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1

Heymer, Kelly-Jean, Matthias Wentzlaff-Eggebert, Elissa Mortimer, and David P. Wilson. "An economic case for providing free access to antiretroviral therapy for HIV-positive people in South Australia." Sexual Health 9, no. 3 (2012): 220. http://dx.doi.org/10.1071/sh10148.

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Background As financial constraints can be a barrier to accessing HIV antiretroviral therapy (ART), we argue for the removal of copayment requirements from HIV medications in South Australia. Methods: Using a simple mathematical model informed by available behavioural and biological data and reflecting the HIV epidemiology in South Australia, we calculated the expected number of new HIV transmissions caused by persons who are not currently on ART compared with transmissions for people on ART. The extra financial investment required to cover the copayments to prevent an HIV infection was compar
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2

Puhr, Rainer, Stephen T. Wright, Jennifer F. Hoy, David J. Templeton, Nicolas Durier, Gail V. Matthews, Darren Russell, and Matthew G. Law. "Retrospective study of hepatitis C outcomes and treatment in HIV co-infected persons from the Australian HIV Observational Database." Sexual Health 14, no. 4 (2017): 345. http://dx.doi.org/10.1071/sh16151.

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Background: The widespread availability of direct-acting antivirals (DAAs) is expected to drastically improve the treatment uptake and cure rate of hepatitis C virus (HCV). In this paper, rates of and factors associated with HCV treatment uptake and cure in the HIV co-infected population in Australia were assessed before access to DAAs. Methods: The medical records of patients in the Australian HIV Observational Database who were reported to be HCV antibody positive from 1999 to 2014 were reviewed for HCV treatment data. Patients with detectable HCV RNA were included in this analysis. Logistic
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3

Donovan, Basil, Robert J. Finlayson, Kieran Mutimer, Ross Price, Mark Robertson, Megan Nelson, Margaret Slade, Ian Reece, and Joanne dalle Nogare. "HIV Infection in Sexually Transmissible Disease Practice in Sydney: The Effects of Legislation, Public Education and Changing Clinical Spectrum." International Journal of STD & AIDS 1, no. 1 (January 1990): 21–27. http://dx.doi.org/10.1177/095646249000100106.

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The experience with human immunodeficiency virus (HIV) infection of a private inner-city sexually transmissible diseases (STD) clinic in Sydney was quantified. Between February 1984 and March 1988, 2073 of the Clinic's patients were tested for antibodies to HIV on 5095 occasions. Of those tested, 538 (26%) were positive for antibodies to HIV: 532 (98.9%) of the seropositives had practised male homosexual intercourse. This is the highest reported seroprevalence of HIV for any primary care service in Australia. Those individuals seropositive because of other risk behaviours were detected by volu
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4

Hall, T. "HIV pre-exposure prophylaxis (PrEP) and treatment as prevention (TasP): What mental health providers should know." European Psychiatry 33, S1 (March 2016): S70—S71. http://dx.doi.org/10.1016/j.eurpsy.2016.01.983.

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Pharmacologic methods of treating and preventing HIV have advanced tremendously in recent years. Understandings of HIV risk and recommendations for risk-reduction strategies have also changed substantially. A majority of new cases of HIV in many developed countries are now acquired through sex with long-term partners who are unaware of their HIV-positive status, rather than from casual or anonymous sexual encounters. Persons with bipolar disorder and substance use disorders are at particularly high risk. Mental health providers who work with LGBT persons and other populations at higher risk fo
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5

Walia, Anuj, Xuan Wang, Martha Nicholson, Lucy Sun, Jessica R. Wong, Jennifer Eriksson, Smita Kothari, and Edith Morais. "Epidemiological trends of HPV-related anal cancers amongst males globally: A systematic literature review." Journal of Clinical Oncology 37, no. 4_suppl (February 1, 2019): 492. http://dx.doi.org/10.1200/jco.2019.37.4_suppl.492.

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492 Background: Anal cancer is associated with human papillomavirus (HPV), a sexually transmitted infection, which can be prevented by the HPV vaccination. Few countries do recommend vaccination for the male population, but all males are at risk of contracting HPV. This study aimed to identify the latest evidence on the incidence of anal cancer and pre-cancer related to HPV in males globally and to analyze the epidemiological trends. Methods: A systematic literature search was performed using Medline and EMBASE. Studies containing original anal cancer incidence data in males published between
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6

Teresa Dawson, Maria, Paul Grech, Brendan Hyland, Fiona Judd, John Lloyd, Anne M. Mijch, Jennifer Hoy, and Alan C Street. "A Qualitative Approach to the Mental Health Care Needs of People Living with HIV/AIDS in Victoria." Australian Journal of Primary Health 8, no. 3 (2002): 30. http://dx.doi.org/10.1071/py02041.

