Unbound Surgery
User Guide   
 
Welcome to Unbound Surgery™
  To activate the product or re-install the application in the future, please double click on the installer that was downloaded to your PC and follow the on-screen instructions.
 
Unbound Surgery™ utilizes Unbound Medicine's personal knowledge management platform to integrate handheld devices with the Web, thereby delivering content, applications, and messages personalized for each user.
 
On Hand...
  • Browse content optimized for the handheld
  • Capture questions to be answered on the Web
On Sync...
  • Download updates to the handheld
  • Upload questions to your personal library on the Web
On the Web...
  • Receive answers to questions posed on the handheld
  • Organize and share your personal library
  • Modify handheld subscriptions based on changing needs
To start using Unbound Surgery, follow the steps below.
 
Installing Unbound Surgery
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    Install : System Requirements
 

You must meet the following system requirements to use the product.

  • Palm OS® 3.5 or later 
  • (5.0 or later to view images)
  • 4.0 MB of available memory* for reader
  • Memory Cards Supported
  • Palm HotSync Manager 4.1 or later (6.2 or later for MS Vista)
  • Windows PC or Mac OS X with Internet Connection

*TIP: How to check your handheld's memory.
To check that you have adequate space available:

  1. From the handheld's home screen, select the Menu icon in the Graffiti area.
  2. From the "App" menu, select "Info". Your memory usage will appear at the top of  the screen. If you do not have the required memory available, consider deleting some unused applications. For more information, read "Not enough memory on your Handheld" in Support:Common Problems.
Using the Handheld (General Features)
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    Launching the Application
  On the handheld's Home screen, select the application icon.


 
    Home screen
  The home screen displays your currently selected content. To open a content resource, select its entry in the list. 

 
    Common Icons
  Below are the icons commonly used in the Unbound Surgery handheld application and their function.

 
    Bookmarks
  The Unbound platform allows you to Bookmark important information so you can return to it easily at anytime.

To create a Bookmark, tap the icon found at the top of the PDA screen. When the drop-down window appears, select "Add Bookmark" to save your selection.

To return to a Bookmarked page, tap the and simply select the desired Bookmark. A checkbox will appear next to the Bookmarked page you are currently viewing.

To remove a Bookmark, you must first select that Bookmark from your list. Tap the icon again. When the drop-down window appears, select "Remove Bookmark".
 
    Navigating Unbound Surgery
  The Unbound Surgery application provides a number of navigation features to help you browse information efficiently.


Sample Index Screen
 

Sample Content Screen

 
Submit Searches on the Handheld
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  Click the magnifying glass icon " ", located on the top of each screen to bring up search forms. Using the drop-down list, select the type of search you want to perform:  Unbound Surgery Search, Classic Query, or Clinical Query. Once you enter the information in the relevant form, your search is queued on the handheld and sent to your Web Library when you Sync.
 
     Unbound Surgery Search
  Enter search terms in the Keyword box then select "Submit" to store the query on your device.  On the next Sync, your query will appear in your Web Library, where you can run it against the current version of Unbound MEDLINE.

 
    Server Search : Classic MEDLINE Query
  In this form you can enter any combination of Keywords, an Author name, and Journal name. Annotations can also be entered in the My Notes field. Select "Submit" when the search is complete and the query will be stored on your device.  On the next Sync your query will appear in your Web Library, where you can run it against the current version of Unbound MEDLINE. 


 
    Server Search : Clincal MEDLINE Query
  In this form you can enter a Clinical Query, which provides a filtered search of the Medline database. You can limit your search by Category (Therapy, Diagnosis, Etiology, or Prognosis), by Emphasis (Precision or Completeness), or by entering search terms in the "Subject" field. Annotations can also be entered in the My Notes field. On the next Sync your query will appear in your  Web Library, where you can run it against the current version of Unbound MEDLINE. 


