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Articles 1 - 30 of 325
Full-Text Articles in Medicine and Health Sciences
The Brainstem As A Conserved System For Consciousness: Integrating Phylogeny, Neurology, And Psychology, Shadia Kawkabani, Kevin P. Kaut
The Brainstem As A Conserved System For Consciousness: Integrating Phylogeny, Neurology, And Psychology, Shadia Kawkabani, Kevin P. Kaut
Journal of Neuropsychology and Behavioral Processes
Historically, scientists and physicians have taken a corticocentric view of consciousness, emphasizing the need for a cortex in producing the conscious experience. The preserved consciousness observed in hydranencephalic children and decorticated rats suggests that some form of consciousness may be produced by a subcortical network. The brainstem, a phylogenetically conserved brain system, could serve as the major integrative network to produce this form of consciousness—referred to as ‘affective consciousness’, the evolutionary antecedent to the reflective consciousness allowing humans to reflect on experiences. The functional integration of the brainstem with the amygdala, motor network, and other subcortical structures provides the architecture …
Controversy In Consciousness: Is The Brainstem Sufficient For Sentience?, Shadia Kawkabani, Kevin P. Kaut
Controversy In Consciousness: Is The Brainstem Sufficient For Sentience?, Shadia Kawkabani, Kevin P. Kaut
Journal of Neuropsychology and Behavioral Processes
Our understanding of consciousness is quite possibly in need of further discussion, elaboration, and updating. What was once principally the domain of philosophical inquiry has entered the era of advanced research methods and biomedical ethics – both of which have influenced the need to reconsider this most challenging of topics. The challenge for those interested in consciousness is at least twofold: 1) to further operationally define what is meant by consciousness, with a greater understanding of how consciousness can be manifest, and 2) to better identify the neural mechanisms subserving the diverse presentations/manifestations of consciousness, and reconcile the developing literatures …
Noninvasive Technique For Measuring Cardiac Output, Grace E. Kolar, Rachel Simonton, Eli Strohecker
Noninvasive Technique For Measuring Cardiac Output, Grace E. Kolar, Rachel Simonton, Eli Strohecker
Williams Honors College, Honors Research Projects
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Infant Molds For Cleft Deformities, Hannah Brunow, Drew Reinbolt, Rhonda Troyer, Christian Miller
Infant Molds For Cleft Deformities, Hannah Brunow, Drew Reinbolt, Rhonda Troyer, Christian Miller
Williams Honors College, Honors Research Projects
Cleft lip and palate are very common birth defects where the roof of a baby's mouth and lip do not form properly while in the womb. Babies born with cleft lip or palate can undergo surgery after going through a process to make the initial gap smaller through incrementally smaller, retainer-like appliances. We will be trying to find a way to improve the pre-surgery process by implementing 3D printing. We will be performing this research for a craniofacial orthodontist at Akron Children's Hospital. We hope that our success will lead to a decrease in the amount of time spent making …
Degradable Staples And Delivery Device, Meha Elango, Jessica Cabrera, Makayla Scarpitti, Kareemat Melaiye
Degradable Staples And Delivery Device, Meha Elango, Jessica Cabrera, Makayla Scarpitti, Kareemat Melaiye
Williams Honors College, Honors Research Projects
The scope of this project is to design a method to secure skin grafts to healthy tissue. The ultimate goal for the proposed method is to be dissolvable in some form. Currently, skin grafts procedures utilize staples in most cases to hold a skin graft in place, but there are disadvantages that come with it. Staples are easy to place, but time consuming during the removal procedure. They also cause a lot of pain and discomfort for the patient. The goal of this project is to determine a way a secure skin grafts to healthy skin in order to reduce …
The Effects Of Static Versus Dynamic Stretching On Lower Extremity Power Output And Flexibility In Dancers, Meloney George
The Effects Of Static Versus Dynamic Stretching On Lower Extremity Power Output And Flexibility In Dancers, Meloney George
Williams Honors College, Honors Research Projects
Collegiate dancers require a large range of motion throughout all joints for performance success. Previous research has shown static (STA) stretching to be most effective at improving flexibility (Chaabene et al. 2019), due to this factor, warmups for dance are primarily based on STA stretching to allow dancers to reach their maximum flexibility. Previous research has also shown that STA stretching before activity can have negative effects on an athlete’s power output, and a large amount of power is essential for dance. PURPOSE: Determine the effect of STA and dynamic (DYN) stretching on lower extremity power and flexibility in collegiate …
Considering Extended High-Frequency Audiometry As A Screening Tool For Auditory Processing Disorder, Maylee Martin
Considering Extended High-Frequency Audiometry As A Screening Tool For Auditory Processing Disorder, Maylee Martin
