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Continuing Education, Inc.
University at Sea^™
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St Petersburg, Florida 33703

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Primary Care 2021 Update: Type 2 Diabetes, Metabolic Syndrome, and Obesity

9-Night European Capital Cities Cruise
Round-trip Southampton (London), England
September 18 - 27, 2021

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

PLEASE NOTE: THIS IS NOT A CURRENTLY ACTIVE PROGRAM.

You may have found this page in error or been referred to this page via an outdated link. If you did come to this page from a link posted on another website, you may wish to alert the person responsible for the link that the program is labeled as inactive on our site. You are also welcome to e-mail us and report this message.

<em>Celebrity Silhouette</em> — *Celebrity Silhouette*

COURSE CREDITS & HOURS

16 AMA PRA Category 1 Credits™
16 ACPE Credits
16.0 Contact Hours
16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys

$750.00 for Physician Assistants & Nurse Practitioners

$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Physician Assistants, Nurses, Nurse Practitioners, Pharmacists

PROGRAM PURPOSE

Based on the most recent data from the National Health and Nutrition Examination Survey (NHANES III), in the year 2011-2012, nearly 70% of adult Americans were overweight (BMI ≥ 25 kg/m2) or obese (BMI ≥ 30 kg/m2). Obesity is recognized as a multifactorial, chronic, inflammatory disease whereby excess body fat is accumulated through complex interactions between the environment, genetic predisposition, human metabolism, neuroendocrine and behavioral factors.

At any given time, an estimated 55% of the population is participating in a medically managed or self-selected weight-loss program, with the majority of participants failing to lose or sustain weight loss. Of those successful with weight loss, > 60% will regain their lost weight by the end of year one following their initial weight loss success. Fewer than 15% of adults participate in regular exercise and over 65% of adults are sedentary. Lifestyle and behavioral interventions form the foundation for the management of cardiovascular risk factors to achieve improved short- and long-term outcomes, including measures of quality of life.

Hypertension, dyslipidemia, diabetes mellitus, metabolic syndrome and inflammation are the primary modifiable components arising from obesity and overweight. Research has demonstrated that successful management of obesity and overweight requires both sustained lifestyle changes with frequent follow-up as well as the simultaneous medical management of cardiovascular risk factors. The increasing prevalence of obesity and overweight in patients impacts the clinical decisions, management strategies and health outcomes of all health care clinicians, regardless of their clinical specialty. Thus, this conference has been designed with the overall objective to equip healthcare providers with the most current scientific clinical research examining the magnitude of the problem, genetic and environmental causes, pathophysiology, and complications related to the obesity epidemic. This understanding will be translated into the clinical setting throughout the conference with current evidence-based strategies for the practical treatment of obesity and its related comorbidities.

Topics:

The impact of obesity as a chronic disease on our health care system.
- Examine the pervasiveness of obesity as a chronic disease, the propensity of interrelated co-morbidities, and the impact on health.
Mechanisms linking excess adiposity to metabolic dysregulation.
- Describe how excess adiposity is linked to metabolic dysregulation.
Mood disorders associated with insulin resistance and obesity.
- Assess how selected obesity-related complications, such as mood disorders, eating disorders, and sleep apnea impact management strategies.
Current and future considerations in pharmacotherapy for obesity and overweight.
- Evaluate new recommendations in the use of current pharmacologic agents and the future development of agents for the treatment of type 2 diabetes, obesity, and overweight.
The role that genetics plays in the obesity epidemic.
- Distinguish the relationship between genetics and environment in the etiology of obesity.
The efficacy of bariatric surgery and the management of bariatric patients.
- Describe the efficacy of bariatric surgical procedures on the pathophysiology and management of type 2 diabetes and obesity.
Lifestyle and behavioral strategies and interventions for the management of diabetes, obesity and overweight.
- Examine the interrelationship between physical exercise, diet, intestinal microbiome and the body immune system that underlie rational management of obesity.

