Test Drive Unlimited 2 Review

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Remember Eden games? Back in 2007 they announced a wonderful new concept. A game in which players have to obey the traffic rules and can slowly work their way up in the world of fame by buying new cars and having a strong grip on the real estate market. In the wake of the announcement, a new game came out called Test Drive Unlimited. And now, after an absence of 3 years, they are back! It's name: Test Drive Unlimited 2.

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How is Test Drive Unlimited 2 Review

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Gameplay

The sequel builds on its predecessor by respecting the same basic outline. At the start it becomes painfully clear that you are at the bottom of the social standings, despite starting the game in a short Ferrari tour around the island. By participating in street races, buying houses, clothes and occasionally visiting the plastic surgeon, it's your job to become rich and flaunt in. You know kind of like real life only less meaningful and a lot quicker.

The game gives you a lot of freedom between events. So if you're not into buying virtual clothes than you don't have to, at least not initially. Because ultimately you'll need to explore every single stone the game throws at you if you wish to reach the final level. That means filling the experience bar in four categories: collection, competition, discovery and social. A tough challenge that may not be worth it once you've bought the car you were after in the first place.

For me though the free roaming part between challenges is what really sets this game apart. Driving in traffic towards events and shops can be a lot of fun, especially in a hyper car. But for impatient gamers the map and quick travel option is king. These are especially appreciated because the world faces a few problems.

For one the world looks very empty, traffic is thin and off road distractions are virtually non-existing. Of course there's the 2-channel radio, but listening to it for too long can be seen as a state punishment in my view. And it would've been so much better if you were actually able to get out of the car and walk about.

Despite those remarks the free roaming bit does a lot of things very well. The navigation to destinations like car dealers or hairdressers works nicely. And the on-car controls are a very nice touch. It's actually possible to put the top down in a Mercedes CLK or operate the blinkers.

Racing

Racing happens in various championships ranging from C to A classes. Depending on the event only curtain cars are allowed and you'll need to obtain a license. It works really well but can sometimes be really time consuming.

Test Drive Unlimited splits the championship up in different segments. These can differ in ways such as: complete a lap in a given time, reach the highest top speed or just be the first to cross the line. The events can be a lot of fun but most of the times aren't. Even if you gain a big lead the rubber band AI will catch up to you quickly. And it doesn't matter which car you drive because they'll almost literally wait for you when you trail behind. Bugs also come into play, an especially painful one being when you go off road and see a "wrong way, turn around" sign despite following the right route. The only way to fix it and prevent finishing dead last is by restarting the whole race.

Handling

Test Drive Unlimited 2 is an arcade game and I fully respect that. It would be silly to expect setup changes and oversteer/understeer characteristics true to real life. To test the handling I connected my Logitech G27 and was all set.

Let's start with the good news, and this is a biggie. Test Driver Unlimited 2 fully supports the G25/G27 steering wheels. That means the H-shifter, Rev lights and even the clutch right out of the box. What a welcome surprise!

Now the downside: all cars drive exactly the same. They all share a sense of understeer, whether you're driving an off roader or the Audi R8. You're quite literally driving a skin and a few parameters. And to mix things up the cars have a tendency to go berserk for absolutely no reason. There have been countless times when the tail just broke out under braking without a warning.

So what you end up with are lifeless boring cars that sometimes get a will of it's own. Despite offering decent feedback the game fails in giving you a sense of feel of the car thus the racing becomes a dull experience done for the sole purpose of earning virtual credits to buy new skins.

Online

Maybe online is the answer. Well it solves the AI problem and with some competitive buddies surely I could say hello to close racing and endless nights of fun? Well not exactly. The only thing online increased was my internal bug counter that I keep when rating a game. The problems continued endlessly. Especially common are broken connections and not seeing friends despite being in the same location. In theory this is a great feature. Meeting each other and cruising around, doing some mainstream races along the way, yeah I can see this working. But right now online is broken and needs to be fixed.

Presentation

In a world of GT5 and F1 2010 it's easy to set the bar unrealistically high and flame everything that leaves the coding table. I'm not going to do that. Eden games has not made the best looking game in the world. This is mostly apparent in the world scenery. It lacks a curtain dynamic that can really suck a player in.