Williams Honors College, Honors Research Projects
The purpose of this research project is to describe Auditory Processing Disorder (APD) and its background and etiology, signs and symptoms, and treatment options. APD is an auditory disorder that affects the central nervous system. Individuals with auditory processing disorders are able to detect sounds at normal hearing levels and pass a standard hearing test, but struggle with higher order auditory skills such as auditory discrimination, binaural processing, including understanding in the presence of background noise, and temporal processing (ASHA, 2005). A full auditory processing test battery is time consuming, and many audiologists are not skilled in administering typical APD …
Physical, Emotional, And Occupational Dimensions Of Wellness And Their Applicability: A Feasibility Study, Josephine Savitski
Physical, Emotional, And Occupational Dimensions Of Wellness And Their Applicability: A Feasibility Study, Josephine Savitski
Williams Honors College, Honors Research Projects
This feasibility study investigates a health and wellness intervention program based on the 7 Dimensions of Wellness framework, emphasizing evidence-based methods, accessibility, and participant independence. The research combines insights from a comprehensive literature review, which explores resources essential for designing, implementing, and executing health literacy based interventions targeting three dimensions of wellness. The study outlines methods for participant selection, program delivery, and data collection, synthesizing existing research and scholarly works to provide insights into effective strategies, educational tools, and interdisciplinary approaches. Despite the absence of statistical analysis, pre- and post-survey results demonstrate positive trends. Reflections on observed outcomes highlight adaptability, …
Nursing Students’ Comfort In The Nursing Program, Camella Bloom, Rebecca Karr, Makenzie Menard
Nursing Students’ Comfort In The Nursing Program, Camella Bloom, Rebecca Karr, Makenzie Menard
Williams Honors College, Honors Research Projects
This research project’s purpose is to investigate student nurses’ comfort levels within the nursing program. The project focuses on how interactions with RNs impact comfort levels of nursing students. These interactions take place within the student nurses’ clinical experiences or their experiences at their healthcare jobs. The sample was sophomore, junior, and senior-level undergraduate BSN students at The University of Akron, which is about 434 students. The number of participants that completed the survey was 57 nursing students. The independent variables were student level in the BSN program and current employment status in a patient care role. The dependent variable …
Review Of: Caring For The Low German Mennonites: How Religious Beliefs And Practices Influence Health Care—Judith Kulig, Christina Klassen Jeffries
Review Of: Caring For The Low German Mennonites: How Religious Beliefs And Practices Influence Health Care—Judith Kulig, Christina Klassen Jeffries
Journal of Amish and Plain Anabaptist Studies
My personal interest in reviewing this particular book is that I am a Low German speaking Mennonite involved in healthcare. As a disclaimer, I am not super fluent in the language. I was also not technically raised in the culture as described in this book, but I live in this community and know many people in this culture. As a healthcare worker, I was interested in reading this book to see what would be applicable to my practice. I was also curious how the book would apply to living in the Low German community. [First paragraph.]
Review Of: Better Safe Than Sorry: Real-Life Stories, Tips, And More–A Guide To Everyday Safety—Mike Atnip, Nathan Shrock
Review Of: Better Safe Than Sorry: Real-Life Stories, Tips, And More–A Guide To Everyday Safety—Mike Atnip, Nathan Shrock
Journal of Amish and Plain Anabaptist Studies
This book was written from an Anabaptist perspective geared towards a younger Christian Anabaptist and seems directed at an Amish audience. The book has six different sections relating to various parts of home and farm life. The goal of this book is to encourage the Anabaptist community to use more thought in what risks they take. The sections are as follows: Home and Community, Fire Safety, Farm and Logging Safety, Shop and Construction Safety, Gun/Hunting Safety, and Road Safety. I will be addressing each section individually and giving a summary of my thoughts at the end. Atnip does not specify …
Review Of: Pull Through Blessings: The Colorful Tapestry Of Hirschsprung’S Disease—Lisa Sensenig And Helen Zimmerman, Adin Stauffer
Review Of: Pull Through Blessings: The Colorful Tapestry Of Hirschsprung’S Disease—Lisa Sensenig And Helen Zimmerman, Adin Stauffer
Journal of Amish and Plain Anabaptist Studies
Hirschsprung’s Disease (HD) is a genetic condition found in a child born without ganglion cells in part of the intestines. Ganglion cells send signals to intestinal muscles to contract to help pass bowel movements. No signal means no bowel movement, which results in babies not eating, becoming uncomfortable and sleepy, spitting up, and if not treated, eventually dying. [First paragraph.]
