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Highlights of Egypt
About Egypt
Dig deep and discover the riches of Egypt's geography, culture, and, of course, archaeology, on this epic adventure. Step into a world filled with giant statues, temples, and legendary pyramids. Take it easy as you float along the Nile on a traditional felucca, explore the white sands of Hurghada on the Red Sea, or enjoy a home-cooked meal with a local family. Our Chief Experience Officers (CEOs) and local experts will share an intriguing combination of the region's attractions and hidden secrets. Meet the gaze of the Sphinx and get into the spirit of bygone times when travelling to the Valley of the Kings.
What's Included
Your Local Living Moment: Boat ride to Nubian Village with Traditional Meal, Aswān
Your Discover Moment: Aswān
Your Local Living Moment: Lunch with a Local Family, Luxor. Pyramids of Giza and Sphinx entrance and guided tour. Egyptian Museum entrance and guided tour. Felucca overnight sailing excursion with support boat. Karnak and Kom Ombo temples entrance and guided tour. Temple of Hatshepsut and Valley of the Kings guided visit. Colossi of Memnon visit. Alexandria guided tour. Boat and snorkelling trip in Hurghada. Internal flights. All transport between destinations and to/from included activities
Explore ancient temples and monuments, gaze at the pyramids and mysterious Sphinx, spend the night on a felucca, connect with history on the streets of Alexandria, explore the coral gardens of the Red Sea, take a tour of the Catacombs of Komel-Shokafa
Dossier Disclaimer
The information in this trip details document has been compiled with care and is provided in good faith. However it is subject to change, and does not form part of the contract between the client and the operator. The itinerary featured is correct at time of printing. It may differ slightly to the one in the brochure. Occasionally our itineraries change as we make improvements that stem from past travellers, comments and our own research. Sometimes it can be a small change like adding an extra meal along the itinerary. Sometimes the change may result in us altering the tour for the coming year. Ultimately, our goal is to provide you with the most rewarding experience. Please note that our brochure is usually released in November each year. If you have booked from the previous brochure you may find there have been some changes to the itinerary.
VERY IMPORTANT: Please ensure that you print a final copy of your Trip Details to review a couple of days prior to travel, in case there have been changes that affect your plans.
Itinerary Disclaimer
While it is our intention to adhere to the route described below, there is a certain amount of flexibility built into the itinerary and on occasion it may be necessary, or desirable to make alterations. The itinerary is brief, as we never know exactly where our journey will take us. Due to our style of travel and the regions we visit, travel can be unpredictable. The Trip Details document is a general guide to the tour and region and any mention of specific destinations or wildlife is by no means a guarantee that they will be visited or encountered. Aboard expedition trips visits to research stations depend on final permission.
Additionally, any travel times listed are approximations only and subject to vary due to local circumstances.
Important Notes
If you arrive a day or two early in Cairo and wish to do some excursions, we recommend that you wait until you get to the joining hotel and contact our local staff for more information on available tours and excursions. Tourists are frequently over-charged for excursions bought from vendors on the street or at the airport.
Please be aware that there are some long driving days on this tour. You can refer to the detailed trip itinerary for more information on estimated travel times. Please note that any times mentioned are approximations only to give you an idea of the journey lengths and the actual time taken will depend on factors such as public transport timetables and road conditions. A mix of private and public transport is used throughout this trip.
According to the lunar cycle, Ramadan will fall between May 5th and June 4th, 2019. Please note that Ramadan is a month of fasting observed by Muslims throughout the world, during which time the followers of Islam should not eat or drink between sunrise and sunset. There may be some limitations to services and disruptions to schedules during Ramadan, but generally our tours still operate effectively during this period and food is available to non-Muslims throughout the day. It is very important to display increased cultural sensitivity during Ramadan. Please wear loose fitting clothes, that cover knees and shoulders, and try to avoid eating, drinking or smoking in public out of respect for those who can't at that time.
US Dollars that are series 1996 or earlier are not accepted and very difficult to change in regions of East and Southern Africa, as there are a lot of forgeries in circulation.
Feluccas are very basic traditional Nile sailboats and make for an extremely relaxing and enjoyable way to travel down the river. You sleep on the deck of the boat (mattresses and blankets are provided, but if you prefer something between you and the blankets, you will need a sleep sheet/sleeping bag liner of your own). Please note that the Felucca itself does not have toilets or showers, however we will have access to a private support boat, travelling in close proximity to our Felucca. This support boat is equipped with toilets and a shower (please bring a towel) and an area to eat your meals, leaving you stress free to enjoy this tranquil and traditional experience on the Nile. Feluccas are traditional wind-driven sailing craft, and therefore subject to the unpredictability of wind, weather and river traffic conditions on the Nile. We will do our best to follow published itineraries, but they must be considered tentative in all cases. We reserve the right to modify or cancel any sailing itinerary as conditions warrant. In case of insufficient wind, weather danger or difficult river traffic conditions on the Nile or through the Nile locks, we reserve the right to transport passengers between some sites by motor vehicle on land, in order to be able to keep up with the itinerary.
Looking to add to your experience? Check out our Extras! Specially designed for travellers with unique interests, theme packs are optional add-ons to your G adventures trip that make your adventure more you-centric. Extras must be booked prior to departure, please see details in our optional activities field and ask you sales CEO.
Please note, an Assumption of Risk is to be signed at the time of confirming your tour.
Please note that this trip is part of a combination of multiple tours. As such, the CEO, staff and/or particular vehicles operating your tour may change between tour segments. You may also expect some group members to join or leave the tour, between tour segments.
Group Leader Description
This G Adventures group trip is accompanied by one of our group leaders. The aim of the group leader is to take the hassle out of your travels and to help you have the best trip possible. They will provide information on the places you are travelling through, offer suggestions for things to do and see, recommend great local eating venues and introduce you to our local friends. While not being guides in the traditional sense you can expect them to have a broad general knowledge of the countries visited on the trip, including historical, cultural, religious and social aspects. We also use local guides where we think more specific knowledge will add to the enjoyment of the places we are visiting – we think it's the best of both worlds.
Group Size Notes
Max 15, avg 12.
Meals Included
13 breakfasts, 3 lunches, 3 dinners
Eating is a big part of traveling. Travelling with G Adventures you experience the vast array of wonderful food that is available out in the world. Generally meals are not included in the trip price when there is a choice of eating options, to give you the maximum flexibility in deciding where, what and with whom to eat. It also gives you more budgeting flexibility, though generally food is cheap. Our groups tend to eat together to enable you to taste a larger variety of dishes and enjoy each other's company. There is no obligation to do this though. Your CEO will be able to suggest favourite restaurants during your trip. The above information applies to G Adventures group trips. For Independent trips please check the itinerary for details of meals included. For all trips please refer to the meals included and budget information for included meals and meal budgets.
Private air-conditioned van, train, felucca, plane, 4×4, walking.
About our Transportation
On this trip we will use a mixture of overnight train, private van, felucca, donkey, and plane. For more information see the detailed itinerary.
Local Flights
All local flights are included in the cost of your tour unless otherwise noted. It is important that we have your passport information at the time of booking in order to process these tickets. Internal flight tickets are issued locally and will be given to you prior to the flight departure.
Domestic carriers for internal flights in Egypt will be Egypt Air or Nile Air. Flight information will not be available until a couple of days prior to the tour departure.
The domestic flight maximum weight allowance is 20 kg.
Solo Travellers
We believe solo travellers should not have to pay more to travel so our group trips are designed for shared accommodation and do not involve a single supplement. Single travellers joining group trips are paired in twin or multi-share accommodation with someone of the same sex for the duration of the trip. Some of our Independent trips are designed differently and solo travellers on these itineraries must pay the single trip price.
Simple hotels (11 nts), sleeper train (1 nt), felucca with support boat for toilet/showers (1 nt).
My Own Room Exceptions
Day 2 (overnight train), Day 5 (felucca stay).
About Accommodation
On this trip you can expect to stay in local hotels or pensions (with the exception of the start and finish hotels, which are often larger city hotels), which will vary a little in standard and facilities: some may not have elevators, air-conditioning or English-speaking staff, but most importantly all are in excellent central locations to give you maximum time for exploring the sights.
Joining Hotel
For details of your joining hotel please refer to your tour voucher, G Account, the G Adventures App or contact your travel agent.
Joining Instructions
If this is your first visit to Cairo, we highly recommend that you book an airport transfer. Unfortunately there are quite a number of scams and rackets waiting to greet new arrivals, and they begin at the airport.
We recommend that you exit the airport before finding a taxi and negotiate directly with the driver. Official airport taxis cost approximately 250 to 280 EGP but you should be able to find a regular taxi to take you for between 150 to 200 EGP (approx USD 17-20). The drive can take anywhere between 20 minutes and 1 hour depending on the time of day and subsequent traffic conditions. Taxis do not have meters and you should expect to bargain with the driver and make sure you fix a price before you get into the car and set off. Do not pay more than the agreed price (unless it is a small tip for good service).
There will also be "limosine" service available which will inevitably cost more.
If you have paid in advance for an arrival transfer, a G Adventures representative will be at the airport to meet you holding a G Adventures sign with your name on it. They will meet you inside the airport before immigration as they are all licensed airport representatives. There could be many signs at this rendezvous point, so please check carefully for your name.
If for any reason you are not met at the airport, please call our local support line. If you are unable to make contact for whatever reason, please make your way to the joining point hotel via taxi. Unfortunately there have been cases of people mis representing themselves as G Adventures representatives. Please check that your driver knows your name and the hotel you are going to. If in doubt ask them to ring their manager to confirm your transfer.
Please note that Day 1 is an arrival day and no activities have been planned for that day other then your welcome meeting in the evening, so you can arrive at any time. Similarly the last day is a departure day during which no activities have been planned.
