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Local commissioners and providers of healthcare have a responsibility to enable the guideline to be applied when individual professionals and people using services wish to use it. They should do so in the context of local and national priorities for funding and developing services, and in light of their duties to have due regard to the need to eliminate unlawful discrimination, to advance equality of opportunity and to reduce health inequalities. Nothing in this guideline should be interpreted in a way that would be inconsistent with complying with those duties.

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The Romans are credited with the invention of the first smoke-free heating system in Western Europe: the hypocaust. Until recently, historians had assumed that its technology was largely lost after the collapse of the Roman Empire. In fact, however, it lived on in large parts of Europe, and was further developed into the “heat storage hypocaust”, an underground furnace on top of which granite stones would be piled, to then release hot air through vents in the floor. By this means, a room could be kept warm for days with just one firing of the hypocaust's furnace. Continue reading "Heat Storage Hypocausts: Air Heating in the Middle Ages" »

Some critics imply or explicitly argue that vegetables and fruits are inherently all heavily concentrated sources of carbohydrates (so much so that some sources treat the words 'vegetable' and 'carbohydrate' as synonymous). [54] While some fruits may contain relatively high concentrations of sugar, most are largely water and not particularly calorie-dense. Thus, in absolute terms, even sweet fruits and berries do not represent a significant source of carbohydrates in their natural form, and also typically contain a good deal of fiber which attenuates the absorption of sugar in the gut. [55] Lastly, most of the sugar in fruit is fructose, which has a reported negligible effect on insulin levels in obese subjects. [56]

To be low

to be low

Some critics imply or explicitly argue that vegetables and fruits are inherently all heavily concentrated sources of carbohydrates (so much so that some sources treat the words 'vegetable' and 'carbohydrate' as synonymous). [54] While some fruits may contain relatively high concentrations of sugar, most are largely water and not particularly calorie-dense. Thus, in absolute terms, even sweet fruits and berries do not represent a significant source of carbohydrates in their natural form, and also typically contain a good deal of fiber which attenuates the absorption of sugar in the gut. [55] Lastly, most of the sugar in fruit is fructose, which has a reported negligible effect on insulin levels in obese subjects. [56]

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