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110

Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012


RESUMO
|sto ..t|gc v|s. Jost.c.. ccnc . tocrc
|cg|. J. |r|c.n..c pcJo no||c... c p.ccossc
Jo tcn.J. Jo Joc|s.c r.s c.g.r|..cos ..t.
so Jo un ostuJc Jo c.sc scb.o c |/||| S/|||
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|c.n..c go.orc|.| o . .g|||J.Jo r. t..rs|c.n.
.c Jo J.Jcs on ccr|oc|nortc .|on Jo |..o.
un. .r.||so p.|n..|. scb.o c no.c.Jc Jo s.uJo
sup|onort.. rc b..s||
PALAVRAS-CHAVE
cn.J. Jo Joc|s.c, tocrc|cg|. J. |r
|c.n..c, ccr|oc|nortc, p|.rcs Jo s.uJo
1. INTRODUO
|osJo .s p.|no|..s ||r|.s osc.|t.s sc
b.o ost..tog|., Jo Sur .u (/ /.to J. Cuo..., |.
2500 .rcs), p.ss.rJc pc. V.ou|.vo| (socu|cs
`\`\|) .to |..so.|t. (socu|c `|`), o p.torto .
p.occup..c Jo, on |.co Jo Joto.n|r.Jc ccr
toxtc Jo ccr||tc, ccr|oco.ncs J. |c.n. n.|s
ox.t. pcss|vo| cs rcsscs pcrtcs |c.tos o |..ccs,
bon ccnc cs Jcs rcsscs .Jvo.s..|cs (rc c.sc
onp.os..|.|, ccrcc..ortos), o, on pc.norc., .s
v..|.s ospoc||c|J.Jos Jc to..orc on ouo rcs
ncvoncs (pc. .r.|cg|., c no.c.Jc o su. orvc|
vorto) |ost. |c.n., su.gon . on|rorto rocos
s|J.Jo Jo so c.|.. noc.r|sncs ouo v|s|unb.on
rc.to.. c tcn.Jc. Jo Joc|s.c
A utilizao da tecnologia da informao na gesto
de planos de sade: um estudo de caso sobre
processo de tomada de deciso do Iapep Sade
Pedro Alexandre Cabral de Oliveira
1
Aluno do 9 Perodo do Curso Bacharelado em Direito do Centro de Ensino Unicado de Teresina - CEUT
111
|... So.cos (2006,p6) .rtos Jc .Jvor
tc J. .utcn.t|...c o |r|c.n.t|...c Jc p.c
coss.nortc, . |r|c.n..c o.. t..t.J. Jo |c.n.
.vu|s. o r.c ost.utu..J., Josto ncJc, c p.ccos
sc Jo tcn.J. Jo Joc|s.c t|r|.n un o|ov.Jc
ccnpcrorto Jo |rtu|.c
|. ccrurtu.. .tu.| Jo onp.os.s |c
c.J.s on |r|c.n.cos, .s c.g.r|..cos ccn
no||c.os |r|c.n.cos J|spco Jo un. v.r
t.gon ccnpot|t|v. |c no.c.Jc Jo p|.rcs
Jo s.uJo, crJo, v|. Jo .og.., orccrt..so un
o|ov.Jc ncrt.rto Jo Jospos.s o v|t.| . ox|s
torc|. Jo un occss|ston. |r|c.n.c|cr.| crJo
c gostc. tor|. ccrJ|cos Jo v|su.||... |rJ|c.
Jc.os rocoss..|cs p... n|r|n|... cs .|sccs o
.oJu.|. .s |rco.to..s
2. BREVE ANLISE SADE
SUPLEMENTAR NO BRASIL
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Jo S.uJo Sup|onort.. /|S, on 2010 |c..n
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p|.rcs Jo .ss|storc|. noJ|c., sog.og.Jcs on
1420 cpo..Jc..s Jo p|.rcs Jo s.uJo
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rc nosnc .rc, un. .oco|t. Jo ccrt..p.ost.
cos Jo | 74,3 b|||cos |nbc.. osto runo.c,
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n.|s .cu..J. . .o|..c ort.o c tct.| Jo Jos
pos.s (.ss|storc|.| o .Jn|r|st..t|v.) o c v.|c.