A G Adventures Representative will organize a short meeting soon after arrival, during which you will meet other tour participants and receive information about general and specific aspects of the trip. A welcome note will be left for you in the hotel so you have all the necessary information regarding the meeting time. If you arrive late, s/he will leave you a message detailing what time and where you should meet the next morning.
Arrival Complications
We don't expect any problems, and nor should you, but if for any reason you are unable to commence your trip as scheduled, please refer to the emergency contact details provided in this dossier and contact us as soon as possible. If you have a pre-booked transfer, and you have not made contact with our representative within 30 minutes of clearing customs and immigration, we recommend that you make your own way to the Starting Point hotel, following the Joining Instructions. Please apply to your travel agent on your return for a refund of the transfer cost if this occurs.
Emergency Contact
Should you need to contact us during a situation of dire need, it is best to first call either the G Adventures Local Representative (if one is listed below) or our G Adventures Local Office. If for any reason you do not receive an immediate answer, please leave a detailed message and contact information, so they may return your call and assist you as soon as possible.
If you have purchased an arrival through G Adventures or if an arrival transfer is included in the cost of your tour, please note that:
Your arrival transfer has been arranged based on flight information provided to us. If you are advised of a flight schedule change within 48 hours of your scheduled arrival time, we will do our best to rearrange your arrival transfer however we cannot guarantee this. If your arrival transfer does not arrive within 30 minutes after you have exited the arrivals area please take a taxi to your start point hotel.
G Adventures Local Representative (Cairo, Egypt)
During office hours (Sun-Thu,10am to 6pm local time): +20 233 77 88 30 or +20 233 77 88 31
After hours Emergency number: +20 122 221 16 99 (Mohammed)
G Adventures Middle East Manager
Emergency number: : +20 122 221 16 99 -Mohammed (Cairo, Egypt)
If you are unable for any reason to contact our local office, please call the numbers listed below, which will connect you directly with our 24 hour Sales team, who will happily assist you.
Toll-free, North America only: 1 888 800 4100
Calls from UK: 0344 272 0000
Calls from Germany: 0800 365 1000
Calls from Australia: 1 300 796 618
Calls from New Zealand: 0800 333 307
Outside North America, Australia, New Zealand, Germany and the UK: +1 416 260 0999
Finishing Point Instructions
We are able to organize extra accommodation post-trip should you require it. Please enquire at the time of booking.
What to Take
We recommend using a backpack for your convenience, or a medium-sized suitcase if you prefer. A daypack is also essential for carrying everyday items. Space is limited on transportation, so there is a limit of one main piece of luggage per person. You will be responsible for carrying your own luggage.
It is important to pack clothes for warm to hot days and cool evenings. A set of smart casual clothes is also advisable.
Packing List
Conservative Dress:
• Modest clothing that covers knees and shoulders (Long pants, long skirts, shirts that cover shoulders)
• Shawl or scarf (for temple visits)
• Flight info (required) (Printouts of e-tickets may be required at the border)
• Insurance info (required) (With photocopies)
• Passport (required) (With photocopies)
• Required visas or vaccination certificates (required) (With photocopies)
• Vouchers and pre-departure information (required)
• Binoculars (optional)
• Camera (With extra memory cards and batteries)
• Cash, credit and debit cards
• Day pack (Used for daily excursions or short overnights)
• Ear plugs
• First-aid kit (should contain lip balm with sunscreen, sunscreen, whistle, Aspirin, Ibuprofen, bandaids/plasters, tape, anti-histamines, antibacterial gel/wipes, antiseptic cream, Imodium or similar tablets for mild cases of diarrhea, rehydration powder, water purification tablets or drops, insect repellent, sewing kit, extra prescription drugs you may be taking)
• Flashlight/torch (Headlamps are ideal)
• Fleece top/sweater
• Footwear
• Hat
• Locks for bags
• Long pants/jeans
• Moneybelt
• Outlet adapter
• Personal entertainment (Reading and writing materials, cards, music player, etc.)
• Reusable water bottle
• Shirts/t-shirts
• Sleepwear
• Small travel towel
• Sunglasses
• Toiletries (Preferably biodegradable)
• Watch and alarm clock
• Waterproof backpack cover
• Windproof rain jacket
Warm Weather:
• Sandals/flip-flops
• Shorts/skirts (Longer shorts/skirts are recommended)
• Sun hat/bandana
• Swimwear
Note: It is recommended to bring warmer layers for your overnight on the felucca during the winter months (Nov-Feb). You may wish to bring a sleeping bag for these months as well.
Laundry facilities are offered by some of our hotels for a charge. There will be times when you may want to or have to do your own laundry so we suggest you bring non-polluting/biodegradable soap.
Visas and Entry Requirements
Many nationalities including all Western European and Arab countries, USA, Australia and New Zealand are able to obtain a one-month single entry visa on arrival at Cairo International airport or at the Egyptian land border. On arrival if you plan to purchase an entry visa you must pay in cash. You will have the option of paying with US Dollars (USD), the British Pound (GBP) or in Euro's (EUR). The visa fee is 25 USD or the equivalent to your currency.
Egyptian pounds and credit cards are not accepted as payment methods when obtaining your Egyptian entry visa. Please bring USD, GBP or EUR in cash to pay for visa. Look for windows (marked "banks") selling these visas in the area where you line up to have your passport stamped. You need to get the visa before entering the passport line. The visa is a sticker which you need to stick into your passport before handing it to the authorities for stamping.
Please note that for other nationalities it is necessary to organise your visa before you travel. It is vital that you check the conditions attached to your particular passport and make the necessary arrangements in advance. All countries require a valid passport (with a minimum 6 months validity). Contact your local embassy, or consulate for the most up-to-date visa requirements, or see your travel agent. It is your own responsibility to have the correct travel documentation. Visa requirements for your trip will vary depending on where you are from and where you are going. We keep the following information up to date as far as possible, but rules do change and sometimes without warning. While we provide the following information in good faith, it is vital that you check yourself and understand that you are fully responsible for your own visa requirements.
Egypt now has the Egypt Online Visa, or Egypt e-Visa, a new electronic travel authorization system for citizens of eligible countries wishing to travel to Egypt for tourism. An e-Visa for Egypt can be obtained through an online application without the need to visit the embassy. The following nationalities are eligible for the Egypt e-Visa:
Albania, Australia, Austria, Belgium, Bulgaria, Canada, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Italy, Japan, Latvia, Lithuania, Luxembourg, Macedonia, Malta, Moldova, Monaco, Montenegro, Netherlands, North Korea, Norway, Poland, Portugal, Romania, Russia, Serbia, Slovakia, Slovenia, South Korea, Spain, Sweden, Switzerland, United Kingdom, United States, Ukraine, The Vatican
Eligible applicants can apply for the e-Visa from this link:
The e-Visa for Egypt is a single or multiple-entry visa, allowing its allowing its holder to visit the country for a maximum duration of 30 days. It is valid to use for a period of 3 months and eligible for travellers wishing to Egypt for tourism purposes.
Spending Money
Every traveller is different and therefore spending money requirements will vary. Some travellers may drink more than others while other travellers like to purchase more souvenirs than most. Please consider your own spending habits when it comes to allowing for drinks, shopping and tipping. Please also remember the following specific recommendations when planning your trip.
Money Exchange
The currency used in Egypt is the Egyptian Pound (EGP).
ATMs are found within main cities in Egypt and will generally accept cards on the Visa and Mastercard networks. It is a great idea to travel with both a Visa and Mastercard if at all possible as while there is no hard and fast rule, some banks seem to only work with one brand of card. Please note, your bank will change a fee for overseas withdrawals.
Cash is recommended for times when ATMs are not accessible. Euros, British Pounds and US Dollars are all easy to exchange to the Local currency. Please note that you should bring some cash with you for emergency situations but carrying only cash is a high safety risk. ATM card/s and some cash is the ideal mix.
If you are bringing US Dollars, please make sure that the notes are new and in good condition. Notes older than 1996, or with any tears or blemishes may not be accepted. Be fussy with your bank when buying cash!
As currency exchange rates can fluctuate often we ask that you refer to the following website for daily exchange rates: www.xe.com
Emergency Fund
Please also make sure you have access to at least an additional USD $200 (or equivalent) as an 'emergency' fund, to be used when circumstances outside our control (ex. a natural disaster) require a change to our planned route. This is a rare occurrence!
Departure Tax
Departure tax is usually included in your air tickets. If you depart Egypt via Nuweiba Port, there is a departure tax of approximately 9 USD.
Tipping (also widely referred to by its Arabic term as "baksheesh") is a way of life in the Middle East. Locals themselves will usually tip anyone who provides them with services. In many cases, people depend on the tips they receive to supplement the low salary and wages of the Middle East region.
While on tour in the Middle East, it is customary and even expected to tip small service providers such as restaurant and bar waiters, hotel staff, reception, cleaning personnel, bell boys, taxis and van drivers. Tips are regarded as an essential means of supplementing income for those working in the tourism industry.
To make things as easy as possible and avoid embarrassing situations, G Adventures has developed a tipping kitty system where your CEO will collect a contribution from everybody at the start of your tour and use this kitty to tip anybody who has provided services to the group as a whole. A guideline for tipping is about $5-10 USD per day, depending on the quality of the service (this does not include your G Adventures CEO). On Day 1 of your tour, your CEO will be able to advise on the amount required from everybody to form the tipping kitty for your trip. You can pay in USD or the equivalent Egyptian pound (preferably Egyptian pounds). The CEO will be able to advise you on the exchange rate and the total required in either currency
If at any time you feel that any service provider failed in maintaining or delivering good service, please bring it immediately to the attention of your CEO so a deduction of tips can take place.
At the end of your trip if you felt that your G Adventures CEO did an outstanding job, tipping is also expected and appreciated. The precise amount is entirely a personal preference, however $35-40 USD per person per week can be used as a general guideline.
Optional Activities
- Entrance into the Pyramids (100-360EGP per person)
- Egyptian Museum Mummy Room (180EGP per person)
- Solar Boat Museum Visit (100EGP per person)
- Tour of Aswan (1300EGP per person)
- Souk Visit (Free)
- Philae Temple Visit (1000EGP per person)
- Philae Temple Sound and Light Show (1050EGP per person)
Abû Simbel
- Abu Simbel Visit (Bus)
- Bazaar Visit (Free)
- Tomb of Tutankhamun Visit (250EGP per person)
Please note inoculations may be required for the country visited. It is your responsibility to consult with your travel doctor for up to date medical travel information well before departure.
DRINKING WATER: It is advisable to drink bottled water in Egypt.
There are no specific health requirements for this trip. However, we recommend protection against typhoid, tetanus, infectious hepatitis and polio. Though malaria does exist in Egypt, it is not normally found in the areas where we travel. You should consult your doctor for up-to-date medical travel information before departure. We recommend that you carry a First Aid kit and hand sanitizers / antibacterial wipes, as well as any personal medical requirements. Please be aware that we are in remote areas and away from medical facilities for some time during this trip, and for legal reasons our leaders are prohibited from administering any type of drug including headache tablets, antibiotics, etc.
