Wednesday, July 21, 2010

Four Recommended Apps for Losing Weight

Image representing iPhone as depicted in Crunc...Image via CrunchBase

LOSEIT (iPod Touch, iPad andiPhone; free)

Tell the app how much weight you want to lose and how many pounds per week you want to take off, and it calculates the amount of calories you can consume each day. LoseIt has a database of 40,000 food items and can also calculate how many calories your daily exercise burns up.

CALORIE COUNTER by FatSecret (works on all platforms; free)

This program works much like LoseIt. But one advantage is that when you enter your basic information, you can sync up with the FatSecret Web site. The site has forums where users can swap ideas about diets, recipes and working out.

TAP & TRACK (iPhone, iPod Touch and iPad; $3.99)

This app costs $4, but users say it’s worth every penny. The program helps you come up with a daily calorie goal and features a large food and exercise database.

WEIGHT WATCHERS MOBILE (iPhone, iPod Touch and iPad, BlackBerry and Windows Mobile 6; subscription required)

If you already follow Weight Watchers or Weight Watchers Online, consider their app or one that can track the points used in their diets. Free for online subscribers, Weight Watchers Mobile lets you track and calculate points and see your weight loss history.


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Wednesday, July 14, 2010

50 Healthy Foods for Under $1 a Pound

If you are what you eat, then I should weigh-in at under $1 a pound.

That's because, as a general rule of thumb, I try to only buy foodstuff that costs under a buck per pound. Under $1 a pound, year-round — that's my grocery shopping mantra.

It's not just because I'm a world-class penny-pincher and smart shopper; believe it or not, it's also about eating healthier. When you look at the USDA "food pyramid," many of the things we should be eating the most of — grains, legumes, fruits and vegetables — happen to cost the least. It's often the stuff that's bad for us (at least in large quantities) — red meat, fatty dairy products, and processed foods high in trans saturated fats — that cost the most, on a per pound basis.

To prove my point, I've put together this list of 50 healthy foods that I've purchased at least once in the last six months for under $1 a pound. First, a few disclaimers about my list-o-fifty:

  • NO, I don't live on another planet or in a part of the country where the cost of living is deflated. In fact, I live and shop in the Washington, DC metro area, which has one of the highest costs of living (and groceries) in the country.
  • NO, I'm not saying that all of these items are available in every store, at all times. But if you shop carefully, you can always find at least some variety of these foods around which to plan your meals. Many of the items on the list (e.g. most root vegetables, bananas, beans, etc.) can usually be purchased for under $1 pound even when not on sale or in-season. Other items on the list were "store specials," and typically would cost more than $1 a pound, and/or they were in-season so cost less.
  • NO, none of the items on my under $1 a pound list are organically grown. The pros/cons of that debate aside, for most people with a limited budget, the choice isn't whether or not to buy expensive organic, it's whether or not to eat highly processed crap like fast food or eat inexpensive healthy foods like those on my list.
  • NO, I'm not saying that by eating only these foods you'll have a complete, healthy diet. But they certainly can be the backbone around which to plan healthy, inexpensive menus for your family.
  • NO, I don't burn up a lot of time and gas by running around to a lot of different grocery stores, and I rarely use coupons. I shop only once every week or two, and I usually shop at only one or two stores. I plan my meals around the-best-of-the-best weekly store specials (aka the "loss-leaders"), the sale items that are usually on the front page of the weekly circular most stores publish. If you're not a creative cook like me, try a website like Delish or Epicurious, where you can enter the ingredients you have to work with and get all kinds of recipes.

So rev-up your shopping cart, but be careful: There's a Green Cheapskate loose on aisle five!