112
Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
tct.| ...oc.J.Jc po.coboncs un. s|tu..c
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|c.no ov|Jorc|. t.bo|. .b.|xc
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nosnc po.|cJc, |c| 118 n.|c. ouo . ou.rt|
J.Jo Jo .Joscos
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tuJc su.go J. c..orc|. Jo oxp|c... o Jo||ro..
ccnc . ut|||...c Jc tocrc|cg|. J. |r|c.n..c
pcJo p.cvo. un. gost.c o|c|orto p... p|.rcs
Jo s.uJos, s.borJcso ouo ox|sto . on|rorto
rocoss|J.Jo Jo so c.|.. noc.r|sncs |.c|||t.Jc
.os J. gost.c, p.|rc|p.|norto r.s cpo..Jc..s
Jo poouorc o noJ|c pc.to, cu.s Jospos.s on
noJ|. s.c supo.|c.os .s .oco|t.s ccr|c.no ov|
Jorc|.J. r. t.bo|. 1 |. po.spoct|v. Jo |.ur
Jcr (2007) nu|tcs .Jn|r|st..Jc.os t..b.||.n
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on p.ov|scos, p.|p|tos cu r. sc.to O .osu|t.
Jc o . p.cJu.c |rsu|c|orto cu oxcoss|v. Jo
bors o so.v|cs, . n. .|cc..c Jo .ocu.scs o
. |.|t. Jo t|n|rg |ss.s Jo|c|orc|.s o|ov.n cs
Porte da operadora Receita (R$) Total de Despesas
(R$)
Despesa assistencial
(R$)
Despesa administrativa
(R$)
% Despesas sob
Receita
Total 74.392.223.538 71.512.812.083 59.756.528.539 11.756.283.544 96%
Operadoras mdico-hospi-
talares
72.737.732.174 70.222.555.769 58.996.709.013 11.225.846.756 97%
Pequeno porte (at 20.000
benecirios)
6.055.061.721 7.028.928.605 4.749.140.111 2.279.788.494 116%
Mdio porte (20.000 a 100.000
benecirios)
16.195.656.705 16.469.119.800 13.306.644.678 3.162.475.122 102%
Grande porte (Acima de 100.000
benecirios)
50.487.013.748 46.724.507.364 40.940.924.224 5.783.583.140 93%
Operadoras exclusivamente
odontolgicas
1.654.491.364 1.290.256.314 759.819.526 530.436.788 78%
Pequeno porte (at 20.000
benecirios)
247.995.421 242.968.362 121.811.162 121.157.200 98%
Mdio porte (20.000 a 100.000
benecirios)
314.620.677 273.092.370 166.343.081 106.749.289 87%
Grande porte (Acima
de 100.000 benecirios)
1.091.875.266 774.195.582 471.665.283 302.530.299 71%
Tabela 1 Receita de contraprestaes e despesas das operadoras de planos privados de
sade, segundo porte da operadora (Brasil - 2010)
|crto /|S, 2011 /J.pt.Jc po|c .utc.
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c|s.c, cs .Jn|r|st..Jc.os |..n usc Jo J.Jcs
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tonpc .o.| SorJc .ss|n, osto ostuJc ust||c.
so po|. pu.rto rocoss|J.Jo Jo Josorvc|vo.
|rJ|c.Jc.os Jo gost.c o noc.r|sncs ouo pcs
s.n J|.oc|cr.. c r|vo| ost..tog|cc p... un.
tcn.J. Jo Joc|s.c n.|s .sso.t|v., ut|||..rJc
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3. O USO DE SISTEMAS DE INFORMAO
NA CONSTRUO DO PROCESSO
DE TOMADA DE DECISO
cn cs p.|no|.cs ccnput.Jc.os (cs
orc.nos o co|ob.os mainframes, r. Joc.J.
Jo 1960), |r|c|...nso .s p.|no|..s t..o|.s .
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crtuJc, p... .|on J.s r.tu..|s vo|cc|J.Jos
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ccnp.t|b|||J.Jo ort.o s|ston.s S|np|os .o
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Jonc... son.r.s cu nosnc nosos . so.
o|.bc..Jcs (S|O|S 2006, p8)
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no|..s .p||c.cos onp.os..|.|s Jcs ccnput.