Safety and Security
Many national governments provide a regularly updated advice service on safety issues involved with international travel. We recommend that you check your government's advice for their latest travel information before departure. We strongly recommend the use of a neck wallet or money belt while travelling, for the safe keeping of your passport, air tickets, travellers' cheques, cash and other valuable items. Leave your valuable jewelery at home – you won't need it while travelling. Many of the hotels we use have safety deposit boxes, which is the most secure way of storing your valuables. A lock is recommended for securing your luggage. When travelling on a group trip, please note that your group leader has the authority to amend or cancel any part of the trip itinerary if it deemed necessary, due to safety concerns. Your Chief Experience Officer (CEO) will accompany you on all included activities. During your trip you will have some free time to pursue your own interests, relax and take it easy and explore at your leisure. While your CEO will assist you with options available in a given location, please note that any optional activities you undertake are not part of your itinerary, and we offer no representations about the safety of the activity or the standard of the operators running them. Please use your own good judgement when selecting an activity in your free time. Although the cities visited on tour are generally safe during the day, there can be risks to wandering throughout any major city at night. It is our recommendation to stay in small groups and to take taxis to and from restaurants, or during night time excursions.
Water based activities have an element of danger and excitement built into them. We recommend only participating in water based activities when accompanied by a guide(s). We make every reasonable effort to ensure the fun and adventurous element of any water based activities (in countries with varying degrees of operating standards), have a balanced approach to safety. It is our policy not to allow our CEOs to make arrangements on your behalf for water based activities that are not accompanied by guide(s).
Swimming, including snorkeling, is always at your own risk. Read more about travel safety for ways to further enhance your personal safety while traveling.
Trip Specific Safety
Like anywhere in the world, major cities have areas safer than others, use common sense, be aware of your surroundings and mind your personal belongings.
A Couple of Rules
Illegal drugs will not be tolerated on any trips. Possessing or using drugs not only contravenes the laws of the land but also puts the rest of the group at risk. Smoking marijuana and opium is a part of local culture in some parts of the world but is not acceptable for our travellers. Our philosophy of travel is one of respect towards everyone we encounter, and in particular the local people who make the world the special place it is. The exploitation of prostitutes is completely contrary to this philosophy. Our group leader has the right to expel any member of the group if drugs are found in their possession or if they use prostitutes.
Travel Insurance
Travel insurance is compulsory in order to participate on any of our trips. When travelling on a group trip, you will not be permitted to join the group until evidence of travel insurance has been sighted by your leader, who will take note of your insurance details. When selecting a travel insurance policy we require that at a minimum you are covered for medical expenses including emergency evacuation and repatriation. A minimum coverage of USD200,000 is required. G Adventures can provide you with the appropriate coverage. We strongly recommend that the policy also covers personal liability, cancellation, curtailment and loss of luggage and personal effects. Some tours include adventure activities that require extra coverage (e.g. crampon use); please review your itinerary and make sure that you are covered for all included activities. If you have credit card insurance we require proof of purchase of the trip (a receipt of credit card statement) with a credit card in your name. Contact your bank for details of their participating insurer, the level of coverage and emergency contact telephone number.
Planeterra-The G Adventures Foundation
The Planeterra Foundation planeterra.org is a Canadian non-profit organization that helps empower local people to develop their communities, conserve their cultures, and create humane and supportive systems for their endeavours. Planeterra provides capacity building and catalyst grants to get community social enterprises off the ground. These businesses address local challenges by providing benefits for indigenous people, empowering marginalized women, and granting disadvantaged youth access to education, employment, and brighter futures. Planeterra also works to ensure these businesses have a thriving customer base by integrating programs into G Adventures' itineraries globally.
G Adventures is Planeterra's largest corporate donor, covering all operating costs so 100% of your donation will bring opportunity to people in need.
Dollar-a-Day Program
G Adventures' Dollar-a-Day Program provides travellers with the opportunity to give back to the people and places visited on our tours by donating one dollar for every day you are on trip. 100% of these donations go directly to support community development projects worldwide that are implemented by Planeterra.
Local Dress
While visiting mosques and other religious monuments you should dress modestly, cover your shoulders and you shouldn't wear short shorts or skirts. Outside of capital cities and the more touristic centres, local dress is often more conservative and as a matter of respect we ask that both men and women are aware of this and recommend loose-fitting clothes with your shoulders covered. Ask your CEO for more specific advice.
After your travels, we want to hear from you! Your feedback information is so important to us that we'll give you 5% off the price of your next G Adventures trip if your feedback is completed on-line within 30 days of finishing your trip. Your tour evaluation will be e-mailed to you 24 hours after the conclusion of your trip. If you do not receive the tour evaluation link in the days after your tour has finished, please drop us a line at firstname.lastname@example.com and we will send it on to you.
Our adventure travel e-newsletter is full of travel news, trip information, interesting stories and contests. To avoid missing out on special offers and updates from G Adventures, subscribe at www.gadventures.com/newsletters/
Stay current on how our company invests in our global community through our foundation – Planeterra. Sign up for Planeterra's monthly news to learn more about how to give back and support the people and places we love to visit.
Minimum Age
You must be 18 to travel unaccompanied on a G Adventures tour. For minors travelling with a guardian over 21 years old, the minimum age is 12.
International Flights
Check-in times and baggage allowances/restrictions vary by airline and can change at any time. For the most up-to-date information for your flight, please contact your airline. We recommend checking in online in advance to avoid potential delays at the airport.
Max Pax
Day 1 Cairo
There are no planned activities until an evening welcome meeting.
Additional Notes:
If this is your first visit to Cairo, we highly recommend that you book an airport transfer.
Included Activities:
Arrival Day and Welcome Meeting
Day 2 Cairo/Aswān (1B, 1D)
Head straight to the pyramids and soak in the history of these majestic structures. Later, visit the Egyptian Museum to see more ancient artifacts.
In the evening, board an overnight train to Aswan. The overnight train is a modern air-conditioned sleeper, with twin-berth beds. There is no shower in the cabin, but each cabin does have a sink. The shared toilet is at the end of each carriage. A basic airline-style tray meal for dinner and breakfast is included. Attendants can serve drinks in your compartment at extra cost or there is a bar car for socializing.
Included Activities:
Great Pyramids of Giza and Sphinx Tour
Egyptian Museum Visit
Overnight train (beds) (12.00 hour(s))
Day 3 Aswān (1B, 1D)
Our train is due to arrive in Aswan early in the morning, but, trains can often be delayed. Enjoy some free time in the morning to browse the souk or walk along the Nile.
Later, board a boat to reach one of the many Nile islands and visit a Nubian village. Walk around the small community, then enjoy a traditional dinner at a local home.
Included Activities:
Boat ride to Nubian Village with Traditional Meal
Day 4 Aswān (1B)
One of the most fascinating sights in the area is the Temple of Abu Simbel. Later, opt for a half-day tour of the Unfinished Obelisk, High Dam, and Philae Temple. Visit the modern Nubian Museum to learn more about Aswan's local people.
Day 5 Aswān/Kom Ombo (1B, 1L, 1D)
Board the felucca and spend the rest of the day out on the river and a night under the stars.
Feluccas are a basic, traditional Nile sailboat and make for an extremely relaxing and enjoyable way to travel down the river. You sleep, open-air on the deck of the boat (mattresses and blankets are provided, but if you prefer something between you and the blankets, you will need to bring a sleep sheet/sleeping bag liner of your own). The Felucca itself does not have toilets or showers, however we will have access to a private support boat, travelling in close proximity to our Felucca. This support boat is equipped with toilets and a shower (please bring a towel) and and an area to eat your meals, leaving you stress free to enjoy this tranquil and traditional experience on the Nile.
Included Activities:
Felucca Overnight Sailing Excursion
Day 6 Kom Ombo/Luxor (1B)
Enjoy a guided visit Kom Ombo Temple before driving to Luxor. En route, visit the Temple of Karnak.
Included Activities:
Kom Ombo Temple Visit
Karnak Temple Visit
Stop en route to visit the Karnak Temple.
Private Vehicle (4.00 hour(s))
Day 7 Luxor (1B, 1L)
Cross to the West Bank. Visit the massive 18m (59ft)-high Colossi of Memnon, which is all that remains of an ancient temple. Descend down the narrow corridors and check out the tombs of the pharaohs at the Valley of the Kings. The Funerary Temple of Queen Hatshepsut literally seems to rise out of the surrounding limestone outcrops.
Enjoy lunch with a local family on the West bank of the Nile and then explore Luxor at your own pace.
Included Activities:
Colossi of Memnon Visit
Valley of the Kings, Temple of Hatshepsut, and Colossi of Memnon Visit
Lunch with a Local Family
Private Vehicle
Day 8 Luxor/Hurghada (1B)
After arriving in Hurghada, prepare to spend the next few days soaking in the tranquility of it's white sand beaches, and the rich marine environment of the Red Sea.
Private Vehicle (4.00-5.00 hours, 320km)
Day 9 Hurghada (1B, 1L)
The Red Sea is a global hotspot for snorkelling, thanks to it's crystal clear waters and incredible aquatic ecosystems. Explore the rich coral reefs and be overwhelmed with the amount of colourful coral and fish you encounter.
Included Activities:
Giftun Island Snorkelling Excursion
Day 10 Hurghada (1B)
With an entire free day, there's a great opportunity to explore the surrounding area by foot or camel. There's numerous desert and city tours available, or another relaxing day on the beach to suit your tastes.
Day 11 Hurghada/Alexandria (1B)
Travel by plane and private car to Alexandria, one of the ancient world's most important trade and cultural hubs. Explore it's many Greek, Roman and Egyptian ruins as you walk in the footsteps of some of histories greatest heroes.
Included Activities:
Monasteries of Wadi Natrun Visit
Plane (1.00 hour(s))
Private Vehicle (4.00 hour(s))
Day 12 Alexandria (1B)
Prepare for a full day of exploring the many historical wonders of Alexandria. Delve into the Catacombs of Kom ash-Shuqqafa, marvel at the resolute Citadel of Qaitbay, and explore the grounds of Pompey's Pillar, one of Egypt's most impressive Roman architectural works.
Included Activities:
Pompey's Pillar Visit
Catacomb of Kom ash-Shuqqafa Visit
Fort Qaitbay Visit
National Museum Visit
Day 13 Alexandria/Cairo (1B)
As we travel from Alexandria to Cairo, take a stop at the El Alamein World War memorials, and learn more about the pivotal battles that changed the course of the war in Africa. Afterwards, continue on to the bustling metropolis of Cairo.
Included Activities:
El Alamein Memorial Visit
Private Vehicle (2.00-3.00 hours)
Private Vehicle (4.00-5.00 hours)
Day 14 Cairo (1B)
Depart at any time.
Included Activities:
Departure Day


