JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Women’s experiences of life and healthcare after levator ani avulsion: a qualitative
interview study
Version: 2 Date: 15 Apr 2025
Reviewer's report:
The authors present their findings from a qualitative study exploring healthcare experiences and
quality of life in women with levator avulsion. Awareness of this condition as complication of
vaginal delivery and its association with other pelvic floor disorder symptoms is emerging, and
this study is timely.
Introduction
The introduction is lengthy and could be edited to reduce redundancy and eliminate text that is
irrelevant to the current study. For example, the 3rd paragraph is not immediately relevant to
this study and could be removed.
Methods
The recruitment methods bias toward inclusion of women with symptoms. Is US screening for
LAM avulsion standard of care? If not, then only women who had the US (and therefore, had
some kind of symptoms) would be eligible. Was confirmation of LAM avulsion based only on
patient report?
Results
These are interesting and meaningful insights on a number of experiences, but how do we
know these experiences are related to LAM avulsion and not postpartum experiences or due to
underlying pelvic floor disorders?
Page 21 first paragraph. The participants cite a number of factors they believe contributed to
LAM avulsion. Consider including a discussion of these factors and any current data to support
their association with LAM avulsion in the Discussion. The theme is reported as “healthcare
needs to do better”, but that is presumptive if these factors are not actually associated with LAM
avulsion. Alternatively, maybe patient education is needed?
Discussion
As above, it is challenging to attribute these experiences solely to LAM avulsion and not other
symptoms (for example, prolapse or incontinence).
Overall, the discussion lacks focus. It is long and redundant – restating findings but not
discussing  these findings in the context of what is known in the literature or future directions
for these findings.
Page 28, 1st paragraph: This is an interesting concept, but it needs to be related to the findings
of this study.
The authors site “information power” as their strategy to determine whether enough interviews
were performed. Another commonly used theme in qualitative research is thematic saturation.
With only 15 interviewees and such varied responses, is it reasonable to conclude that thematic
saturation was truly reached here?
The relationship of the author to the study conduct introduces a significant source of bias. Were
the strategies used to mitigate this sufficient?
Conclusion
The conclusion seems to be overstated for the data presented.
Title: Lived Experiences of Iranian Employed Women with Maintaining Work-Life Balance:
A Descriptive Phenomenological Study
Version: 2 Date: 07 Mar 2025
Reviewer:  I Gede Juanamasta
Reviewer's report:
Title
Add geographical/cultural context (e.g., "in Iran" or "in a medical university").
Abstract
Mention practical implications.
Simplify long sentences for clarity.
Background
Break dense paragraphs for readability.
Update references with recent studies.
Improve transition to research question.
Materials and Methods
Expand inclusion/exclusion criteria.
Provide sample interview questions.
Clarify data saturation process.
Results
Reduce overlap in categories (e.g., "self-sacrificing" vs. "role conflicts").
Summarize lengthy participant quotes.
Add more demographic details (e.g., education, income).
Discussion
Critically examine contradictions and limitations.
Emphasize the study’s unique contributions.
Expand practical recommendations.
Strengths and Limitations
Address potential selection/interpreter biases.
Discuss impact of limitations on conclusions.
Implications for Practice
Provide concrete policy/workplace recommendations.
Suggest areas for future research.
Conclusions
Highlight long-term benefits of work-life balance.
Strengthen connection to practical implications.
General Comments
Improve organization and conciseness.
Emphasize unique contributions and impact.
Update references and discuss biases in depth.
Title: Lived Experiences of Iranian Employed Women with Maintaining Work-Life Balance:
A Descriptive Phenomenological Study
Version: 2 Date: 22 Mar 2025
Reviewer's report:
1-This study aims to explore the lived experiences of working women. However, it seems to
focus primarily on the experiences of working women who are married and have children,
overlooking the experiences of single, childless working women. Furthermore, it's important
to note that these working women were employed in healthcare service centers. Consequently,
they are likely to encounter more women's health challenges and possess greater health literacy.
Why were working women from other organizations not considered2-. Why medical sciences
university? Work in a palace affiliated to a medical university doesn’t affect the participants'
experiences? It has been mentioned all of them worked in the field of health providing services !!!
3-Usually in-depth interview means unstructured interviews!
In dept interview is a free interview on the other hand they use 8  question.?!!!!!!what was the
main question it must be written in the article .
4-"In phenomenological studies, the researcher seeks to uncover the meaning and essence of
the phenomenon, to discover its nature. Interview questions are often numerous. However, in
phenomenological interviews, questions are limited and typically include inquiries such as:
'What is the meaning of life while simultaneously being employed?' or 'What is it like to manage
daily life while also being employed?
