{"as_of":"2026-08-22T03:52:00Z","caps":{"database_statements":6,"inbound":100,"outbound":100},"context_digest":"sha256:ee43cc3804045689dd7c259cbee37b5c65707d82cd07b65f7d27507fa6dde8b6","coverage":[{"denominator":27,"lane":"reference_resolution","note":"Typed states for the displayed outbound observations.","records_observed":27,"source":"paper_references, paper_reference_links","source_observed_at":"2026-05-20T14:59:11.496757Z","state":"measured"},{"denominator":28,"lane":"standing_notices","note":"One-hop event checks from named stored sources.","records_observed":28,"source":"scholarly_work_events, retraction_status_cache","source_observed_at":"2026-08-21T06:32:19.484+00:00","state":"measured"},{"denominator":1,"lane":"inbound_itemization","note":"Pith citing papers itemized under the disclosed page cap.","records_observed":1,"source":"paper_references, paper_reference_links","source_observed_at":"2026-08-01T09:54:32.892436Z","state":"measured"},{"denominator":1,"lane":"external_citation_measurements","note":"A source-named dated measurement, never combined with another source.","records_observed":0,"source":"cited_works","source_observed_at":null,"state":"measured"}],"external_citation_measurements":[],"inbound":[{"citation":{"cited_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":null,"pith_arxiv_id":"2605.17436","snapshot_observed_at":"2026-08-01T09:54:32.892436Z","title":null,"venue":null,"work_id":null,"year":2026},"citing_paper":{"arxiv_id":"2607.27304","last_updated":"2026-07-29T17:11:52Z","snapshot_observed_at":"2026-08-19T17:54:25.162362Z","submitted_at":"2026-07-29T17:11:52Z","title":"Position, Not Provenance: Separating Reasoning Mediation from Sycophancy in Medical Vision-Language Models","version":1},"reference_index":17,"source":"pdf_text","source_observed_at":"2026-08-01T09:54:32.892436Z"},"links":{"cited_paper":"/paper/2605.17436","citing_paper":"/paper/2607.27304"},"observation_digest":"sha256:b3bcd8d3f87a218d6b3c64b5ff75fab706a80f583bf3f6e2ee2c1abc693b74c0","observation_id":"ad03f16c-09e4-4bd3-8db7-7062f962dc5c","resolution":{"observed_at":"2026-08-01T09:54:32.892436Z","resolver_source":null,"status":"unresolved"},"standing_notice":{"events":[],"reason":"canonical_work_link_unavailable","source_receipts":[],"state":"unavailable"}}],"links":{"evidence":"/evidence","html":"/paper/2605.17436/citation-record","integrity":"/paper/2605.17436/integrity","json":"/paper/2605.17436/citation-record.json","paper":"/paper/2605.17436"},"outbound":[{"citation":{"cited_paper":{"arxiv_id":"2406.04449","last_updated":"2024-09-20T17:17:43Z","snapshot_observed_at":"2026-08-16T13:45:22.852039Z","submitted_at":"2024-06-06T19:12:41Z","title":"MAIRA-2: Grounded Radiology Report Generation","version":2},"cited_work":{"arxiv_id":"2406.04449","doi":null,"metadata_source":"pith","pith_arxiv_id":"2406.04449","snapshot_observed_at":"2026-07-08T22:15:39.401613Z","title":"Maira-2: Grounded radiology report gener- ation","venue":"cs.CL","work_id":"02db650c-ab84-4eff-ba3b-c2e67535494d","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":1,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2406.04449","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:faf4c45ea7b6334e7e60afd6f10f6b23ae2f7d578184a3460c0705bfb9b52dc2","observation_id":"7bc57e2e-0901-4aa2-a08e-049e3c917e71","resolution":{"observed_at":"2026-05-20T15:03:24.766872Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"S., Kang, H., Chu, Y","venue":null,"work_id":"22b1e24e-57a3-4f3e-b6bb-e3374c66f473","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":2,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:69d56ca6ff9a175fa5a40c34200ebf043aa826a780a325d57b842adbd497d0f6","observation_id":"f0cc86b5-5540-4c3d-b975-a7a0f05a446c","resolution":{"observed_at":"2026-05-20T15:03:25.469455Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":null,"venue":null,"work_id":"611a0c56-f392-4bcf-80bb-b13124de111a","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":3,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:5903feb7770974405bd0ff1ce33cfe1fd3ad7eec4b0ed192f80f0791b4c3775f","observation_id":"12b615e8-9354-4f9d-a453-608efa123664","resolution":{"observed_at":"2026-05-20T15:03:25.459983Z","resolver_source":"raw_fallback","status":"unresolved"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2505.08775","last_updated":"2025-05-13T17:53:59Z","snapshot_observed_at":"2026-08-14T05:14:19.224957Z","submitted_at":"2025-05-13T17:53:59Z","title":"HealthBench: Evaluating Large Language Models Towards Improved Human Health","version":1},"cited_work":{"arxiv_id":"2505.08775","doi":"10.48550/arxiv.2505.08775","metadata_source":"pith","pith_arxiv_id":"2505.08775","snapshot_observed_at":"2026-08-05T02:28:24.338817Z","title":"HealthBench: Evaluating Large Language Models Towards Improved Human Health","venue":"cs.CL","work_id":"5d613c2c-158f-488c-9981-fc9b82a5e093","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":4,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2505.08775","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:1c321e6e4a0df57936eccc0bd38f27f6cf6a4f27bc9c4a7b040c624e397d5405","observation_id":"a3469dfc-17b7-4ecd-ba87-8fc529f63920","resolution":{"observed_at":"2026-05-20T15:03:24.771686Z","resolver_source":"local_arxiv","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"Medicine Community Heal.13, e003033 (2025)","venue":null,"work_id":"c8611ca2-6f23-4b83-949a-0bbdc45e311f","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":5,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:f6c992308dc76d9dd8cc9911d7ae1b31d10e057d08265fded249eeab6f777488","observation_id":"c510456a-866c-444f-bb97-7feeb4eaf76b","resolution":{"observed_at":"2026-05-20T15:03:25.462020Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"Y ., Zhang, W","venue":null,"work_id":"1815dab2-98e0-4a81-9d84-d9835f882dea","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":6,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:b73724a4d48b2c6de7cab87471e1c3a0843162eb365dc517b16328d2d3168cf0","observation_id":"7cff2d93-a840-48f7-bdd3-04df6ddf24fa","resolution":{"observed_at":"2026-05-20T15:03:25.464249Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2109.04448","last_updated":"2021-09-09T17:47:50Z","snapshot_observed_at":"2026-08-16T17:57:43.684056Z","submitted_at":"2021-09-09T17:47:50Z","title":"Vision-and-Language or Vision-for-Language? On Cross-Modal Influence in Multimodal Transformers","version":1},"cited_work":{"arxiv_id":"2109.04448","doi":null,"metadata_source":"arxiv_reference","pith_arxiv_id":"2109.04448","snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"& Elliott, D","venue":null,"work_id":"ae371515-bbf6-4085-a65f-c92ca5247524","year":2021},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":7,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2109.04448","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:1378683cf6cdd325f04a7b87b3b10306073f9ee80e8bd71d17f461741e297d79","observation_id":"251beba0-629c-4e9b-9f7d-5a2103929d7a","resolution":{"observed_at":"2026-05-20T15:03:24.781943Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":"10.18653/v1/2025.findings-acl.1256","metadata_source":"openalex","pith_arxiv_id":null,"snapshot_observed_at":"2026-08-05T02:28:24.338817Z","title":"Y ., Zhang, W","venue":null,"work_id":"10da1bee-9d57-4633-8860-881ccc8435a0","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":8,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:27d8d35cf28cb9cabd4624189c4eae7d47737b50f750fc17e531013529438a92","observation_id":"a4944217-500e-4e76-b068-7a5383b728fd","resolution":{"observed_at":"2026-05-20T15:03:24.708396Z","resolver_source":"doi","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-05-23T11:53:56.864387+00:00","source":"crossref_status_cache"},{"observed_at":"2026-05-23T11:53:56.864387+00:00","source":"openalex_status_cache"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"& Ferrante, E","venue":null,"work_id":"d3d4147c-a33a-4c30-8a4a-810bf63ca99a","year":2026},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":9,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:8ec26d8bf0a041897e0f905d0f73ffdf0cbc112399365aaa1f3e1aa057ede9fa","observation_id":"953948e8-8e08-4c10-ae75-3f100995a93d","resolution":{"observed_at":"2026-05-20T15:03:25.452115Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":"2603.21687","doi":null,"metadata_source":"arxiv_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-07-04T03:59:32.407782Z","title":"Aofei Chang, Le Huang, Parminder Bhatia, Taha Kass-Hout, Fenglong Ma, and Cao