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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™ uses Unbound Medicine's knowledge management platform to integrate handheld devices and the Web, thereby delivering personalized content, applications, and messages 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


Install : System Requirements
	You must meet the following system requirements to use the product. Handheld Device Pocket PC 2003 or later Windows Mobile (All Platforms) Unbound Surgery - 4.0 MB of available memory (with additional space depending on content -- see each content source for additional memory requirements) ActiveSync 4.0 or later (Win XP or earlier) Windows Mobile Device Center (for MS Vista) Windows PC with Internet Connection Memory cards supported *TIP: How to check your handheld's memory. To check that you have adequate space available: From the handheld's Start Menu, choose Settings, then System, then Memory. Check that you have the required "Storage" memory. On some devices you can move the memory slider to increase available Storage memory.

Using the Handheld (General Features)

Handheld : Launching the Application
	The application can be launched from either the Start menu or from the "Programs" directory.


Handheld : Home screen
	The Home screen displays a list of your currently selected content. To open a content resource, select the entry in the list.


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


Handheld : Smartphone Navigation
	Unbound Surgery is compatible with Windows Mobile / Smartphone devices. Smartphones employ a 5-way navigation wheel and do not utilize a touch screen. In place of icons in the display, navigation functions can be carried out by opening the "Options" menu and selecting the appropriate action.



Handheld : Bookmarks
	The Unbound platform allows you to Bookmark important information so you can return to it easily at anytime. To create a Bookmark, select the Options menu in the lower-left portion of the screen (Pocket PC users may select Options or the icon throughout this process). A pop-up menu will appear - choose "Bookmarks". A second menu will appear with the options, "Add Bookmarks" and "See all Bookmarks". Select "Add Bookmark" to save your selection. To see all the bookmarks you've created, select "See all bookmarks". To return to a Bookmarked page, select the Options menu again and choose the desired Bookmark. A checkbox will appear next to the bookmarked page you are currently viewing. To remove a Bookmark, select it from your list to access the bookmarked page. Select Options again. When the pop-up menu appears, select "Remove Bookmark".

Handheld : Navigating Unbound Surgery
	The application provides a number of navigation features to help you browse information efficiently.
Sample Index Screen

Sample Content Screen

Submit Searches on the Handheld

	Select the magnifying glass icon " "located on the bottom 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.

Server Search : 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, 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 : Clinical 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

Unbound Surgery on the Handheld

	Unbound Surgery is an innovative digital resource that combines evidence-based clinical content and leading edge technology. It offers comprehensive information 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 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 choose 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 View 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

	MEDLINE Journals can provide the citations and abstracts for the current issue 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 select the Handheld tab. From here, choose 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
	Select"MEDLINE Journals" from the home screen and your journal list will be shown. Journals with a newly published issue are followed by an asterisk. Highlight 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 it to jump to another journal. The items in the TOC are preceded by an item number. Choose the "citation" or "abstract" hyperlink to view the full content.


Reading an Article
	This screen shows the full record or citation. If the article title is long, it will appear in truncated form. Simply select the text to see the full title. 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 select "More Online" at the bottom of the display.

Unbound Surgery on the Web

	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 Web Library consists of a number of interlinking components which allow you to manage your account.


Unbound Surgery on the Web : 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.


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

	Selecting the "Handheld Settings" tab will take you to the following screen. From here, you can: Download and reinstall the handheld application; Request your 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

	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

Support : Common Install Problems

1.) I can't install the application 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.

2.) I get an error when I try to Sync for the first time.
The main cause of synchronization error is:

Not enough memory on your Handheld
The memory requirements for this product are found in the
system requirements section.

To check that you have adequate space available:

From the handheld's Start Menu, choose Settings, then System, then Memory. Check that you have the required "Storage" memory. Some devices will permit you to move the memory slider to increase available Storage memory.

To free additional space on your handheld:

From the handheld's Start Menu, choose Settings, then Remove Programs.
Highlight the program you would like to delete and select "Remove."

3.) I ran the Installer and performed a synchronization, but I can't find the application on my handheld.
It's possible that some or all of the application did not get installed on the initial synchronization.

1. Synchronize again and check whether the application got installed.
2. If not, check if there is enough memory on your device (see Question #2)

4.) I had to perform a Hard Reset on my handheld. How do I reinstall the application?
A Hard Reset may wipe out all the applications and data in the device's flash ROM. To reinstall the application, re-run the product Installer and follow the on-screen instructions.

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

6.) 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 #5: How do I login to Unbound Surgery?).
  2. Click the "Handheld Settings" 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.

7.) Can I install the application on a memory card?
Yes, the program can be installed on a memory card. When you first run the Installer, you will be asked "Do you want to install this application in the Default Directory?" Click "No", and then chose the card onto which you would like to install the application.

8.) I purchased a new handheld and want to install the application on it.
Simply re-run the Installer and follow the on-screen instructions.

9.) How do I add or remove content from my handheld?
  1. Login to Unbound Surgery (see #5: How do I login to Unbound Surgery?).
  2. Click on the "Handheld Settings" tab.
  3. Check or uncheck the appropriate content and click the "Update" button.
  4. Sync your handheld buy removing it from its cradle and then placing it back.

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.