R M@UG@ WULXALWBSA@S CHUVBCLOHSWULXALWBSA@S CHUVBCLOHS CBUXMBLSCBUXMBLS GH CXHOO@GH CXHOO@ JBYHUWHDSB@DJBYHUWHDSB@D GHO SBSWHAL CLV@ SXYHUB@UGHO SBSWHAL CLV@ SXYHUB@U
!! $ $ 4$ $ 4 mm$$
OXHM@ GH YXD[LU OL LUWHUBLOXHM@ GH YXD[LU OL LUWHUBL CLU@WBGLCLU@WBGL BYSBOBYSBO$$ OXHM@ GH WUHS BDWHDW@S FLOOBG@SOXHM@ GH WUHS BDWHDW@S FLOOBG@S YLW@O@MBLSYLW@O@MBLS GHOGHO SDCSDC C@D LXAHDW@ GH OLC@D LXAHDW@ GH OL YBCYBC$$ C@LMXO@YLWBLSC@LMXO@YLWBLS / GBSCULSBLS/ GBSCULSBLS BDFHCCB@DHS/ \XHALGXULS GH OLBDFHCCB@DHS/ \XHALGXULS GH OL UHMB@DUHMB@D WUL\XH@SW@ABLWUL\XH@SW@ABL YUHVBLYUHVBL FBSWXOLS L/VFBSWXOLS L/V BYSBOLWHULOHSBYSBOLWHULOHS WU@AE@SBS YUHVBLS °0WU@AE@SBS YUHVBLS °0
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
LE@UGLKH L OL VHDLLE@UGLKH L OL VHDL RXMXOLU BDWHUDL RXMXOLU BDWHUDL
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VBL LDWHUB@UVBL LDWHUB@U
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
WHCDBCL GH A@SWHUWWHCDBCL GH A@SWHUWYXDCB@D GH OL V$R$B$YXDCB@D GH OL V$R$B$
VBL LDWHUB@UVBL LDWHUB@UGHG@S BDGBCH RGHG@S BDGBCH RAHGB@ S@EUH L CAHGB@ S@EUH L C
U@WLCB@D CHFLOBCL
+
SBWB@ GH YXDCB@DL 5‑ *8 ca" GH OL
COLVBCXOL
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AHGB@ S@EUH L$C$AHGB@ S@EUH L$C$
E@UGH HCA LDMXO@ GH BDCOBDLCB@D
GBSWLDCBL *5‑"
+ <3 BDWHUD@ C@D <3 AHGB@
GH OL COLVBCXOL BYSBOLWHULO
GH OL LMXKLJLCBL +
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
LE@UGLKH LDWHUB@U L OLLE@UGLKH LDWHUB@U L OLVHDL RXMXOLU BDWHUDLVHDL RXMXOLU BDWHUDL
WHCDBCL GH OL]BDWHCDBCL GH OL]BD
Z E@UGH HZWHUD@ GHO HCAR V$R$H$
[ YXDW@ GH YXDCB@D
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LDMXO@ UHSYHCW@
LO YOLD@ C@U@DLO
JLCBL G@USLOSBMXBHDG@ HOE@UGH GHO HCA
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
LE@UGLKH LDWHUB@ L OLLE@UGLKH LDWHUB@ L OLVHDL RXMXOLU BDWHUDLVHDL RXMXOLU BDWHUDL
E@UGH AHGBLO GHOHCA$
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WHCDBCL GH ]BOS@D R C@OS$WHCDBCL GH ]BOS@D R C@OS$
DBVHO GHOCLUWBOLM@
WBU@BGHS
GBUHCCB@D GH OL LMXKLJLCBL HO HZWUHA@
HSWHUDLO GH OLCOLVBCXOL BYSBOLW$
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
WHCDBCL GHWHCDBCL GHE@XOLDMHUE@XOLDMHU L OLL OLVHDL RXMXOLU BDWVHDL RXMXOLU BDWE@UGH LDWHUB@U GHO
89¹ GH LDMXOLCB@D
YU@F$ GU$ OXBS GHO UB@ GBH[YU@F$ GU$ OXBS GHO UB@ GBH[
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VHDL RXMXOLU BDW$VHDL RXMXOLU BDW$VBL LDWHUB@UVBL LDWHUB@U
E@UGH SXYHUB@U GHO
CLUWBOLM@ WBU@BGHS
