JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Type of menopause, age of menopause and cardiovascular disease: a cross-sectional study
based on data from Rafsanjan cohort study
Version: 0 Date: 19 May 2024
Reviewer's report:
1. General comment
The findings from the research are not new knowledge.  However, the obtained data specifically
from Iran support that the relationship between the occurrence of cardiovascular diseases is
consistent, regardless of nationality.
I have some concerns regarding the lack of information on alcohol intake and also the definition
of early menopause in the study.
2. Are the objectives and the rationale of the study clearly stated?
2.1. Objectives:  Clearly stated
2.2. Rationale: I suggest the authors clearly state the cut-off level of early menopause.  This
study used 49. What were the reasons?
3.    Methods and analysis
3.1. I wonder if the authors collected the data regarding alcohol intake.  If the authors had the
data, adding this factor to the adjusted analysis would be very nice.
4. Discussion
The study did not look at CVD specifically in premature menopause and early menopause (<45)
so the discussion was not quite clear.  Therefore, if it is possible to reanalyze the data according
to the standard definition of premature menopause and early menopause, the discussion would
be unambiguous.
5. Other
5.1. I would suggest using natural menopause and induced menopause instead of normal and
abnormal menopause, respectively.
5.2. Early menopause is normally defined as menopause before 45
5.3. To take the age of menopause (independent variable) as either a continuous outcome or
three or four groups [premature menopause (<40), early menopause (> 40 to <45), relative early
menopause (> 45 to < 50), menopause after 45 or 50], the research would provide more valuable
information
Title: Type of menopause, age of menopause and cardiovascular disease: a cross-sectional study
based on data from Rafsanjan cohort study
Version: 1 Date: 23 Jul 2024
Reviewer's report:
The article has improved and all comments from reviewers have been addressed. English still
needs correction. The topic is valid, although several researchs have already been published with
somewhat similar results, it is a robust dataset of Iranian sample.
Title: Type of menopause, age of menopause and cardiovascular disease: a cross-sectional study
based on data from Rafsanjan cohort study
Version: 1 Date: 08 Oct 2024
Reviewer:  Eliana Ojeda
Reviewer's report:
En la Discusión compara  los riesgos cardiovasculares de mujeres con hombres, pero no es el
motivo de la investigación
Title: Menopause knowledge, attitudes and experiences of women in Saudi Arabia: a qualitative
study
Version: 0 Date: 21 Sep 2024
Reviewer:  Enas Mahrous Abdelaziz
Reviewer's report:
Great appreciation to the authors for the initiation to proceed with such needy Qualitative
research on menpause women   and for addressing deeply their understanding , perceptions and
experiences of the menapuse  . But there are a few issues which are major and eventually should
be revised and managed.
# The title is attractive , contains essential  study concepts and to the point
# The study's aim should align with the title. For example, the title refers to "Knowledge,
Attitudes, and Experiences of Women," whereas the study objective states, "Explore in-depth
the knowledge, perceptions, and experiences." Please revise accordingly.
# The eligibility criteria specify that study participants must be between the ages of 40 and
64, as the authors consider this group to be in the perimenopausal and early postmenopausal
stages, this may be confusing  please explore  why this age group . Additionally, the authors
consider  women experiencing sudden menopause due to cancer treatments or surgeries—such
as survivors of breast and cervical cancer, as they undergo natural menopause. Please  spcify
how these conditions considerd as normal?
# The study is set in Riyadh, the capital of Saudi Arabia, which differs from other regions in
the country. This limited geographical area may impact the participants' knowledge, as there are
numerous medical services available. In the  table 1 , the authors  set study participants from
diffrent regions in saudi arabia.
# The research design employed in this study is highly effective in addressing the knowledge,
attitudes and experiences of women. By utilizing a qualitative approach, the design allows for
an in-depth exploration of participants' knowledge, attitudes, and experiences, which is crucial
for understanding the nuances of their perceptions. Semi-structured interviews facilitates rich,
detailed responses that capture their perceptions and attitudes  of the study participants .