The cars on the other hand are actually pretty good. Especially in the showrooms when its possible to walk around them, sit inside or take one out for a test-drive. The interior and exterior match the looks of its 101 real world counterparts, a true accomplishment! The working controls like blinkers, lights and mechanical rooftops add to the fine car experience.

Sounds are pretty generic. They do have a curtain punch to them but it's in no way realistic. Do a "guess the car based on engine noise game" and you'd probably fail miserably. Because apart from some minor tweaks every car sounds exactly the same.

Conclusion

Test Drive unlimited 2 is a great concept that lacks proper execution. The free roaming bit is done really well and offers a glance of the endless possibilities. Unfortunately the driving is extremely dull and emotionless, even for an arcade game. And because of that I felt disappointed every time I had to race to earn a few digital bucks. And isn't that what racing games are all about?

Score: 6/10

TDU PS3 Review

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Customer Service Is Good Medicine

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When a medical practice gets customer service right, it is worthy of examining and applauding. Unfortunately I found myself having this positive service experience at Resurgeons Orthopaedics of Atlanta. I say "unfortunately" due to a nasty break and injury to my arm and shoulder. The brief back story is I had a fall in Mexico, got to visit the international hospital, knew the injury required surgery and left on a flight about 15 hours after the fall.

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How is Customer Service Is Good Medicine

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A friend back in Atlanta worked hard at securing an appointment. Within three hours of arriving back home, I was at Resurgeons. Fortunately I had no reason to have a relationship with them until this accident. My surgeon, Evander Fogle, his assistant Mary Bligh, R. N., and the front office impressed even in the face of my incredible pain. Here is what worked so well in this large busy orthopaedic practice.

- Warm Welcome. My husband and I were met with eye contact and friendliness. The front desk was responsive and attentive. The area was open with none of the usual barriers of glass windows and clipboards slid back and forth between the patient and hidden away staff.

- Expressive and Engaged. The team was personable and treated me as a real person or should I say customer. The receptionist immediately asked what happened, acknowledged my pain and then assured me they would take care of me. The sling from the Mexico hospital visit caught her attention and she humorously let me know they could do better to alleviate the pain. After all this, she moved to the required paperwork. Most medical practices are concerned with paperwork first and foremost, concern for the patient/customer is usually a distant second. Dr. Fogle and Mary continued the warm welcome and engagement. They were efficient but did not give the impression they must get moving to another patient. Both continued the banter of the poor sling and were impressed with my "undermedication" for the last 20 hours. The conversation and examination showed their medical skills and expertise. The medical profession does not require customer engagement however they choose to do it.

- Responsiveness and Reassurance. Dr. Fogle and Mary listened to my needs - fast surgery so the healing could begin and I could work with clients for upcoming engagements. I pleaded for permission to travel within an unreasonable amount of time. The doctor (and my husband) prevailed on forbidding that short timeline. However the doctor was responsive with a fast surgery and then reassured me of a recovery that would accommodate work within 5 days. Both offered phone numbers for easy access and reached out with personal calls to check on me after release from the hospital. Again there were real human connections with me the patient/customer. For years, I have talked about "processing the customer vs. serving the customer". This team really serves and connects which creates positive lasting impressions.

Dr. Fogle and Mary know the customer comes first and is the reason for the existence of their practice. Exceptional medical expertise and surgical skills are the given and the expected yet they go beyond to making the customer experience count. My preference would have been to never need Resurgeons however things happen. In this case, I was fortunate to fall into the able hands and care of this medical team. Customer service is definitely good medicine.

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Using Computer Games to Improve Professional Skills

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If you are shortly going to be going to hospital to have an operation, it might not necessarily be the most comforting thing to hear that your surgeon, in whose hands lies your life, has had a good deal of training playing computer games.

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Yet, recent studies have actually shown that the vast majority of surgeons who do regularly play computer games actually have a much better success rate and accuracy rating than their colleagues who play games either very rarely or not at all. This might seem strange, but there are a number of statistics to back up this claim, and a number of reasons why this trend may be the case.

The study was carried out at a medical centre in New York recently, and they found that those surgeons who, on average, play three hours video gaming per week managed to work almost thirty percent faster than those who did little or no gaming, and were over forty per cent more successful in operations. The tests were carried out on simulated operations, using virtual reality and computer controlled equipment, which is in many ways very much the way some operations are now carried out.

