JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Is the MIND diet useful for Polycystic ovary syndrome? A case-control study
Version: 1 Date: 15 Jun 2023
Reviewer's report:
Association between adherence to the MIND diet and polycystic ovary syndrome: a case-control
study
Title:
The tile is not accurate. It seems the authors assessed relation or association.
Abstract:
Abstract suffers for lack of clarity and some information.
(1) Setting: patients were included during which period of time?
(2) Methods: sampling method and statistical methods were not clearly described.
(3) Abbreviations should be avoided in an abstract unless a term is used multiple times.
Introduction:
1. In the Introduction section the authors should be more concise. I was wondering whether
the authors should remove some paragraphs The introduction is non-structured and lacks logic.
Personally, I think the background regarding PCO is redundant.
2. The aim of this study is to address the relationship between adherence to the MIND diet and
PCO, thus the previous studies on this field should be concisely reviewed. However, the authors
failed to present us the previous research background.
3. The authors did not show the scientific or clinical significance of their study.
Material and Method:
1. Authors stated “matched case-control study based on BMI and age was conducted”, you must
explain individual or group matching?
2. Please include a diagram that shows the flow and number of participants through each stage
of the study.
3. How did you choose the sample during January 2018 to March 2019? Method of sampling
was not mentioned.
4. Describe any efforts to address potential sources of bias.
5. Explain how the study size was arrived at.
6. You must explain how missing data were addressed.
Result:
1. Author stated “two groups were matched in terms of age, body mass index (BMI)” however
unmatched analysis was used. Conditional logistic regression has become a standard for matched
case–control data to tackle the sparse data problem.
2. Table 1:
The mean of age is considerable how it was matched between groups??
28.95 ± 7.16 30.45 ± 7.17
Table 2:
Age and BMI were matched between groups, how they were compared across tertiles of MIND
diet scores
3. Give reasons for non-participation at each stage
4. Consider use of a flow diagram.
5. Authors should be indicating number of participants with missing data for each variable of
interest.
6. It is better to consider translating estimates of relative risk into absolute risk for a
7. meaningful time period.
Discussion:
1. Please discuss the generalizability (external validity) of the study results.
2. Authors stated this is a matched case control study however, in dissection they said “it should
be noted that this study had some limitations due to the cross-sectional design”??
3. In conclusion section. please revise this paragraph” our study’s results showed a significant
inverse association between the MIND diet and PCOS adherence”
Title: Abnormal uterine bleeding and its associated factors among reproductive-age women who
visit the gynecology ward in Dilla University General Hospital, Southern Ethiopia, 2022
Version: 1 Date: 15 Mar 2024
Reviewer:  Ebenezer Senu
Reviewer's report:
Abstract
author should rewrite the statement "As a result, the purpose of this study was to fill the
aforementioned gap." as continuations of previous sentence
Rewrite the conclusion "It is critical to focus on the factors mentioned above in order to reduce
the magnitude of abnormal uterine bleeding." Which factors mentioned?
Make sure your write all sentences in complete scientific languages. avoid these referral
statements. all this throughout the manuscript.
Author should further check for minor editing, grammatical errors and correct sentences.
Percentage symbols (%) attached to figures in tables should be removed since the "%" has been
indicated as a heading already.
Title: The varying estimation of infertility in Ethiopia: The need for a comprehensive definition
Version: 1 Date: 11 Mar 2024
Reviewer's report:
Thank you to the thorough and thoughtful responses to our first round of review. I’ve added two
minor follow-up suggestions below.
• Line 74: “There are limited studies in Ethiopia that estimate the magnitude of infertility
[30-32].” I appreciate that the authors considered the suggestion to provide additional
information on what has been done/existing studies in Ethiopia. In their response, they stated:
“We want to point out the limited studies in Ethiopia are outdated, gray and cover small area.
Our study uses the latest available national data to estimate infertility.” I think this is a great
point to raise and should be included in the paragraph starting on Line 74.
• Line 315: “Therefore, it is not feasible to compare each individual component between the two
approaches.” I apologize for bringing this up again, but I do think a table summarizing the two
methods would be a great addition to the paper if you reconsider (see for example Table 1 in
"Infertility prevalence and the methods of estimation from 1990 to 2021: a systematic review and
meta-analysis" by Cox et al (2022) for a clearer comparison instead of the details summarized
in paragraphs), especially because the objective of the paper is to compare these two methods.
