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Background:Few qualitative studies of simultaneous pancreas-kidney transplantation (SPK Tx) have been published. The aims of this study were to explore from the perspective of patients, the experience of living with diabetes mellitus type 1 (T1DM), suffering from complications, and undergoing SPK Tx with good outcome; and to determine the impact of SPK Tx on patients and their social and cultural environment.Methods:We performed a focused ethnographic study. Twenty patients were interviewed. Data were analyzed using content analysis and constant comparison following the method proposed by Miles and Huberman.Results:A functioning SPK Tx allowed renal replacement therapy and insulin to be discontinued. To describe their new situation, patients used words and phrases such as “miracle”, “being reborn” or “coming back to life”. Although the complications of T1DM, its surgery and treatment, and associated psychological problems did not disappear after SPK Tx, these were minimized when compared with the pretransplantation situation.Conclusion:For patients, SPK Tx represents a recovery of their health and autonomy despite remaining problems associated with the complications of T1DM and SPK Tx. The understanding of patients’ existential framework and their experience of disease are key factors for planning new intervention and improvement strategies.

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This article presents the major results of a Concerted Action of the European Community on "Assessing AIDS-prevention" concerning the male homo- and bisexual population. It discusses the methodologies and results of research projects undertaken in this area in the 1980's.

No presente artigo analisamos como o estigma se transformou em elemento constituidor da representação público-midiática no processo histórico de construção do sujeito travesti no Brasil. Para realizar a arqueologia dessa invenção histórica, escavamos os discursos da imprensa, entendendo esta como dispositivo de produção de subjetividades que constitui parte da matriz heteronormativa. Relacionamos as peculiaridades dos enunciados produzidos em Fortaleza (CE), na década de 1980, com a produção discursiva sobre o universo trans que circulava nacionalmente no mesmo período. Tal gesto teórico-metodológico nos aproxima do olhar genealógico foucaultiano que persegue as normas discursivas escondidas sob a poeira do tempo-templo que sustentam as invenções históricas.