Jc.os (on no.Jcs J. Joc.J. Jo 1950) .o.||
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(p.ossupcon . J|sson|r..c J. |r|c.n..c
c.|t|c. urtc Jo n.|s cc|.bc..Jc.os/Joc|sc.os
(S|O|S 2006, p8)
|ct|o. (2010, p200) .Jvcg. ouo r. sc
c|oJ.Jo .tu.| |cc.J. on |r|c.n.cos, .s c.g.
r|..cos ccn no||c.os |r|c.n.cos J|spco
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pcJo oscc||o. no||c. sous no.c.Jcs, Josor
vc|vo. c|o.t.s supo.|c.os o oxocut.. un. p|.
ro.nortc n.|s o|c..
So.cos (2006,p9) cc..cbc.. ccn
|ct|o. ou.rJc .||.n. ouo .s ccrt|rgorc|.s
c.g.r|..c|cr.|s cb.|g.n c gostc. . p.os
t.. un. .tor.c .oJcb..J. .c p.ccossc Jo
ccrt.c|o |rto.rc, Jo gost.c J. performance
(Jo p.o|o.orc|., on tonpc .o.|) o .cs s|sto
n.s Jo |r|c.n..c p... supc.to . Joc|s.c,
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Jcs sous cbot|vcs o Jo un. n.|c. t..rsp.
.orc|. Jcs sous p.ccosscs Jo rogcc|c
u.b.r (2005, p430) o c.togc.|cc ou.r
Jc .rurc|. ouo ccr|oc|nortc o pcJo. osso
114
Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
|.tc von sorJc .occr|oc|Jc |. go..cos Os
u|t|ncs Josorvc|v|nortcs on s|ston.s ccn
put.Jc.|..Jcs ost.c nuJ.rJc . ost.utu.. Jo
pcJo. J.s c.g.r|..cos
|n. vo. ouo c .cossc . |r|c.n..c
tc.r.so Joc|s|vc p... ccrst.u.c Jc p.ccossc
Jo tcn.J. Jo Joc|s.c
|co o v|s|vo| ouo c usc tocrc|cg|. J.
|r|c.n..c t.cuxo nu|t.s nuJ.r.s, r.c sc
r.s c.g.r|..cos, n.s r. scc|oJ.Jo on go..|
cJcs cs sotc.os ost.c |rt|n.norto ||g.Jcs .
un. |c.n. Jo tocrc|cg|. o o |npcss|vo| J|ssc
c|.. J. su. .p||c.b|||J.Jo
||.rto Jost. po.spoct|v., u.b.r (2005,
p43) ..vc..so J. |urJ.nort..c ouo cs s|s
ton.s Jo |r|c.n..c s.c ccrst.u|Jcs p...
.|c.r.. v..|cs cbot|vcs |n Jcs p.|rc|p.|s
cbot|vcs o p.ccoss.., Jo |c.n. occrcn|c.,
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|o...nort. b.s.| p... ccrst.u.c J. |rto||gor
c|. onp.os..|.| r. .tu.||J.Jo
4. INTELIGNCIA EMPRESARIAL
|... |.urJcr (2007, p150) u.rJc por
s.ncs rc ccrco|tc Jo |rto||gorc|. .p||c.Jc .c
so.os |un.rcs, rc.n.|norto p.osun|ncs . c.
p.c|J.Jo |un.r. Jo ccnb|r.. c ccr|oc|nor
tc .Jou|.|Jc ccn rcv.s |r|c.n.cos o nuJ..
ccnpc.t.nortcs, . |n Jo oxocut.. Joto.n|r.
J. t..o|. ccn sucossc cu .J.pt..so . un. rcv.
s|tu..c |o n.ro|.. .r.|cg., . |rto||gorc|. on
p.os..|.| ccr|o.o .s onp.os.s . c.p.c|J.Jo Jo
.cunu|.. |r|c.n.cos, .Jou|.|. ccr|oc|nortc
scb.o c||ortos, ccrcc..ortos o cpo..cos |rto.r.s,
o nuJ.. c ccnpc.t.nortc Jo tcn.J. Jo Joc|
s.c . |n Jo .|c.r.. n.|c. |uc..t|v|J.Jo o cut..s
not.s cc.pc..t|v.s
/ |rto||gorc|. onp.os..|.| o un. c.
togc.|. .np|. Jo .p||c.cos o tocr|c.s p...
cc|ot.., ..n..or.., .r.||s.. o c|o.oco. .cossc
.cs J.Jcs p... .uJ.. cs usu..|cs J. onp.o
s. . |..o.on no||c.os rogcc|cs o tcn..on
no||c.os Joc|scos ost..tog|c.s (||b/| .puJ
OC|, 2005, p86)
|ct|o. (2010, p204) .|.n. ouo |rto||gor
c|. ccnpot|t|v. r.c o un. |rvor.c Jc socu|c
`` / |rto||gorc|. onp.os..|.| ox|sto JosJo ouo
|c| |o|tc c p.|no|.c rogcc|c O |r.rc|st. |rg|os Jc
socu|c `|`, |.t|.r |ct|sc|||J Jcn|rcu c no.c.