Additional Topics under development

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment to take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Duane C. Eichler, PhD

Duane C. Eichler, Ph.D. is currently a Distinguished University Professor Emeritus in the Department of Molecular Medicine, Morsani College of Medicine at the University of SouthFlorida. When he retired in June, 2012, Dr. Eichler was Professor and Vice Chair of Molecular Medicine, he held two joint appointments; one as Professor in the Department of Pediatrics, Division of Pediatric Endocrinology, Metabolism and Diabetes, and the other as Professor in the School of Physical Therapy & Rehabilitation Sciences. He was also the Basic Science Director of the Signature Interdisciplinary Program in Cardiovascular Research at USF Health.

He received his undergraduate training at San Jose State University in Chemistry with a concentration in Biochemistry, and graduated with Great Distinction. He received his Ph.D. from UCLA in Biological Chemistry followed by postdoctoral training at Stanford University, School of Medicine. In June, 1977, he joined the Department of Biochemistry (renamed Molecular Medicine), in the College of Medicine at the University of South Florida.

Dr. Eichler is still active providing invited talks and consultations, and currently chair’s The Villages Community Advisory Council with oversight of cooperative university related clinical research activities.

Frances M. Sahebzamani (Rankin), PhD, ARNP, FAANP

H. Lee Moffitt Cancer Center and Research Institute
Team Member Medical Clinic
Wellness Program
Healthy Weight and Cardiovascular Risk Reduction Program

Dr. Sahebzamani is an Adult Nurse Practitioner, and joined H. Lee Moffitt's Team Member Medical Clinic in June of 2014 to develop, implement, and manage the Healthy Weight and Cardiovascular Risk Reduction program for patients with obesity and metabolic dysregulation.

Prior to joining the H. Lee Moffitt Team, Dr. Sahebzamani was an Assistant Professor in the University of South Florida College of Medicine's Family Medicine Division for 23 years and practiced in the College's Family Medicine Clinic.

In 2006, she was recruited to the USF College of Nursing to develop and direct the Advanced Nursing Practice Doctorate (DNP) Program in the College of Nursing. Dr. Sahebzamani is a Fellow of the American Academy of Nurse Practitioners. Her practice expertise is in primary care, obesity and metabolic dysregulation and preventive cardiology. Her program of research includes the topics of obesity, metabolic dysregulation, and cardiovascular risk reduction in primary care settings.

Accreditation

	In support of improving patient care, Continuing Education, Inc./University at Sea® is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
	Credit Designation for Physicians: Continuing Education, Inc. designates this live activity for 16 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
	Osteopathic Physicians: This program is eligible for Category 2 credit with the American Osteopathic Association (AOA). US or Canadian Family Physicians: Please let us know if you require AAFP Prescribed Credits.
	Credit Designation for Nurses: Continuiung Education, Inc. designates this continuing nursing education activity for 16 contact hours. Accredited status does not imply endorsement by Continuing Education, Inc./University at Sea® or ANCC of any commercial products displayed or used with an activity. Nurse Practitioners: Can claim either ANCC Contact Hours or AMA PRA Category 1 Credits ^TM as needed. Pharmacology credits are identified on individual activities.
	Royal College of Physicians and Surgeons of Canada: Through an agreement between the Accreditation Council for Continuing Medical Education and the Royal College of Physicians and Surgeons of Canada, medical practitioners participating in the Royal College MOC Program may record completion of accredited activities registered under the ACCME’s “CME in Support of MOC” program in Section 3 of the Royal College’s MOC Program.
	College of Family Physicians of Canada (CFPC) The College of Family Physicians of Canada (CFPC) has a reciprocal credit reporting agreement with the American Academy of Family Physicians (AAFP). Prescribed credits can be claimed as the equivalent number of certified credits, and Elective credits can be claimed as the equivalent number of non-certified credits. Members of the CFPC may claim up to 50 credits per five-year cycle from Physician's Recognition Award (PRA) Category 1 credits. Any additional credits are eligible as non-certified credits.
	Credit Designation for Pharmacists: This knowledge-based activity is approved for 16 hours of pharmacy continuing education credit.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16 (part II) MOC points in medical knowledge in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

