On 2 May 2005, the Chief of Staff, Army, approved the creation of the CAB to provide special recognition to soldiers who personally engage, or are engaged by the enemy. HQDA Letter 600-05-1, dated 3 June 2005, announced the establishment of the Combat Action Badge.
First of all, in some lupus patients (as in people without lupus), stress may cause no direct or indirect effects. Stress, however, may affect a person with lupus in one of three ways.1  Stress may cause the same reactions that can occur in any person who does not have lupus.2  Stress can be associated with (precipitate or initiate) the first appearance of their lupus. Stress may cause the same reactions that can occur in any person who does not have lupus. 2  Stress can be associated with (precipitate or initiate) the first appearance of their lupus. 3  Stress may be associated with a flare-up of their already existing disease.
Lupus is a lifelong disorder of the immune system. Immune cells attack the body's own healthy tissues, leading to inflammation and tissue damage. Symptoms may be limited to the skin, but more often lupus also causes internal problems such as joint pain.In severe cases, it can damage the heart, kidneys, and other vital organs.Although there's no cure, there are treatments that can minimize the damage.his may lead to painful breathing, or chest pain, or it may not cause any symptoms at all. Sometimes lupus causes chest pain that is not related to the lungs or the heart. Instead, the pain comes from an inflamed chest muscle or rib joint. Any chest pain should be promptly evaluated by a doctor.