5-In phenomenology we follow the meaning of the phenomenon , not related factors !!!
6-based on these findings all participants were married and had child !!! at this time there is
a lot of on married and employed women in Iran! What about them?This study focused on
the experiences of married women with husbands and children. However, it should have also
included the experiences of single, unmarried women without spouses or children. This group
was completely overlooked."
7-  "Phenomenology seeks to interpret the meaning of the experienced phenomenon. This must
be reflected in the naming of categories and themes. The theme of 'organizational factors' is not
a phenomenological theme
8-Discussion "The discussion section of this article focuses on the study's findings, which I find
to be subject to criticism. "As previously stated, these experiences pertain to married women
with children. Therefore, the interpretation of the findings is also focused in this regard.
9-"One of the limitations of this study was exploring the lived experiences of employed
women at only one university of medical sciences which limits the generalizability of the
datadata". ............It's weakness
10-
Title: Lived Experiences of Iranian Employed Women with Maintaining Work-Life Balance:
A Descriptive Phenomenological Study
Version: 2 Date: 23 Mar 2025
Reviewer:  Anwar Nader Alkhunaizi
Reviewer's report:
General Comments:
• The research article is well-written and structured, and the research question is clearly stated.
• The research has conducted a thorough literature review.
• The methodology is appropriate and the analysis is sound.
• The literature review is thorough and provides a solid foundation for the study.
• The study sample is appropriate and the data collection and analysis methods are well
described.
• The results are presented clearly and are well supported by the data.
Title: Lived Experiences of Iranian Employed Women with Maintaining Work-Life Balance:
A Descriptive Phenomenological Study
Version: 3 Date: 13 May 2025
Reviewer's report:
I have reread your article after you and your research team accepted my feedback and made
revisions. I believe the article now provides a clear overview of the research you have conducted
together. Although there are still a few of my suggestions that have not been fully accommodated
—particularly regarding the explanation of participant characteristics—it would be helpful, for
example, to add a statement such as: "Participant 4 is a nurse who has worked for three years
in the emergency unit of a hospital, has two toddlers, and does not have a childcare provider."
This kind of statement would make it easier for readers to understand the characteristics of
the participants without having to refer to the participant table. However, I am quite satisfied
with the revisions you have made, especially in explaining who your participants are. My other
suggestions have been well received and revised accordingly.
Title: Lived Experiences of Iranian Employed Women with Maintaining Work-Life Balance:
A Descriptive Phenomenological Study
Version: 3 Date: 14 May 2025
Reviewer:  Anwar Nader Alkhunaizi
Reviewer's report:
General Comments:
• The research article is well written and structured, and the research question is clearly stated.
• The research has conducted a thorough literature review.
• The methodology is appropriate and analysis is sound.
• The literature review is thorough and provides a solid foundation for the study.
• The study sample is appropriate and the data collection and analysis methods are well
described.
• The results are presented clearly and are well supported by the data.
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 0 Date: 04 Dec 2023
Reviewer's report:
The aim of study is to investigate the relationship between quality of life, perceived social
support, and domestic violence with gestational diabetes self-care using structural equation
modeling. The study is original and will contribute to the literature. Suggestions regarding the
article are listed below.
• Since this study is not a frequency determination study, it may be more appropriate to perform
a power analysis instead of the formula used.
• It may be more appropriate to use the expression gestational age instead of pregnancy age.
( Under the title of demographic and obstetric questionnaire)
• Data on number of children, number of stillbirths, and history of cesarean section and ethnicity
were collected, but these data are not available anywhere in the article. Variables in Table 1 and
the demographic and obstetric questionnaire should be checked.
• It should be explained why demographic and obstetric variables that may affect self-care
in gestational diabetes and its relationship with other variables were not included in the path
analysis.
• The conceptual framework of the model should be explained
• I think that doing path analysis together with the sub-dimensions of the scales creates
confusion. If your data is suitable, I think it would be more appropriate to add general scales
and demographic and obstetric variables to the analysis.
• I think it will be more understandable if the names of the variables are written instead of f1-
f4 in Figure 4.
• The full name should be written where it is first used before abbreviating IPV.
• "IPV has negative consequences for women's physical and mental health. For example,
depression caused by IPV can affect women's ability to care for" this sentence is repeated in both
the introduction and discussion sections and different references are used. references should be
reviewed.
• There are deficiencies in discussing the impact of the results obtained on gestational diabetes
self-care and transferring the results into practice. It is recommended that the discussion section
be rewritten.
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 0 Date: 15 Jan 2024
Reviewer's report:
Major
The authors should redo the paper after removing the domestic violence.