Apples - One a day keeps the cheapskate away.
Asparagus - HUGE store special at 99 cents a pound during Easter week. I bought 10 pounds, blanched it and then froze it.
Bananas - Potassium for pennies.
Barley - A tasty alternative to rice and potatoes.
Beans - (canned or dried) Kidney, pinto, navy, black, red, and many more.
Bok Choy - Steam and serve with a little soy sauce.
Broccoli - Yes, a store special. Usually closer to $2 per pound.
Bulgar Wheat - Try it in pilaf or a tabouleh salad.
Cabbage - Green and red -- I like mine fried.
Cantaloupe - No, sorry, I can't; I'm already married.
Carrots - Raw or steamed; rich in carotenes, a healthy antioxidant.
Celery - Stir fry it for a change.
Chicken - Whole or various parts, on sale.
Chickpeas - AKA garbanzo beans -- mash 'em up as a healthy sandwich spread.
Cornmeal - "Polenta" is all the rage these days, but I loved it 40 years ago when Mom called it "cornmeal mush."
Cucumbers - Try peeling, seeding, and steaming with a little butter and salt.
Daikon Radish - My new favorite raw veggie.
Eggs - Don't overdo them, but eggs provide high quality protein and still cost about $1 per pound. (Plus, there are many eggscellent things you can do with the shells.)
Green Beans - Frozen, but fresh are sometimes on sale for under $1 a pound in-season.
Greens - Kale, mustard, turnip, and collard greens are rich in vitamins and a good source of fiber. Here's how I cook 'em.
Grapes - Store special @ .99 a pound.
Grapefruit - Bake with a little brown sugar on top for a healthy dessert.
Lentils - Perhaps the perfect food -- healthy, cheap, and versatile (think soups, salads, sandwich spreads -- and those are only some of the "s" possibilities).
Liver - Chicken livers usually cost under $1 a pound, and sometimes beef and pork liver can be found in the DMZ ("Dollar Maximum Zone").
Mangoes - High in fiber and vitamins A, B6, and C.
Milk - Yep, on a per-pound basis, milk still costs well under $1 a pound.
Napa Cabbage - Delicious steamed or raw in a salad.
Oatmeal - The good old-fashioned "slow cooking" kind...that takes all of five minutes.
Onions - Try baking them whole in a cream sauce.
Oranges - Frequent sale price when in-season.
Pasta - Store special @ .89 a pound -- I nearly bought them out!
Peanut Butter - Special sale price, but stock up because it usually has a long shelf life.
Pork - Inexpensive cuts of pork frequently go on sale for 99 cents per pound or less; sometimes even ham during the holidays.
Potatoes - White and red - baked, mashed, boiled, broiled, steamed.
Pumpkin - Yes, you can eat the same ones you buy as holiday decorations, and they usually cost under 50 cents a pound.
Rice - White for under $1 a pound; brown, a little more expensive but better for you.
Rutabagas - Hated them as a kid; can't get enough of them now.
Sour Cream - 99 cents on sale, but long shelf life, so stock up. My cucumber awaits.
Spinach - Frozen (but Popeye doesn't care).
Split peas - Add a hambone and make the ultimate comfort soup. Try it in the crock-pot!
Squash - Try baking acorn squash with a little brown sugar.
Sweet corn - Canned, or fresh on the cob, in-season. (Try this recipe for summer corn fritters.)
Tomatoes (canned) - Canned are often better than fresh to use in cooking, and occasionally you can find fresh on sale for under a buck, in-season.
Turkey - A popular bargain priced loss-leader around the holidays -- buy an extra bird and freeze it for later.
Turnips - Make me think of my grandparents, who always grew them.
Watermelon - Whole, in-season melons can sometime cost less than 20 cents a pound if they're on sale and you find a big one.
Wine - Well, at least the stuff I drink - 5 liter box (approximately 11 pounds) for about ten bucks, on sale. (BTW, the beer I drink is even less expensive per pound.)
Yams/Sweet Potatoes - One of the healthiest foods you can eat, and usually available year around for under $1 a pound.
Yogurt - 8-ounce containers on sale two for $1.
Zucchini - OK, they're a type of squash (above). But I love them so much they deserve their own place on the list. Plus they look great in pantyhose.

Now look at all the money you've saved!

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What Caffeine Actually Does to Your Brain

What Caffeine Actually Does to Your BrainFor all of its wild popularity, caffeine is one seriously misunderstood substance. It's not a simple upper, and it works differently on different people with different tolerances—even in different menstrual cycles. But you can make it work better for you.

Photo by rbrwr.

We've covered all kinds of caffeine "hacks" here at Lifehacker, from taking "caffeine naps" togetting "optimally wired." And, of course, we're obsessed with the perfect cup of coffee. But when it comes to why so many of us love our coffee, tea, soda, or energy drink fixes, and what they actually do to our busy brains, we've never really dug in.