ITINERARY

DATE	PORT OF CALL	ARRIVE	DEPART
Sat Sep 18	Southampton (London), England	-	4:00 pm
Sun Sep 19	At Sea - Cruising	-	-
Mon Sep 20	Oslo, Norway	12:00 pm	-
Tue Sep 21	Oslo, Norway	-	4:00 pm
Wed Sep 22	Copenhagen, Denmark	9:00 am	7:00 pm
Thu Sep 23	At Sea - Cruising	-	-
Fri Sep 24	Amsterdam, The Netherlands	9:00 am	8:00 pm
Sat Sep 25	Bruges (Zeebrugge), Belgium	9:30 am	6:30 pm
Sun Sep 26	Paris (Le Havre), France	8:00 am	10:30 pm
Mon Sep 27	Southampton (London), England	6:00 am	-

PORTS OF CALL

Southampton (London), England

While your cruise documents say “Southampton (London),” let’s be clear: Southampton is the convenient gateway, but London is the unmissable main event. Treating this port as merely a place to embark or disembark would be a profound missed opportunity. As your advocates, we strongly encourage you to frame your voyage with a two or three-day stay in one of the world’s most dynamic cities. Samuel Johnson’s famous quip, "When a man is tired of London, he is tired of life," remains as true today as it was in the 18th century. A few days here will show you just how much life this incredible city offers.

**Crafting Your London Prelude (or Finale)**

Think of your time in London not as a layover, but as a distinct, curated chapter of your vacation. The city’s seamless blend of ancient history, contemporary culture, and culinary excellence provides the perfect bookend to a European cruise.

**Day 1: Icons, Royalty, and the West End**

Begin your adventure where London’s story is written in stone: the Tower of London. This nearly 1,000-year-old fortress is a masterclass in history. Arrive early to beat the crowds, witness the breathtaking Crown Jewels, and listen to the captivating, often grim, tales from the Yeoman Warders. From there, a short walk takes you to the iconic Tower Bridge. Afterwards, bypass the traffic and see the city from its historic highway, the River Thames. A Thames Clipper (part of the public transport network) offers a scenic and efficient ride to Westminster, where you’ll be greeted by the grandeur of the Houses of Parliament, Big Ben, and Westminster Abbey. In the evening, immerse yourself in the electric atmosphere of the West End. After a pre-theater dinner in vibrant Covent Garden, settle in for a world-class performance, whether it’s a long-running musical or a critically acclaimed new play.

**Day 2: Global Treasures and Culinary Exploration**

Dedicate your morning to one of the world's greatest repositories of human history, the British Museum. It’s vast, so be strategic: focus on unmissable artifacts like the Rosetta Stone, the Parthenon Marbles, and the Egyptian mummies. For lunch, head to the South Bank and dive into the glorious chaos of Borough Market. One of London's oldest food markets, it’s a sensory overload in the best possible way. Graze on artisanal cheeses, freshly shucked oysters, gourmet sausage rolls, and international street food. Properly fueled, you can spend the afternoon exploring the cultural riches of the South Bank, from the modern masterpieces at the Tate Modern to a glimpse of Elizabethan theatre at Shakespeare's Globe.

**Day 3: Neighborhood Charm and Refined Shopping**

London is a city of villages, each with its own distinct character. You might explore the pastel-hued townhouses and antique stalls of Notting Hill, or the stately elegance of Mayfair and St. James's. Of course, a visit to Buckingham Palace is a must, perhaps timing your visit for the Changing the Guard ceremony or, if traveling between July and September, booking a tour of the magnificent State Rooms. For an unparalleled shopping experience, look beyond the high street. The iconic mock-Tudor facade of Liberty London houses a beautifully curated collection of fashion and design, while the legendary food halls of Fortnum & Mason are a feast for the eyes and palate. For a more contemporary scene, the independent boutiques and flagship stores around Carnaby Street and Seven Dials offer a hipper, more localized feel.

