Introduction: The acute respiratory distress syndrome is an inflammatory process originated by some pulmonary diseases, resulting in non-hydrostatic protein edema of the pulmonary parenchyma. The loss of the lung ability to eliminate carbon dioxide generates complications such as refractory hypoxemia, decreased alveolar dysplasia, increased complacency and hypercarbia. The treatment of acute respiratory distress syndrome, consist in measures to prevent lung diseases progression and optimize oxygenation. Objective: To identify, in the international scientific literature, cases or series of cases reporting the combined application of prone position and extracorporeal membrane oxygenation in patients with severe acute respiratory distress syndrome, as well as the benefit of these rescue therapies. Method: This is a systematic review of case reports that show the benefit of combined therapies in the treatment of patients with acute respiratory distress syndrome. Results: From the research strategy and selection criteria were included 8 studies reporting 19 cases of patients with acute respiratory distress syndrome who received the combination of the two rescue therapies. All studies showed that extracorporeal membrane oxygenation was the primary intervention. There were no reports of adverse events. Conclusion: The combinations of therapies positively interfere on the prognosis of patients with acute respiratory distress syndrome, in addition to presenting no additional risks in terms of the occurrence of adverse events; however, the prone position should precede the extracorporeal membrane oxygenation as first-line intervention. PROSPERO Registration No. CRD42018093076

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The objective of this presentation is to provide a case study analysis of the presence of foreign students in higher education institutions in Portugal, in a public university, focusing on students from African Portuguese Speaking Countries (PALOP), namely, scholarship students entering the Portuguese higher education system, through the protocol between the Ministry of Science and Higher Education, the Ministry of Internal Administration, the Ministry of Foreign Affairs and the governments of the PALOP.The analysis considers two dimensions. On the one hand, it considers the volume and evolution of the presence of this set of students in the Portuguese higher education system, in the light of the institutional and legislative framework, which enables international mobility and favours the entry of students from these nationalities into higher education in Portugal, and influences the dynamics of their progression. On the other hand, the real conditions under which those students enter higher education in Portugal are analysed, as well as the possible dissonance between the expectations built on the basis of a normative discourse, established and legislated, and the experiences actually lived in the context of their reception, and the difficulties experienced by those who enter with "scholarship status" on the basis of a term of responsibility that exempts the host state from any social responsibility.The differences between the educational systems have a particular relevance in the adaptation of these students, from the language, which, being Portuguese, is one of the greatest difficulties in interpreting texts and consulting bibliographies, digital literacy and social and economic needs that make access to elementary resources (photocopying, personal computer, Internet, and daily mobility) difficult.