What Caffeine Actually Does to Your BrainWhile there's a whole lot one can read on caffeine, most of it falls in the realm of highly specific medical research, or often conflicting anecdotal evidence. Luckily, one intrepid reader and writer has actually done that reading, and weighed that evidence, and put together a highly readable treatise on the subject. Buzz: The Science and Lore of Alcohol and Caffeine, by Stephen R. Braun, is well worth the short 224-page read. It was released in 1997, but remains the most accessible treatise on what is and isn't understood about what caffeine and alcohol do to the brain. It's not a social history of coffee, or a lecture on the evils of mass-market soda—it's condensed but clean science.

What follows is a brief explainer on how caffeine affects productivity, drawn from Buzz and other sources noted at bottom. We also sent Braun a few of the questions that arose while reading, and he graciously agreed to answer them.

Caffeine Doesn't Actually Get You Wired

Right off the bat, it's worth stating again: the human brain, and caffeine, are nowhere near totally understood and easily explained by modern science. That said, there is a consensus on how a compound found all over nature, caffeine, affects the mind.

What Caffeine Actually Does to Your BrainEvery moment that you're awake, the neurons in your brain are firing away. As those neurons fire, they produceadenosine as a byproduct, but adenosine is far from excrement. Your nervous system is actively monitoring adenosine levels through receptors. Normally, when adenosine levels reached a certain point in your brain and spinal cord, your body will start nudging you toward sleep, or at least taking it easy. There are actually a few different adenosine receptors throughout the body, but the one caffeine seems to interact with most directly is the A1 receptor. More on that later.

What Caffeine Actually Does to Your BrainEnter caffeine. It occurs in all kinds of plants, and chemical relatives of caffeine are found in your own body. But taken in substantial amounts—the semi-standard 100mg that comes from a strong eight-ounce coffee, for instance—it functions as a supremely talented adenosine impersonator. It heads right for the adenosine receptors in your system and, because of its similarities to adenosine, it's accepted by your body as the real thing and gets into the receptors.

Update: Commenter dangermou5e reminds us of web comic The Oatmeal's take on adenosine and caffeine. It's concise:

What Caffeine Actually Does to Your Brain

What Caffeine Actually Does to Your BrainMore important than just fitting in, though, caffeine actually binds to those receptors in efficient fashion, but doesn't activate them—they're plugged up by caffeine's unique shape and chemical makeup. With those receptors blocked, the brain's own stimulants, dopamine and glutamate, can do their work more freely—"Like taking the chaperones out of a high school dance," Braun writes in an email. In the book, he ultimately likens caffeine's powers to "putting a block of wood under one of the brain's primary brake pedals."

It's an apt metaphor, because it spells out that caffeine very clearly doesn't press the "gas" on your brain, and that it only blocks a "primary" brake. There are other compounds and receptors that have an effect on what your energy levels feel like—GABA, for example—but caffeine is crude way of preventing your brain from bringing things to a halt. "You can," Braun writes, "get wired only to the extent that your natural excitatory neurotransmitters support it." In other words, you can't use caffeine to completely wipe out an entire week's worth of very late nights of studying, but you can use it to make yourself feel less bogged down by sleepy feelings in the morning.

These effects will vary, in length and strength of effect, from person to person, depending on genetics, other physiology factors, and tolerance. But more on that in a bit. What's important to take away is that caffeine is not as simple in effect as a direct stimulant, such as amphetamines or cocaine; its effect on your alertness is far more subtle.

It Boosts Your Speed, But Not Your Skill—Depending on Your Skill Set

What Caffeine Actually Does to Your BrainJohann Sebastian Bach loved him some coffee. So did Voltaire, Balzac, and many other great minds. But the type of work they did didn't necessarily get a boost from their prodigious coffee consumption—unless their work was so second-nature to them that it felt like data entry.

The general consensus on caffeine studies shows that it can enhance work output, but mainly in certain types of work. For tired people who are doing work that's relatively straightforward, that doesn't require lots of subtle or abstract thinking, coffee has been shown to help increase output and quality. Caffeine has also been seen to improve memory creation and retention when it comes to "declarative memory," the kind students use to remember lists or answers to exam questions.

(In a semi-crazy side note we couldn't resist, researchers have implied this memory boost may be tied to caffeine's effect on adrenaline production. You have, presumably, sharper memories of terrifying or exhilarating moments in life, due in part to your body's fight-or-flight juice. Everyone has their "Where I was when I heard that X died" story, plugging in John F. Kennedy, John Lennon, or Kurt Cobain, depending on generational relatability).