**The Practicalities: Making it Effortless**

Connecting your London stay to your Southampton cruise is far simpler than you might imagine. The city’s transport network is superb.

* **Getting Around London:** The Underground, or "The Tube," is exceptionally efficient. Don’t bother with special passes; simply tap your contactless credit/debit card or mobile payment device on the readers to enter and exit the system. It’s seamless and calculates the best fare for you.
* **Airport to City:** From Heathrow, the Heathrow Express whisks you to Paddington Station in about 15 minutes. The newer Elizabeth Line is also an excellent, comfortable option. From Gatwick, the Gatwick Express arrives at Victoria Station in about 30 minutes.
* **London to Southampton Port:** This is the key connection. Direct and frequent trains run from London Waterloo station to Southampton Central, with a journey time of approximately 80-90 minutes. We recommend choosing a hotel near Waterloo for ultimate convenience. Upon arrival at Southampton Central, a short 5-10 minute taxi ride will take you directly to your cruise terminal.

For those who prefer a more direct, door-to-door experience, we work with an excellent private transfer service and can arrange everything for you. Let us help you design the perfect London stay—it will elevate your cruise from a great vacation to an unforgettable journey.

At Sea - Cruising

Oslo, Norway

Oslo reveals itself as you sail up the scenic Oslofjord, a capital where nature and culture are seamlessly intertwined. Most ships dock near the historic Akershus Fortress, placing the heart of the city within easy walking distance. This is a capital of world-class museums, striking modern architecture, and abundant green space.

A short ferry ride takes you to the Bygdøy Peninsula, a hub of maritime history. Here you'll find the Fram Museum, detailing harrowing polar expeditions, and the Kon-Tiki Museum, celebrating Thor Heyerdahl's daring ocean voyages. Please note: the famed Viking Ship Museum is currently closed for a major transformation into the Museum of the Viking Age, slated to open in 2026. While you can't see the ships for now, the other museums on the peninsula offer more than enough to fill your time.

Back in the city center, the new National Museum is a triumph, consolidating vast collections of art, architecture, and design under one roof. Nearby, the striking, modern Munch Museum on the waterfront provides a deep dive into the work of Norway's most famous artist, Edvard Munch. For a truly unique experience, a visit to Vigeland Park is essential. This vast public park is home to more than 200 powerful bronze and granite sculptures by Gustav Vigeland, depicting the full spectrum of the human experience. Don't miss the iconic Oslo Opera House, an architectural marvel of glass and marble designed to be walked upon; the views from its sloping roof are magnificent. Oslo is a sophisticated, clean, and highly engaging city, though it's wise to be prepared for its high cost of living.

Copenhagen, Denmark

Copenhagen is a city of effortless style, where fairytale history and cutting-edge Scandinavian design coexist beautifully. It’s a remarkably accessible and human-scale capital, best explored on foot, by bike, or via a canal boat tour that offers a unique perspective on its blend of old and new architecture.

The quintessential starting point is Nyhavn, the 17th-century harbor lined with brightly colored townhouses, historic wooden ships, and bustling cafes. It’s undeniably picturesque and the perfect place to absorb the city's maritime spirit. From there, a walk through the city center reveals a rich royal history. Visit Amalienborg Palace, the home of the Danish royal family, to witness the precision of the Royal Guard's changing of the guard ceremony. Nearby, Rosenborg Castle, a Dutch Renaissance gem, houses the dazzling Danish Crown Jewels within its historic walls.

No visit is complete without acknowledging the city’s most famous resident, The Little Mermaid. It’s important to set expectations: the statue is famously small and sits modestly on a rock by the Langelinie promenade, often near where ships dock. While its scale may surprise you, seeing it is a classic Copenhagen moment. For a more immersive experience, consider Tivoli Gardens. More than just an amusement park, it’s a national treasure with lush gardens, charming architecture, and a nostalgic atmosphere that has enchanted visitors since 1843.

