{"state_type":"pith_open_graph_state","state_version":"1.0","pith_number":"pith:2026:QO45F7UNZ3TJDAR6U5K76KZJJI","merge_version":"pith-open-graph-merge-v1","event_count":2,"valid_event_count":2,"invalid_event_count":0,"equivocation_count":0,"current":{"canonical_record":{"metadata":{"abstract_canon_sha256":"cb13a2820cfe0d566ee16fcbc8026110916a771f9f2cf185a3e2041fd0b8df9a","cross_cats_sorted":[],"license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.CV","submitted_at":"2026-07-06T20:32:30Z","title_canon_sha256":"32d2a9c5fd0f0085d3b14ee3cb9a880fd9f79c61e54d9a413e6521717d364f8a"},"schema_version":"1.0","source":{"id":"2607.05625","kind":"arxiv","version":1}},"source_aliases":[{"alias_kind":"arxiv","alias_value":"2607.05625","created_at":"2026-07-08T01:18:39Z"},{"alias_kind":"arxiv_version","alias_value":"2607.05625v1","created_at":"2026-07-08T01:18:39Z"},{"alias_kind":"doi","alias_value":"10.48550/arxiv.2607.05625","created_at":"2026-07-08T01:18:39Z"},{"alias_kind":"pith_short_12","alias_value":"QO45F7UNZ3TJ","created_at":"2026-07-08T01:18:39Z"},{"alias_kind":"pith_short_16","alias_value":"QO45F7UNZ3TJDAR6","created_at":"2026-07-08T01:18:39Z"},{"alias_kind":"pith_short_8","alias_value":"QO45F7UN","created_at":"2026-07-08T01:18:39Z"}],"graph_snapshots":[{"event_id":"sha256:15c39a5116415f200952f82d97f3aa5dea693c7a12bb42ae2ca05399b5c17be7","target":"graph","created_at":"2026-07-08T01:18:39Z","signer":{"key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signer_id":"pith.science","signer_type":"pith_registry"},"payload":{"graph_snapshot":{"author_claims":{"count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57","strong_count":0},"builder_version":"pith-number-builder-2026-05-17-v1","claims":{"count":0,"items":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"formal_canon":{"evidence_count":0,"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"integrity":{"available":true,"clean":true,"detectors_run":[],"endpoint":"/pith/2607.05625/integrity.json","findings":[],"snapshot_sha256":"c28c3603d3b5d939e8dc4c7e95fa8dfce3d595e45f758748cecf8e644a296938","summary":{"advisory":0,"by_detector":{},"critical":0,"informational":0}},"paper":{"abstract_excerpt":"Wound monitoring is a critical yet underserved clinical challenge, where timely identification of severe adverse events (SAEs) such as infection, tissue deterioration, and delayed healing can significantly impact patient outcomes. While vision-language models (VLMs) show strong multimodal reasoning, they often lack domain-specific grounding to integrate wound imagery with heterogeneous clinical information, and provide limited mechanisms for detecting cases that diverge from the training distribution. We present a multimodal framework for automated wound monitoring and SAE detection. Our appro","authors_text":"Aditi Naiknaware, Aminreza Khandan, Bijan Najafi, Jian Sun, Salimeh Sekeh, Sean Dow, Shengyang Huang","cross_cats":[],"headline":"","license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.CV","submitted_at":"2026-07-06T20:32:30Z","title":"Cross-Contextual Vision-Language Adaptation with LoRA for Personalized Severe Adverse Event Detection in Clinical Wound Monitoring"},"references":{"count":0,"internal_anchors":0,"resolved_work":0,"sample":[],"snapshot_sha256":"258153158e38e3291e3d48162225fcdb2d5a3ed65a07baac614ab91432fd4f57"},"source":{"id":"2607.05625","kind":"arxiv","version":1},"verdict":{"created_at":null,"id":null,"model_set":{},"one_line_summary":"","pipeline_version":null,"pith_extraction_headline":"","strongest_claim":"","weakest_assumption":""}},"verdict_id":null}}],"author_attestations":[],"timestamp_anchors":[],"storage_attestations":[],"citation_signatures":[],"replication_records":[],"corrections":[],"mirror_hints":[],"record_created":{"event_id":"sha256:c2f60846b93d4af0f6e8dcb0eb655e85d232dc16e749e0a0d57b6e96216f5d8c","target":"record","created_at":"2026-07-08T01:18:39Z","signer":{"key_id":"pith-v1-2026-05","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","signer_id":"pith.science","signer_type":"pith_registry"},"payload":{"attestation_state":"computed","canonical_record":{"metadata":{"abstract_canon_sha256":"cb13a2820cfe0d566ee16fcbc8026110916a771f9f2cf185a3e2041fd0b8df9a","cross_cats_sorted":[],"license":"http://arxiv.org/licenses/nonexclusive-distrib/1.0/","primary_cat":"cs.CV","submitted_at":"2026-07-06T20:32:30Z","title_canon_sha256":"32d2a9c5fd0f0085d3b14ee3cb9a880fd9f79c61e54d9a413e6521717d364f8a"},"schema_version":"1.0","source":{"id":"2607.05625","kind":"arxiv","version":1}},"canonical_sha256":"83b9d2fe8dcee691823ea755ff2b294a0d7c8bf4cd9cc2780224ef584d90ec69","receipt":{"algorithm":"ed25519","builder_version":"pith-number-builder-2026-05-17-v1","canonical_sha256":"83b9d2fe8dcee691823ea755ff2b294a0d7c8bf4cd9cc2780224ef584d90ec69","first_computed_at":"2026-07-08T01:18:39.563817Z","key_id":"pith-v1-2026-05","kind":"pith_receipt","last_reissued_at":"2026-07-08T01:18:39.563817Z","public_key_fingerprint":"8d4b5ee74e4693bcd1df2446408b0d54","receipt_version":"0.3","signature_b64":"LTcE2Tbn/S/lxpFHPnyOas9Cpmmk7k9QprBs8yeeZ7EakqCdvSFr5VrsNJQd1QMilWL3TVeoWpwCRfm2yB2rDQ==","signature_status":"signed_v1","signed_at":"2026-07-08T01:18:39.564274Z","signed_message":"canonical_sha256_bytes"},"source_id":"2607.05625","source_kind":"arxiv","source_version":1}}},"equivocations":[],"invalid_events":[],"applied_event_ids":["sha256:c2f60846b93d4af0f6e8dcb0eb655e85d232dc16e749e0a0d57b6e96216f5d8c","sha256:15c39a5116415f200952f82d97f3aa5dea693c7a12bb42ae2ca05399b5c17be7"],"state_sha256":"acfd3412b2f8bc7e31dd520a784f6f7fdc34c3c8628328137e5a1e271a59070a"}