1. Continuing Medical Education Programs Dr. Anika Niambi Al-Shura, Lecturer Copyright 2014 Niambi Wellness. All rights reserved

2. Integrative Study of Hematology in Cardiology Copyright 2014 Niambi Wellness. All rights reserved

3. This course is approved by the following agencies: National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) for 9 PDA points and Florida State Board of Acupuncture for 10 CEUs. The companion textbook: Hematology in Traditional Chinese Medicine Cardiology must be ordered at www.elsevier.com Copyright 2014 Niambi Wellness. All rights reserved

5. This course briefly covers the basic sciences of blood and immune system from the Western medicine and Traditional Chinese Medicine perspectives. The focus is on laboratory values for diagnosing and monitoring cardiovascular diseases. Copyright 2014 Niambi Wellness. All rights reserved Course Description

6. Course Objectives Understand the 5 parts of blood and blood development, genetic blood disorders found in cardiovascular diseases, essence, qi and blood, the immune system including the TCM 6 stages and 4 levels. Learn the laboratory results and values used for diagnosing and management. Copyright 2014 Niambi Wellness. All rights reserved

8. Course Modules Copyright 2014 Niambi Wellness. All rights reserved

9. Module 1: Basic Anatomy and Physiology Module 2: Red Blood Cells Module 3: Integrative Immune System Copyright 2014 Niambi Wellness. All rights reserved

11. Module 2 Red Blood Cells Copyright 2014 Niambi Wellness. All rights reserved

12. Chapter 3: Red Blood Cell Development Chapter 4: Hemaglobin Contents Copyright 2014 Niambi Wellness. All rights reserved

14. Chapter 3: Red Blood Development Copyright 2014 Niambi Wellness. All rights reserved

15. Part 1: Red Blood Cell Development Part 2: Answers to text book questions Contents Copyright 2014 Niambi Wellness. All rights reserved

17. Part 1:Red Blood Development Copyright 2014 Niambi Wellness. All rights reserved

18. The cells develop in the bone marrow where erythropoietin (EPO) assists in the formation and later the potential for accumulation of oxygen on its surface. Copyright 2014 Niambi Wellness. All rights reserved

19. There are eight stages in the development of a red blood cell where gradually through each stage the cell increases in size and volume of cytoplasm. Copyright 2014 Niambi Wellness. All rights reserved

20. HemocytoblastMyeloid Unipotent stem cellErythroblast PolychromatophilicOrthochromatophilic normoblast Reticulocyte Copyright 2014 Niambi Wellness. All rights reserved

21. Composition of Blood Copyright 2014 Niambi Wellness. All rights reserved

22. Plasma Platelets White blood cells Red blood cells

23. Copyright 2014 Niambi Wellness. All rights reserved

24. Part 2: Textbook Answers Copyright 2014 Niambi Wellness. All rights reserved

25. #1 Mature erythrocytes circulate for about 100- 120 days. #2 4-5 million #3 5-6 million Copyright 2014 Niambi Wellness. All rights reserved Answer block

26. Copyright 2014 Niambi Wellness. All rights reserved

27. Chapter 4: Hemaglobin Copyright 2014 Niambi Wellness. All rights reserved

28. Part 1: Protein Subunits Part 2: Answers to text book questions Contents Copyright 2014 Niambi Wellness. All rights reserved

30. Part 1: Protein Subunits Copyright 2014 Niambi Wellness. All rights reserved

31. Hemoglobin (Hgb) is the protein in blood which is rich in iron and gives it the red color. Copyright 2014 Niambi Wellness. All rights reserved

32. It makes up about 95% of a red blood cell and has an oxygen binding capacity of 1.34 mL O2/g, which satisfies the need for the average adult consumption of 250 mL of oxygen per minute. Copyright 2014 Niambi Wellness. All rights reserved

33. Part 2: Textbook Answers Copyright 2014 Niambi Wellness. All rights reserved

34. #1 Mature erythrocytes circulate for about 100-120 days. #2 4-5 million #3 5-6 million Copyright 2014 Niambi Wellness. All rights reserved Answer block #4 oxygen #5 carbon dioxide #6 nitric oxide #7 hydrogen

35. #8 Christian Bohr was a Danish Physician who discovered the Bohr effect in 1904. Copyright 2014 Niambi Wellness. All rights reserved Answer block

36. Copyright 2014 Niambi Wellness. All rights reserved Module 2 Review Questions

37. Complete the Module 2 review interactive practice quiz. Copyright 2014 Niambi Wellness. All rights reserved

39. Please continue on to Module 3 Copyright 2014 Niambi Wellness. All rights reserved