JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Expression of inflammatory states in response to psychological distress in breast cancer
survivors and its relationship to subjective memory function complaints
Version: 5 Date: 10 Feb 2025
Reviewer's report:
The major issues raised by the reviewers have been adequately addressed, though there are a
few minor adjustments that would enhance the overall clarity and precision of the text.
Introduction:
“Investigating the mechanisms by which psychological distress associated wiht cognitive
functioning is crucial for designing effective interventions to mitigate CRCI in patients with
BC.”
- There is a typographical error in the phrase "wiht cognitive functioning," which should be
corrected to "with cognitive functioning."
Introduction:
“These exploratory findings were expected to provide a hopefully foundation for early
psychological interventions and strategies to improve the mental health of BC survivors.”
- I recommend replacing "hopefully foundation" with "hopeful outlook".
Methods:
2.1: "This study included female 104 BC survivors with early/mid-stage BC" should be
rephrased to “This study included 104 female BC survivors with early/mid-stage BC”
2.1: “This cross-sectional study was designed to BC associations between psychological distress,
inflammation levels, and subjective memory functioning in survivors.”
- This sentence is incorrectly phrased. I suggest the following sentence: “This cross-sectional
study was designed to examine the associations between psychological distress, inflammation
levels, and subjective memory functioning in BC survivors."
2.2: “Based on this threshold, Patients were subsequently categorized into psychological distress
(PD) and no-psychological distress (NPD) groups.”
- Note the capital ‘P’.
Discussion:
“In addition, the vagus nerve also has great potential to modulate neuronal function and
neuroinflammation, as well as having anti-inflammatory effects in the periphery specifically as
well, by acting on tissue macrophages”
- It seems like the second "as well" can be removed: "In addition, the vagus nerve also has
great potential to modulate neuronal function and neuroinflammation, as well as having anti-
inflammatory effects in the periphery, specifically by acting on tissue macrophages."
Title: Expression of inflammatory states in response to psychological distress in breast cancer
survivors and its relationship to subjective memory function complaints
Version: 5 Date: 13 Feb 2025
Reviewer's report:
I have read the previous corrections based on the reviewers' suggestions and I agree.
I think the article lacks a review of possible psychological interventions that could be applied
in clinical practice in BC patients in order to prevent and minimize the consequences of CRCI.
Point that out in the discussion.
It is a significant study in the field of psycho-oncology and I think that the article should be
accepted for publication after all revisions.
Title: Expression of inflammatory states in response to psychological distress in breast cancer
survivors and its relationship to subjective memory function complaints
Version: 5 Date: 19 Feb 2025
Reviewer's report:
The authors have further improved the quality of the manuscript by addressing the issues raised
by the reviewers. Considering the issues I had initially raised and which the other reviewers
further emphasized concerning the use of mediation analysis in a cross-sectional study design,
the authors have adequately reported the limitations regarding its use in the manuscript. In
addition, the authors highlighted that the results of the study are exploratory, and the causal
language has been modified in several sections of the manuscript, including the title. The
limitations section has been expanded, highlighting several issues that had not been addressed
before (for example, the use of subjective cognitive complaints measurement instruments).
Title: CORRELATES AND EFFECTS OF INFORMATION, MOTIVATION, AND
BEHAVIORAL SKILLS ON PRIMARY SEXUAL ABSTINENCE AMONG FEMALE
UNIVERSITY STUDENTS IN ETHIOPIA. A CROSS-SECTIONAL STUDY
Version: 2 Date: 24 Aug 2024
Reviewer's report:
Thank you dear Dr Negero for your work entitled on “MOTIVATION, AND BEHAVIORAL
SKILLS ON PRIMARY SEXUAL ABSTINENCE AMONG FEMALE UNIVERSITY
STUDENTS IN ETHIOPIA, USING IMB MODEL, and JUNE 2023” that is important public
health issue. Consider the comments attached in your manuscript word document.
A. Is the paper technically sound? Yes
B. Are the claims fully supported by the experimental data? If not, what further evidence is
needed?