To experience modern Copenhagen life, explore the Strøget, one of Europe's longest pedestrian shopping streets, or dive into the city's celebrated food scene. Forgo a generic lunch and seek out a traditional restaurant for smørrebrød—artfully composed open-faced sandwiches—or visit the Torvehallerne food market for a vibrant taste of local and international flavors. Copenhagen delivers a day of sophisticated culture, understated elegance, and the cozy contentment the Danes call *hygge*.

Amsterdam, The Netherlands

Bruges (Zeebrugge), Belgium

Let’s be perfectly clear: your ship docks in Zeebrugge, a major industrial port. The magic, however, lies a 25-minute drive away in Bruges, a city so perfectly preserved it feels like you’ve stepped into a medieval fairytale. This is the real destination, and it is absolutely worth the short journey.

Once in Bruges, a UNESCO World Heritage site, the city itself is the main attraction. The best way to orient yourself is with a canal boat tour, which offers a unique perspective of the stunning Gothic architecture and romantic stone bridges. Afterward, make your way to the Markt, the main square, dominated by the soaring Belfry tower. For those with good knees, the 366-step climb rewards you with panoramic views of the city’s rooftops.

Beyond the main squares, the true joy of Bruges is found in wandering its cobblestone lanes. Discover hidden courtyards, browse lace shops, and follow the scent of warm waffles. Of course, no visit is complete without indulging in world-class Belgian chocolate; we recommend seeking out a small, independent chocolatier for the most authentic pralines. For a relaxing break, find a cozy pub and sample a local Trappist beer. Bruges isn't about ticking off a long list of museums; it's about immersing yourself in an atmosphere that feels genuinely suspended in time. It’s a truly enchanting day trip.

Paris (Le Havre), France

The port of Le Havre is your gateway to two distinct, equally compelling French experiences: the whirlwind energy of Paris or the profound history of Normandy. It is essential to understand the choice you are making.

A day trip to Paris is feasible, but it is a significant commitment. The journey is typically 2.5 to 3 hours each way by bus or train, consuming a large portion of your day. This leaves a condensed window to experience one of the world's great capitals. A realistic Paris day involves seeing iconic landmarks from the exterior—the Eiffel Tower, Arc de Triomphe, the Champs-Élysées—and perhaps a brief stroll through a charming neighborhood like Le Marais or Saint-Germain-des-Prés. A deep dive into the Louvre or a leisurely multi-course meal is generally not practical. It is a day for impressions, not immersion.

Alternatively, the surrounding region of Normandy offers rich, more accessible rewards. The charming port of Honfleur, with its slate-fronted houses and vibrant harbor painted by Monet, is less than 30 minutes away. The historic city of Rouen, where Joan of Arc was tried and martyred, boasts a magnificent Gothic cathedral and a beautifully preserved medieval center. For those interested in 20th-century history, the D-Day landing beaches are a powerful and moving full-day excursion. Visiting Omaha Beach and the American Cemetery at Colleville-sur-Mer provides a somber, unforgettable perspective on the sacrifices made here. Le Havre itself, a UNESCO World Heritage site for its post-war modernist architecture, offers a unique look at urban renewal for those seeking a low-key day.

Celebrity Silhouette

PLEASE NOTE: To attend the conference, participants must book their cruise accommodations through Continuing Education, Inc. This ensures we can provide full conference services and complimentary social amenities to meeting participants and guests. Participants' family and friends are welcome to book within our group allotment and take advantage of our typically excellent rates. Thanks for your cooperation. We look forward to welcoming you aboard!

Request a Quote online or by voice at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571.

COMPETITIVE PRICING PROMISE: We Will Match or Beat the Cruise Line’s Fares and Promotional Offers. * Prices displayed below cover the entire cruise and include meals,
nightly entertainment, resort features and all taxes.