Xiao","venue":null,"work_id":"e797b732-3929-4e8b-9103-1dbd2f056fec","year":2026},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":10,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:beeea2315602a82128ce0e2554f42c6637d46048f5b6ae41c34610b412917331","observation_id":"d8966007-5ce8-4709-9915-7732969bb230","resolution":{"observed_at":"2026-05-20T15:03:24.798816Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"M., Mascheroni, P., Brooks, S., Doering, S","venue":null,"work_id":"7302b803-7f19-42ed-962a-9346c06f32a1","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":11,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:c26d8bc8357541ef01994469ce44ea5da9accf530b6de078375cf998d7e51aab","observation_id":"2b876cc9-bf17-4787-b379-2dee4ee72d0b","resolution":{"observed_at":"2026-05-20T15:03:25.444137Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"Medicine(2025)","venue":null,"work_id":"0e6071eb-76ee-40f5-a5d0-7f72eb2094f9","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":12,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:a15134c9ac1f9242b469a27dfe05953a4d9ac80824402cabefb47ed5b8a228cb","observation_id":"c2adb1c9-0607-4430-8ea2-e593db115923","resolution":{"observed_at":"2026-05-20T15:03:25.446074Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"medicine30, 2613–2622 (2024)","venue":null,"work_id":"7ba32ad2-6905-4bc2-8125-b155bf7d4b37","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":13,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:69db9aa8bda8edb2937df475e290f2b02e2e26feda643d3677d5ac4e2b148d5e","observation_id":"09bf2f35-ae3d-4036-93b1-b48e5de835e2","resolution":{"observed_at":"2026-05-20T15:03:25.450121Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2401.03729","last_updated":"2024-04-01T20:56:11Z","snapshot_observed_at":"2026-08-20T05:18:39.545724Z","submitted_at":"2024-01-08T08:28:08Z","title":"The Butterfly Effect of Altering Prompts: How Small Changes and Jailbreaks Affect Large Language Model Performance","version":3},"cited_work":{"arxiv_id":"2401.03729","doi":null,"metadata_source":"pith","pith_arxiv_id":"2401.03729","snapshot_observed_at":"2026-07-10T15:27:20.049648Z","title":"The butterfly effect of altering prompts: How small changes and jailbreaks affect large language model performance.arXiv preprint arXiv:2401.03729","venue":"cs.CL","work_id":"150a45e5-3469-496b-b2f3-50ce7822e435","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":14,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2401.03729","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:dfbe0f3a7e105a68f3196dec2bbff4f197fd87ed6eff45c3b7d07bcec656bf93","observation_id":"83fbe9da-285b-4947-8221-5771043a3d43","resolution":{"observed_at":"2026-05-20T15:03:24.788659Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"& Bifulco, R","venue":null,"work_id":"def9832f-54ec-4579-b814-b28ad4f0473f","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":15,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:a5f66e9ddd1401eaf0e5339024d2f993972c80ddff61ae0eae4cac97c5c5dab9","observation_id":"328b3a63-6077-4f82-a98e-448569b95cf8","resolution":{"observed_at":"2026-05-20T15:03:25.454053Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"& Schwing, A","venue":null,"work_id":"66ce7530-12e9-4ae9-82a2-c84a42c032cb","year":2021},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":16,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:83d3091d478b9dfa0d4ef31b767efe797640cfcb33ee208166d4c43c864b86a4","observation_id":"236c6bac-86e5-4246-a8ac-e602fb6a102c","resolution":{"observed_at":"2026-05-20T15:03:25.466013Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"& Frank, A","venue":null,"work_id":"1173c6ce-c230-49a4-aac1-4d2f0b8bc505","year":2023},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":17,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:1877bb2d11f57b11051f4dab37c2c409953eb98738b3b3118b2962ba660cdd75","observation_id":"40a603f2-cba5-4e66-99ca-bec32fc94390","resolution":{"observed_at":"2026-05-20T15:03:25.467844Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2404.18624","last_updated":"2025-05-01T18:40:41Z","snapshot_observed_at":"2026-08-16T21:18:31.814349Z","submitted_at":"2024-04-29T11:52:20Z","title":"Do Vision & Language Decoders use Images and Text equally? How Self-consistent are their Explanations?","version":4},"cited_work":{"arxiv_id":"2404.18624","doi":null,"metadata_source":"arxiv_reference","pith_arxiv_id":"2404.18624","snapshot_observed_at":"2026-07-01T22:06:16.588829Z","title":"& Frank, A","venue":null,"work_id":"c6cacd60-4527-4e8e-a3c2-30544cde3cf4","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":18,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2404.18624","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:39a68d198e9c4d34f345f984c3249f751fde58b32c6ee2c6db2bd8d73b2467b9","observation_id":"88efbdee-8564-4b3e-ba26-903f1452f388","resolution":{"observed_at":"2026-05-20T15:03:24.795322Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-07-09T03:05:55.529719Z","title":"InProceedings