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Welcome to the new CommScope.com experience. Need help? Get Help
OTT services are here to stay. Amazon, Apple, Hulu, Netflix, Sony VUE, HBO Go and others deliver relevant value to today's consumer. OTT is a formidable contender in today's content experience, not only because it offers unique content or allows consumers the ability to binge-watch, but because it enables them to watch what they want, where they want, when they want. OTT is a new kind of convenience.
And its successful appeal to consumers has three major repercussions: consumers are using more bandwidth; they are viewing less conventional programming and in some cases, they're shaving, or even cutting, the cord.
The opportunity in entertainment delivery is taking a strategic position to these trends. And that requires deciding how to be a true service provider vs. a pipe provider.
As a service provider, the focus becomes how to maintain a relationship as the trusted curator of subscribers' viewing experience: How to make their lives simpler, how to enable users to access outside content sources—but through a branded user experience that gives consumers choices, but enables them to stay within a familiar, unified experience.
In order to offer this experience, service providers will need to consider how to integrate the OTT experience into their entertainment delivery platform, how to upgrade their networks to support the uptick in bandwidth use, and how to evolve their headend to deliver the next generation of IP Video.
That's where ARRIS can help. ARRIS offers service providers the ability to determine where they are, where they're going, and where they should invest. Our leading portfolio and experience with network and CPE technology and global deployments of all sizes can light the path forward and keep subscribers loyal, in the face of OTT… or whatever's next. .