With more and more operations requiring finer accuracy and greater precision, human hands and clumsy tools are not always able to achieve the standards required. Therefore, computers are used to carry out the surgery, controlled directly by the surgeon. Shakes, tremors and inaccurate movement can be ignored by the computer, and where the surgeon moves his hand a long distance, the computer reduces this proportionally, so that very fine work can be carried out by the surgeon which would not be possible using the hands directly.

It may well be that this type of surgery is closer to playing a computer game, by interacting through a computer, than the traditional surgery normally carried out, that does not involve a computer in any form other than to monitor life signs. For this reason, the familiarity with using a computer, including visual interpretation, control and understanding, could mean that surgeons should be playing computer games more often in order to improve their skills.

Certainly no one would complain if surgeons were bought a computer game for them to play for three hours a week, if it meant that overall surgical operations were carried out nearly thirty percent faster and with a greater degree of accuracy, exceeding forty percent gain.

This study did focus on one very specific kind of surgery, but it does pose a number of interesting possibilities. With computers increasingly becoming tools which are used in every day life, to what extent do skills gained either directly or indirectly through playing computer or video games transfer to these real life skills, providing a better training and improved performance overall?

Taking this ideas further, should all students in school be provided with three hours of dedicated playing time per week in order to speed up their work success rate and improve their grades? It is unlikely to happen, but the theory at least does pose a number of interesting points. Certainly it is unlikely that the idea would be discouraged by the students concerned.

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Advances in Science, Technology and Medicine

Flight Medical - Advances in Science, Technology and Medicine

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Over the many years we humans have been alive many great things have been achieved. As a species we have used our brain not our strength to over power our struggles and obstacles. We have come so far since from our humble caveman begins to the digitally intelligent people we are today.

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I think there are few areas where we have really shined and bettered ourselves, which are: science, medicine and technology.

In the beginning Humans used tools to do daily activities like hunting and cooking. Tools were also used to create objects and machines. Machines, which have let us fly, entertain, travel, kill and save lives. Technology lets us do things Humans can't do naturally but in science we learn how things work.

Science enables us as Humans to understand the world, why it does what it does and how does it. The knowledge of how things work helps us improve the world and avoid things that can be prevented. Machines can be enhanced and things can be created with the understanding of science and the world. The secrets of the body can also be understood therefore saving peoples lives and curing the once incurable.

Medicine is the other area where Humans have really improved. The knowledge of how drugs work and why we suffer diseased is vital in the modern day just as much as it was in medieval days. Illnesses that were once feared can be cured with a single tablet and bones that have broken can be fixed with a cast. When you combine science and technology to medicine, that is when you fully understand how far we have come as humans. We now have medical equipment that can see inside the body, we have machines that can monitor the heart and see what is wrong with the patient and many more that do wondrous things each day.

With the digital age upon us there will be new advances in all these fields and many new machines will be created and knowledge of the world will grow ever greater.

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Sleep Apnea Pillow

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Pilot Surgeon - Sleep Apnea Pillow

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Sleep apnea is a sleep disorder characterized by frequent pauses in breathing during sleep. Three types of sleep apnea exist: central, obstructive and mixed. Obstructive is the most common, resulting from over-relaxation of throat muscles, causing the windpipe to collapse and block the airway. Treatments for sleep apnea range from simple lifestyle changes to surgery. One of the most common non-invasive treatments is the sleep apnea pillow.

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A sleep apnea pillow is a pillow that is designed for snorers, since snoring is one of the most common indicators of sleep apnea. Sleep apnea pillows are designed to support the neck, to prevent patients from rolling onto their backs (where snoring and sleep apnea can worsen), to cradle the head, to elongate the neck and keep the tongue from blocking the airway, and to assist side sleepers by relieving pressure on shoulders and arms.

Several different manufacturers claim their sleep apnea pillows achieve the above objectives, but SONA pillow is the only sleep apnea pillow approved by the Food and Drug Administration (FDA) as an over-the counter treatment.

The SONA sleep apnea pillow at first looks rather odd. A two-layered triangle instead of a solid rectangle, this sleep apnea pillow resembles a padded boomerang more than a pillow. The angular design, though, is what makes this pillow helpful in treating sleep apnea. The shape is intended to maintain sleep in the side position. Two inclined surfaces make up the primary sleeping surface, with a flatter lower surface in the center.

