The staff were able to incorporate the GEM into their workflow without much difficulty.
Revision of the monitoring and evaluation tools is ongoing to improve the workflow as some difficulties were found in the transmission of reports from the regional to the central level.
(Manager 2, Manaus) In relation to changes in workflow, no resistance or difficulties were identified in the interviews: "There was no difficulty.
If the same programs that microscopy professionals use to process their data could also be used directly to ready their data for 3D printing, there would be more widespread use of these modeling techniques, as the cost and difficulties in workflow would be reduced.
Additionally, M-PCR should be applied for the diagnosis or confirmation of BV, which would lead to an earlier diagnosis to prevent possible complications in specific women, without the impediments of high cost, long assay times, and difficulties in workflow.
Difficulties with workflow were highlighted including the additional time taken in student consultations: [Before the project began] the patients were sitting around in the chair waiting a long time before they saw the student …, it was just a huge inconvenience sometimes for a patient to see a student.
But each of these computational steps has its own difficulties and a typical workflow is complex and error prone [ 18].
But in the end, due either to difficulty of setup, or inconsistencies in performance, or trouble executing the workflow consistently, all of these other options fell short.
The reimbursement of teleradiology services in inter-organisational workflow sharing is an issue that often makes difficulties and is seldom solved automatically with the clinical set-up.
Despite papers citing their diagnostic utility, limited clinical use of these agents may have resulted from logistical difficulties of utilizing these in everyday workflow, safety concerns, and lack of commercial success, resulting in their non-availability[ 1 3].