# The effective description of themes in this study provides a clear and insightful understanding
of the participants' experiences and perspectives. Each theme is articulated with precision, that
ensure  depth of analysis of the thems in relation to saudi culture . By systematically organizing
the themes, the authors facilitate the key findings of each them
# Table 1 , the authors need to change age categorization to 40- less than 45, 45-lees than 50
….etc
# The discussion section of the manuscript effectively synthesizes the study's findings with
existing literature, offering a comprehensive interpretation of the results. The authors   clearly
interpreted the results and supported their results with  Saudi studies . this is  simply clarified
the importance of such qualitative study .
# Strenghth and limited are well formed
# The references need to update
Title: Menopause knowledge, attitudes and experiences of women in Saudi Arabia: a qualitative
study
Version: 0 Date: 24 Sep 2024
Reviewer:  Beate C. Sydora
Reviewer's report:
Although the experience and perception of menopause has been investigated in a variety of
countries and in various research settings, the current manuscript is unique in its approach of
personal interviews with Saudi Arabic women. The study is overall well-crafted and findings
are thoughtfully discussed.
There are only a few points I like to mention which require attention and/or considerations.
The prompts are identical for the 2 survey questions: ‘What impact menopause has on your daily
life?’ and: ‘How have you been managing your symptoms?’ Is this purposefully designed this
way?
In table 1 the authors state that 6 women were premenopausal without menopausal symptoms.
However, in the method section under the heading participants, the authors state that they
included women in the interviews who were in peri- and early post-menopausal stage. In
addition, with a median age of menopause at 50 years, women aged 60-64 years most likely do
not fall under the term “early” postmenopausal as their menopause potentially is already >10
years away. Perhaps the authors should correct this in the method section stating the inclusion
of women from pre-menopausal to post-menopausal stage.
It would be useful in table 1 to include numbers of those experiencing surgically-induced
menopause and menopause due to cancer treatment versus those experiencing natural
menopause.
In the discussion the authors might consider mentioning that women who have learned about
HRT are choosing not to use HRT because of fear for risk of developing cancer. This was
mentioned by some women in the result section.
The authors identified only 3 women with no or mild symptoms. Considered that most women go
through menopause without severe symptoms, this finding should be discussed and considered
that recruitment might have included a selection bias and that mostly women answered to the
recruitment flyers and advertises who experienced troublesome menopause symptoms.
There is a missing reference for Tong et al. 2007 for the COREQ checklist:
Allison Tong, Peter Sainsbury, Jonathan Craig, Consolidated criteria for reporting qualitative
research (COREQ): a 32-item checklist for interviews and focus groups, International Journal
for Quality in Health Care, Volume 19, Issue 6, December 2007, Pages 349–357, https://
doi.org/10.1093/intqhc/mzm042
Also, a review on menopause experience among Aboriginal women in various countries might
be cited in the context of a positive experience of menopause: Chadha et al. Experience of
menopause in aboriginal women: a systematic review. Climacteric. 2016;19(1):17-26.
I applaud the authors on a study well done.
Title: Menopause knowledge, attitudes and experiences of women in Saudi Arabia: a qualitative
study
Version: 0 Date: 09 Oct 2024
Reviewer:  Husameldin Elsawi Khalafalla
Reviewer's report:
This is a well-written qualitative study.  Attention to details is overwhelming.
Here are some remarks:
Abstract: the conclusions are more of recommendations, except for the first sentence. The
conclusions section in the main text captures it all, and if consulted can help to refine that of
the abstract.
Results: A shift in focus from family to self: I don’t see a good explanation how any SHIFT
occurred.
Some possible typos:
'bicultural' – did you mean biocultural?
Principle findings:  did you mean Principal.
Complete the  year of the first reference : (Avis, et al. 201; Varella, et al. 2016; Heidari, et al.
2013).
Title: Menopause knowledge, attitudes and experiences of women in Saudi Arabia: a qualitative
study
Version: 2 Date: 05 Nov 2024
Reviewer:  Enas Mahrous Abdelaziz
Reviewer's report:
I would like to commend you on the thorough revisions you made to the manuscript. You have
addressed all of the concerns and suggestions from the initial review in a comprehensive manner,
and the changes have greatly enhanced the overall quality of the work. The manuscript is now
much clearer, and the improvements in the methodology and discussion sections, in particular,
have strengthened the scientific rigor of the study. I believe the revised version is significantly
better, and I appreciate the effort you have put into improving the manuscript.
