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Storage and transport of blood samples the samples for determination of blood lead levels may be stored at room tempera ture for several days order femcare overnight delivery. If they are to be stored for longer periods (more than 5 days) they should be refrigerated buy generic femcare 100mg online. Choice of laboratory and analysis When choosing a laboratory it should be established whether qualified support for sampling buy femcare 100 mg with amex, storage and transport is offered. It must be clear that the laboratory is will ing to provide assistance in the interpretation of the analytical results if this should be necessary. To check the quality of the analysis and if the results do not seem plausi ble, identical samples of whole blood should be sent to another certified laboratory for a repeat analysis. Biomonitoring should be carried out with reliable methods and meet quality control requirements (see Appendix 1 "Biomonitoring"). Some of the lead taken up by the body is bound in the bones as the tertiary phosphate (lead depot). Decisive for the reduction of the biological threshold value to 400 g/l were effects on the central nervous system (brain). It had been demonstrated that even at blood lead concentrations below 700 g/l functional disorders developed including im 74 Guidelines for Occupational Medical Examinations pairment of perceptiveness, learning, memory, concentration and attentiveness as well as other parameters of cognitive performance, motor functions and personality changes. Schedule general medical examination special medical examination medical assessment and advice at follow-up examinations in unclear cases supplementary examination 76 Guidelines for Occupational Medical Examinations 1 Medical examinations Occupational medical examinations are to be carried out for persons exposed at work to levels of alkyllead compounds which could have adverse effects on health. Persons who have worked for long periods in lead works and have taken up large amounts of lead or who have already suffered from lead poisoning. Follow-up examination See initial examination and persons with clear signs of lead poisoning or for whom it is strongly suspected and persons with a total urinary lead level of more than 50 g/l until the symp toms have regressed 2. Such conditions could include technical protective measures organizational protective measures, e. Employees are to be informed about the biomonitoring results and about the poten tial prenatal toxicity and the toxic effects of the alkyllead compounds on reproduc tion. G 3 Employees should be informed about general hygienic measures and personal pro tective equipment. If during the course of his work in the company the occupational physician finds in dications that the risk assessment should be brought up to date to improve health and safety standards, he is to inform the employer. When this is necessary, the interests of the employee are to be protected (medical confidentiality).