An ammonia-like or foul odor associated with a specimen ordinarily indicates what condition or disease?
SCENARIO: Discussion Scenario Imagine that you are the director of a community health clinic that specializes in diabetes mellitus type 2 (DB2) diagnosis and management. According to research conducted by clinic employees, a significant percentage of the individuals who attend the clinic for this disease are not adhering to the diabetes management plans that the clinic provides. As the director, you wonder if there is some way to identify, at the point of diagnosis, those patients who are most likely to avoid adhering to their medications and post-diagnosis management plan. Doing so would enable the clinic to target potential nonadherers for more intensive education about DB2 management. You have hired a professional health researcher to design a study to answer the following questions: 
October 17, 2021Respondents who were not interested in participating in an educational program were compared with those who had participated or would be interested in participating. In bivariate analysis, more nonwhite respondents than white respondents were interested in participating in an educational program ( χ2 =10.4, df=1, p=.001). Respondents who worked in a university setting were more likely than respondents who worked in other settings to be interested in participating ( χ2 =15.7, df=3, p=.001). Respondents who had been in practice longer were less likely to be interested ( χ2=8.8, df=3, p=.03). Self-reported familiarity with the racial disparities literature was positively associated with interest ( χ2 =12.4, df=2, p=.001). Interest was not associated with gender, racial-ethnic makeup of the respondent’s patient population, or number of professional meetings attended annually.
October 17, 2021An ammonia-like or foul odor associated with a specimen ordinarily indicates what condition or disease?
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