Plain Anabaptists And Covid-19: A Distinct Response To Government Restrictions?, Michael Sauder
Plain Anabaptists And Covid-19: A Distinct Response To Government Restrictions?, Michael Sauder
Journal of Amish and Plain Anabaptist Studies
Plain Anabaptists have a distinct way of relating to the government. Does that mean they would have distinct decision making processes in relation to government-promulgated public health restrictions regarding COVID-19? This essay argues that plain Anabaptist populations did not exhibit particularly unique decision-making and responses to COVID-19.
Mother’S Hope: A Residential Program Caring For Plain Mothers With Mental Health Challenges, Renee Bright, Naomi Raber
Mother’S Hope: A Residential Program Caring For Plain Mothers With Mental Health Challenges, Renee Bright, Naomi Raber
Journal of Amish and Plain Anabaptist Studies
Mother’s Hope is a culturally sensitive residential program of hope and healing for plain Anabaptist mothers struggling with postpartum depression and anxiety. The home is situated in central Ohio and run by paid staff and Amish volunteers. While in residence, mothers get intensive attention from professional counseling and medical staff at nearby SpringHaven Counseling Center. This home is unique in that mothers are permitted to keep their infants with them in the home so that mother-child bonding is not interrupted while they receive mental health treatment. Several women, former residents at Mother’s Hope, shared their stories, which are included in …
Promoting Culturally Accessible, Community-Centered, Midwifery Care In The Rural Anabaptist Population Of Southwestern Ontario, Canada, Cynthia Soulliere
Promoting Culturally Accessible, Community-Centered, Midwifery Care In The Rural Anabaptist Population Of Southwestern Ontario, Canada, Cynthia Soulliere
Journal of Amish and Plain Anabaptist Studies
The experience of providing midwifery care in a rural Southwestern Ontario community is discussed, highlighting specific approaches to providing culturally accessible and community-centered care among the Old Order Anabaptists. Midwives in Ontario are primary care providers for perinatal care and the clinic described in this paper works primarily with families from Anabaptist communities. Success in providing culturally accessible care has come from community engagement and responsiveness to ways to improve access to healthcare in this region. Highlighted in this article are the scope of midwifery care in Ontario, home and hospital births, collaboration with other community agencies, and community-based genetic …
Attitudes Toward The Amish Held By Nursing And Social Work Students At A Midwestern University, Lora Wyss, Rosanna Hess
Attitudes Toward The Amish Held By Nursing And Social Work Students At A Midwestern University, Lora Wyss, Rosanna Hess
Journal of Amish and Plain Anabaptist Studies
As Amish populations increase and move across North America, the likelihood grows that healthcare professionals will come into contact with them. No studies have been conducted to examine contact frequency with or attitudes of healthcare providers toward the Amish. The aims of this study were to examine attitudes toward the Amish among nursing and social work students attending a Christian liberal arts university in a Midwestern state, and, to determine the relationship between students’ cultural awareness, their knowledge of the Amish, their contact with the Amish, and their attitudes toward the Amish. The participants were anonymously surveyed using the Revised …
Oil Therapy Massage As Complementary Care Of Burns And Wounds, Tristate Burn Care Team, Rosanna Hess
Oil Therapy Massage As Complementary Care Of Burns And Wounds, Tristate Burn Care Team, Rosanna Hess
Journal of Amish and Plain Anabaptist Studies
Oil therapy massage is a part of the care of burns and wounds done by plain, lay caregivers in Amish and Mennonite communities across the United States and Canada. Oil therapy massage is used to manage scarring and to improve joint functionality and skin and tissue integrity. The purpose of this article is to describe oil therapy massage as a complementary part of after-burn care in the context of sociocultural values of plain populations in which caregivers are a part of the B&W movement. This article includes a brief description of the caring and sharing culture of plain peoples; a …