 
Available Content
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Unbound Surgery on the Handheld
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  Unbound Surgery is an innovative digital resource that combines evidence-based clinical content and leading edge technology. It offers comprehensive information that is specifically engineered to provide detailed, focused answers to diagnostic and therapeutic surgical questions. Unbound Surgery is authored by 100 expert content contributors from top surgery programs across the United States.

Required Memory: 4.0 MB
 
    Selecting an Index
  Unbound Surgery allows users to view information via four indexes: Alphabetical, Table of Contents, Tests, and Therapeutic.  The Alphabetical index lists each topic in Surgery  alphabetically; the Table of Contents lists each Section title; the Tests index alphabetically lists each Test; and the "Therapeutic" index alphabetically lists each therapy or intervention.


 
    Selecting an Entry
  To quickly find an entry, enter its name in "Jump to". To select an entry, select its title. You can scroll through the list of entries by using "Up/Down" arrows at the bottom of the display.


 
    Viewing a Record
  To make for easier navigation, each entry is divided into pages . Many entries contain subsections which you can view by using the down-arrow next to the record title. In addition, you can scroll through the fields using the "Next/Previous Field" arrows. 


Record


Fields Drop-Down Menu
 
    Saving a Record
  Records within Unbound Surgery can be saved to your Web Library. Check the "More Online" box, and a request will be queued on the handheld. When you Sync, all your queued requests are sent to your Library where you can link to more in-depth information. 


MEDLINE Journals on the Handheld
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  MEDLINE Journals can provide the citations and abstracts for the current issues of over 200 medical journals that are searchable on MEDLINE. You are initially provided with a selection of available journals that may be of interest to your specialty. You then have the option of editing your journal list as you wish. Please note that adding more journals will require more memory on your PDA and will increase your synchronization time.

Required memory:  approximately 15Kb per journal
 
    Creating your own Journal list
  Several journals are pre-selected for you at the time of product purchase.  To customize this list, login to Unbound Surgery on the Web and click the Handheld tab.  From here, click the MEDLINE Journals link in the Subscriptions section. Finally, check the box next to the journal(s) of your choice and click the Update button. The changes will appear on your handheld when you synchronize.
 
   Selecting a Journal
  Tap "MEDLINE Journals" from the home screen and your journal list will be shown. Journals with a newly published issue are preceded by an asterisk. Tap on the Journal you wish to browse.


 
    Viewing Table of Contents
  This screen shows the Table of Contents (TOC) for the desired journal. The Journal name and publication date appear at the top of the display; select them to jump to another journal. The items in the TOC are preceded by an item number. Select the title of a TOC Item to open it. Items with available abstracts are followed by a document icon.

 
    Reading an Article
  This screen shows the full record or citation. If the article title is long, it will appear in truncated form; however, simply highlight the title to view it in its entirety. Use the scroll bar on the right to scroll through the record. You can quickly jump to the next item in the TOC by clicking the "Next/Previous" arrows at the bottom of the display.

 
    Saving an Article
  You can save an item to your Web Library and then perform a number of actions online such as reading the citation/abstract online, viewing full text from the publisher, or searching for related articles through Unbound MEDLINE. To save an item, simply click "More Online" at the bottom of the display.


 
Unbound Surgery on the Web
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  In addition to viewing leading clinical resources on the handheld, Unbound Surgery allows you to queue requests and capture questions at the point of need. On synchronization of the handheld with the Web, these requests are sent to your Record Library on the Web, where you can link to more in-depth information. The Web component also allows you to customize your handheld subscriptions and manage your library of requests.
 
    Your Web Library
  Your Unbound Surgery web library consists of a number of interlinking components which allow you to manage your account.

 
    Viewing Records
  Records saved from your handheld appear in your library with links to more in-depth information. Records can be placed in folders of your choosing (explained below). A record can also be filed to a folder by clicking the folder name to the right of the record (currently "Unfiled").

Sample Web Library Record
 
     Managing Records
  Records are displayed in the "Record Library" window. The default view is of your "Unfiled" records; however, you can view records in a different folder or for a particular date (see below).

