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Paper Citation Record · LEDGER

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings

As of 15 August 2026, this Paper Citation Record lists 14 of 14 outbound references and 0 inbound Pith citation observations for arXiv:2608.08896.

A citation records a reference. It does not transfer a finding from one paper to another.

pith.paper-citation-record.v1
2608.08896 v1

Coverage vector

measured 14 of 14 reference resolution

Typed states for the displayed outbound observations.

Source: paper_references, paper_reference_links, observed 2026-08-14T04:24:53.851982Z

measured 14 of 14 standing notices

One-hop event checks from named stored sources.

Source: scholarly_work_events, retraction_status_cache, observed 2026-08-15T06:32:42.880941+00:00

measured 0 of 0 inbound itemization

Pith citing papers itemized under the disclosed page cap.

Source: paper_references, paper_reference_links

measured 0 of 1 external citation measurements

A source-named dated measurement, never combined with another source.

Source: cited_works

Reference resolution

14 of 14 outbound references displayed

  • verified exact2
  • verified fuzzy2
  • unresolved10
  • parse uncertain0
  • malformed identifier0
  • metadata mismatch0

External citation measurements

No source-named external measurement is stored.

Outbound references

Observation 1347e94e-fca7-4770-b468-62d705526b96 · outbound

This paper cites Medical Equipment Maintenance Market,.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Medical Equipment Maintenance Market,

Reference 1

Resolution
verified fuzzy
raw_fallback, observed 2026-08-14T04:24:54.636095Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.623878Z digest=sha256:6e1fee902a6f2895774abf1e11dab6a3670b9044341789b4c0faac8a7366387f

Observation 9cd357e6-cc3a-4d41-a429-a9f77bef48cd · outbound

This paper cites Global Atlas of medical devices,.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Global Atlas of medical devices,

Reference 2

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.638626Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.638626Z digest=sha256:0457f185c00829cc7d1f447f3c310780d195a43135de6a629da66c334b243bcf

Observation 5be58276-51ba-4607-aa48-0e87552d59ed · outbound

This paper cites Medical equipment donation in low-resource settings: a review of the literature and guidelines for surgery and anaesthesia in low-income and middle-income countries.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Medical equipment donation in low-resource settings: a review of the literature and guidelines for surgery and anaesthesia in low-income and middle-income countries

Reference 3

Resolution
verified exact
doi, observed 2026-08-14T04:24:54.124759Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.646983Z digest=sha256:ee4de5f4ef04f798d1de226e2f29a791f866d2132071664a8f9c7e4528416931

Observation 53df1fcc-8d57-4bd3-a90c-7d8281e01843 · outbound

This paper cites Hugging Face (2026).

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Hugging Face (2026)

Reference 4

Resolution
verified fuzzy
raw_fallback, observed 2026-08-14T04:24:54.581684Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.656748Z digest=sha256:cc976aa6e42fa584f0ee23b0a4ea21d09d07e0e8ada83d14742879f01f87aa6e

Observation 772c4047-132f-41f6-9373-ffbdec4e816d · outbound

This paper cites L., Issah, A.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings L., Issah, A

Reference 5

Resolution
verified exact
doi, observed 2026-08-14T04:24:54.036878Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.699795Z digest=sha256:6029c5f20fb15e5b0f3119c7e6c0853a9d923165417d2f6b8004fa9aefe9eea7

Observation 9aa0480c-c3ae-4234-aaf4-31e5b42738f2 · outbound

This paper cites MedGemma Technical Report.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings MedGemma Technical Report

Reference 6

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.727756Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.727756Z digest=sha256:736fdb736ced34af0dcebb852468c29e0a51896fa78fad6307c89a1f8df6c65d

Observation cb4ec535-9fae-46fa-a341-768160d61d15 · outbound

This paper cites an unresolved cited work.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Unresolved cited work

Reference 7

Resolution
unresolved
raw_fallback, observed 2026-08-14T04:24:54.534020Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.738369Z digest=sha256:f98f723fcf084cba96f0a8cd9ad088c3a4ee14b1378a7e918caa76ca87109fa2

Observation 51359aac-380e-4359-9865-46ab573f9fb1 · outbound

This paper cites an unresolved cited work.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Unresolved cited work

Reference 8

Resolution
unresolved
raw_fallback, observed 2026-08-14T04:24:54.497710Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.746727Z digest=sha256:0533f4f0b55cc36ede5929e7a855c002153b59f2a9a0b0a26ea705ea0f2579d1

Observation 6d19cf98-aa57-4df0-a944-da82df57525d · outbound

This paper cites S., Wei, J., Chung, H.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings S., Wei, J., Chung, H

Reference 10

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.759237Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.759237Z digest=sha256:05193933595552c7116318cb9065c78461b55f88464fe01049d63af354be96ab

Observation b1570479-c7d4-472b-9e6b-a48ffe42c5f0 · outbound

This paper cites QLoRA: Efficient Finetuning of Quantized LLMs.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings QLoRA: Efficient Finetuning of Quantized LLMs

Reference 11

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.766300Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.766300Z digest=sha256:b90b53ae15656822e7f8398095ede6bda6794a3641babf7586f471e4c0184c47

Observation 6d8bf58b-efbf-4855-acf1-fd80541fcaac · outbound

This paper cites Parameter Efficient Fine Tuning: A Comprehensive Analysis Across Applications.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Parameter Efficient Fine Tuning: A Comprehensive Analysis Across Applications

Reference 12

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.783999Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.783999Z digest=sha256:6e632288f51fe7fbcbba014585432acd0f53536f2c0ace7bceaa6bdc8bde3fb0

Observation 7b44a1a8-c236-4189-9a43-23b908a16d06 · outbound

This paper cites LoRA: Low-Rank Adaptation of Large Language Models.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings LoRA: Low-Rank Adaptation of Large Language Models

Reference 13

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.802057Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.802057Z digest=sha256:7a5d857ad105c9543cc093a15732660ee3801d071fd6dd984cbc7db3b99c6b4a

Observation 09f4909e-dfe8-4719-af53-524cebe60413 · outbound

This paper cites BERTScore: Evaluating Text Generation with BERT.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings BERTScore: Evaluating Text Generation with BERT

Reference 14

Resolution
unresolved
no resolver link, observed 2026-08-14T04:24:53.845206Z

Source-reported events for the cited work

Unavailable: canonical work link unavailable.

source=pdf_text observed=2026-08-14T04:24:53.845206Z digest=sha256:a6411651869f48b1b5a9d6d8fe68a32b6359ea678cb4821e29fd594736177d89

Observation 13654075-82a7-434e-a322-deb770991408 · outbound

This paper cites an unresolved cited work.

From Manuals to Maintenance: Fine-Tuning MedGemma for Multi-Modal Imaging System Support in Low-Resource Settings Unresolved cited work

Reference 15

Resolution
unresolved
raw_fallback, observed 2026-08-14T04:24:54.419106Z

Source-reported events for the cited work

No event found in the named queried sources as of 2026-08-15T06:32:42.880941+00:00.

source=pdf_text observed=2026-08-14T04:24:53.851982Z digest=sha256:8646e1a4a9f9df4508bc422bccf64557a2ac6ef6c9b85af8fac3fe463037224a

Pith citing papers

No inbound Pith citation observations are available.