Introduction:
-The objective of the study is confusing and addition of “domestic violence” seems totally out of
context. The authors should focus on “the relationship between quality of life, perceived social
support with gestational diabetes self-care using structural equation modeling”
-The 1st sentence under “introduction” needs rephrasing.
-The last paragraph under the “Introduction” is also very confusing because the linear or logistic
regression model predicts the percentage of changes in dependent variable (self-care) predicted
by independent variables (after adjusting for confounders).
-The manuscript needs formatting; certain sections are typed following the Arabic style (right
to left)
Methods
-pregnancy age should be phrased as “gestational age”
-what do the authors mean by “other chronic diseases” be specific
Results:
-not sure why the authors have mentioned the mean age will help
-Table 2: the heading should include correlations
-There is no need to have a separate table 5 related to indices, can be mentioned in the text only.
Discussion:
-The 1st two paragraphs are repeating the results. The authors can concise in a sentence or two
-The last paragraph under discussion needs rephrasing as the sentences are confusing and it can
be divided into strengths and limitations.
Minor:
English and formatting  corrections required through out the document
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 0 Date: 25 Mar 2024
Reviewer's report:
This study presented a structural equation model of the relationship between quality of life,
perceived social support, and domestic violence with gestational diabetes self-care. The study
has a basic problem with assumptions. What logic supports Figure 1? Which theories support
the Path relationships?
For example, fig 1 shows that domestic violence has a positive effect on social support (ß= 0.4).
How domestic violence is related to social support? Which theory supports this relationship?
As there is not any theory support for this pat analysis, the results are not validated.
Another basic problem of the relationships is an overlap of the scales. One the important of
subscales of quality of life is “physical health”. How does “physical health” dose affect the
subscales of self-care (for example “physical activity”)? Is not there an overlap between physical
health” and “physical activity”?
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 2 Date: 11 Apr 2024
Reviewer's report:
Unfortunately, the authors of the article did not answer any of the basic questions regarding
providing evidence for the hypothetical model. In the hypothetical model, each relationship
should be based on previous theories and evidence:
There is no evidence that quality of life affects diabetic self-care. What does the connection
between these two concepts mean? The authors have linked two concepts that are measured
based on questionnaires. The cause-and-effect relationship of these two variables has no logical
basis.
As there is not any theory support for this pat analysis, the results are not validated
Also, other my questions have not been given proper evidence:
This study presented a structural equation model of the relationship between quality of
life, perceived social support, and domestic violence with gestational diabetes self-care.
The study has a basic problem with assumptions. What logic supports Figure 1? Which
theories support the Path relationships? For example, fig 1 shows that domestic violence
has a positive effect on social support (ß= 0.4). How domestic violence is related to social
support? Which theory supports this relationship?
#Another basic problem of the relationships is an overlap of the scales. One the important
of subscales of quality of life is “physical health”. How does “physical health” dose
affect the subscales of self-care (for example “physical activity”)? Is not there an overlap
between physical health” and “physical activity”?
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 4 Date: 26 Mar 2025
Reviewer's report:
I appreciated the opportunity to review your article. It was a pleasure to read your work, which
addresses an important topic with a thoughtful approach.
Abstract
Please clarify the distinction between direct and indirect effects in the conclusion. The current
version may be unclear to readers outside the field.
Present research
The rationale for the proposed mediation model could be further developed. Although the
authors refer to a literature review, no actual synthesis of previous studies is presented. It would
strengthen the manuscript to explain which studies support each path in the model. Without this,
the conceptual framework appears more assumed than clearly grounded in theory.
Method
The type of study (cross-sectional) should be clearly stated at the beginning of this section.
In the tables, it would be helpful to include the full possible score ranges for the main variables
(e.g., for self-care).
Consistency in terminology is recommended - for example, “self-care of gestational diabetes”
and “gestational diabetes self-care” are used interchangeably.
Instruments
The description of Cronbach’s alpha for the WHO Domestic Violence Questionnaire is written
in percentages (92%, 89%, 88%), while other instruments report alpha as decimal values (e.g.,
0.70, 0.84). Please consider unifying the format across the manuscript for consistency.
Results
The correlation table does not include the total self-care score (only the average is mentioned
in the text). Please consider adding it.
For domestic violence (B = 0.03, p = 0.43), please briefly explain why this variable remained
in the model despite showing no significant association.
Discussion
The discussion section could be further developed. Some important findings, such as the non-
significant role of domestic violence, deserve a more in-depth interpretation.
The lack of association between domestic violence and self-care could be further discussed —
for example, in terms of possible confounding factors or underreporting.