C. Is the statistical analysis of the data sound? yes
D. Does the availability of data adhere to the expected standards of your research community?
yes
E. Are the claims appropriately discussed in the context of previous literature? yes
F. Could the manuscript be revised to address any potential limitations? Yes
G. Even though your manuscript is good, some editorial and minor issues should be required.
Generally, minor revision is required
Title: CORRELATES AND EFFECTS OF INFORMATION, MOTIVATION, AND
BEHAVIORAL SKILLS ON PRIMARY SEXUAL ABSTINENCE AMONG FEMALE
UNIVERSITY STUDENTS IN ETHIOPIA. A CROSS-SECTIONAL STUDY
Version: 4 Date: 25 Feb 2025
Reviewer's report:
"PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
No - there are major issues
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Maybe - with major revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: In their present report, authors aimed at using information-
motivation-behavioral (IMB) skills model to assess the correlates and effects of information,
motivation, and behavioral skills on primary sexual abstinence among female university students
in Ethiopia. While authors have correctly addressed previous reviewer’s comments, there are
several issues that would deserve further attention.
REQUESTED REVISIONS:
In the result section, many parts of the section entitled statistical analysis refers to methods
and should be therefore shifted and developed in the appropriate method section not part of the
results. As an example “To examine correlates and effects of the IMB model on primary sexual
abstinence, bivariate and multivariate analyses were performed using SEM with AMOS 23 [20,
21]. The IMB model [12, 13, 15, 16] guided the specification of the present SEM.”
In the first part of their discussion section; Authors report external validity of their findings
but gave limited explanations on observed variations with previous reports. Authors should
elaborate more on these aspects."
Title: Early menopause is associated with higher disease activity independent of inflammation
in postmenopausal-onset rheumatoid arthritis
Version: 1 Date: 05 Jan 2025
Reviewer:  Yusuke Miwa
Reviewer's report:
This research cannot be said to improve the prognosis of rheumatoid arthritis patients in
the future. Will treatment to delay premature natural menopause improve the prognosis of
rheumatoid arthritis patients?
Title: Early menopause is associated with higher disease activity independent of inflammation
in postmenopausal-onset rheumatoid arthritis
Version: 1 Date: 08 Feb 2025
Reviewer:  Ihsane Hmamouchi
Reviewer's report:
This study investigates the impact of early menopause (EM) on disease activity and patient-
reported outcomes (PROs) in postmenopausal-onset rheumatoid arthritis (RA).
While the study offers valuable insights, several areas require further clarification and
refinement to enhance its clarity, impact, and clinical relevance.
1. The authors provide a strong rationale for investigating the association between menopause
age and disease activity. However, the research question could be more precise. Specifically, the
distinction between "inflammatory" and "non-inflammatory" disease activity, which is central
to the study's conclusion, should be introduced more explicitly.
2. While adjustments for age, BMI, and disease duration are commendable, further discussion
on potential unmeasured confounders (e.g., psychosocial factors, prior hormone therapy use)
would add depth to the interpretation.
3.  The study could benefit from sensitivity analyses to test the robustness of the associations.
4. The finding that the peak incidence of RA occurs approximately five years after menopause
is particularly intriguing and warrants further exploration. However, while the statistical
significance of the findings is well established, the clinical significance should be discussed more
explicitly. For instance, how do these differences in PROs translate into meaningful changes in
patient management or quality of life? Additionally, while the subgroup analysis distinguishing
RA onset before and after menopause is insightful, further discussion on why EM has a more
pronounced impact on postmenopausal-onset RA would be beneficial.
5. A careful language edit would further enhance readability and cohesion.
Title: Early menopause is associated with higher disease activity independent of inflammation
in postmenopausal-onset rheumatoid arthritis
Version: 2 Date: 08 Mar 2025
Reviewer:  Ihsane Hmamouchi
Reviewer's report:
The authors have made significant improvements in response to the reviewers’ comments.
Overall, the authors’ responses are thorough and well-reasoned, and the revised manuscript
reflects substantial improvement in both scientific content and presentation.
Title: Efficacy and Acceptability of Self-Collected Medical Grade Tampon as a Novel Vaginal
Sample Collection Tool for the Detection of HPV and STIs
Version: 2 Date: 26 May 2024
Reviewer's report:
The purpose of the Milanova study was to compare testing of  self collected  Daye’s diagnostic
tampons to HCW collected swabs for the presence of HPV, Trich, CT and NG with Hologic
assays and to determine patient preferences.
The paper is very long with excessive Intro and Discussion. The methods are well presented,
but figure 2 is not helpful for the reader to understand the mechanics of splitting the sample.
The study data falls short because attention was not paid to correcting for the volume differences
impacting on the data outcomes. It appears that a sample size calculation was not done to
determine the minimum number of patients to enrol to determine significance. The actual
numbers from the Likert  analysis are not included to support the preference findings. Because
of these shortcomings  the paper is unacceptable for publication. The authors should expand the
study  to deal with these unfortunate flaws.