Use the check box to the left of each record to select it and then perform a function in the "Record Manager" such as "File" or "Delete". These functions can be performed on multiple records simultaneously.

NOTE: Records are deleted when you click "delete". You will not be prompted to confirm or be able to undelete records.
 
   Managing Folders
 

The "Folder Manager" located to the left of the "Record Display" has two sections. "View" allows you to switch from folder to folder. The active folder is designated by the "Open folder" icon; to open another folder simply click on its name.

The "Manage" section allows you to perform such functions as: Creating new folders, Modifying existing folders (renaming them, or selecting a new color), and Deleting folders. When you delete a folder, you are given the option to delete all records in it or to move all records to the "Unfiled" folder.

 
    Using the Calendar
  Unbound Surgery contains a Calendar display that serves a number of purposes. Beyond displaying the current date, the calendar also highlights the dates you saved records in your Library. You can select a new date using the Month and Year drop-down menus or click one of the highlighted days and the "Record Display" will be redrawn with all your saved records beginning on that date.
 
     Unbound Surgery on the Web : Handheld 
 

To modify your handheld content selections, log into Unbound Surgery at http://www.unboundmedicine.com/surgery and select the "Handheld" tab. 

 

Clicking on the "Handheld Settings" tab will take you to the following screen. From here, you can: Download and reinstall the handheld application; Request your Unbound Surgery serial number;  Find links to documentation; and View, add, and delete subscriptions. Any modifications to your subscriptions will be reflected on your handheld after your next Sync.


    Account
  To manage your Account settings, go to the following screen by clicking the Account tab at the top of the display.  From here, you can:  Modify your contact information; Change your e-mail address; Create a new password; and Modify your JavaScript settings.  

 
MEDLINE Journals on the Web
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  As a highly effective web-based interface to the world's medical literature, Unbound MEDLINE helps searchers find relevant, focused, medical information. It provides a powerful search of the National Library of Medicine's PubMed database and allows users--both experienced and inexperienced--to formulate sophisticated MEDLINE queries. When available, links are also provided to full articles. 

To access Unbound MEDLINE on the web, click the "Medline" tab at the top of the display.
 
    Classic MEDLINE Query
 
Clicking the Medline tab brings you to the following screen. The Classic Query tab is selected by default. From here you may submit search terms in one or more of the available fields: Keywords, Author, and Journal. Enter a search term and click either Quick Search or Assisted Search.  Quick Search directs your search term to the Medline database as a keyword.  Assisted Search also directs your search term to the Medline database, but does so guided by the medical subject headings--or MeSH terms--you choose.

 

Classic Query

Assisted Search

 
    Clinical MEDLINE Query
  A Clinical Query provides a filtered search of the Medline database. Filters may reduce the number of citations a search returns, but may increase the likelihood that the citations found will be relevant to your search. Unbound MEDLINE offers several methods by which to limit your Clinical Query: Subject, Category, Emphasis, and Language. 

 
     Journal Browser
  The Journal Browser feature allows you to view the latest table of contents page from journals available in Unbound MEDLINE. Click the Journal Browser tab and you are presented with two sections: My MEDLINE Journals and All Available. The My MEDLINE Journals section lists all the Journals to which you are currently subscribed. To view the TOC of a particular Journal, click its title. To remove a Journal from the list, simply click the remove link to the right of that title.
   

List of Journals Being Tracked
Journal's Table of Contents
 
Support
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    Support : Common Install Problems
 

1.) I get an error when I try to Sync for the first time.
There are a few possible causes of errors during Sync.  Often the cause of the error can be found in the HotSync log.  To view the log, right-click the HotSync icon in your Window's System Tray and choose "View Log..."  Look for messages that come after "UnboundSurgery Version X.XX Build X, Palm Version: X.X".