Partnering With The Old Order Mennonites In The Finger Lakes Region Of New York State To Identify The Mechanisms Of Protective Immunity Against Atopic Disease Development, Alexandra N. Kaplan, Camille A. Martina, Elizabeth R. Catlin, John Looney, Kirsi M. Järvinen
Partnering With The Old Order Mennonites In The Finger Lakes Region Of New York State To Identify The Mechanisms Of Protective Immunity Against Atopic Disease Development, Alexandra N. Kaplan, Camille A. Martina, Elizabeth R. Catlin, John Looney, Kirsi M. Järvinen
Journal of Amish and Plain Anabaptist Studies
Old Order Mennonites (OOM) follow a traditional agrarian lifestyle; key aspects include home births, large families, limited antibiotic usage, consumption of whole foods and unpasteurized milk, and early exposure to soil, stables, and farm animals. There is evidence that a farming lifestyle protects against asthma and allergies, yet the biological mechanisms behind this protective effect remain unknown. The “Zooming into Old Order Mennonites” (ZOOM) cohort study was established to further explore protective factors and mechanisms. This study compares immune development among OOM children from the Finger Lakes Region of New York to those residing 65 miles northwest in Rochester, NY. …
Health Beliefs, Health Practices, And Health-Seeking Behaviors Among Swartzentruber Amish In Clark County, Wisconsin, Courtney J. Schoessow
Health Beliefs, Health Practices, And Health-Seeking Behaviors Among Swartzentruber Amish In Clark County, Wisconsin, Courtney J. Schoessow
Journal of Amish and Plain Anabaptist Studies
Although the literature contains valuable information about Amish culture, few qualitative studies have been conducted on the health beliefs, health practices, and health-seeking behaviors of the Swartzentruber Amish, the most conservative group of Old Order Amish. The purpose of this study was to describe these dynamics for the Swartzentruber Amish of Clark County, Wisconsin. Utilizing the grounded theory approach, 25 participants were interviewed and seven themes were identified: shared decision-making is common in families; causes of illness are believed to be etiological or the will of God; home remedies are the first choice; preventive medicine is an unfamiliar concept; health …
Vitamin D Status Of Anabaptist Children In Southwestern Ontario, Canada, Janis A. Randall Simpson, Natalee Miller, Taylor Hartwig, Jane Leach, Melissa Purdy, Emily Roth, Victoria Mok Siue, Cynthia Soulliere, Jacqui Tam, Ann Watt
Vitamin D Status Of Anabaptist Children In Southwestern Ontario, Canada, Janis A. Randall Simpson, Natalee Miller, Taylor Hartwig, Jane Leach, Melissa Purdy, Emily Roth, Victoria Mok Siue, Cynthia Soulliere, Jacqui Tam, Ann Watt
Journal of Amish and Plain Anabaptist Studies
The objective was to determine vitamin D status of Old Order Anabaptist children in rural Southwestern, Ontario, Canada, given concerns of community healthcare professionals. Fifty-two children (2.5 months - 6.5 years) (56% female) were recruited. Finger prick blood spot (BSp) samples were analyzed for 25-hydroxy (OH) vitamins D2 & D3 (BSp25(OH)D). Three-day food records were evaluated using Dietary Reference Intakes and Canada’s Food Guide (CFG) (Bush, et al. 2007). Compared to national Canadian data: mean BSp25(OH)D concentrations (78±31 nmol/L) were similar; a slightly smaller proportion (0% vs 2%) were at risk of deficiency (<30 nmol/L) or had inadequate status (4% vs 7%) (<40 nmol/L); and 10% vs 1% had BSp25(OH)D higher than 125 nmol/L. BSp25(OH)D was significantly associated (r2=0.358; p=0.001) with total vitamin D intake. From food alone, vitamin D intake was 68±39 IU/day, lower than the Recommended Dietary Allowance (RDA) of 600 IU/day, and intakes were all below the Estimated Average Requirement (EAR) of 400 IU. Even including supplemental vitamin D, 87% were below the EAR (total intake=213±194 IU/day). No children had vitamin D intakes greater than the Upper Limit. Servings of milk and alternates were 1.6±0.8/day (CFG=2/day). Unfortified farm milk was consumed by 88% of children and 89% received a vitamin D supplement. Results were comparable to recent Canadian data suggesting that most children have adequate vitamin D status. Nevertheless, these findings support the need to encourage appropriate vitamin D intake (from food and supplements) to achieve the RDA for Old Order Anabaptist children in these communities. [Abstract by authors.]