Jc Jo t|tu|cs pub||ccs Jc gcvo.rc b.|t.r|cc us.r
Jc pcnbcscc..o|cs p... so. c p.|no|.c . .oco
bo. c .v|sc J. Jo..ct. Jo |.pc|o.c on \.to.|cc
/|rJ. sogu|rJc . .bc.J.gon Jo |ct|o.
(2010, p204), |rto||gorc|. onp.os..|.| o un |rst.u
nortc p... .|o.t.. . go.orc|. o |c.roco. .no..s
o cpc.tur|J.Jos, un ncJc p... ouo .s onp.o
s.s no||c.on su. ||r|. Jo b.so \o. .|on Jo s|
nosnc, .s c.g.r|..cos ouo cbton sucossc r.
.p||c..c J. |rto||gorc|. ccnpot|t|v. Josorvc|
von . c.p.c|J.Jo Jo vo. .|on Jo s| nosn.s
o|xo|.. (2009) Jo|orJo ouo |rto||gorc|.
|np.os..|.| (cu |rto||gorc|. Jo |ogcc|cs) pcJo
so. Jo|r|J. ccnc . c.p.c|J.Jo Jo un. onp.o
s. p... c.ptu..., so|oc|cr.., .r.||s.. o go.orc|.. .s
|r|c.n.cos .o|ov.rtos p... . gost.c Jc rogcc|c
ccn c cbot|vc Jo
|rcv.. o c.|.. ccr|oc|nortc
|oJu.|. .|sccs r. tcn.J. Jo Joc|s.c
115
o ov|t.. su.p.os.s
||.oc|cr.., .sso.t|v.norto, cs p|.
rcs Jo rogcc|cs o . |np|onort..c
Jo .cos
.|.. cpc.tur|J.Jos Jo rogcc|cs
/pc|.. c Josorvc|v|nortc Jo p.c
Jutcs/so.v|cs ccn un. b.so Jo
|r|c.n..c ccr|.vo|, o|c|orto o .g||
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tonorto, .s ouostcos .o|.c|cr.J.s
ao core business.
Co... v.|c. .cs rogcc|cs
|. v|s.c Jo o|xo|.. (2009) c no.c.Jc
b..s||o|.c ost. on p.ccossc Jo ovc|u.c on |r
to||gorc|. |np.os..|.| |osso sort|Jc, o r.tu..|
|.vo. ost.g|cs Jo ovc|u.c o g..us Jo n.tu.|J.
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rogcc|cs, ut|||..rJc tocr|c.s ccnc cor..|cs .r.
||t|ccs o p.cspoct|vcs
5. TOMADA DE DECISO
|o .cc.Jc ccn |crgc (2009, p 81) tc
n.. Joc|s.c o .rtos Jo tuJc, .|gc Jos.g..J.vo|
p... c so. |un.rc S|gr||c. Jo|x.. Jo |.Jc un
c.n|r|c on Jot.|nortc Jo cut.c |o|x.. Jo |.
.o. .|gun. cc|s. p... pcJo. |..o. cut.. /b.|.
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to n.|s t..Jo Son Juv|J., Joc|J|. r.c o t..o|.
s|np|os
/ c|orc|. . ncst.cu ouo, on ncnor
tcs Jo .|tc ost.osso, un Joto.n|r.Jc g.upc Jo
rou.cr|c c|.n.Jc amygdala, . n.|s p.c|urJ.
ost.utu.. co.ob..| .ospcrs.vo| po|c noJc o
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cc.tox p.o|.crt.|, c|og.rJc s|np|osnorto .