Title: Efficacy and Acceptability of Self-Collected Medical Grade Tampon as a Novel Vaginal
Sample Collection Tool for the Detection of HPV and STIs
Version: 4 Date: 12 Nov 2024
Reviewer's report:
"PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
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 sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Probably - with minor revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: The manuscript presents an extensive revision following the
suggestions indicated by the two reviewers. There are sections that have been extensively
worked on and the information presented is much clearer in the new version. Despite this, given
the low level of positives, it would be interesting to see the possibility of increasing the N of
the study whose statistical power was 67.
REQUESTED REVISIONS:
Although the manuscript is extensively revised and improved by the authors, as well as
very well documented with updated biobliography, there are two issues that should be
resolved:                                       1. Given the low number of positives obtained in the studies, would
it be possible to increase the N to 67 participants to achieve the indicated statistical power?
2. The manuscript indicates that: ""The specimens were stored at temperatures ranging from
2°C to 30°C until testing. Upon arrival at the laboratory""
Could this difference in storage temperature not influence the results obtained?                                      3.
Figure 3 shows that with TO vial the number of positives is 4 and with APTIMA Tube it is 10.
What is the difference in positives between TP vial and APTIMA Tube?"
Title: Impact of HPV Test Results and Emotional Responses on Psychosocial Burden Among
Taiwanese Women: A Cross-Sectional Study
Version: 0 Date: 18 Oct 2024
Reviewer:  Ayse Kilic
Reviewer's report:
Dear Author;
I read your work " The Effects of Testing Results and of Positive and Negative Affect on
Psychosocial Burden in Women Receiving Reports of Human Papillomavirus Testing: A cross-
sectional study ".
Your study topic is original and your article is very well written. I think it is one of the rare
researches I have read for a long time without the need for any correction. I congratulate you
for your valuable work that will contribute to the literature.
ABSTRACT
It's very well written.
INTRODUCTION and BACKGROUND
The subject is very well explained, its importance is emphasised in a very systematic way based
on the relevant literature.
METHOD
Each stage of the Method section is detailed and clearly written.
RESULTS
The findings are adequately and descriptively written.
DISCUSSION AND CONCLUSION
The discussion is very well written and supported by the relevant literature.
TABLES
The tables are adequate and explanatory.
Title: Impact of HPV Test Results and Emotional Responses on Psychosocial Burden Among
Taiwanese Women: A Cross-Sectional Study
Version: 1 Date: 23 Jan 2025
Reviewer:  Georgios Michail
Reviewer's report:
The authors apparently undertook a considerable effort in this revised version, adopting several
of the 3rd reviewer suggestions. Consequently, this new improved version is more reader-
friendly, provides more sound messages together with a potential for citations.
In a critical perspective, the Discussion section is excessively lengthy, which probably represents
the main study’s drawback.
Abstract, Conclusion, 1st line: Instead of “mood status”, consider “emotional status”.
Title: Analysis of clinical factors in endometriosis of the abdominal wall
Version: 0 Date: 28 Jun 2024
Reviewer's report:
Thank you for giving me the opportunity to review this article on abdominal wall endometriosis.
Despite the good overall merit, I have some comments to improve the quality of the article:
please rewrite the paper using a native speaker
please discuss the different etiologies of distant endometriosis (doi https://doi.org/10.1016/
j.jmig.2012.03.005)
please explain the abbreviation in the tables
what do you mean by "Focus of infection" in the Table 1?
Do you have any data on the preoperative diagnosis of pelvic endometriosis (coexisting lesion)
Title: Analysis of clinical factors in endometriosis of the abdominal wall
Version: 0 Date: 02 Aug 2024
Reviewer's report:
Dear Author,
I read your article investigating the characteristics of abdominal wall endometriosis.
While the topic may be interesting, the article needs a major revision, especially the structure.
To help, you should adhere to a standardized checklist (i.e., STROBE) in order to achieve a
good final result.
Here are the main points:
1- Please revise the whole manuscript following guidelines for authors given by BMC. The
whole structure of the main text has to be fixed.
2- I would not define endometriosis as a gynecological endocrine disorder, even if it is one of
its characteristics
3- Introduction should be titled. Moreover, the general intro to endometriosis should be enriched,
regarding symptoms and clinical manifestations of the disease.
4- Provide references for the section regarding AWE in the intro paragraph. This section should
also be revised in terms of contents and flow.
5- A native English speaker revision is highly suggested. Syntax is weak.
6- What do you mean with "domestically"?
7- Please do not use "summarize". You are not summarizing, but rather you are analyzing data
or investigating some variables.