Assessing The Attitudes And Perceptions Of The Old Order Amish Toward Genetic Testing For Familial Defective Apolipoprotein B-100, Erin Sutcliffe, Laura J. Conway, Alan Shuldiner, Toni Pollin
Assessing The Attitudes And Perceptions Of The Old Order Amish Toward Genetic Testing For Familial Defective Apolipoprotein B-100, Erin Sutcliffe, Laura J. Conway, Alan Shuldiner, Toni Pollin
Journal of Amish and Plain Anabaptist Studies
Through a founder effect, one in eight Lancaster County, PA, Amish harbors the pathogenic APOB variant R3527Q, causing Familial Defective Apolipoprotein B-100 (FDB) that is rare in the general population. Affected individuals are at increased risk for high low density lipoprotein (LDL) cholesterol levels and cardiovascular disease and may benefit from early screening and treatment. A qualitative interview approach was used to investigate the genetic risk perceptions of the Amish and their attitudes towards genetic testing for FDB. The goal was to identify elements necessary for a successful program that would identify high risk individuals in the Lancaster County Amish …
Health And Healthcare Among The Plain Anabaptist People, Rosanna Hess, Braxton Mitchell
Health And Healthcare Among The Plain Anabaptist People, Rosanna Hess, Braxton Mitchell
Journal of Amish and Plain Anabaptist Studies
This issue of the Journal of Amish and Plain Anabaptist Studies (JAPAS) marks the eleventh year of publication of this journal, the flagship journal of the Amish & Plain Anabaptist Studies Association (APASA). In the past we have devoted entire issues to specific topics, including Beachy Amish-Mennonite churches [2017 5(1)], past and future directions of Amish studies [2017 5(2)], Ohio Amish schisms [2019 7(2)], gender-focused research [2020 8(2)], agriculture and the environment [2021 9(2)], and the plain people at midcentury [2023 11(1)]. In addition, the 2018 6(2) issue included a special section on health among the Amish. This …
The Effectiveness Of Treatments For Drug-Resistant Epilepsy: A Review Of Literature, Lauren Cummons
The Effectiveness Of Treatments For Drug-Resistant Epilepsy: A Review Of Literature, Lauren Cummons
Williams Honors College, Honors Research Projects
Many studies examine the treatment options for epilepsy; however, there is a lack of reviews compiling and evaluating the current treatments for drug-resistant epilepsy (DRE). This project aims to explore the existing body of research studies completed on treating DRE, evaluate the effectiveness of each treatment option, and assess what areas of research need more attention for future studies. Six primary DRE treatments from current research were thoroughly examined for this review. The quality of each treatment was evaluated based on the number of patients who had seizure freedom, had a seizure reduction, had adverse events, and had changes in …
Benefits And Drawbacks Of Pre-Licensure Clinical Jobs In Undergraduate Nursing Students, Rachael Muhlenkamp, Rebecca Trzecki, Jason Grassie
Benefits And Drawbacks Of Pre-Licensure Clinical Jobs In Undergraduate Nursing Students, Rachael Muhlenkamp, Rebecca Trzecki, Jason Grassie
Williams Honors College, Honors Research Projects
This research study aims to identify the benefits and drawbacks of pre-licensure clinical jobs in undergraduate nursing students. Many nursing students are encouraged to have a job in clinical settings in order to gain more experience. Many undergraduate nursing students here at the University of Akron currently have jobs in the clinical setting and these are the student's who we plan to use as our sample for this study. This study will be completed by spring of 2023, before graduation.
