It authorizes the holder to teach in the area of specialization listed on the credential in the following settings: special day classes, special schools, home/hospital settings, correctional facilities, nonpublic schools and agencies, and resource rooms.
14â16 The neuronal loss in Chagas heart disease has been postulatedto occur predominantly during the acute phase of the infec-tion, with participation of 3 mechanisms: direct parasitism ofneurons, degeneration caused by periganglionic inflamma-tion, and antineuronal autoimmune reaction.nly inthe late 1940s, through improved specific serological tests todetect antibodies against T cruzi, the clinical syndromes ofmegaesophagus, megacolon, and heart failure, by then ofunknown cause, were ascribed to Chagas disease, and the firstreport of cardiac neuronal damage appeared in the literature.
The existence of an indeterminateor latent phase in Chagas disease is to be noted, in whichno clinical symptoms of any importance can be discerned.The patient may remain in this condition for years, withoutreaching the chronic phase of the disease (10).442 PEREIRA ET AL. J. Food Prot., Vol. 72, No. 2 Treatments.reatment for Chagas disease is indicat-ed for the acute phase and recommended for chronic infec-tion that was acquired less than 10 years previously. Thereare two drugs for treatment of the disease: benznidazoleand nifurtimox.