Then again, one study in which subjects proofread text showed that a measurable boost was mainly seen by those who could be considered "impulsive," or willing to sacrifice accuracy and quality for speed. And the effect was only seen in morning tests, indicating the subjects may have either become lightly dependent on caffeine, or were more disposed to such tasks at that time of day.

So when it comes to caffeine's effects on your work, think speed, not power. Or consider it an unresolved question. If we're only part of the way to understanding how caffeine affects the brain, we're a long way to knowing exactly what kind of chemicals or processes are affected when, say, one writes a post about caffeine science one highly caffeinated afternoon.

For a more direct look at what happens to your brain when there's caffeine in your system, we turn to the the crew at Current. They hooked up one of their reporters to a brain monitor while taking on some new caffeine habits, and share their brains on caffeine:

Effectiveness, Tolerance, and Headaches

Why do so many patients coming out of anesthesia after major surgery feel a headache? It's because, in most cases, they're not used to going so long without coffee. The good news? If they wait a few more days, they can start saving coffee again for when they really need it.

The effectiveness of caffeine varies significantly from person to person, due to genetics and other factors in play. The average half-life of caffeine—that is, how long it takes for half of an ingested dose to wear off—is about five to six hours in a human body. Women taking oral birth control require about twice as long to process caffeine. Women between the ovulation and beginning of menstruation see a similar, if less severe, extended half-life. For regular smokers, caffeine takes half as long to process—which, in some ways, explains why smokers often drink more coffee and feel more agitated and anxious, because they're unaware of how their bodies work without cigarettes.

What Caffeine Actually Does to Your BrainAs one starts to regularly take in caffeine, the body and mind build up a tolerance to it, so getting the same kind of boost as one's first-ever sip takes more caffeine—this, researcher can agree on. Exactly how that tolerance develops is not so clear. Many studies have suggested that, just as with any drug addiction, the brain strives to return to its normal function while under "attack" from caffeine by up-regulating, or creating more adenosine receptors. But regular caffeine use has also been shown to decrease receptors for norepinephrine, a hormone akin to adrenaline, along with serotonin, a mood enhancer. At the same time, your body can see a 65 percent increase in receptors for GABA, a compound that does many things, including regulate muscle tone and neuron firing. Some studies have also seen changes in different adenosine receptors when caffeine becomes a regular thing.

Caffeine, it's been suggested, is probably not directly responsible for all these changes. By keeping your brain from using its normal "I'm tired" sensors, though, your caffeine may be causing the brain to change the way all of its generally excitable things are regulated. Your next venti double shot goes a little less far each time, in any case. Photo by zoghal.

A 1995 study suggests that humans become tolerant to their daily dose of caffeine—whether a single soda or a serious espresso habit—somewhere between a week and 12 days. And that tolerance is pretty strong. One test of regular caffeine pill use had some participants getting an astronomical 900 milligrams per day, others placebos—found that the two groups were nearly identical in mood, energy, and alertness after 18 days. The folks taking the equivalent of nine stiff coffee pours every day weren't really feeling it anymore. They would feel it, though, when they stopped.

You start to feel caffeine withdrawal very quickly, anywhere from 12 to 24 hours after your last use. That's a big part of why that first cup in the morning is so important—it's staving off the early effects of withdrawal. The reasons for the withdrawal are the same as with any substance dependency: your brain was used to operating one way with caffeine, and now it's suddenly working under completely different circumstances, but all those receptor changes are still in place. Headaches are the nearly universal effect of cutting off caffeine, but depression, fatigue, lethargy, irritability, nausea, and vomiting can be part of your cut-off, too, along with more specific issues, like eye muscle spasms. Generally, though, you'll be over it in around 10 days—again, depending on your own physiology and other factors.

Update: Commenter microinjectionist offers his own summary of more recent caffeine studies, which offers expanded reasons why caffeine users feel a "morning crash," as well as why your whole body, not just your brain, might feel so bad when you withdraw.

Getting Out of the Habit and Learning to Tame Caffeine

Beyond the equivalent of four cups of coffee in your system at once, caffeine isn't giving you much more boost—in fact, at around the ten-cup level, you're probably less alert than non-drinkers. So what if you want to start getting a real boost from caffeine once again, in a newly-learned, less-dependent way?