Title: Effect of a Virtual Educational Intervention Based on Self-Efficacy Theory on Women’s
Skills of Breast Self- Examination
Version: 2 Date: 29 Jan 2024
Reviewer's report:
• The method section should be completed by mentioning the main points in the summary.
• was the individual face-to-face training in the control group and virtual group training in the
intervention group done? How is the effect of the group and society of learning in intervention
group controlled?
• It is suggested to use the word “participant” instead of the word “subject” in the method section.
• The style of the final references should be the same according to the journal template, currently
it is written in different styles.
Title: Effect of a Virtual Educational Intervention Based on Self-Efficacy Theory on Women’s
Skills of Breast Self- Examination
Version: 2 Date: 01 Feb 2024
Reviewer:  Majid Yousefi Afrashteh
Reviewer's report:
The article "effect of a Virtual Educational Intervention on Women’s self- efficacy and Skills
of Breast Self-Examination" despite having a good goal, but it has not been very successful in
achieving it. Below are suggestions for improving the article.
The theoretical framework is not clear. It is better to provide a theoretical model for research
hypotheses in the introduction.
The age range of the participants is wide. In this regard, a convincing explanation is necessary
for the readers.
In the data analysis section, it is necessary to provide analytical approaches. General information
such as descriptive and inferential statistics mentioned in the results section.
The analysis method is wrong and causes the inflation of the first type error. Use covariance
analysis.
It is unclear how the groups were matched. Matching groups should be based on confounding
variables, not just demographic variables.
For the knowledge questionnaire, no indicator for the reliability of the instrument has been
reported.
The discussion section does not have enough coherence. It is better to report according to the
same theoretical model that was suggested to be added in the introduction.
Title: Effect of a Virtual Educational Intervention Based on Self-Efficacy Theory on Women’s
Skills of Breast Self- Examination
Version: 6 Date: 14 Oct 2024
Reviewer's report:
The study aims to investigate the effect of virtual education program on breast self-examination
self-efficacy and skills. This article is interesting and would fit well within the scope of BMC
Women’s Health. My only comment is that some sections could benefit from a review of the
grammar to improve clarity and flow.
Title: Risk of Polycystic Ovary Syndrome: A Population-Based Analysis of Sociodemographic
Factors, Healthcare Access, Health Behaviors, and Health Status
Version: 1 Date: 12 Sep 2024
Reviewer's report:
Thank you for sending this manuscript
My main concern is in the method section.
Add validity and reliability of the tool.
The diagnostic criterion of PCOS should be added.
Add entry and exit criteria
The sampling method is very dumb
There is no need to repeat numbers and figures in the discussion and it should be focused on
the main findings
Grammar needs revision
Title: Risk of Polycystic Ovary Syndrome: A Population-Based Analysis of Sociodemographic
Factors, Healthcare Access, Health Behaviors, and Health Status
Version: 1 Date: 14 Sep 2024
Reviewer's report:
The authors attempted to study the plausible socio-demographic factors that may risk a woman
for PCOS. I do have serious concerns:
1. The definition of PCOS was not mentioned at all in this manuscript and this raises concerns
that the authors believe that PCOS is "preventable" like other chronic medical conditions e.g.
diabetes and hypertension.
2. The reference of Haq et al 2019 does not determine and cannot prove that these are
"susceptibility" factors for PCOS in women who are diagnosed at PCOS.
With the mentioned concerns, this makes the study flawed as the understanding of the condition
is completely misaligned with the current literature and evidence. Metabolic disorders are
associated with PCOS but NOT diagnostic of PCOS. PCOS diagnosis remained a conundrum but
clearly irregular cycles, hyper androgenism and now high AMH levels which requires clinical
diagnostic tools to determine; this study does not offer any additional value to the additional risks
of "PCOS" in women from Saudi Arabia, unless the hypothesis is that environmental factors
are causative of PCOS.