E@UGH LDWHUB@U GHOHCA
CLXGLO ROLWHULO
WHCDBCL GH HDMOBSJ R C@OS$WHCDBCL GH HDMOBSJ R C@OS$
VLUBLDWH HOHCWBVL L OL VHDL RXMXOLUVLUBLDWH HOHCWBVL L OL VHDL RXMXOLU
BDWHUDL Y@U VBL LDWHUB@UBDWHUDL Y@U VBL LDWHUB@U
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+ VBL SXYULCOLVBCXOLU+ VBL SXYULCOLVBCXOLU
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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLLOMXDLS VHDWLKLSLOMXDLS VHDWLKLS
YXDW@S GH UHFHUHDCBL AXR C@DSWLDWHSYXDW@S GH UHFHUHDCBL AXR C@DSWLDWHS GBSWLDCBL L OL VHDL AXR C@UWL *S/W V$SXYUL"GBSWLDCBL L OL VHDL AXR C@UWL *S/W V$SXYUL"
VLS@ GH MUXHS@ CLOBEUHVLS@ GH MUXHS@ CLOBEUH Y@SBCB@D AXR C@DSWLDWH LXD HD C@OLYSLG@SY@SBCB@D AXR C@DSWLDWH LXD HD C@OLYSLG@S
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LXSHDCBL GH VLOVXOLSLXSHDCBL GH VLOVXOLS GHKL OBEUH O@S AASS$GHKL OBEUH O@S AASS$ VHDL GH LOW@ FOXK@VHDL GH LOW@ FOXK@ ELKL BDCBGHDCBL GH WU@AE@ELKL BDCBGHDCBL GH WU@AE@!!FOHEBWBSFOHEBWBS HSWUXCWXULS VHCBDLS UBMBGLS \XH C@DWBHDHDHSWUXCWXULS VHCBDLS UBMBGLS \XH C@DWBHDHD
OL F@UALCB@D GH JHALW@ALSOL F@UALCB@D GH JHALW@ALS AXR C@A@GL YLUL HO YLCBHDWHAXR C@A@GL YLUL HO YLCBHDWH
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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DHLOMXDLS GHSVHDWLKLS/C@DWULBDGBCLCB@DH
WULXALWBSA@SWULXALWBSA@S W@ULZBC@SW@ULZBC@S$$ C@LMXO@YLWBLSC@LMXO@YLWBLS !! WY@SWY@S YU@O@DMLG@S$YU@O@DMLG@S$ JBYHUWHDSB@DJBYHUWHDSB@D HD HO CBUCXBW@ GH V$C$S$HD HO CBUCXBW@ GH V$C$S$ OXHM@ GH 3 YXDCB@DHS FLOOBGLSOXHM@ GH 3 YXDCB@DHS FLOOBGLS
FBSWXOLS @FBSWXOLS @ CLDXOLSCLDXOLS LL!!VV BYSBOLWHULOHSBYSBOLWHULOHS
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SB D@ SH C@D@CH LGHCXLGLAHDWH OLSB D@ SH C@D@CH LGHCXLGLAHDWH OL LDLW@ABLLDLW@ABLGH OL UHMBÓD$GH OL UHMBÓD$
SB D@ SH C@D@CH LGHCXLGLAHDWH OL/SSB D@ SH C@D@CH LGHCXLGLAHDWH OL/S WHCDBCLWHCDBCL/S/S SB D@ SLEH UHS@OVHU Y@SBEOHS C@AYOBCLCB@DHSSB D@ SLEH UHS@OVHU Y@SBEOHS C@AYOBCLCB@DHS SB D@ SH CXHDWL C@D \XBHD YXHGL WULWLUOLSSB D@ SH CXHDWL C@D \XBHD YXHGL WULWLUOLS
YLCBHDWHS HD UHSYBULG@UYLCBHDWHS HD UHSYBULG@U YLCBHDWHS C@DYLCBHDWHS C@D YLW@O@MBLYLW@O@MBL YXOA@DLU YUHVBLYXOA@DLU YUHVBL YLCBHDWH HZCBWLG@ @ \XH D@ C@OLE@ULYLCBHDWH HZCBWLG@ @ \XH D@ C@OLE@UL
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GH LXELDBLCGH LXELDBLC
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WHCDBCL GH YLUSLWHCDBCL GH YLUSLYU@F$ GU$ OXBS GHO UB@ GBH[