What Caffeine Actually Does to Your BrainOur own Jason Fitzpatrick has both intentionally "quit" coffee, as well as just plain run out of coffee. Being the kind of guy who measures his own headaches and discomfort, he suggests measuring your caffeine intake, using caffeine amounts in all your drinks, chocolate, and other "boosting" foods. Wise Bread has a good roundup of caffeine amounts, and the Buzz Vs. The Bulge chart also shows how many calories you'll be cutting if you start scaling back. Once you know your levels, map out a multi-week process of scaling down, and stick to it. Jason also suggests that dependency kicking is a good time to start taking walks, doing breathing exercises, or other mind-clearing things, because, in his experience, their effects are much greater when caffeine is not so much a part of your make-up.

Braun, author of Buzz, sees it the same way, but still uses coffee—strategically, according to our email exchange:

In practical terms, this means that if you'd like to be able to turn to caffeine when you need it for a quick, effective jolt, it's best to let your brain "dry out" for at least several days prior to administration. This is actually my current mode of consumption. I don't regularly drink coffee anymore (gasp).

This from a man who loved (and wore out) his home espresso maker. I love coffee in all its guises. But after 30+ years it wasn't working for me. For one thing, the problem with caffeine is that there are adenosine receptors all over the body, including muscles. For me, that meant that caffeine made me vaguely stiff and sore, and it aggravated a tender lower back that was prone to spasm. But I also just wasn't getting a clean, clear buzz from coffee...I drank so much, so regularly, that drinking an extra cup or two didn't do a helluva lot except, perhaps, make me a little more irritable.

So about a year ago I slowly tapered down, and now I have, if anything, a cup of tea (half black, half peppermint) in the morning. (The amount of caffeine from the black tea isn't enough to wire a gnat.) Not only does my body feel better now, my brain is clean of caffeine, so I really want (or need) a good neural jump-start, I will freely...nay, ecstatically...indulge. Then I stop and let the brain settle again.

That's the theory, anyway...and it's basically true, although I'll freely admit that sometimes I have an espresso or coffee just because it tastes so damned good.

If you'd like Braun's extended takes on caffeine tolerance and withdrawal, along with the advent of energy drinks and caffeine's impact on creativity, you can read our full email interview.

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5 Ways Social Media Helps Promote Good Health

stethoscope image

Alexander B. Howard (@digiphile) is the Government 2.0 Washington Correspondent for O’Reilly Media, where he reports on technology, open government and online civics. He will share open source technology news at theOSCON convention in Portland, Oregon, on July 19-23.

This March, a report on chronic disease and the Internet by the Pew Internet and American Life Project and the California HealthCare Foundation showed that people fighting such illnesses are using social media to find information and connect with others who suffer similar ailments.

While the research showed that people who have chronic illness are less likely, on average, to have Internet access, once they’re online they are more likely to blog about chronic disease and participate in online discussions or other forums. According to the report, “Living with chronic disease is also associated, once someone is online, with a greater likelihood to access user-generated health content such as blog posts, hospital reviews, doctor reviews, and podcasts. These resources allow an internet user to dive deeply into a health topic, using the internet as a communications tool, not simply an information vending machine.”

Finding the right balance between individual privacy rights and community benefit will, however, require online services to thread regulatory needles and provide clear guidance to users about how their information will be used. Below are five examples of online services, platforms or projects that are working to strike that balance, providing a means for patients and citizens to share their experiences.


1. Online Communities and Connections


patientslikeme image

Online forums where people voluntarily share data about symptoms, environmental conditions, sources of infection, mechanics of injury or other variables continue to grow, and there are now dozens of other social media health websites to explore.

As Claire Cain Miller wrote in the New York Times earlier this year, online social networks bridge gaps for the chronically ill. And as Stephanie Clifford wrote last year, online communities like Eons or MyWayVillage can provide a reason to “keep going” for elderly patients that are isolated by geography.

The same characteristics that make social media a meaningful way for distributed populations to communicate, extend social media’s utility to those searching for a community of people with similar health conditions. The poster child for this trend is PatientsLikeMe, which now has over 65,000 members. While patients turning to social media worries some doctors, their value to certain populations is substantial. As Clay Shirky observed recently in the Wall Street Journal: “PatientsLikeMe has assembled a larger group of sufferers of Lou Gehrig’s disease than any pharmaceutical agency in history, by appealing to the shared sense of seeking medical progress.” Similarly targeted websites, like social networks oriented towards diabetes patients, have also become increasingly popular.