Title: Experiences of Women Living with Cervical Cancer in Ghana: Challenges and Coping
Strategies
Version: 1 Date: 05 Oct 2024
Reviewer:  Marzieh Beigom Bigdeli Shamloo
Reviewer's report:
Hello, a very good topic has been chosen, in order to improve the article, it is necessary to
observe a few points:
1. In the introduction, cervical cancer is one of the causes of women's death and not the main
cause, please edit it
2 In the methodology, using the term sample size is incorrect and you should write the number
of participants because the sample size is specific to quantitative research
3. Have they been asked how many sexual partners they had?
4. Annual cervical care??
5. How did you check the reliability of the analysis?
6.Considering that there are compatibility theories and possible problems in nursing, why has
directed analysis not been done?
Title: Diet Quality, Body Weight, and Postmenopausal Hot Flashes: A Secondary Analysis of
a Randomized Clinical Trial
Version: 2 Date: 16 Sep 2024
Reviewer:  Erin K. Campbell
Reviewer's report:
Thank you for the opportunity to review this well-written, quite interesting manuscript. Overall,
I thought it was very good. I have the following comments to improve it further:
Overall comment pertinent to abstract, results, and discussion:
I would highlight that less oil was consumed on the vegan diet. Minimizing both animal products
and oil is mentioned in the conclusion, but the decrease in oils is not quantified in the results
(though the score for oil did appear to decline in the table and in the primary publication fat
intake was halved). This is worth highlighting as oil was (presumably) less consumed to achieve
a low-fat version of a vegan diet, though oil is considered a healthy component on PDI scoring.
In paragraph 2 of the discussion, it might be worth talking about which foods increased the uPDI
score in the vegan group. The only one I see that increased in the table is potatoes. Potatoes
as they are eaten by most Americans (deep fried French fries and potato chips) warrant being
classified as unhealthy, but in the context of a low-fat vegan dietary intervention I very much
doubt these potatoes were fast food French fries. The impact on weight and overall health of
more potatoes (but served low-fat) is likely positive, comparable in the one article to beans:
Rebello, C.J., et al., Low-Energy Dense Potato- and Bean-Based Diets Reduce Body Weight
and Insulin Resistance: A Randomized, Feeding, Equivalence Trial. Journal of Medicinal Food,
2022 http://dx.doi.org/10.1089/jmf.2022.0072. This might just be a place where this index and
study's intervention diet don't quite jive. I would drop the half sentence about coffee and tea's
inclusion in the PDI. It seems off topic and these beverages are likely much less important than
other components of the diet (particularly if black/unsweetened).
In paragraph 3 of the discussion mentions "accounting for seasonal effects." It might be better
to say something like "seasonal variation in diet" to make clear what this means, if this is the
meaning.
Table 1: It would be great to edit this table to make clear which foods are part of which PDI
score (PDI, hPDI, and uPDI), whether an increase or decrease  in score is better (animal food
scores increased at 12 weeks in vegan and this might otherwise be confusing to the reader), and
how the totals for the indexes are derived. An alternative would be to add another small table/
graphic that does much of this, as many readers will not be familiar with this index.
Title: Diet Quality, Body Weight, and Postmenopausal Hot Flashes: A Secondary Analysis of
a Randomized Clinical Trial
Version: 2 Date: 21 Sep 2024
Reviewer's report:
The authors provided original findings which are relevant, but some clarifications are required
with regards to the content of the manuscript.
-  Please ensure defining acronyms first before using them
- Please describe the sampling method used to employ participants.
-Please state the inclusion and exclusion criteria of your study. Please note that the exclusion
criteria shouldn’t be a mirror view of your inclusion criteria. Are there any other possible
confounding factors that you can include as the exclusion criteria?
-Please clearly describe the mechanisms of the probable association of diet  on body
weight and Hot Flashes (add more references like ; doi.org/10.1007/s40519-019-00757-x and
doi.org/10.1080/07315724.2017.1412275
- Authors should also mention the limitation of their study in discussion section.
Title: Diet Quality, Body Weight, and Postmenopausal Hot Flashes: A Secondary Analysis of
a Randomized Clinical Trial
Version: 4 Date: 25 Oct 2024
Reviewer:  Thais Rasia Silva
Reviewer's report:
Dear authors,
The revised version of the manuscript is well written. I have only one comment to add:
Please include in the abstract that this is a secondary analysis of previously published data.