subset: commoncrawl


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Mark Gonzales reports Josh Phegley will not play in the AFL and will be replaced by Jason Bour. No reason was given for Phegley's leaving.
Gonzales has a couple of minor-league coach updates too. First, Pete Rose Jr. will coach the Bristol Sox. Second, Ernie Young is leaving his post as the Kannapolis Intimidators' coach to coach the West Michigan Whitecaps (Detroit's low-A affiliate) and he is expected to be replaced by Tommy Thompson.
UPDATE: CSN's Kevin Czerwinski has more regarding Josh Phegley. He says "blood tests revealed that his condition had not improved enough for him to continue playing." Phegley battled ITP syndrome throughout the season.
Best of luck to Josh.


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Today's businesses are arming themselves with technology to help them stay competitive and to scale for the future. Vitralogy has designed and built a Service Validation tool that works "in-line" with your current work order management system, or as it's own standalone intelligent maintenance solution for any trade or service that needs to be monitored.
Intelligent workflows integrate with new technologies like artificial intelligence, weather data integration, near field communications, asset tagging, and even service automation in ways that work for your business. There is no off-the-shelf software that can solve all the challenges your business will face. Vitralogy can help you to reinvent every part of your business.
Our industry experts can help you to build a smarter enterprise, avoid disruptions, reduce costs and reinvent your business for the future. Having the right technology is important. Having a partner who is truly aligned with you and your business is essential.


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With a month to go before 'World Water Week' takes place in Stockholm from 1-6 September, IUCN Water gears up for a busy agenda of seminars and events at the annual water conference.
This year the Stockholm World Water Week will focus on Water Cooperation and Building Partnerships, in line with the 2013 UN designated International Year of Water Cooperation. Each year over 2500 experts and practitioners from the water sector and related industries gather at Water Week to discuss issues and solutions for the world's most urgent water resource challenges.
With an expected world population of more than 9 billion people by 2050, who depend on the same finite water resources as today, our inter-dependence increases every day. In designating 2013 as the International Year of Water Cooperation, the international community recognized that cooperation is essential to secure a balance between different needs and priorities, and share water resources equitably across borders. Promoting water cooperation implies an interdisciplinary approach bringing in scientific, political, legal, institutional and economic dimensions.
The conference programme will also focus on the Post 2015 Development Agenda whereby the achievements of the Millennium Development Goals (MDGs) are reviewed and a process of developing a new set of Sustainable Development Goals (SDGs) is initiated. As an outcome of the Rio+20 conference, the concluding document clearly stated water as a key area for achieving sustainable development and thus an important part of the upcoming SGDs and post 2015 development framework.
IUCN, with its partners and Members, has been working through the BRIDGE (Building River Dialogue and Governance) project on improving water cooperation in over 10 basins worldwide and over the past year, has been heavily involved in the Post2015 Development work. Hence, IUCN Water will be very present and engaged in this year's World Water Week with organising seminars and side events, participating in workshops, launching new publications, as well as hosting a booth in the exhibition centre where our knowledge products will be promoted and disseminated.
A full programme of IUCN events is available for downloading from here.
For more information on IUCN's participation at the Stockholm World Water Week, please contact firstname.lastname@example.com


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Operation Flashpoint Pack (pc game)
0 out of 5 (not yet rated)
- Digital Download (1)
There is 1 shop proposing this game for download at an average price of $ 14.72. We found the best promotion ongoing with a discount of 8%.
No classic box available at the moment.
Games included in this package*:
* Prices indicated when the game is sold as a separate unit.