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c|cc|r|c, nonc.|. o Joc|scos Ou so. sonp.o
ouo .|guon v|vo un p.ccossc Jo ost.osso, to.
noJc cu ort.. on p.r|cc, ouon ccn.rJ. c
co.ob.c o t.| .nygJ.|. |n.g|ro ort.c cs oou|
vcccs o .s ccrsoouorc|.s Jo Joc|scos tcn.J.s
scb . |r|uorc|. Jo s|tu.cos ost.oss.rtos (|O|
CO 2009, p82)
S|ston.s Jo gost.c Jo ccr|oc|nortc
no||c..n . ou.||J.Jo o . ut|||...c Jc ccr|o
c|nortc us.Jc rc p.ccossc Jo tcn.J. Jo Jo
c|s.c / gost.c Jc ccr|oc|nortc .o|o.oso .c
ccrurtc Jo p.ccosscs Josorvc|v|Jcs on un.
c.g.r|...c p... c.|.., ..n..or.., t..rs|o.|. o
.p||c.. ccr|oc|nortc /unort.. . c.p.c|J.Jo
J. c.g.r|...c Jo .p.orJo. ccn sou .nb|orto
o |rcc.pc... ccr|oc|nortc . sous p.ccosscs Jo
rogcc|cs o su. tcn.J. Jo Joc|s.c (|/|||O|
2007, p322)
|ort.c Josto ccrtoxtc, u.b.r (2005,
p103) .|.n. ouo . gost.c Jc ccr|oc|nortc o
n.|s un. notcJc|cg|. .p||c.J. . p..t|c.s Jo
rogcc|cs Jc ouo un. tocrc|cg|. cu p.cJutc
/pos.. J|ssc, . tocrc|cg|. J. |r|c.n..c o c.u
c|.| p... c sucossc Jo c.J. s|ston. Jo gost.c
Jc ccr|oc|nortc
|. po.cop.c Jo u.b.r (2005, p359)
| J|||c|| tcn.. bc.s Joc|scos son |r|c.n.cos
v.||J.s o .o|ov.rtos /s |r|c.n.cos s.c rocos
s..|.s on c.J. |.so o .t|v|J.Jo rc p.ccossc Jo
tcn.J. Jo Joc|scos /pos.. J. .np|. J|spcr|
b|||J.Jo Jo |r|c.n.cos, tcn.. Joc|s.c ost. so
116
Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
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6. O USO DE SISTEMAS DE
INFORMAO NA CONSTRUO
DO PROCESSO DE TOMADA
DE DECISO EM PLANO DE SADE
6.1 IAPEP SADE
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Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
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6.2 TECNOLOGIA DO IAPEP SADE
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120
Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
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Tribunal de Contas do Estado do Piau | A R T I G O S R. TCE - PI , v. 16, n. 1, p. 110- 123, 2012
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REFERNCIAS
/|S CADERNO DE INFORMAO DA
SADE SUPLEMENTAR ||c Jo .ro|.c, 'u
r|c, 2011 ||spcr|vo| on <|ttp//....rs
gcvb./|n.gos/stc.|os/V.to.|.|s_p..._pos
ou|s./|o. ||| _sotc./.Jo.rc_|r|c.n.c.c_
s.uJo_sup|onort../2011_nos06_c.Jo.rc_
|r|c.n.c.cpJ|> /cossc on /cossc on 31
.gc 2011
|O|||, |||||p, S|/|O\|, 'co| , S|\||S |c
bert. J. Marketing estratgico para rea de
sade |c.tc /|og.o bcckn.r, 2010
|/||O|, '.ro |, |/||O|, ||||||
Sistemas de informaes gerenciais. S.c
|.u|c |o..scr |.ort|co |.||, 2007
|O|CO, \.|to., /\/||S, o |u|. O marke-
ting na era do nexo. ||c Jo '.ro|.c bost
So||o., 2009
S|O|S, ..|cs, O||\|||/, 'cso, b/||S/, V|
guo| Business Intelligence. |c.tc S|| Sc
c|oJ.Jo |c.tuguos. Jo |rcv..c, 2006
||b/|, ||..|n, | '|, |o||y |.|ro., |O||,
||c|..J | Administrao de tecnologia da
informao. ||c Jo '.ro|.c ||sov|o., 2005
||`|||/, |.r|o|o |osorJo Rede de Valor
para Inteligncia Empresarial. Revista da
|S|V, vc| 16, |J|.c rc 1, pg 8090, .ro|.c/
|ovo.o|.c 2009
||||/S Unio Nacional das Instituies
de Autogesto em Sade. ||c Jo .ro|.c,
|cvonb.c, 2011 ||spcr|vo| on <|ttp//ur|
J.sc.gb./po.|cJ|ccs/..o_po.|cJ|ccs/pos
ou|s.2010pJ|> /cossc on /cossc on 31 .r
2012.