Suite/Deluxe

Penthouse Suite (PS)
The Penthouse Suite is a spacious suite with living and dining areas, as well as a private terrace with a hot tub. Like all Suites, the Penthouse Suite is part of The Retreat, which means you'll be welcomed with a bottle of sparkling wine and have a Personal Retreat Host throughout your stay. You'll also enjoy access to The Retreat Lounge and Luminae Restaurant. Two bedrooms and two bathrooms, with a primary dressing room. 1,291 sqft with 389 sqft veranda.

Call: 800-422-0711
and we'll find the best value for you.

Suite/Deluxe Aqua Sky Suite (AS)
The Aqua Sky Suite combines the well-being inspired AquaClass experience with the exclusive spaces, services, and amenities of The Retreat to leave you more renewed than ever. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is in addition to The Retreat benefits like exclusive access to The Retreat Lounge and Luminae Restaurant. The Aqua Sky Suite is a studio with 1 bathroom. 319 sqft stateroom with 79 sqft veranda.

Call
800-422-0711
for Pricing

Suite/Deluxe Celebrity Suite (CS)
The Celebrity Suite is a luxurious, two-room suite. It has one bedroom with a bathroom featuring a dressing area and full wardrobe, and a living area separated by a frosted glass divider. Like all Suites, the Royal Suite is part of The Retreat, which means you'll be welcomed with a bottle of sparkling wine and have a Personal Retreat Host throughout your stay. You'll also enjoy access to The Retreat Lounge and Luminae Restaurant. 460 sqft with 51 sqft private veranda.

Call
800-422-0711
for Pricing

Suite/Deluxe Royal Suite (RS)
The Royal Suite has a luxuriously large living and dining area featuring floor-to-ceiling panoramic windows, a primary bedroom with a king-sized bed and a panoramic view, a primary bathroom with a large soaking tub, separate shower, and a double sink vanity, as well as a spacious private veranda. Like all Suites, the Royal Suite is part of The Retreat, which means you'll be welcomed with a bottle of sparkling wine and have a Personal Retreat Host throughout your stay. You'll also enjoy access to The Retreat Lounge and Luminae Restaurant. One Bedroom, One Bathroom 687 sqft with 72 sqft private veranda.

Call
800-422-0711
for Pricing

Suite/Deluxe Sky Suite (S1)
The perfectly-designed Sky Suite offers a blend of expansive views and intimate luxury. These large suites feature a king-sized bed and a spacious, private veranda. Like all Suites, the Sky Suite is part of The Retreat, which means you'll be welcomed with a bottle of sparkling wine and have a Personal Retreat Host throughout your stay. You'll also enjoy access to The Retreat Lounge and Luminae Restaurant. Studio with 1 bathroom. 319 sqft stateroom with 79 sqft veranda.

Call
800-422-0711
for Pricing

Suite/Deluxe Sunset Sky Suite (SS)
The perfectly-designed Sky Suite already offers a blend of expansive views and intimate luxury, but the Sunset Sky Suite adds beautiful aft-facing views as well. These large, rear-facing suites feature a king-sized bed and a spacious, private veranda. Like all Suites, the Sunset Sky Suite is part of The Retreat, which means you'll be welcomed with a bottle of sparkling wine and have a Personal Retreat Host throughout your stay. You'll also enjoy access to The Retreat Lounge and Luminae Restaurant. Studio with 1 bathroom. 300 sqft stateroom with 79 sqft veranda.

Call
800-422-0711
for Pricing

Balcony Prime AquaClass Stateroom (A1)
AquaClass Staterooms are balcony staterooms which have the additional benefits of the well-being inspired AquaClass. AquaClass amenities include, but are not limited to: Unlimited access to the Persian Garden Thermal Suite, a Dedicated Spa Concierge, complimentary fitness classes, in-room fitness amenities like yoga mats, daily delivery of afternoon savories, and much more. This is a Prime stateroom as well, meaning it's located in a desirable location and high deck on the ship. The stateroom has a sliding glass door out to a veranda, a sitting area with a sofa, and a bed which can be converted to two twin-sized beds. The room is 192 sqft, and the veranda is 54 sqft.