text: home page The latest Jewish News Read this week's digital edition Click Here More issues 1147 February 27, 2020, 9:15 am Edit Facebook Twitter email Print This week's Jewish News front page Get The Jewish News Daily Edition by email and never miss our top stories Free Sign Up Facebook Twitter email Print Spotlight Communicated Content The weight is over…thanks to AFitterMe! By Deborah Cicurel Getting the Max By Brigit Grant Celebrate good times at Jewish News' Big Event 2019! Masa Israel: A year to make a difference By Deborah Cicurel Photographer Jonny Baker: An eye for fashion! By Francine Wolfisz Cask your eyes on this! The Whisky Event returns Whisky business! The art of inspiring vulnerable children By Jewish News Reporter Are you getting the Holocaust compensation you deserve? By Deborah Cicurel Lasting Power of Attorney Aviv Appeal By Brigit Grant Study in Israel, learn in English with Bar Ilan University By Deborah Cicurel Grab a slice of the ultimate living experience with Gindi TLV WIZO UK celebrates 100 years of changing lives and building futures An invitation to inspiration – It's the Big Event 2018! By Jewish News A small school with big dreams Enjoy Southern Africa with Mmilo Tours The perfect luxury getaway By Judy Elkus All hands to the pump! Whisky business! By Richard Cawthorne comments


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Inflation boosts payouts to retired feds, Social Security recipients
WASHINGTON - Federal retirees, Social Security recipients, military retirees and beneficiaries of several other government programs will receive an increase of 1.5 percent in their benefits in January.
The cost-of-living adjustment, or COLA, is based on a figure announced this Wednesday by the Labor Department, reflecting inflation over the 12 months ending in September.
Joseph Beaudoin, president of the National Active and Retired Federal Employees Association, called the COLA "welcome news for countless Americans who rely on the increase to keep up with the rising price of food, housing, transportation and medical care."
As of October 2012, there were 1,933,062 federal retirees, about three-fourths of them drawing benefits from the Civil Service Retirement System, which generally applies to those hired into the government before 1984.
The average monthly CSRS benefit was $3,181 for retirees. For those receiving benefits under the newer Federal Employees Retirement System, the average retiree annuity was $1,175. The figures don't take into account the 1.7 percent inflation adjustment paid in January of this year.
That means the COLA translates into an average monthly increase of about $50 under CSRS and $20 under FERS; however, with some exceptions, FERS doesn't pay COLAs to retirees younger than 62.
In addition, there were 576,467 survivor beneficiaries with an average benefit of $1,446 per month under CSRS and $484 under FERS as of last October, the most recent accounting of federal retirement figures.
While civil service retirement benefits on average are lower under FERS, those under that system also pay into Social Security and receive benefits from that program. Social Security is not part of the CSRS system, and while CSRS retirees may be eligible for Social Security through other employment, those benefits may be relatively low and typically are subject to an offset that further reduces their value.
The COLA for retirees is determined separately from the raise for active employees.
A 1 percent raise for employees is in the works. That raise, which would be the first increase in salaries since 2010, would take effect in early January, varying somewhat by agency pay cycles; it would not go to members of Congress.
Beaudoin said the inflation measure the government uses to set the COLA understates cost increases experienced by retirees, who spend a larger percentage of their incomes on health care than the general population. The average enrollee premium for the health plan that covers federal employees and retirees will rise by 4.4 percent in 2014.
He urged that Congress reject proposals to switch to the "chained" consumer price index measure designed to take into account changes in buying patterns and that would produce slightly lower annual COLA figures. Instead, an inflation measure that better reflects spending by older persons should be used, he said in a statement.
COLAs on civil-service benefits, though not on Social Security payments, are prorated for those on the retirement rolls less than a year.
The annual COLA announcement was delayed two weeks because of the partial government shutdown this month.


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Ahhhh… Voice acting. Games these days need it. Unless you're making a retro-styled, soon-to-be-showered-with-critical-Praise Indie Game, it's pretty tough to tell a story without it. Even the most money tight budget titles I've played in the last two years have featured pretty passable voice acting. But it wasn't always so Kids. And it was doubly-wasn't so for Japanese games.
There's a lot of reasons we could list for this. Different cultures; Hiring educational translation firms to read your lines for you; or Even just getting the one one fat, American programmer that's on your Japanese-Based development team to do 80% of the characters. There's a lot of methods at fault for the wackiness Japan has peed all over our consoles, like some kind of (probably) Japanese originating fetish or gameshow. But lets not look at the end results as bad, so much as we look at them as Awesome. Think about it, won't you? Thank you.


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This page contains Cheats for Yo-Kai Watch 3 organized by sections for 3DS. This game has "Role-Playing" as genre, made by Level 5, released on Jul 16, 2016. If you can't find a hint or secret in our list, then please check this page periodically for the latest updates.
- Developer: Level 5
- Publisher: Level 5
- Genre: Role-Playing
- Release: Jul 16, 2016
- ESRB: Not Set
Game Walkthroughs
If you know cheat codes, secrets, hints, glitches or other level guides for this game that can help others leveling up, then please Submit your Cheats and share your insights and experience with other gamers.
So I had chose little charmer in story mode for yo kai 3 and I need silver lining to complete the legend circle, how can I get him...
Stuck in this game? Set a specific, clearly defined question and let other gamers answer your question or view answers to previously asked questions. If you think you are an expert then please try to help others with their questions.
- Miles And Kilo, (3DS)
- Tinboy, (3DS)
- Bricks Pinball 2, (3DS)
- Quarters, Please! Vol. 2, (3DS)
- Bricks Defender 2, (3DS)
- Tank Onslaught, (3DS)
- Maze Breaker 2, (3DS)
- Pinball Breaker 6, (3DS)
- Inazuma Eleven Go Galaxy: Supernova, (3DS)
- Disney Magical World, (3DS)
- Team Kirby Clash Deluxe, (3DS)
- Inazuma Eleven 3: Team Ogre Attacks!, (3DS)
- New Style Boutique 2 - Fashion Forward, (3DS)
- LBX: Little Battlers Experience, (3DS)
- Persona Q2, (3DS)
- Monster Hunter XX: Double Cross, (3DS)
- Inazuma Eleven Go: Light, (3DS)


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NEW YORK (AP) — U.S. stocks are ending sharply lower after disappointing results from online retailer Amazon.com and more trouble in overseas markets.
The declines are capping a tough month for the U.S. stock market, which had its worst January in four years.
The Dow Jones industrial average fell 149.76 points, or 0.9 percent, to close at 15,698.85 on Friday. The Standard & Poor's 500 index slipped 11.60 points, or 0.7 percent, to 1,782.59 The Nasdaq dropped 19.25 points, or 0.5 percent, to 4,103.88.
Amazon.com fell $44.32, or 11 percent, to $358.69. Its results fell below what Wall Street was expecting.
Earlier, investors were unnerved by lower-than-expected inflation in the eurozone, which showed the recovery is still weak there.
Currencies for several emerging-market countries also fell against the dollar.