Not enough memory on your handheld
Each content resource requires a different amount of memory. To check that you have adequate space available:
  1. From the handheld home screen, Tap the "Menu" button in the Graffiti area.
  2. From the "App" menu, select "Info". Your memory usage will appear at the top of
      the screen. If you do not have the correct amount of memory available, consider
      deleting some unused applications.

To free additional space on your handheld:
  1. From the handheld home screen, Tap the "Menu" button in the Graffiti area.
  2. From the "App" menu, select "Delete". A List of the applications installed to
      your handheld and their memory usage will be displayed. Tap on the application
       you wish to delete. You will be asked to confirm the operation. Continue to do
       this until the "Free Memory" displayed at the top of the screen equals the
       appropriate amount.

Proxy server settings
If you normally use a proxy server to connect to the Internet, you may need to enter your proxy settings in the HotSync application. If you are not familiar with proxy server settings, you may need to contact your IT department. To enter or verify your proxy server information:
  1. Right-click on the HotSync icon in your Window's System Tray.
  2. Select "Custom…"
  3. Select "ubsurgery" from the Conduit list, and then click on "Change".
  4. Check the "Use Proxy Server" button and fill in the appropriate information.


2.) I installed ubsurgery.exe and synchronized, but I can't find the application on my handheld.
It's possible that some or all of Unbound Surgery did not get installed. You can check your HotSync log to see if any specific errors are displayed:
  1. Right-click on the HotSync icon in your Window's System Tray .
  2. Select "View Log…"
            Possible error messages can include:
                - Out of memory (see #1: Not enough memory on your Handheld)
                - Connection to the handheld was lost (try to Sync again)


3.) How do I login to Unbound Surgery?
  1. Go to http://www.unboundmedicine.com/surgery
  2. Enter your user name and password when prompted.


4.) I downloaded the Installer, but now I can't find it.
There are two ways to solve this problem. The first is to use the "Search" option of the Windows Start menu.
  1. From the Windows Start menu, select "Search" and then "For Files or Folders…"
  2. Enter "ubsurgery" in the field labeled "Search for files or folders named:"
  3. Click the "Search Now" button.

The second is to download the Unbound Surgery Installer again:
  1. Login to Unbound Surgery (see #3: How do I login to Unbound Surgery).
  2. Click the "Handheld" tab.
  3. Choose the "Handheld Software" link in the "Download" section.
  4. Follow the onscreen instructions.  When asked where to download the Installer,
      please note for future reference the directory into which it will be saved.

5.) Can I install Unbound Surgery on a memory card?
Yes, this product can be installed on a memory card. To install on a supported memory card, simply click "Yes" when asked during installation if you wish to place the application on a memory card.


6.) Is there a version of Unbound Surgery for Pocket PC, Psion or MacOS?
Both Mac and Pocket PC versions are available.  The software installer can be downloaded from the "Handheld" section (see question #4 above).  To view the Pocket PC User Guide, log into Unbound Surgery, click the "Handheld" tab.  Next, in the "Download" section, click the "User Guide" link and then choose the "Pocket PC User Guide". .


7.) How do I add or remove content from my handheld?
  1. Login to Unbound Surgery (see #3: How do I login to Unbound Surgery).
  2. Click on the "Handheld" tab.
  3. Check or uncheck the appropriate content and click the "Update" button.
  4. Sync your handheld.


8.) I can't install Unbound Surgery on my PC.
With some operating systems (Notably Windows NT, 2000, and XP Pro) you must have Administrator access to install some programs. You may need to contact your internal support department to assist with the install if you do not have administrative rights on your PC.

 
    Support : Contacting Unbound Medicine

 

 

 

 Who should I contact with questions about Unbound Surgery?

For general or editorial questions, please contact us at: info@unboundmedicine.com.

For technical support, please visit our support website at:
http://www.unboundmedicine.com/support.

Or click here to submit a Support Request.
 
Unbound™ Platform  © 2000-2008 Unbound Medicine, Inc. All rights reserved. 
Unbound Surgery © 2000-2008 Unbound Medicine, Inc. All rights reserved.