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This article reports on the findings of the qualitative stage of a larger project on the mental care needs of people with HIV/AIDS and mental illness (Tender T1176 Department of Human Services, Mental Health Branch, Victoria - Research on the Mental Health Care Needs of People with HIV/AIDS and Mental Illness). The purpose of the larger research was to evaluate the needs and treatment requirements of persons with HIV/AIDS, who also suffer from mental health problems, with a view to developing proposals for improving existing service delivery in Victoria, Australia. The qualitative stage was de
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7

Di Ciaccio, Pietro R., Fengyi Jin, Matthew Law, Marina Van Leeuwen, Andrew Grulich, Janaki Amin, Claire Vajdic, Skye McGregor, and Mark N. Polizzotto. "The Role of Lymphomas in Subsequent Primary Cancers in People with HIV/AIDS: An Australian National Population-Based Data Linkage Study." Blood 136, Supplement 1 (November 5, 2020): 32. http://dx.doi.org/10.1182/blood-2020-139012.

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Background Despite combination antiretroviral therapy (cART), the incidence of lymphomas remains elevated in persons with HIV/AIDS (PWHA). While the risk of subsequent primary cancers (SPCs) in the general population is well understood, these data are lacking for PWHA. Underlying aetiologic factors in PWHA, including oncogenic viruses and immunodeficiency, may have a differential impact on SPCs. We conducted a nationwide data linkage study in order to examine the role of lymphoma in SPCs in PWHA in two ways. First, we determined the incidence of and risk factors for Hodgkin lymphoma (HL) or no
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8

Boettiger, David C., Luisa Salazar-Vizcaya, Gregory J. Dore, Richard T. Gray, Matthew G. Law, Denton Callander, Toby Lea, Andri Rauch, and Gail V. Matthews. "Can Australia Reach the World Health Organization Hepatitis C Elimination Goal by 2025 Among Human Immunodeficiency Virus–positive Gay and Bisexual Men?" Clinical Infectious Diseases 70, no. 1 (February 28, 2019): 106–13. http://dx.doi.org/10.1093/cid/ciz164.

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Abstract Background Human immunodeficiency virus (HIV)–positive gay and bisexual men (GBM) in Australia are well engaged in care. The World Health Organization’s (WHO) hepatitis C virus (HCV) elimination target of an 80% reduction in incidence by 2030 may be reachable ahead of time in this population. Methods We predicted the effect of treatment and behavioral changes on HCV incidence among HIV-positive GBM up to 2025 using a HCV transmission model parameterized with Australian data. We assessed the impact of changes in behavior that facilitate HCV transmission in the context of different rate
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9

Mulhall, Brian P., Stephen Wright, Debbie Allen, Katherine Brown, Bridget Dickson, Miriam Grotowski, Eva Jackson, et al. "High rates of sexually transmissible infections in HIV-positive patients in the Australian HIV Observational Database: a prospective cohort study." Sexual Health 11, no. 4 (2014): 291. http://dx.doi.org/10.1071/sh13074.

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Background In HIV-positive people, sexually transmissible infections (STIs) probably increase the infectiousness of HIV. Methods: In 2010, we established a cohort of individuals (n = 554) from clinics in the Australian HIV Observational Database (AHOD). We calculated retrospective rates for four STIs for 2005–10 and prospective incidence rates for 2010–11. Results: At baseline (2010), patient characteristics were similar to the rest of AHOD. Overall incidence was 12.5 per 100 person-years. Chlamydial infections increased from 3.4 per 100 person-years (95% confidence interval (CI): 1.9–5.7) in
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10

Jin, Fengyi, Garrett P. Prestage, Iryna Zablotska, Patrick Rawstorne, John Imrie, Susan C. Kippax, Basil Donovan, David J. Templeton, John M. Kaldor, and Andrew E. Grulich. "High incidence of syphilis in HIV-positive homosexual men: data from two community-based cohort studies." Sexual Health 6, no. 4 (2009): 281. http://dx.doi.org/10.1071/sh09060.

