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This study aimed to evaluate the efficacy of low-tech augmentative and alternative communication (AAC) aids in improving quality of life (QoL) and mood disorders, as well as the psychosocial impact of assistive devices, in 10 patients affected by amyotrophic lateral sclerosis (ALS) in the early stage of the disease, when speech difficulties appear. The AACtraining (AAC-T) study lasted around six months and comprised two phases of three months each: AAC-intervention (AAC-I) followed by AAC-familiarization (AAC-F). All the patients were assessed at the beginning (T0) and at the end (T1) of AAC-I, as well as at the end of AAC-F (T2). During the AAC-I phase, we applied a three-phase AAC intervention model to evaluate intelligibility of language, participation patterns, communication needs and adaptation to the AAC tools. All the patients showed a gradual and significant improvement, especially in acceptance of the AAC aids, mood and QoL. Moreover, a reduction of caregiver burden was noted. Our study has demonstrated the utility of the AAC aids also in the early stages of the disease in patients with ALS presenting with dysarthria. In our opinion, AAC-T may act as a bridge between the initial and later phases of the disease, when patients need to use high-tech aids, including an eye-tracking communication device. In conclusion, in this study we highlighted how early AAC-T in patients with ALS may be a valuable tool to demonstrate how specific strategies and low-technology aids can improve QoL of these patients and their caregivers, also decreasing stress and depression.

Molecular dynamics simulations of a coarse-grained, embedded-charge model of lysozyme aqueous solutions are compared with small-angle neutron scattering experiments. Measures concern different solutions with a 10% by weight protein concentration and an increasing pH in the range 2–6. The model is based on a soft-core modification of the original Carlsson–Malmsten–Linse model, where in particular all residues carrying an appreciable amount of residual charge, as a function of the pH, are explicitly taken into account in the overall macromolecular interaction. Simulations reproduce qualitatively the experimental trend of the structure factor such as, in particular, the observed change from a low-pH regime, dominated by repulsive interactions, to behaviour mainly determined by attractive forces, at higher pH. Possible improvements of the model, towards a better reproduction of the structural properties of the real solution, are proposed.

We have investigated the dimyristoylphosphatidylcholine system with a high concentration of butanol (two molecules per phospholipid) via X-ray diffraction, differential scanning calorimetry and density measurements. A lowering of the main transition temperature for the membrane/alcohol system has been observed. The phospholipid bilayer/alcohol system is characterised by a higher density value than the pure membrane, as determined by volumetric measurements. Analysis of diffraction patterns has shown the existence of a more packed structure due to the presence of alcohol. The area of polar head has also been estimated.