The recommendation for future research is valid but could be more specific (e.g., qualitative or
prospective studies).
Conclusion
There is no conclusion regarding the non-significant result related to domestic violence. The fact
that domestic violence was not statistically significant is, in itself, an interesting and unusual
finding – yet the authors do not explore it at all.
General
Consider simplifying the title — it is currently quite long and includes too many elements.
Title: Association of Intermediate Health Determinants with Gestational Diabetes Self-care: A
Structural Equation Modeling Approach
Version: 6 Date: 02 Apr 2025
Reviewer's report:
Thank you for submitting the revised version of the manuscript.
After carefully reviewing the implemented changes, I confirm that the authors have fully
addressed all of my comments and suggestions raised in the initial review. From a substantive,
editorial, and formal standpoint, the manuscript has been thoroughly revised and no further
changes are necessary.
I recommend the manuscript for publication in its current form.
Title: Effect of Women's Empowerment on Lowering the Number of Children Ever Born in
Bangladesh
Version: 3 Date: 21 Oct 2024
Reviewer's report:
This study addresses a critical issue by exploring the impact of women's empowerment on
fertility, offering valuable insights that can inform policies and programs aimed at promoting
gender equality and sustainable development in Bangladesh. However, the manuscript requires
further refinement to enhance its clarity, structure, and presentation. Below are my suggestions:
Introduction:
Many statements lack proper referencing. Ensure that key claims are supported by relevant
literature.
Methods:
Clarify whether the logistic models are fully adjusted. If so, describe the selection criteria for
the variables included in the models.
Provide details on how the effect sizes (Beta coefficients) were calculated. This should be
explicitly mentioned in the methodology or table notes.
Results:
The results section is too broad and lacks a professional presentation. It should be more concise
and focused to improve clarity and impact.
Discussion:
Some statements lack proper referencing.
Although significant factors are compared with existing literature, the discussion does
not adequately explore insights specific to the Bangladeshi context. Incorporate contextual
explanations for the observed findings.
Limitations:
The manuscript lacks a limitations section. Including this is essential to provide a balanced
interpretation of the findings.
Implications and Future Research:
Discuss the practical implications of the findings, particularly in the context of existing women’s
empowerment programs in Bangladesh. Additionally, outline potential directions for future
research.
References:
Many references are not formatted correctly, with missing journal names and other incomplete
information. Ensure that all references follow the required citation style.
Title: Effect of Women's Empowerment on Lowering the Number of Children Ever Born in
Bangladesh
Version: 5 Date: 30 Dec 2024
Reviewer's report:
Thank you for addressing the comments. However, you need to revisit the citations to see that
each number is corresponding to the correct intext citation.
Your 40 and 64 references when cited in text mentions about the studies carried in Pakistan,
however, the studies you have cited in bibliography are both Bangladesh focused. You should
cite following study as it talks about Increase in women's education negatively affecting the
fertility rate in general and reducing son preference.
Raza, F. (2023, July). Do educated mothers have lower desired son preference? The case of
Pakistan. In Women's Studies International Forum (Vol. 99, p. 102790). Pergamon.
Title: Effect of Women's Empowerment on Lowering the Number of Children Ever Born in
Bangladesh
Version: 7 Date: 13 Jan 2025
Reviewer:  Satyajit Kundu
Reviewer's report:
I have read the manuscript carefully with great interest and found it as a very well-written
and structured. To further enhance the manuscript's transparency and methodological rigour, I
suggest including the outputs of the Exploratory Factor Analysis (EFA) and Confirmatory Factor
Analysis (CFA) in the supplementary materials. This addition would provide valuable insight
into the analytical process and strengthen the paper's empirical foundation.
Title: Anogenital high-risk HPV prevalence and screening considerations in female transplant
recipients: A cross-sectional study
Version: 0 Date: 12 Mar 2024
Reviewer:  Carlo Antonio Liverani
Reviewer's report:
Nothing new under the sun. Immunodeficiency, regardless of its cause, is a well known risk
factor for anogenital HPV related diseases.
Annual HPV testing for cervical cancer screening is questionable, because HPV infection
may take more than 2 years to clear without causing major problems in the vast majority of
immunosuppressed patients and sometimes HPV types may differ, so that it is often impossible
to evaluate true persistence.
HPV tests are not clinically useful for anal cancer screening because of a high prevalence of
anal HPV infection among populations at high risk. Cytology and/or high resolution anoscopy
(HRA) might be considered in this group of patients, but data are still insufficient to recommend
routine anal cancer screening with anal cytology among populations at risk.
HPV vaccination should always be encouraged.
No data exist about reduction in mortality through a more frequent screening.