The Effects Of Exercise On Adolescents With Autism Spectrum Disorder, Julia Hofacker
The Effects Of Exercise On Adolescents With Autism Spectrum Disorder, Julia Hofacker
Williams Honors College, Honors Research Projects
This Honors Research Project will look at the impact of various types of exercise on the speech, language, and behavior of adolescents with autism spectrum disorder. The goal of this research project is to determine how exercise can be implemented into speech and therapy programs in order to better improve the communication skills of adolescents with autism spectrum disorder. To accomplish this, recent studies and publications will be analyzed to compare traditional therapy methods and therapy methods that include exercise. These studies will provide data on how various types of exercise impacted adolescents with autism spectrum disorder speech, language, behavior, …
Effectiveness Of Speech Intervention Methods In Children With Speech Delays, Andrea Noel, Rachel Windemuth, Brett Porter
Effectiveness Of Speech Intervention Methods In Children With Speech Delays, Andrea Noel, Rachel Windemuth, Brett Porter
Williams Honors College, Honors Research Projects
Speech delays in children is a common issue that can be treated by a wide variety of interventions. Our PICOT question is, in children, ages six months to thirteen years, with speech/language delays, how does the addition of innovative and supplemental interventions, compared with standard interventions alone, effect improvements in the delays. All three group members have known someone who has suffered from a speech delay, and we want to research the best possible methods to overcome that obstacle to answer our questions, we will begin to take on the task of creating and writing a systematic review. This review …
Amphisbaenian Head Movement And Burrowing Forces In Damp Granular Media, Jacob Newell
Amphisbaenian Head Movement And Burrowing Forces In Damp Granular Media, Jacob Newell
Williams Honors College, Honors Research Projects
Damp granular media is a difficult environment to study because it is both practically complex and it lacks equations which fully describe its behavior. In this study, an oscillatory lateral head movement and its effects while penetrating damp granular media were tested using a robophysical model. This experimental research was inspired by the burrowing behavior of the clade Amphisbaenia, a group of usually limbless squamates that employ a variety of different burrowing behaviors, but it can apply to a wide range of burrowers. This research could help with both human burrowing technologies and the further investigation of animal behaviors.
The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner
The Accuracy Of Recreational Athletes In Self Detecting Ventilation Threshold During A Maximal Exercise Test, Andrew Biegner
Williams Honors College, Honors Research Projects
INTRODUCTION: Ventilatory threshold (VT) is where minute ventilation (VE) increases nonlinearly with increasing exercise intensity. Prior studies have shown that subjects can recognize VT by changes in breathing during exercise. Teaching recreational athletes to use VT as a training method could result in better quality training. PURPOSE: Determine if recreational athletes can accurately perceive changes in ventilation associated with VT during maximal exercise testing. METHODS: Subjects were recruited (n=20, age= 20.5 ± 1.7 yrs.) to participate in the study. Subjects performed a modified maximal treadmill protocol with gas analysis. Subjects indicated when they noticed a considerable change …
Knockout Of Endospanin 1 Via Crispr In Zebrafish, Danio Rerio, Jared Kittinger
Knockout Of Endospanin 1 Via Crispr In Zebrafish, Danio Rerio, Jared Kittinger
Williams Honors College, Honors Research Projects
I made endospanin 1 knockout (KO) zebrafish to examine its effects on lipid and bone metabolism. Endospanin 1, or leptin receptor overlapping transcript (leprot), is a cytosolic protein linked to the protein hormone leptin that influences the trafficking of leptin receptors to the plasma membrane of cells. Genes for endospanin and tyrosinase (a pigmentation enzyme) were targeted via a microinjection of guide RNAs and CRISPR Cas9 into zebrafish embryos at 2-4 cell stages. I was able to disrupt the endospanin 1 gene (based upon the disruption of tyrosinase), but very few mutant zebrafish fully developed into adults. Only low KO …
Speech-Language Pathology Students' Perspective Of Working With Older Adults, Anna Hamill
Speech-Language Pathology Students' Perspective Of Working With Older Adults, Anna Hamill
Williams Honors College, Honors Research Projects
There is an increasing demand for speech language pathologists (SLPs) willing to work with older adults. Demographic trends warn that the number of people over 65 will double by 2050 (Vincent, 2010). Studies reveal that only 37.3% of SLP students prefer to work with older adults after graduation (Leonard et al., 2016). Ageism is affecting speech-language pathology and related health care professions. Research within the last five years has shown that ageism towards older adults exists across multiple medical professions in all fields and settings (Heape et al., 2020). Interdisciplinary fields report negative feelings towards older adults (Ortiz-Rubio et al., …