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Background: Syphilis has re-emerged and become established in gay communities in most developed countries since the late 1990s. HIV infected men have been disproportionately affected by this endemic, but it is unclear whether this is due to behavioural or biological reasons. We report incidence and risk factors for syphilis in two community-based cohorts of HIV-negative and HIV-positive homosexual men in Sydney, Australia. Methods: Participants were recruited using similar community-based strategies in both cohorts and underwent annual face-to-face interviews. Syphilis screening was offered to
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11

Conway, Damian P., Loretta M. Healey, Evert Rauwendaal, David J. Templeton, and Stephen C. Davies. "Providing HIV-negative results to low-risk clients by telephone." Sexual Health 9, no. 2 (2012): 160. http://dx.doi.org/10.1071/sh10159.

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Background In Australia, Health Department policies differ on the recommended method of providing HIV results. Traditionally, all results have been provided in person. Our aim was to trial provision of HIV-negative test results by telephone to low-risk clients attending sexual health services and to assess clients’ preferences for delivery method. Methods: During 4 months in 2009 at two sexual health services in Sydney, all clients assessed as low-risk for HIV infection were invited to receive their HIV result by telephone. Non-receipt of results was defined as failure to receive results withi
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12

Giles, Michelle L., Marin C. Zapata, Stephen T. Wright, Kathy Petoumenos, Miriam Grotowski, Jennifer Broom, Matthew G. Law, and Catherine C. O'Connor. "How do outcomes compare between women and men living with HIV in Australia? An observational study." Sexual Health 13, no. 2 (2016): 155. http://dx.doi.org/10.1071/sh15124.

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Background Gender differences vary across geographical settings and are poorly reported in the literature. The aim of this study was to evaluate demographics and clinical characteristics of participants from the Australian HIV Observational Database (AHOD), and to explore any differences between females and males in the rate of new clinical outcomes, as well as initial immunological and virological response to antiretroviral therapy. Methods: Time to a new clinical end-point, all-cause mortality and/or AIDS illness was analysed using standard survival methods. Univariate and covariate adjusted
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13

Wright, Simon, Nathan Ryder, and Anna M. McNulty. "HIV results by phone: can we predict who will test HIV-negative?" Sexual Health 7, no. 4 (2010): 417. http://dx.doi.org/10.1071/sh09151.

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Introduction: In order to review the requirement for all patients to return for HIV test results, we sought to describe the number of cases of HIV infection detected at Sydney Sexual Health Centre among people who did not disclose known risk factors before testing. Method: The clinic database identified all HIV testing episodes between January 2004 and January 2007, along with gender, gender of sexual partners and test result. Pro-forma medical records were reviewed for each person who tested positive for gender of sexual partners, condom use, and sexual contact with a person from a country kn
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14

Grulich, Andrew E., Fengyi Jin, I. Mary Poynten, Jennifer Roberts, Annabelle Farnsworth, David J. Templeton, Sepehr N. Tabrizi, Suzanne M. Garland, Christopher Fairley, and Richard J. Hillman. "14. Natural history of high-grade squamous intraepithelial lesions (HSIL) in homosexual men: early evidence from the Study of the Prevention of Anal Cancer (SPANC)." Sexual Health 10, no. 6 (2013): 576. http://dx.doi.org/10.1071/shv10n6ab14.

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Background Screening for the anal cancer precursor HSIL is not recommended in national guidelines. A recent Cochrane review of HSIL treatment concluded there is no evidence of efficacy. In this context, we aimed to describe the natural history of anal HSIL, and association with human papillomavirus (HPV), in a community-recruited cohort of Australian homosexual men. Methods: The SPANC study is a three-year prospective study in men aged ≥35 years. At each visit, men undergo an anal swab for cytology and HPV genotyping (Roche Linear Array), followed by high-resolution anoscopy-aided biopsy. Anal
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15

Waling, Andrea, Roz Bellamy, Paulina Ezer, Lucille Kerr, Jayne Lucke, and Christopher Fisher. "‘It’s kinda bad, honestly’: Australian students’ experiences of relationships and sexuality education." Health Education Research 35, no. 6 (September 15, 2020): 538–52. http://dx.doi.org/10.1093/her/cyaa032.

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Abstract Relationships and sexuality education for young people in Australia and elsewhere is a controversial topic. Numerous studies in Australia have focused on curriculum, policy, teachers, schools, sexting and other behaviours, and knowledge regarding sexually transmitted infection (STI)/human immunodeficiency virus (HIV) and pregnancy prevention. Few large-scale national studies have engaged with young people about what they want out of their sex education, and what they suggest would be most valuable for future programs in Australia. Data for the study included qualitative comments about
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16

Martinello, Marianne, Jasmine Yee, Sofia R. Bartlett, Phillip Read, David Baker, Jeffrey J. Post, Robert Finlayson, et al. "Moving Towards Hepatitis C Microelimination Among People Living With Human Immunodeficiency Virus in Australia: The CEASE Study." Clinical Infectious Diseases 71, no. 6 (October 4, 2019): 1502–10. http://dx.doi.org/10.1093/cid/ciz985.