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Table of Contents
Diabetes mellitus is a condition in which the pancreas no longer produces enough insulin or cells stop responding to the insulin that is produced, so that glucose in the blood cannot be absorbed into the cells of the body. Symptoms include frequent urination, lethargy, excessive thirst, and hunger. The treatment includes changes in diet, oral medications, and in some cases, daily injections of insulin.
Diabetes mellitus is a chronic disease that causes serious health complications including renal (kidney) failure, heart disease, stroke, and blindness. Approximately 17 million Americans have diabetes. Unfortunately, as many as one-half are unaware they have it.
(Illustration by GGS Information Services/Thomson Gale.)
Every cell in the human body needs energy in order to function. The body's primary energy source is glucose, a simple sugar resulting from the digestion of foods containing carbohydrates (sugars and starches). Glucose from the digested food circulates in the blood as a ready energy source for any cells that need it. Insulin is a hormone or chemical produced by cells in the pancreas, an organ located behind the stomach. Insulin bonds to a receptor site on the outside of cell and acts like a key to open a doorway into the cell through which glucose can enter. Some of the glucose can be converted to concentrated energy sources like glycogen or fatty acids and saved for later use. When there is not enough insulin produced or when the doorway no longer recognizes the insulin key, glucose stays in the blood rather entering the cells.
The body will attempt to dilute the high level of glucose in the blood, a condition called hyperglyce-mia, by drawing water out of the cells and into the bloodstream in an effort to dilute the sugar and excrete it in the urine. It is not unusual for people with undiag-nosed diabetes to be constantly thirsty, drink large quantities of water, and urinate frequently as their bodies try to get rid of the extra glucose. This creates high levels of glucose in the urine.
At the same time that the body is trying to get rid of glucose from the blood, the cells are starving for glucose and sending signals to the body to eat more food, thus making patients extremely hungry. To provide energy for the starving cells, the body also tries to convert fats and proteins to glucose. The breakdown of fats and proteins for energy causes acid compounds called ketones to form in the blood. Ketones also will be excreted in the urine. As ketones build up in the blood, a condition called ketoa-cidosis can occur. This condition can be life threatening if left untreated, leading to coma and death.
Types of diabetes mellitus
Type I diabetes, sometimes called juvenile diabetes, begins most commonly in childhood or adolescence. In this form of diabetes, the body produces.
little or no insulin. It is characterized by a sudden onset and occurs more frequently in populations descended from Northern European countries (Finland, Scotland, Scandinavia) than in those from Southern European countries, the Middle East, or Asia. In the United States, approximately three people in 1,000 develop Type I diabetes. This form also is called insulin-dependent diabetes because people who develop this type need to have daily injections of insulin.
Brittle diabetics are a subgroup of Type I where patients have frequent and rapid swings of blood sugar levels between hyperglycemia (a condition where there is too much glucose or sugar in the blood) and hypoglycemia (a condition where there are abnormally low levels of glucose or sugar in the blood). These patients may require several injections of different types of insulin during the day to keep the blood sugar level within a fairly normal range.
The more common form of diabetes, Type II, occurs in approximately 3–5% of Americans under 50 years of age, and increases to 10–15% in those over 50. More than 90% of the diabetics in the United States are Type II diabetics. Sometimes called age-onset or adult-onset diabetes, this form of diabetes occurs most often in people who are overweight and who do not exercise. It is also more common in people of Native American, Hispanic, and African-American descent. People who have migrated to Western cultures from East India, Japan, and Australian Aboriginal cultures also are more likely to develop Type II diabetes than those who remain in their original countries.
Type II is considered a milder form of diabetes because of its slow onset (sometimes developing over the course of several years) and because it usually can be controlled with diet and oral medication. The consequences of uncontrolled and untreated Type II diabetes, however, are the just as serious as those for Type I. This form is also called noninsulin-dependent diabetes, a term that is somewhat misleading. Many people with Type II diabetes can control the condition with diet and oral medications, however, insulin injections are sometimes necessary if treatment with diet and oral medication is not working.
Another form of diabetes called gestational diabetes can develop during pregnancy and generally resolves after the baby is delivered. This diabetic condition develops during the second or third trimester of pregnancy in about 2% of pregnancies. In 2004, incidence of gestational diabetes were reported to have increased 35% in 10 years. Children of women with gestational diabetes are more likely to be born prematurely, have hypoglycemia, or have severe jaundice at birth. The condition usually is treated by diet, however, insulin injections may be required. These women who have diabetes during pregnancy are at higher risk for developing Type II diabetes within 5–10 years.
Diabetes also can develop as a result of pancreatic disease, alcoholism, malnutrition, or other severe illnesses that stress the body.
The causes of diabetes mellitus are unclear, however, there seem to be both hereditary (genetic factors passed on in families) and environmental factors involved. Research has shown that some people who develop diabetes have common genetic markers. In Type I diabetes, the immune system, the body's defense system against infection, is believed to be triggered by a virus or another microorganism that destroys cells in the pancreas that produce insulin. In Type II diabetes, age, obesity, and family history of diabetes play a role.
In Type II diabetes, the pancreas may produce enough insulin, however, cells have become resistant to the insulin produced and it may not work as effectively. Symptoms of Type II diabetes can begin so gradually that a person may not know that he or she has it. Early signs are lethargy, extreme thirst, and frequent urination. Other symptoms may include sudden weight loss, slow wound healing, urinary tract infections, gum disease, or blurred vision. It is not unusual for Type II diabetes to be detected while a patient is seeing a doctor about another health concern that is actually being caused by the yet undiagnosed diabetes.
Individuals who are at high risk of developing Type II diabetes mellitus include people who:
- are obese (more than 20% above their ideal body weight)
- have a relative with diabetes mellitus
- belong to a high-risk ethnic population (African-American, Native American, Hispanic, or Native Hawaiian)
- have been diagnosed with gestational diabetes or have delivered a baby weighing more than 9 lbs (4 kg)
- have high blood pressure (140/90 mmHg or above)
- have a high density lipoprotein cholesterol level less than or equal to 35 mg/dL and/or a triglyceride level greater than or equal to 250 mg/dL
- have had impaired glucose tolerance or impaired fasting glucose on previous testing
Several common medications can impair the body's use of insulin, causing a condition known as secondary diabetes. These medications include treatments for high blood pressure (furosemide, clonidine, and thiazide diuretics), drugs with hormonal activity (oral contraceptives, thyroid hormone, progestins, and glucocorticorids), and the anti-inflammation drug indomethacin. Several drugs that are used to treat mood disorders (such as anxiety and depression) also can impair glucose absorption. These drugs include haloperidol, lithium carbonate, phenothia-zines, tricyclic antidepressants, and adrenergic agonists. Other medications that can cause diabetes symptoms include isoniazid, nicotinic acid, cimetidine, and heparin. A 2004 study found that low levels of the essential mineral chromium in the body may be linked to increased risk for diseases associated with insulin resistance.
Symptoms of diabetes can develop suddenly (over days or weeks) in previously healthy children or adolescents, or can develop gradually (over several years) in overweight adults over the age of 40. The classic symptoms include feeling tired and sick, frequent urination, excessive thirst, excessive hunger, and weight loss.
Ketoacidosis, a condition due to starvation or uncontrolled diabetes, is common in Type I diabetes. Ketones are acid compounds that form in the blood when the body breaks down fats and proteins. Symptoms include abdominal pain, vomiting, rapid breathing, extreme lethargy, and drowsiness. Patients with ketoacidosis will also have a sweet breath odor. Left untreated, this condition can lead to coma and death.
With Type II diabetes, the condition may not become evident until the patient presents for medical treatment for some other condition. A patient may have heart disease, chronic infections of the gums and urinary tract, blurred vision, numbness in the feet and legs, or slow-healing wounds. Women may experience genital itching.
Diabetes is suspected based on symptoms. Urine tests and blood tests can be used to confirm a diagnose of diabetes based on the amount of glucose found. Urine can also detect ketones and protein in the urine that may help diagnose diabetes and assess how well the kidneys are functioning. These tests also can be used to monitor the disease once the patient is on a standardized diet, oral medications, or insulin.
Urine tests
Ketones in the urine can be detected using similar types of dipstick tests (Acetest or Ketostix). Ketoaci-dosis can be a life-threatening situation in Type I diabetics, so having a quick and simple test to detect ketones can assist in establishing a diagnosis sooner.
Another dipstick test can determine the presence of protein or albumin in the urine. Protein in the urine can indicate problems with kidney function and can be used to track the development of renal failure. A more sensitive test for urine protein uses radioactively tagged chemicals to detect microalbuminuria, small amounts of protein in the urine, that may not show up on dipstick tests.
Blood tests
FASTING GLUCOSE TEST. Blood is drawn from a vein in the patient's arm after a period at least eight hours when the patient has not eaten, usually in the morning before breakfast. The red blood cells are separated from the sample and the amount of glucose is measured in the remaining plasma. A plasma level of 7.8 mmol/L (200 mg/L) or greater can indicate diabetes. The fasting glucose test is usually repeated on another day to confirm the results.
POSTPRANDIAL GLUCOSE TEST. Blood is taken right after the patient has eaten a meal.
ORAL GLUCOSE TOLERANCE TEST. Blood samples are taken from a vein before and after a patient drinks a thick, sweet syrup of glucose and other sugars. In a non-diabetic, the level of glucose in the blood goes up immediately after the drink and then decreases gradually as insulin is used by the body to metabolize, or absorb, the sugar. In a diabetic, the glucose in the blood goes up and stays high after drinking the sweetened liquid. A plasma glucose level of 11.1 mmol/L (200 mg/dL) or higher at two hours after drinking the syrup and at one other point during the two-hour test period confirms the diagnosis of diabetes.
A diagnosis of diabetes is confirmed if there are symptoms of diabetes and a plasma glucose level of at least 11.1 mmol/L, a fasting plasma glucose level of at least 7 mmol/L; or a two-hour plasma glucose level of at least 11.1 mmol/L during an oral glucose tolerance test.
Home blood glucose monitoring kits are available so patients with diabetes can monitor their own levels. A small needle or lancet is used to prick the finger and a drop of blood is collected and analyzed by a monitoring device. Some patients may test their blood glucose levels several times during a day and use this information to adjust their doses of insulin.
There is currently no cure for diabetes. The condition, however, can be managed so that patients can live a relatively normal life. Treatment of diabetes focuses on two goals: keeping blood glucose within normal range and preventing the development of long-term complications. Careful monitoring of diet, exercise, and blood glucose levels are as important as the use of insulin or oral medications in preventing complications of diabetes. In 2003, the American Diabetes Association updated its Standards of Care for the management of diabetes. These standards help manage health care providers in the most recent recommendations for diagnosis and treatment of the disease.
Dietary changes
Diet and moderate exercise are the first treatments implemented in diabetes. For many Type II diabetics, weight loss may be an important goal in helping them to control their diabetes. A well-balanced, nutritious diet provides approximately 50–60% of calories from carbohydrates, approximately 10–20% of calories from protein, and less than 30% of calories from fat. The number of calories required by an individual depends on age, weight, and activity level. The calorie intake also needs to be distributed over the course of the entire day so surges of glucose entering the blood system are kept to a minimum.
Keeping track of the number of calories provided by different foods can become complicated, so patients usually are advised to consult a nutritionist or dietitian. An individualized, easy to manage diet plan can be set up for each patient. Both the American Diabetes Association and the American Dietetic Association recommend diets based on the use of food exchange lists. Each food exchange contains a known amount of calories in the form of protein, fat, or carbohydrate. A patient's diet plan will consist of a certain number of exchanges from each food category (meat or protein, fruits, breads and starches, vegetables, and fats) to be eaten at meal times and as snacks. Patients have flexibility in choosing which foods they eat as long as they stick with the number of exchanges prescribed.
For many Type II diabetics, weight loss is an important factor in controlling their condition. The food exchange system, along with a plan of moderate exercise, can help them lose excess weight and improve their overall health.
Oral medications
Oral medications are available to lower blood glucose in Type II diabetics. In 1990, 23.4 outpatient prescriptions for oral antidiabetic agents were dispensed. By 2001, the number had increased to 91.8 million prescriptions. Oral antidiabetic agents accounted for more than $5 billion dollars in worldwide retail sales per year in the early twenty-first century and were the fastest-growing segment of diabetes drugs. The drugs first prescribed for Type II diabetes are in a class of compounds called sulfonylureas and include tolbutamide, tolazamide, acetohexamide, and chlorpropamide. Newer drugs in the same class are now available and include glyburide, glimeperide, and glipizide. How these drugs work is not well understood, however, they seem to stimulate cells of the pancreas to produce more insulin. New medications that are available to treat diabetes include metformin, acarbose, and troglitizone. The choice of medication depends in part on the individual patient profile. All drugs have side effects that may make them inappropriate for particular patients. Some for example, may stimulate weight gain or cause stomach irritation, so they may not be the best treatment for someone who is already overweight or who has stomach ulcers. Others, like metformin, have been shown to have positive effects such as reduced cardiovascular mortality, but but increased risk in other situations. While these medications are an important aspect of treatment for Type II diabetes, they are not a substitute for a well planned diet and moderate exercise. Oral medications have not been shown effective for Type I diabetes, in which the patient produces little or no insulin.
Constant advances are being made in development of new oral medications for persons with diabetes. In 2003, a drug called Metaglip combining glipizide and metformin was approved in a dingle tablet. Along with diet and exercise, the drug was used as initial therapy for Type 2 diabetes. Another drug approved by the U.S. Food and Drug Administration (FDA) combines metformin and rosiglitazone (Avandia), a medication that increases muscle cells' sensitivity to insulin. It is marketed under the name Avandamet. So many new drugs are under development that it is best to stay in touch with a physician for the latest information; physicians can find the best drug, diet and exercise program to fit an individual patient's need.
Patients with Type I diabetes need daily injections of insulin to help their bodies use glucose. The amount and type of insulin required depends on the height, weight, age, food intake, and activity level of the individual diabetic patient. Some patients with Type II diabetes may need to use insulin injections if their diabetes cannot be controlled with diet, exercise, and oral medication. Injections are given subcutaneously, that is, just under the skin, using a small needle and syringe. Injection sites can be anywhere on the body where there is looser skin, including the upper arm, abdomen, or upper thigh.
Purified human insulin is most commonly used, however, insulin from beef and pork sources also are available. Insulin may be given as an injection of a single dose of one type of insulin once a day. Different types of insulin can be mixed and given in one dose or split into two or more doses during a day. Patients who require multiple injections over the course of a day may be able to use an insulin pump that administers small doses of insulin on demand. The small battery-operated pump is worn outside the body and is connected to a needle that is inserted into the abdomen. Pumps can be programmed to inject small doses of insulin at various times during the day, or the patient may be able to adjust the insulin doses to coincide with meals and exercise.
Regular insulin is fast-acting and starts to work within 15–30 minutes, with its peak glucose-lowering effect about two hours after it is injected. Its effects last for about four to six hours. NPH (neutral protamine Hagedorn) and Lente insulin are intermediate-acting, starting to work within one to three hours and lasting up to 18–26 hours. Ultra-lente is a long-acting form of insulin that starts to work within four to eight hours and lasts 28–36 hours.
Hypoglycemia, or low blood sugar, can be caused by too much insulin, too little food (or eating too late to coincide with the action of the insulin), alcohol consumption, or increased exercise. A patient with symptoms of hypoglycemia may be hungry, cranky, confused, and tired. The patient may become sweaty and shaky. Left untreated, the patient can lose consciousness or have a seizure. This condition is sometimes called an insulin reaction and should be treated by giving the patient something sweet to eat or drink like a candy, sugar cubes, juice, or another high sugar snack.
Alternative treatment
Since diabetes can be life-threatening if not properly managed, patients should not attempt to treat this condition without medical supervision. A variety of alternative therapies can be helpful in managing the symptoms of diabetes and supporting patients with the disease. Acupuncture can help relieve the pain associated with diabetic neuropathy by stimulation of certain points. A qualified practitioner should be consulted. Herbal remedies also may be helpful in managing diabetes. Although there is no herbal substitute for insulin, some herbs may help adjust blood sugar levels or manage other diabetic symptoms. Some options include:
- fenugreek (Trigonella foenum-graecum) has been shown in some studies to reduce blood insulin and glucose levels while also lowering cholesterol
- bilberry (Vaccinium myrtillus) may lower blood glucose levels, as well as helping to maintain healthy blood vessels
- garlic (Allium sativum) may lower blood sugar and cholesterol levels
- onions (Allium cepa) may help lower blood glucose levels by freeing insulin to metabolize them
- cayenne pepper (Capsicum frutescens) can help relieve pain in the peripheral nerves (a type of diabetic neuropathy)
- gingko (Gingko biloba) may maintain blood flow to the retina, helping to prevent diabetic retinopathy
Any therapy that lowers stress levels also can be useful in treating diabetes by helping to reduce insulin requirements. Among the alternative treatments that aim to lower stress are hypnotherapy, biofeedback, and meditation.
Uncontrolled diabetes is a leading cause of blindness, end-stage renal disease, and limb amputations. It also doubles the risks of heart disease and increases the risk of stroke. Eye problems including cataracts, glaucoma, and diabetic retinopathy also are more common in diabetics.
Diabetic peripheral neuropathy is a condition where nerve endings, particularly in the legs and feet, become less sensitive. Diabetic foot ulcers are a particular problem since the patient does not feel the pain of a blister, callous, or other minor injury. Poor blood circulation in the legs and feet contribute to delayed wound healing. The inability to sense pain along with the complications of delayed wound healing can result in minor injuries, blisters, or callouses becoming infected and difficult to treat. In cases of severe infection, the infected tissue begins to break down and rot away. The most serious consequence of this condition is the need for amputation of toes, feet, or legs due to severe infection.
Heart disease and kidney disease are common complications of diabetes. Long-term complications may include the need for kidney dialysis or a kidney transplant due to kidney failure.
Babies born to diabetic mothers have an increased risk of birth defects and distress at birth.
Research continues on diabetes prevention and improved detection of those at risk for developing diabetes. While the onset of Type I diabetes is unpredictable, the risk of developing Type II diabetes can be reduced by maintaining ideal weight and exercising regularly. The physical and emotional stress of surgery, illness, pregnancy, and alcoholism can increase the risks of diabetes, so maintaining a healthy lifestyle is critical to preventing the onset of Type II diabetes and preventing further complications of the disease.
Crutchfield, Diane B. "Oral Antidiabetic Agents: Back to the Basics." Geriatric Times. May 1, 2003: 20.
"Gestational Diabetes Increases 35% in 10 Years." Health & Medicine Week. March 22, 2004: 220.
Kordella, Terri. "New Combo Pills." Diabetes Forecast. March 2003: 42.
"New Drugs." Drug Topics. November 18, 2002: 73. "Research: Lower Chromium Levels Linked to Increased Risk of Disease." Diabetes Week. March 29, 2004: 21.
"Standards of Medical Care for Patients with Diabetes Mellitus: American Diabetes Association." Clinical Diabetes.
Winter 2003: 27. ldquo;Wider Metformin Use Recommended." Chemist & Druggist. January 11, 2003: 24.
American Diabetes Association. 1701 North Beauregard Street, Alexandria, VA 22311. (800) 342-2383. <http://www.diabetes.org.>
American Dietetic Association. 216 W. Jackson Blvd., Chicago, IL 60606-6995. (312) 899-0040. <http://www.eatright.org.>
Juvenile Diabetes Foundation. 120 Wall St., 19th Floor, New York, NY 10005. (800) 533-2873. <http://www.jdf.org.>
National Diabetes Information Clearinghouse. 1 Information Way, Bethesda, MD 20892-3560. (800) 860-8747. firstname.lastname@example.com. <http://www.niddk.nih.gov/health/diabetes/ndic.htm.>
Centers for Disease Control. <http://www.cdc.gov/nccdphp/ddt/ddthome.htm>.
"Insulin-Dependent Diabetes." National Institute of Diabetes and Digestive and Kidney Diseases. National Institutes of Health, NIH Publication No.94-2098.
"Noninsulin-Dependent Diabetes." National Institute of Diabetesand Digestive and Kidney Diseases. National Institutes of Health, NIH Publication No.92-241.
Altha Roberts Edgren Teresa G. Odle.
Diarrhea see Traveler's diarrhea.