of the AAAI conference on artificial intelligence, vol","venue":null,"work_id":"6023901e-87b4-4fe3-806a-d94c91f6cda3","year":2019},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":19,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:673a8863aa3423302689a578223e61c26a4f75a6a72a89d3befcd7ef22351f71","observation_id":"bcf017fa-a031-4497-978e-4c8802903ddd","resolution":{"observed_at":"2026-05-20T15:03:25.456073Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"1901.07042","last_updated":"2019-11-14T17:34:51Z","snapshot_observed_at":"2026-08-02T04:11:08.699777Z","submitted_at":"2019-01-21T19:01:00Z","title":"MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs","version":5},"cited_work":{"arxiv_id":"1901.07042","doi":null,"metadata_source":"pith","pith_arxiv_id":"1901.07042","snapshot_observed_at":"2026-07-09T23:26:36.938370Z","title":"MIMIC-CXR-JPG, a large publicly available database of labeled chest radiographs","venue":"cs.CV","work_id":"9f686305-3144-4f19-b5a5-0dcce109551c","year":2019},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":20,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/1901.07042","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:28c18e6ce29c01c95668803844fc5134df1e6369692c09c7960e2e757b21eedd","observation_id":"22869004-9297-4554-93ad-b8d817c7d5a4","resolution":{"observed_at":"2026-05-20T15:03:24.775107Z","resolver_source":"local_arxiv","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2502.13923","last_updated":"2025-02-19T18:00:14Z","snapshot_observed_at":"2026-08-21T16:02:41.546193Z","submitted_at":"2025-02-19T18:00:14Z","title":"Qwen2.5-VL Technical Report","version":1},"cited_work":{"arxiv_id":"2502.13923","doi":"10.48550/arxiv.2502.13923","metadata_source":"pith","pith_arxiv_id":"2502.13923","snapshot_observed_at":"2026-08-05T02:28:24.338817Z","title":"Qwen2.5-VL Technical Report","venue":"cs.CV","work_id":"69dffacb-bfe8-442d-be86-48624c60426f","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":21,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2502.13923","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:d97469297d7acfd87ccc16c34c930ac920954fea8409b337dea12b61c35808ea","observation_id":"9cf26831-7d63-410f-af0d-0040b5d25f86","resolution":{"observed_at":"2026-05-20T15:03:24.778864Z","resolver_source":"local_arxiv","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-08T16:08:16.864468+00:00","source":"crossref_status_cache"},{"observed_at":"2026-08-08T16:08:16.864468+00:00","source":"openalex_status_cache"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2501.17811","last_updated":"2025-01-29T18:00:19Z","snapshot_observed_at":"2026-08-21T20:37:42.923128Z","submitted_at":"2025-01-29T18:00:19Z","title":"Janus-Pro: Unified Multimodal Understanding and Generation with Data and Model Scaling","version":1},"cited_work":{"arxiv_id":"2501.17811","doi":"10.48550/arxiv.2501.17811","metadata_source":"pith","pith_arxiv_id":"2501.17811","snapshot_observed_at":"2026-08-05T02:28:24.338817Z","title":"Janus-Pro: Unified Multimodal Understanding and Generation with Data and Model Scaling","venue":"cs.AI","work_id":"67d9e391-26d1-459e-ab56-07e60511c886","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":22,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2501.17811","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:853fdbede98d067dd0dd7f46892afd7e146ecf363d4182d4a1d6ae71aa6d0bd3","observation_id":"9ffc14cd-cd45-4741-9ee2-da8c7a93da8d","resolution":{"observed_at":"2026-05-20T15:03:24.802016Z","resolver_source":"local_arxiv","status":"metadata_mismatch"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"InProceedings of the IEEE/CVF Conference on Computer Vision and Pattern Recognition, 14299–14308 (2021)","venue":null,"work_id":"1939a0bc-e1d4-4f29-9e2a-a7afb9aabd74","year":2021},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":23,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:93a66aaf5c2337c2235581460fc2be5e5a5087a2b00f6ff8c63d025f3db85e11","observation_id":"52a18fdc-2c24-48a1-8ad8-271ab9387148","resolution":{"observed_at":"2026-05-20T15:03:25.447943Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":null,"venue":null,"work_id":"11609d76-cc04-4744-afb2-90a4cfd9f47f","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":24,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:2255f956eca2602a3d0235ab3604af340b94ba76a84c3b553a9216cfa11d32a9","observation_id":"8466ae2e-f70d-4a4d-9f2b-d804e90ac37b","resolution":{"observed_at":"2026-05-20T15:03:25.458003Z","resolver_source":"raw_fallback","status":"unresolved"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":"2410.01553","doi":null,"metadata_source":"arxiv_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-07-03T09:07:48.033764Z","title":"Medqa-cs: Benchmarking large language models clinical skills using an ai-sce framework.arXiv preprint arXiv:2410.01553, 2024","venue":null,"work_id":"a50000ab-9da0-4a5c-bc43-da26ee1c6408","year":2024},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":25,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:14f388b2203a1e00f0a2aa0cde674a54d5a3a6579ca52f6baae97dedb2c648be","observation_id":"490702f2-8bdf-4fc2-a555-affedb978560","resolution":{"observed_at":"2026-05-20T15:03:24.792089Z","resolver_source":"arxiv_id","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":{"arxiv_id":"2009.03300","last_updated":"2021-01-12T18:57:11Z","snapshot_observed_at":"2026-08-13T20:44:28.824685Z","submitted_at":"2020-09-07T17:59:25Z","title":"Measuring Massive Multitask Language Understanding","version":3},"cited_work":{"arxiv_id":"2009.03300","doi":"10.48550/arxiv.2009.03300","metadata_source":"pith","pith_arxiv_id":"2009.03300","snapshot_observed_at":"2026-08-05T02:28:24.338817Z","title":"Measuring Massive Multitask Language Understanding","venue":"cs.CY","work_id":"e87ec49a-544b-4ec8-8991-75298c64ff5e","year":2020},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":26,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"cited_paper":"/paper/2009.03300","citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:9529c97f0a60bb4feba1ad34dde1ad7c47bfeeec355a428c5648e2c9265539d3","observation_id":"785c21a0-8ddb-4e96-a2a5-12f34f509c85","resolution":{"observed_at":"2026-05-20T15:03:24.785379Z","resolver_source":"local_arxiv","status":"verified_exact"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-04T01:08:06.256034+00:00","source":"crossref_status_cache"},{"observed_at":"2026-08-04T01:08:06.256034+00:00","source":"openalex_status_cache"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}},{"citation":{"cited_paper":null,"cited_work":{"arxiv_id":null,"doi":null,"metadata_source":"raw_reference","pith_arxiv_id":null,"snapshot_observed_at":"2026-06-05T21:23:00.469572Z","title":"Medicine 8, 727 (2025)","venue":null,"work_id":"bdda6b5d-7783-4455-9810-f0716021c432","year":2025},"citing_paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models","version":1},"reference_index":27,"source":"pdf_text","source_observed_at":"2026-05-20T14:59:11.496757Z"},"links":{"citing_paper":"/paper/2605.17436"},"observation_digest":"sha256:533e1456d59bd1ea19d3202634971b4ffbcd743f14b6841be275213cf84aa685","observation_id":"94efca48-d07b-4802-999a-971cd5f3e63e","resolution":{"observed_at":"2026-05-20T15:03:25.471534Z","resolver_source":"raw_fallback","status":"verified_fuzzy"},"standing_notice":{"events":[],"observation":"No event found in the named queried sources as of 2026-08-21T06:32:19.484+00:00.","reason":null,"source_receipts":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"state":"measured"}}],"paper":{"arxiv_id":"2605.17436","last_updated":"2026-05-17T13:11:38Z","latest_version":1,"primary_category":"cs.CV","snapshot_observed_at":"2026-08-16T14:30:40.491700Z","submitted_at":"2026-05-17T13:11:38Z","title":"Medical Context Distorts Decisions in Clinical Vision Language Models"},"reference_resolution":{"displayed":27,"state_counts":{"malformed_identifier":0,"metadata_mismatch":1,"parse_uncertain":0,"unresolved":2,"verified_exact":11,"verified_fuzzy":13},"total_outbound_references":27},"refusal":"A citation records a reference. It does not transfer a finding from one paper to another.","schema":"pith.paper-citation-record.v1","standing_sources":[{"observed_at":"2026-08-21T06:32:19.484+00:00","source":"crossref"},{"observed_at":"2026-08-21T06:32:16.066871+00:00","source":"retraction_watch"}],"thesis":"As of 22 August 2026, this Paper Citation Record lists 27 of 27 outbound references and 1 inbound Pith citation observation for arXiv:2605.17436."}