Sharing information about personal health does carry inevitable privacy considerations for those whose conditions might expose them to discrimination in the workplace or a community. Hospitals, clinics and other entities that hold such medical data, for instance, operate under tough privacy restrictions. These restrictions govern the use and storage of data as mandated by the Health Insurance Portability and Accountability Act (HIPAA) of 1996. Thomas Goetz wrote eloquently about these tradeoffs in a 2008 New York Times Magazinefeature article about PatientsLikeMe, including the business model behind the site.

In aggregate, the potential benefits provided to fellow patients through analysis of such data may well outweigh those privacy risks, especially for those who suffer from diseases or conditions that traditional medical research has not paid great attention to. For instance, this spring Emily Singer reported in Technology Review thatPatientsLikeMe had predicted a drug outcomebefore the medical journal Lancet Neurology published a study showing the same result.


2. Twitter, Telemedicine and Hello Health


As reported last year in the New York Times, medicine in the age of Twitter now incorporates social media that goes beyond stethoscopes and sterile waiting rooms. While some doctors won’t even answer patient emails, others have taken to social media with gusto, such as Dr. @PaulineChen, the surgeon who authored the article. Dr. Christian Sinclair, a physician from Kansas City Hospice, is another example. Dr. Sinclair tweets as@ctsinclair and blogs about palliative care on his blog.

A major challenge for Dr Chen and other physicians lies in the void of formal training for social media. Dr. Daniel Sands (@DrDannySands), a physician at Beth Israel Deaconess Medical Center in Boston, Mass. co-authoredthe first set of guidelines published on using e-mail in patient care in 1997. In a profoundly public medium, doctor-patient confidentiality isn’t in the prescription pad nor locked in the inbox. New practices that combine health information technology and social media are springing up that rely on the discretion of the physicians.Hello Health, a paperless practice based in Brooklyn, New York uses telemedicine, email, IM, video chats and Twitter to communicate with patients after an initial visit. Dr. @SeanKhozin and Dr. @JayParkinson, who practice at Hello Health, tweet frequently. Dr. Parkinson’s talk on the future of medicine from this spring’s Gov 2.0 Expo is embedded below:

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3. Socializing Community Health Data


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This spring, the United States Department of Health and Human Services took a step towards making community health information as useful as weather data. When used to power health apps, the release of community health data could unlock business value similar to what happened with GPS data a generation ago.

Community health data is being mashed up by Google, integrated into Bing, and visualized by Palantir. It will also be the focus of an upcoming “Health 2.0 Developer Challenge,” featuring a series of code-a-thons and team competitions. It’s further spawned “Community Clash,” a Web-based game that engages players to compare healthcare statistics for different cities around the country. Community Clash includes a social media component that pulls in a “Health Twiver” based upon healthcare-related keywords from the geographic regions compared, adding a real-time window into the communities in question.


4. Healthcare Wikis


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While Twitter, Foursquare and Facebook may be grabbing most of the social media headlines of the moment, relatively old forms of social media like wikis continue to play a major role in online healthcare communities. As Jenna Wortham reported in the New York Times last year, Medpedia is a collaborative encyclopedia for health care that combines information from medical professional with forums for engagement with consumers. Medpedia was created in association with Harvard Medical School, the Stanford School of Medicine, The University of Michigan Medical School, the UC Berkeley School of Public Health, and more than a hundred other health organizations around the world.

Launched in February 2009, the platform now has thousands of medical professionals contributing to its pages and has added many new features, including sections for clinical trials, answers, news alerts and analysis.

In late June 2010, Medpedia launched RareSpace, “an online knowledge sharing platform designed in partnership with the R.A.R.E. Project and the Children’s Rare Disease Network to advance research and share information about the rare childhood diseases that affect 22.5 million American families.”


5. Open Source and Connecting Healthcare Communities


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Long before Friendster, Facebook, Twitter and MySpace connected hundreds of millions of people, listservs allowed distributed online communities to collaborate on open source projects like the code for the Apache Webserver software. Brian Behlendorf, one of the primary developers of Apache, started an electronic mailing list in the mid-90s to coordinate the work of the other programmers.

More than a decade later, Behlendorf is now involved in another ambitious project: Developing and expanding an open source software gateway that allows healthcare practitioners to exchange health-related information calledCONNECT. In 2010, those working on the project can use more than an electronic mailing list to collaborate; they also have access to a blog, developer forums, a wiki to submit code and an issue tracking dashboard for bugs.

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