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टिमुरको धुलो
Our Turmeric Powder is a product from Gyaneshwor Mill.
Gyaneshwor Mill has been in operation since the last 35 years. The Mill collects food grains from various parts of our country such as Dhuikhel, Dang, Pokhara, Trishuli, Chitwan and many more. Currently, the company processes rice, lentils, and spices. Gyaneshwor Mill has been supplying products to Paluwa for the past one month......More
Turmeric Powder is available throughout the year......Less


text:
Polishing Your Prose: How to Turn First Drafts into Finished Work
(Columbia University Press, 2013)
This singular book illustrates how to edit a piece of prose and enhance its clarity of thought and felicity of style. The authors first present ten principles of effective composition and then scrutinize three extended paragraphs, suggesting with remarkable specificity how to improve them. The volume also offers challenging practice questions, as well as two finished essays, one serious and one humorous, that demonstrate how attention to sound mechanics need not result in mechanical writing. The authors help readers deploy a host of corrective strategies, such as avoiding jargon, bombast, and redundancy; varying sentence structure; paring the use of adjectives and adverbs; properly deploying phrases and clauses; and refining an argument. Here is a book for all who seek to increase their facility in written communication. Steven M. Cahn (Prof., GC) serves on the doctoral faculty in philosophy and urban education.
Purchase this book
Submitted on: APR 17, 2013
Category: Faculty Books | Philosophy | Urban Education


text:
Tamaris is a brand that offers shoes for everyone. Whether you prefer classic styles or something more modern, the Tamaris shoes include basic styles from mid heel shoes, contemporary ankle boots, Richelieu and trendy sneakers. <p The collection 'Tamaris Trend' offers a dynamic and sporty look, with explosive colours that no fashionista will be able to resist. Tamaris also offers the outdoor shoe, which are must haves for the mountains, the dessert and even in the city. The number of styles that Tamaris has to offer allows the label to address a large number of clients and Tamaris understands this: they make their shoes with excellent quality and most importantly a price which is easily affordable.
Create an alert to receive brand updates by e-mail!


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Vicon Industries' Vicon SMS Access Control System
Vicon SMS is a new, IP-based access control management system that is designed for complete integration with ViconNet digital video management systems. Vicon SMS allows for the automatic linking of ViconNet video with corresponding access control events, which can then be called up and viewed via the Vicon SMS interface. The appliance-based architecture eliminates the need for any PC-based software and users can manage and operate the system using any standard web browser.
Visit www.vicon-cctv.com
ISC West Booth No. 16055
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The TMR-3WIE series is a family of isolated 3 W dc-dc converter modules with regulated output, featuring wide 4:1 input voltage ranges. The product comes in a compact SIP-8 plastic package with small footprint occupying only 2.0 cm2 (0.3 square in.) of board space. An excellent efficiency allows –40°C to +85°C operation temperature. Further features include remote On/Off control and continuous short circuit protection. The compact dimensions and cost optimized design make this converters an ideal solution for applications in communication equipment, instrumentation and industrial electronics.
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text:
We had a Thursday midnight flight to Boston out of LA which allowed us to lallygag some before the two hour drive to LAX. We decided on the Mount San Jacinto tram. . It was the Palm Springs highlight and the $23 fee was a bargain.
The bike ride around Palm Springs was lame. We both found the place a very mundane. It's pretty much a retirement city with a casino. The casino people fit the stereotype perfectly. You know the type. It's the guy at dinner wearing his cap, but his lady doesn't notice because she is on her cell phone. They are both fat and smoke. The world famous Follies made us both feel like we had been flimflammed. Kind of like the Irish clan that offers to put a new roof on your home for an unbelievable cheap price. Watch the video on the link and decide for yourself.
The boys only stayed for the weekend but before they left we took a hike to Deep Creek. A 10 mile drive up dirt roads, a five dollar entrance fee per person allowed us to hike two miles into a canyon, cross a creek so cold that it felt like someone was banging your feet with a hammer. It was neck deep in places by the way. The reward was to sit in natural hot springs. The family loved it. I liked the hike, even the strenuous hike out of the canyon.
We finished the trip with dinner in Santa Monica, where the week began with a bike ride to Venice Beach, before returning to LAX for the red eye to snowy Boston.
California is a place we both like as a winter getaway. Especially Santa Monica which is very cool. We will be back.
View of Palm Springs Valley from Mt. San Jacinto
Round Valley Trail Mt. San Jacinto
Hiking the trail at the top of Mt. San Jacinto
View from the tram


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A bubble hasn't formed in the bond market, but the bubble in shares of Apple will continue to deflate, Jeffrey Gundlach, founder of money manager DoubleLine Capital, told CNBC's "Squawk on the Street" on Thursday.
Gundlach sees a range-bound Treasury market. "On the positive side, you have rate repression by the Federal Reserve buying bonds which obviously keeps interest rates lower than they would otherwise would be," he said. "But on the other side in the Treasury market, you have no value to speak of from an investor's perspective."


text:
Susan L. Rattner, MD, MS
Books, computer software, audiovisual programs, and other material considered in this section have been selected for their probable interest to readers. The reviews are developed and published in collaboration with Doody Publishing, a book review service based in Chicago. Not all items submitted by publishers are represented here, but a listing of almost all items received can be found in the advertising pages of each issue. The "order phone" numbers can be used to place orders directly with publishers.
Rattner SL. Curriculum Development for Medical Education: A Six-Step Approach. Ann Intern Med. 1999;130:867. doi: https://doi.org/10.7326/0003-4819-130-10-199905180-00028
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Published: Ann Intern Med. 1999;130(10):867.
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text:
football is back...what is everyone making on sundays...need some new ideas
football is back...what is everyone making on sundays...need some new ideas
I'm not trying to be a smart a$$ but did you check here:
It's no fun when the rabbit has the gun
Yeah SG, what's the matter with you!!
I haven't made them this year yet but I will at some point soon. Smokies wrapped in bacon and dipped in BBQ sauce.
I think the recipe is in this section somewhere but all you do is take the lil smokies, wrap them in bacon slices and stick a tooth pick thru them to hold it all together, and put them in a crock pot on high. They'll cook over the next hour and the bacon will get nice and perfectly cooked.
yes I checked there...read all those in the past...look for new things..you know new football season...trying to get everyone involved
I too have been looking for something new. I've heard pulled pork nachos are really good.
pulled pork nachos sound really good!!!!!!!
Yeah it's just nachos but you put the pulled pork bbq on top and then melted cheese on top of that. Dip the nachos just like you would with salsa or anything else.
carla you should post the recipe for the dessert pizza you made!! that was awesome!
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Follow me on Twitter
- With Passover fast approaching and the crazy world we are forced to live in - here is my yearly post of wines for p… twitter.com/i/web/status/1… 2 weeks ago
Recent Written Posts
- The best/top kosher wines for Passover 2020 in all price ranges
- Assorted French wines I had before my travel to KFWE NYC and L.A.
- Les Vins IDS continues to truly impress, with the new 2017 Chateau Lafon Rochet and more
- Guter Wein (Shlomo Corcos) Wine Tasting
- 2020 Bokobsa Sieva Wine tasting just outside of Paris
Wine Stores I buy from
Online Kosher Wine
OnlineKosherWine is a a online wine store that has tons of wines at great prices.
Liquid Kosher
Liquid Kosher sells wine that is a cut above the rest, wines made for long term storage, special occasions, or rare/special format bottles.
Kosher Wine
KosherWine.com is one of the largest online stores for kosher wine. It has great deals and a TON of kosher wine, and has free shipping for a case.
Skyview Wine
Skyview wine is a great place to buy those medium to high priced, hard to find, kosher wines and spirits.
Gotham Wines
If you cannot find the wine at KosherWine or Skyview then it is probably at Gotham wines.
Taste Wine Company
Taste Wine Company is a store in Manhattan that is run by a friend - Gary Landsman. The shop does not sell much kosher wine, but around Passover and Rosh Hashanah he is sending out kosher wine emails that have great deals on many nice kosher wines. The store's email address is: email@example.com or call Gary: (212) 461-1708 and/or check out some of the kosher wine options here!
Four Gates Winery
Small winery growing and cultivating certified organic grapes in California's Santa Cruz Mountains. The wines are kosher for Passover and not Mevushal. The website includes a description and list of current releases. Disclaimer - Benyamin (the owner of the winery) is a friend.
Recently Read Posts
- Kosher wines available at major US supermarkets; Trader Joe's, Whole Foods, Costco
- The best/top kosher wines for Passover 2020 in all price ranges
- A lineup of Kosher Cabernet Sauvignon from around the world
- 2014 Passover kosher wine recommendations for all price points
- Sulfites, Cilantro, and Or Haganuz Elima, a no sulfite added wine - revised
- The mad dash to Weingut von Hovel in Mosel to enjoy kosher German Rieslings - Gefen Hashalom
- The Top QPR Kosher wine winners of 2019
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text: Available in 28"x46", 28"x8', 3'x5', 3'x8', 4'x6', 5'x9', 8'x10', 9'x12', 10'x14'. Hampton 4-inch Stripe Indoor/Outdoor PVC Rug - Navy and White. A rug for all seasons. Made of 100% PVC, these indoor/outdoor runners and area rugs are loomed in Sweden and are Hypo-Allergenic, mildew resistant, won't fade, are recyclable, machine washable and can be hosed down and hung to dry making them perfect rugs for high-traffic areas. Regular vacuuming and the occasional gentle shake should keep your rug in shipshape condition.