8- Material and methods should be deeply revised. Please add subsections, including study
design, inclusion and exclusion criteria, outcomes, objective of the study and so on. Do not
include data, they should be part of the results section.
9 - was the depth of infiltration evaluated though pathological examination or just by visual
inspection?
10- I suggest also to give info regarding other endometriosis sites affecting included patients,
detected both during and previous to the surgery for AWE.
11- Avoid discussing results in the results section. Just report data. Also give some numbers,
not just p values.
12- I would rephrase the section regarding surgical treatment of AWE. Medications still have a
role, despite potentially being ineffective. Please discuss this point (DOI: 10.1093/bjs/znad092)
13- CA 125 levels are also high in patients with suspected ovarian cancer in endometrioma
(https://doi.org/10.3390/jcm13071933). Would you discuss using it for the diagnosis of AWE
and consequent differential diagnosis.
Title: Analysis of clinical factors in endometriosis of the abdominal wall
Version: 3 Date: 03 Sep 2024
Reviewer's report:
despite good overall merit, I have some comments:
please specify the acronyms in the Tables
please discuss and provide other rare extra-abdominal localizations in the introduction section
and try to explain different theories justifying these rare sites of disease, including immune
dysfunctions ( doi 10.1016/j.jmig.2012.03.005)
can you add some data on preoperative delineation of lesion's borders in order to reduce
persistence/recurrence?
can you add some data on cryoablation or HIFU?
Title: Social influences on Moroccan and Pakistani immigrant women’s access and use of
cervical cancer screening in Catalonia, Spain: a social network analysis
Version: 6 Date: 10 Sep 2024
Reviewer:  Iratxe Pérez-Urdiales
Reviewer's report:
I consider that a coherent response has been given to the comments of both reviewers. I have no
further points to point out. Congratulations for the great work done.
Title: Working Ability, Location, Intensity, Days of Pain, Dysmenorrhea (WaLIDD): Cross-
cultural Adaptation, Reliability, and Validity of the Turkish Version
Version: 2 Date: 06 Mar 2025
Reviewer's report:
Thank you to the respected authors. Please pay attention to the following points:
ABSTRACT
Background
You should mention “"Why should the reliability and validity of the Turkish version of the
WaLIDD tool be evaluated in the Turkish population?"
Keywords: Keywords should be checked with Mesh
Background
Please include information about the prevalence of dysmenorrhea in Turkish women.
Please discuss the existing tools and their limitations.
Explaining the reason for choosing this tool for assessing dysmenorrhea in Turkish women and
its superiority over other tools would enhance the credibility of the research.
Method
It should be stated more clearly how the sampling was done.
Discussion
It is suggested that the results of this study be compared with similar research conducted
in Turkey or other countries. It is also recommended to clarify whether the results are only
applicable to Turkish women or if they can be generalized to other populations and cultur
References
Some of the references are old (e.g., references 2, 6, etc.). If possible, please add more recent
references from the past few years.
Title: Comparison of factors associated with the occurrence of menstruation-related symptoms
in Japanese women without exercise habits and female soccer players: A cross-sectional study
Version: 1 Date: 18 Jan 2025
Reviewer's report:
Thank you for giving me the opportunity to review your paper. This research is very interesting,
but I think there are serious problems with the reliability of the results in terms of recruiting
participants. I have made some comments, so I hope that they will be of use in future research.
L79: Why did you focus on soccer players in this study? The explanation is insufficient.
L94: There is a lack of consistency in the expressions of the most important words in the research,
such as “menstruation-related symptoms” and “menstrual symptoms”. It is unclear what the
definition of the words is, where they were taken from, and what symptoms they are referring
to in the first place.
L112: When considering menstrual cycle symptoms, and other risks such as secondary
dysmenorrhea, I think it is common to set the age limit at 25 or below. As this is a cross-sectional
study and a self-reporting questionnaire, I think the setting of the target is an important part that
affects the reliability of the results of the study, so I expect you to clarify the reasons for the
age setting of 18-29 years old.
L114: While the soccer players are university students, the people who do not have a regular
exercise habit are not limited to university students. While many social factors are involved in
menstrual symptoms, the lack of consistency in these background factors is a serious problem
when comparing the two groups.
L189: There is no report on the sample size. Securing a sufficient sample size when using a
logistic regression model is related to the reliability of the research.
L209: As you have set the age of soccer players to be university students and those without a
sporting habit to be up to 29 years old when recruiting, there is also a statistically significant
difference in the age of the basic information. There are concerns about the way the research
design was constructed for the recruitment of these participants.