It is now accepted that many of the determinants of health and health care are social. This volume offers a philosophical and theoretical frame within which the nature and extent of this might be optimally examined. The analysis is rooted in Roy Bhaskar’s basic and dialectical critical realism, although it draws also on the critical theory of Jurgen Habermas. It purports to provide an ontologically and epistemologically grounded comparative sociology of contemporary health and health care in the twenty-first century. Carrying a fourfold agenda, the volume sets out a dialectical critical realist frame for a comparative sociology of health and health care; it clarifies sociology’s potential and limitations; it suggests a research programme and a series of questions for investigation; and it offers an argument for an action sociology embedded in a dialectical theory of transformative action. This volume will be of interest to students and scholars in the areas of philosophy, sociology and critical realism, as well as those working in health and social care.

In the last quarter of the twentieth century, the ideas that most Americans lived by started to fragment. Mid-century concepts of national consensus, managed markets, gender and racial identities, citizen obligation, and historical memory became more fluid. Flexible markets pushed aside Keynesian macroeconomic structures. Racial and gender solidarity divided into multiple identities; community responsibility shrank to smaller circles. In this wide-ranging narrative, Daniel Rodgers shows how the collective purposes and meanings that had framed social debate became unhinged and uncertain. Age of Fracture offers a powerful reinterpretation of the ways in which the decades surrounding the 1980s changed America. Through a contagion of visions and metaphors, on both the intellectual right and the intellectual left, earlier notions of history and society that stressed solidity, collective institutions, and social circumstances gave way to a more individualized human nature that emphasized choice, agency, performance, and desire. On a broad canvas that includes Michel Foucault, Ronald Reagan, Judith Butler, Charles Murray, Jeffrey Sachs, and many more, Rodgers explains how structures of power came to seem less important than market choice and fluid selves. Cutting across the social and political arenas of late-twentieth-century life and thought, from economic theory and the culture wars to disputes over poverty, color-blindness, and sisterhood, Rodgers reveals how our categories of social reality have been fractured and destabilized. As we survey the intellectual wreckage of this war of ideas, we better understand the emergence of our present age of uncertainty.

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

How did we become so divided and what do we do about it? 'Analytically incisive yet infectiously optimistic, Fractured expertly diagnoses the deepest divisions in our society and provides an urgent manifesto for collective healing.' David Lammy MP This landmark book tackles a deceptively simple idea: the more we spend time with people unlike ourselves, doing things together, the more understanding, tolerant, and even friendly we become. Combining fresh analysis with a wealth of fascinating examples, Jon Yates demonstrates the ways in which our societies have become disconnected, so that most of us spend less and less time with people who are different -- as defined by age, race, or class, earning power or education. By answering a series of surprising questions, Yates reveals a set of truths that will change the way you think about yourself and those around you. What unites the England football team, the iPod and Singapore? How did a city that funded its schools the least become the best place to grow up poor? How did Silicon Valley come from nowhere to dominate the tech industry? How did a village of Italian-Americans become incredibly healthy while smoking cigars, drinking red wine and never exercising? And why is talking to our friends about politics the worst thing we can do for our democracy? Fractured is ultimately an optimistic book, showing convincingly how great people are when they're united in diversity. It argues that the pandemic has created an unprecedented opportunity for us to come together. So we must forge a new 'Common Life' - a set of shared practises and institutions -- that can strengthen the glue that bonds our societies, in all their diversity. For the health of our democracy, our society, and our economy, the time to act is now.

Advances in Research on the Strength and Fracture of Materials: Volume 4—Fracture and Society contains the proceedings of the Fourth International Conference on Fracture, held at the University of Waterloo, Canada, in June 1977. The papers review the social implications of fracture in a wide range of materials, with emphasis on education and politics. This volume is comprised of 22 chapters and opens by discussing fracture and fracture mechanics before introducing the reader to fracture problems in nuclear reactors; plastic flow around a crack under friction and combined stress; crack closure in fatigue crack growth; and the effect of the atomic structure's discreteness on cleavage crack extension in brittle materials. The following chapters explore the physical nature of fracture in composite materials; political and social decision making in relation to fracture, failure, risk analysis, and safe design; and the teaching of fracture in universities. This monograph will be a useful resource for metallurgists, materials scientists, and structural and mechanical engineers.

The starting point of Ann Oakley's fascinating book is the fracture of her right arm in the grounds of a hotel in the USA. What begins as an accident becomes a journey into some critical themes of modern Western culture: the crisis of embodiment and the perfect self; the confusion between body and identity; the commodification of bodies and body parts; the intrusive surveillance and profiteering of medicine and the law; the problem of ageing; and the identification of women, particularly, with bodies - from the intensely ambiguous two-in-one state of pregnancy to women's later transformation into unproductive, brittle skeletons. Fracture mixes personal experience (the author's and other people's) with 'facts' derived from other literatures, including the history of medicine, neurology, the sociology of health and illness, philosophy, and legal discourses on the right to life and people as victims of a greedy litigation system. The book's genre spans fiction/non-fiction, autobiography and social theory.