Each lower part of the triangle of the sleep apnea pillow has a training arm sling. To properly use the pillow lie on either side, extend your arm in the open space under the pillow. Your arm should be kept extended while sleeping and the head should be maintained on the same side as the extended hand.

Initially, you may use the training arm sling to maintain this position by placing the arm in the space between the pillow and the sling. For additional sleep compliance, you can use a body pillow to hug over, or to put between the legs to help maintain the side sleeping position. Using the sleep apnea pillow in this manner allows the jaw to be pulled forward, preventing the tongue from falling backward and obstructing the throat.

Certain portions of the populations are not candidates for the SONA sleep apnea pillow. People with severe sleep apnea do not benefit from using the SONA sleep apnea pillow as a solo therapy. Obese individuals with a body mass index (BMI) of over 30 will not get the snoring relief obtained by thinner members of the population.

The SONA sleep apnea pillow, like all pillows, undergoes normal wear and tear, and should be periodically fluffed. The makers of SONA pillow also recommend replacing the sleep apnea pillow annually.

Before purchasing the SONA sleep apnea pillow, or any sleep apnea pillow, consult your physician.

SONA Pillow is a registered trademark of Sleep Devices, Inc.

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Pain Medicine: Different Types of Pain Medicine

Pilot Surgeon - Pain Medicine: Different Types of Pain Medicine

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The formal term for painkillers is analgesics, a word derived from the Greek words an (without) and algia (pain). The three most commonly used types of pain medicine today are the nonsteroidal anti-inflammatory drugs (NSAIDs), the paracetamol based drugs and the opioid drugs.

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The nonsteroidal anti-inflammatory drug (NSAIDs) group contains a wide range of different painkillers. Examples of commonly known NSAID painkillers are Aspirin, Diclofenac and Ibuprofen. NSAID pain killers do not only alleviate pain; they will also lower fever and decrease inflammations. They are called non-steroidal in order to discern them from the steroids, since the steroids are also used for their anti-inflammatory capacity. Aspirin was discovered in 1829 when salicylic acid was chemically isolated for the first time, but willow bark containing salicylic acid has been used as a pain killer long before the 19th century. A lot of NSAIDs are available over-the-counter but this does not mean that they are harmless. When misused, even comparatively weak NSAIDs can have severe side effects, including bleeding ulcers and photosensitivity. NSAIDs are generally not recommended during pregnancy.

Paracetamol is also known as acetaminophen. Both words are derived from the chemical name for this painkilling compound: N-acetyl-para-aminophenol and para-acetyl-amino-phenol. Two examples of commonly known brand names under which Paracetamol is marketed are Tylenol and Panadol. Painkillers containing Paracetamol will relieve pain and decrease a fever, but unlike the NSAID painkillers they have no anti-inflammatory properties. One of the advantages of Paracetamol compared to NSAIDs is that Paracetamol painkillers will not affect the blood's ability to clot. Nor will they damage the kidney or lining of the stomach as long as you stay within the recommended limits and never use too much Paracetamol. High doses of Paracetamol will however be damaging to a wide range of bodily functions. Paracetamol should never be combined with alcohol since the liver will be overloaded with the burden of breaking down both alcohol and Paracetamol, which makes the risk of Paracetamol poisoning higher. If you are healthy, well-nourished and do not drink alcohol, a single 10 gram dose of Paracetamol can cause significant liver damage.

Opioid drugs are very potent painkillers but will come with a sever side effects, even in low concentrations. Morphine is one of the most commonly used opioids in pain killing drugs. An example of a morphine based painkiller is Tramal. Pethidine is another pain killing opiate and can be found in medications such as Alodan and Demerol. Morphine will act directly on the central nervous system and can relieve even sever pains, such as post surgery pains and cancer pains. Morphine is addictive and it is important that it is used with caution. The addiction can be physical as well as physiological. The side effects are also both physical and psychological. Among the physical side effects are constipation and an inhibition of the cough reflex. Psychological side effects include euphoria as well as nightmares, and drowsiness can come hand in hand with insomnia. Morphine was isolated from opium in 1803 by Friedrich Serturner, a German pharmacist. He named it morphium after the Greek god of dreams, Morpheus. Serturner soon discovered its usefulness as a painkiller, but morphine didn't grow really popular until the hypodermic needle was invented in 1853.

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