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Abstract Background Microelimination of hepatitis C virus (HCV) among people living with human immunodeficiency virus (HIV) may be feasible in Australia, given unrestricted access to direct-acting antiviral (DAA) therapy from 2016. Our aim was to evaluate progress towards elimination goals within HIV/HCV-coinfected adults in Australia following universal DAA access. Methods The CEASE prospective cohort study enrolled adults with HIV/HCV, irrespective of viremic status, from 14 primary and tertiary clinics in Australia. Annual and cumulative HCV treatment uptake, outcome, and HCV RNA prevalence
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17

Guy, Rebecca J., Tim Spelman, Mark Stoove, Carol El-Hayek, Jane Goller, Christopher K. Fairley, David Leslie, et al. "Risk factors for HIV seroconversion in men who have sex with men in Victoria, Australia: results from a sentinel surveillance system." Sexual Health 8, no. 3 (2011): 319. http://dx.doi.org/10.1071/sh10095.

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Objectives HIV diagnosis rates in men who have sex with men (MSM) began increasing in Australia 10 years ago, and there has been a major resurgence of syphilis. We determined predictors of HIV positivity and seroconversion among MSM in Victoria, Australia. Methods: We conducted a retrospective longitudinal analysis of data from MSM who underwent HIV testing between April 2006 and June 2009 at three primary care clinics. Logistic regression was used to determine predictors of HIV positivity and seroconversion. Results: During the study period, 7857 MSM tested for HIV. Overall HIV positivity was
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18

De La Mata, Nicole L., David A. Cooper, Darren Russell, Don Smith, Ian Woolley, Maree O. Sullivan, Stephen Wright, and Matthew Law. "Treatment durability and virological response in treatment-experienced HIV-positive patients on an integrase inhibitor-based regimen: an Australian cohort study." Sexual Health 13, no. 4 (2016): 335. http://dx.doi.org/10.1071/sh15210.

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Background: Integrase inhibitors (INSTI) are a newer class of antiretroviral (ARV) drugs that offer additional treatment options for experienced patients. Our aim is to describe treatment durability and virological outcomes in treatment-experienced HIV-positive patients using INSTI-based regimens. Methods: All patients in the Australian HIV Observational Database who had received an INSTI-based regimen ≥ 14 days as well as previous therapy were included in the study. We defined two groups of treatment-experienced patients: (1) those starting a second-line regimen with INSTI; and (2) highly exp
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19

Callander, Denton, Rebecca Guy, Christopher K. Fairley, Hamish McManus, Garrett Prestage, Eric P. F. Chow, Marcus Chen, et al. "Gonorrhoea gone wild: rising incidence of gonorrhoea and associated risk factors among gay and bisexual men attending Australian sexual health clinics." Sexual Health 16, no. 5 (2019): 457. http://dx.doi.org/10.1071/sh18097.

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Background Gonorrhoea notifications continue to rise among gay and bisexual men in Australia and around the world. More information is needed on infection trends, accounting for testing and complimented by demographics and risk practices. Methods: A retrospective cohort analysis was undertaken using repeat gonorrhoea testing data among gay and bisexual men from 2010 to 2017, which was extracted from a network of 47 sexual health clinics across Australia. Poisson and Cox regression analyses were used to determine temporal trends in gonorrhoea incidence rates, as well as associated demographic a
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20

Goddard, Sian Louise, Isobel M. Poynten, Kathy Petoumenous, Fengyi Jin, Richard J. Hillman, Carmella Law, Jennifer M. Roberts, et al. "Prevalence, incidence and predictors of anal Chlamydia trachomatis, anal Neisseria gonorrhoeae and syphilis among older gay and bisexual men in the longitudinal Study for the Prevention of Anal Cancer (SPANC)." Sexually Transmitted Infections 95, no. 7 (April 24, 2019): 477–83. http://dx.doi.org/10.1136/sextrans-2019-054011.

