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This manuscript describes the process a group of school nurses used to develop SLVE plans in response to a pandemic. The stress-to-disease association has been well-accepted for some time. However, the understanding of stress exposure contributes to psychological disease progression remains unclear. To test the real-time impact of variable stress exposure on risk-related clinical phenomena and affective disease progression in a high-risk sample of active-duty firefighters. Participants completed weekly diaries reporting stressful event
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