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YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBL
OL VBL SXYULCOLVBCXOLUOL VBL SXYULCOLVBCXOLUYU@F$ GU$ OXBS GHO UB@ GBH[
SBWB@S GH YXDCB@DVHDL SXECOLVBLVBL SXYULCOLVBCXOLU
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VBL SXYULCOLVBCXOLUVBL SXYULCOLVBCXOLU
YXDCB@D V$SXEOCOLVBL SXYULCOLVBCXOLUYXDCB@D V$SXEOCOLVBL SXYULCOLVBCXOLU !! R@FFL R@FFL
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YU@F$ GU$ OXBS GHO UB@ GBH[
OL WHCDBCL GH R@FFLOL WHCDBCL GH R@FFL
YXDCB@D GH OL VHDL SXECOLVBLYXDCB@D GH OL VHDL SXECOLVBLY@U VBL SXYULCOLVBCXOLUY@U VBL SXYULCOLVBCXOLU
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YXDCB@D LO SBWB@ GH XDB@DYXDCB@D LO SBWB@ GH XDB@D !! WHCDBCL GH YLUSLWHCDBCL GH YLUSL
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YXDCB@D GH OL VHDLYXDCB@D GH OL VHDL RXMXOLU HZWHUDL RXMXOLU HZWHUDL
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YXDCB@D GH OL VHDL RXMXOLU HZWHUDLYXDCB@D GH OL VHDL RXMXOLU HZWHUDLVHDL LOWHUDLWBVL YLUL HO BDMUHS@ LO S$V$CLV@VHDL LOWHUDLWBVL YLUL HO BDMUHS@ LO S$V$CLV@FLCBOAHDWH LCCHSBEOH / AXR SXYHUFBCBLOFLCBOAHDWH LCCHSBEOH / AXR SXYHUFBCBLOLDLW@ABCLAHDWH C@DSWLDWH HD SX XEBCLCBÓDLDLW@ABCLAHDWH C@DSWLDWH HD SX XEBCLCBÓDVHDL GH XS@ FUHCXHDWH C@A@ LCCHS@ WULDSBW@VHDL GH XS@ FUHCXHDWH C@A@ LCCHS@ WULDSBW@!!
UB@ JLSWL HDC@DWULU @WUL/S VBL/S AHK@UHS$UB@ JLSWL HDC@DWULU @WUL/S VBL/S AHK@UHS$SH SLOH FLCBOAHDWH *CLWHWHU C@UW@"SH SLOH FLCBOAHDWH *CLWHWHU C@UW@"SBSWHAL C@D AXCJLS VLOVXOLSSBSWHAL C@D AXCJLS VLOVXOLS
SH LC@GL LDWHS GHO C@DFOXHDWH VHD@S@SH LC@GL LDWHS GHO C@DFOXHDWH VHD@S@GBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V C SGBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V C S
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GBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V$C$S$GBFBCXOWLG YLUL YU@MUHSLU LO SBSWHAL GH V$C$S$
SH C@OLYLSL HD HO SJ@CNLG@SH C@OLYLSL HD HO SJ@CNLG@ALOY@SBCB@D GHO CLWHWHU JLCBL C@OLWHULOHSALOY@SBCB@D GHO CLWHWHU JLCBL C@OLWHULOHSO@S A@VBABHDW@S GHO CXHOO@ OBABWLD HO FOXK@O@S A@VBABHDW@S GHO CXHOO@ OBABWLD HO FOXK@LOW@ BDGBCH GH FLOO@S HD AHGBU YVCLOW@ BDGBCH GH FLOO@S HD AHGBU YVCGBFBCBO BDA@VBOB[LCB@D/CXULCB@D GHO CLWHWHUGBFBCBO BDA@VBOB[LCB@D/CXULCB@D GHO CLWHWHU
YU@F$ GU$ OXBS GHO UB@ GBH[
+ WHCDBCL GH EOBWW R C@OS$+ WHCDBCL GH EOBWW R C@OS$UHLOB[LGL C@D WHCDBCL GHUHLOB[LGL C@D WHCDBCL GH
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