This paper uses recent accidents and incidents to identify the systemic causes of fatigue in military operations. At a strategic and tactical level, it is argued that inadequate risk assessments and a lack of ‘joined up’ planning often leave soldiers in situations where they are likely to make errors of commission and omission. At an operational level, fatigue has an insidious effect on the int...

Fatigue is an extremely common complaint among patients with chronic disease. However, because of the subjective nature of fatigue, and the lack of effective therapeutics with which to treat fatigue, this symptom is often ignored by clinicians, who instead focus on hard, objective disease end-points. Recently, the symptom of fatigue has received greater attention as part of overall health-relat...

There are many examples of health care organizations that have morphed from the culture of low expectation to the culture of excellence. Ethically, to not drive to excellence means that we are settling from knowingly allowing harm to happen on our watch. The leader's obligation is to create that sonic boom that Black and Gregersen (2008) describe to break up the old mind maps, to create the mov...

Participatory guarantee systems (PGS) are locally-rooted agroecological governance mechanisms primarily designed to meet the needs of local producers for product certification and cooperative sales. They have experienced periodic waves interest in different places throughout globe. There is a small but rich growing scholarship devoted understanding how they managed, sustained, what factors pred...

Drowsiness is the state where a person is almost asleep or very lightly asleep. It refers to an inability to keep awake. In this thesis drowsiness and sleepiness are considered synonymous, but the term drowsiness will be used. Another concept commonly used is fatigue, which is an extreme tiredness that comes from physical or mental activity. Drowsiness can also be described by the grade of wake...