Title: Comparative Effectiveness of Exercise Interventions for Primary Dysmenorrhea: A
Systematic Review and Network Meta-Analysis
Version: 2 Date: 17 Oct 2024
Reviewer:  Ana Margarida Póvoa
Reviewer's report:
I found this work very interesting and appealing to the reader. I´ts a network meta-analysis that
adresses comparative affectiveness of  different exercise modalities on primary dysmenorrhea,
the most common gynecological illness in women in their reproductive years  and with major
implications for quality of life, such as limitation of daily activities and psychological stress,
being one of the main causes of school and work absenteeism. The authors show effectiveness
of all kinds of exercise modalities evaluated in reducing pain intensity. Resistence exercice was
considered the most effective. The study also evaluates duration and frequency of exercise. As
a limitation the RCTs in this meta analysis show heterogeneity and some of them present small
sample size. With the results of this study we can recommend adolecents and women different
modalities of exercise as a complement in managing primary dismenorrhea. I recomment
publication.
Title: Efficacy and safety of Le Fort colpocleisis in the treatment of stage III-IV pelvic organ
prolapse
Version: 1 Date: 27 Jun 2024
Reviewer's report:
GENERAL COMMENTS:
Dear authors, congratulations for this review of the efficacy and safety of the obliterative
technique for POP stage III- IV .
Of course, the limitation of this study is mainly, as you mention, the small ample size (only 54
patients) the retrospective analysis and the single center nature (but with the same experienced
surgeon).
The mean length of the follow -up is 38,5 months, but for some patients not more than one year.
Why do you hospitalize patients before operation? your post-operative hospitalization time is
long (6 days) but your total hospitalization time is very long (13 days with a maximum of 30
days); what’s your explanation?
We agree with your conclusion “this procedure should be considered as the recommended
procedure for elderly patients with severe POP (stage III-IV) “
DETAILED COMMENTS:
I don’t find the figure 1 with pictures of the operation very useful.
Why are your tables inserted in the manuscript and also as attachments?
Could you give the meaning of TVT-A, TVT-O, and TVT-E?
In the discussion, why ICS is called “International Society of Urological Control”?
Your discussion about concomitant hysterectomy or added anti-incontinence surgery is
interesting.
References: the ref.12 is identical to ref. 23.
The Tables are very detailed.
Title: Efficacy and safety of Le Fort colpocleisis in the treatment of stage III-IV pelvic organ
prolapse
Version: 1 Date: 08 Sep 2024
Reviewer's report:
Dear Authors
Well conducted research and thorough review.
however, i do not understand why concomitant hysterectomy has been done is almost all women
when the guidelines do not support so. any requirement of the same in terms of cervical or uterine
pathology has not been mentioned.
the concept of draining tubes formation intra-operatively does not seem to be a standard
procedure.
Title: Determinants of Immediate Uptake of Post-Partum Intrauterine Device Among Women
Delivered in Hospitals in West Wolegga Zone, Ethiopia
Version: 0 Date: 13 Sep 2024
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses a testable research
question(s) (brief or other article types: is there a clear objective)?
No - there are minor issues
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
No - there are minor issues
EXECUTION - Are the experiments and analyses performed with technical rigor to allow
confidence in the results?
No - there are minor issues
STATISTICS - Is the use of statistics in the manuscript appropriate?
No - there are issues with the statistics in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
No - there are minor issues
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Probably - with minor revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: This is a useful study given the importance of post-partum IUD.
Authors have managed to estimate utilization of and factors associated with use of PPIUD.
There is, however, need to have language editing of the manuscript. The topic of study is also
confusing, it needs to be made clearer. Authors should attach the data collection tool and not list
the independent variables studied within the text. Sampling design should be fully described and
not just refer readers to figure 1. Recommendations should be based on findings of the study.
REQUESTED REVISIONS:
The topic, general and specific objectives should be revised by a language editor to make them
clearer. Data collection tool should be attached. Independent variables should not be listed within
the text. Recommendations should be derived from the study findings.