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ObjectivesSexually transmitted infection (STI) notifications are increasing among older individuals. Many older gay and bisexual men (GBM) are sexually active and have multiple partners. We aimed to investigate the prevalence, incidence and predictors of anal chlamydia, anal gonorrhoea and syphilis in older GBM.MethodsThe Study for the Prevention of Anal Cancer (SPANC) was a prospective cohort study of HPV infections and related anal lesions among community-recruited GBM age ≥ 35 years in Sydney, Australia. At baseline and subsequent annual visits, recent STI diagnoses were collected via quest
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21

Doyle, Joseph S., Daniela K. van Santen, David Iser, Joe Sasadeusz, Mark O’Reilly, Brendan Harney, Michael W. Traeger, et al. "Microelimination of Hepatitis C Among People With Human Immunodeficiency Virus Coinfection: Declining Incidence and Prevalence Accompanying a Multicenter Treatment Scale-up Trial." Clinical Infectious Diseases, October 3, 2020. http://dx.doi.org/10.1093/cid/ciaa1500.

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Abstract Background Gay and bisexual men (GBM) are a key population affected by human immunodeficiency virus (HIV) and hepatitis C virus (HCV) coinfection. We aimed to measure HCV treatment effectiveness and to determine the population impact of treatment scale-up on HCV prevalence and incidence longitudinally among GBM. Methods The co-EC Study (Enhancing Care and Treatment Among HCV/HIV Coinfected Individuals to Eliminate Hepatitis C Transmission) was an implementation trial providing HCV direct-acting antiviral treatment in Melbourne, Australia, during 2016–2018. Individuals with HCV/HIV coi
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22

Poynten, I. Mary, Fengyi Jin, Suzanne M. Garland, Richard J. Hillman, Monica Molano, Jennifer M. Roberts, David J. Templeton, et al. "HIV, immune dysfunction and the natural history of anal high-risk human papillomavirus infection in gay and bisexual men." Journal of Infectious Diseases, November 21, 2020. http://dx.doi.org/10.1093/infdis/jiaa723.

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Abstract Objectives Incidence of anal cancer is highest in gay and bisexual men (GBM). A better understanding of the natural history of anal high-risk human papillomavirus (HRHPV) infection is needed for anal cancer prevention. Methods The Study of the Prevention of Anal Cancer was a 3-year study of Australian GBM, aged 35 years or older. We examined incidence, clearance and risk factors for 13 HRHPV types tested for at baseline and 3 annual visits. Results In 525 men with ≥ 2 visits, 348 (66.3%) acquired ≥ 1 incident HRHPV infection. HPV16 incidence rates were similar, but non-16 HRHPV incide
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23

Zwalf, Holly, and Samantha Sperring. "Queer and COVID-19 Positive: Contagion, Suspicion, and Stigma." Anthropologica 63, no. 1 (May 1, 2021). http://dx.doi.org/10.18357/anthropologica6312021356.

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I was one of the earliest cases of COVID‑19 in Australia. When I infected my partner, a trans man with cystic fibrosis, he was nine months pregnant. He birthed the baby during our nine days of forced isolation in hospital, making medical history as the first COVID-positive person to give birth outside of China, and the first documented non-caesarean birth in the world. Unfortunately, this was not the happy event it should have been. Our experiences while in the hospital were deeply traumatic, and since recovery we have been subjected to ongoing stigma. The post-COVID body is “othered” by medic
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24

Farley, Rebecca. "The Word Made Flesh." M/C Journal 2, no. 3 (May 1, 1999). http://dx.doi.org/10.5204/mcj.1754.

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1997 was a bad year for celebrities. Deng Xiao Ping and Mother Teresa died of old age, Gianni Versace was shot, Princess Diana killed in a car accident, John Denver's plane crashed, Michael Hutchence hung himself and Sonny Bono died in a skiing accident. In each case, the essence of the news story is the extinguishment of life and the consequent extinction of the body. So-called journalism ethics usually prevent photographs of dead bodies (especially when mutilated). However, recently we saw, on the front page of The Courier-Mail, an unnamed Albanian lying in a pool of blood with a clear bulle
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Florescu, Catalina. "Ars Moriendi, the Erotic Self and AIDS." M/C Journal 11, no. 3 (July 2, 2008). http://dx.doi.org/10.5204/mcj.50.

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To Rodica, who died first / To Mircea, who continues me [I]In his book Picturing Health and Illness: Images of Identity and Difference, Sander L. Gilman argues that during the nineteenth century the healthy norm perceived as ugly not only those who were deformed, but also those who were ill, ageing, and/or experienced different bodily “loss of function” (53). In the nineteenth century, how much was medicine responsible for defining ugly as ill, deformed, and getting old, versus beautiful as healthy, and then, for the sake of the community’s health, firmly promoting these ideas? Furthermore, wi
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