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sleep deprivation, which might interfere with mood state, al- specific tasks for every team member. Delegation of medical
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though the mood state fatigue was not statistically significant. responsibility to nonmedical personnel is feasible in extreme
environmental circumstances. The MEPE model seems to de-
The team performance, and thereby the goal, could also be scribe a solid basis for planning of military and other expedi-
influenced by social cohesion and performance scores. Higher tions. Additional research should focus on implementation of
cohesion is associated with top-level classifications among this model in commercial expeditions.
soccer teams. The mean scores during different time points in
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the expedition were very high, even though the representabil- Financial Disclosures
ity of the scores can be argued. On the other hand, individuals’ The authors have indicated they have no financial relation-
targets superseding those of the team goals, and micromanage- ships relevant to this article to disclose.
ment by the expedition leader can also interfere with the tasks
of the climbing teams. The mission command in this complex Author Contributions
environment and dynamic team structure, including local All authors approved the final manuscript.
knowledge and embedding Sherpas in the decision process,
have contributed to the success. The solidarity behavior, as References
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Preparation is essential for a successful expedition, including
80 | JSOM Volume 18, Edition 4 / Winter 2018