Title: The varying estimation of infertility in Ethiopia: The need for a comprehensive definition
Version: 1 Date: 05 Apr 2024
Reviewer's report:
Thank you for the thorough response. As stated, the study is already strong and I do not think the
AFT model is necessary, as the primary focus was on prevalence estimation,. However, a follow-
up paper may be worthwhile to examine associations using this approach. It is not much harder
than running a standard regression once the data structure is appropriately applied. I imagine
authors of the CD papers that have used AFT models could provide support as well.
Title: Women’s involvement in decision-making andassociation with reproductive health
behaviors: Findings from a cross-sectional survey in Niger
Version: 2 Date: 23 Jun 2023
Reviewer's report:
Thank you for the opportunity to review this paper. It studies an important topic in a critical
geography, and is well-written. I have a few suggestions:
1. It will be interesting to run some additional analysis using the individual indicators of the
decision-making variable as the independent variable in the models. Does having a say in
healthcare decisions have a larger influence on RH outcomes, vs having a say in household
purchases?
2. The study did not find any relationship between ability to communicate with partner
on RH issues and HH decision-making. At the same time, involvement in decision to get
married is related to HH decision making. These findings seem counter-intuitive, and warrant
some discussion. The authors note that 'Couples' communication is a key aspect of women’s
engagement in household decision-making ' according to prior literature. However, the findings
note otherwise. Perhaps the authors can revise the construction of the variable on ability to
communicate with partner ("not difficult" for any item instead of both items, or run models with
individual items), and look for further insights to explain the findings.
3. Did the authors check for multi-collinearity? There are a lot of inter-related covariates in the
regression models.
Title: Women’s involvement in decision-making andassociation with reproductive health
behaviors: Findings from a cross-sectional survey in Niger
Version: 2 Date: 03 Jul 2023
Reviewer:  Bola Lukman Solanke
Reviewer's report:
The paper addressed women’s decision-making and its association with reproductive health
behaviors in the Niger Republic. The paper is well-written with good use of English. I have no
evidence that the manuscript is a plagiarized work. The study did not raise any serious ethical
issues. However, the study is not technically sound. In its current version, it is not publishable
due to two major reasons:
1. The outcome variable is not well-identified. The study set out to assess the influence
of women’s participation in decision-making on reproductive health behavior, but while the
conceptual framework presents women’s participation in decision-making as a mediating factor,
the analysis shown in Table 3 presents it as the outcome variable. Also, the analysis shown
in Table 4 presents reproductive health behaviors as the explanatory variables. Hence, the
authors need to decide what to predict between women’s participation in decision-making and
reproductive health behaviors.
2. The measures of reproductive health behavior included in the study, namely, modern
contraceptive use, antenatal visits, and skilled birth attendance, require different inclusion/
exclusion criteria for proper analysis. This may explain why the three measures have different
sample sizes of 2,672, 2,506, and 2,507. The alternative ways of assessing these variables
together will either be to have a uniform unit of analysis such as "as at the last pregnancy or
delivery" or create a composite variable to dichotomize reproductive health behavior.
Title: Women’s involvement in decision-making andassociation with reproductive health
behaviors: Findings from a cross-sectional survey in Niger
Version: 2 Date: 06 Jul 2023
Reviewer:  Elizabeth Omoluabi
Reviewer's report:
This paper fills a gap in our understanding of the socio-cultural environment of women's
reproductive health in the sub-Sahel. The authors clearly articulate the association between
a woman’s involvement in key household decisions  and increased odds of current modern
contraceptive use and of four or more ANC visits during her recent pregnancy .  Authors also
found that women who are more involved in decision-making tended to be wealthier, or in
a polygamous union. These are all interesting results that encourage more study of pathways
through which these factors operate to define the current situation of women's sexual and
reproductive health.
Title: PREVALENCE AND FACTORS ASSOCIATED WITH ANTEPARTUM
DEPRESSION AMONG ADOLESCENT WOMEN IN THE ASSIN NORTH DISTRICT OF
GHANA: A CROSS-SECTIONAL STUDY
Version: 0 Date: 31 Mar 2024
Reviewer's report:
PREVALENCE AND FACTORS ASSOCIATED WITH ANTEPARTUM DEPRESSION
AMONG ADOLESCENT WOMEN IN THE ASSIN NORTH DISTRICT OF GHANA: A
CROSS-SECTIONAL STUDY
Review Comments
This subject addressed by the authors is a very important one but that has received very little
research attention in many LMICs indeed.
The pathophysiological processes of postpartum depression are significantly different from
those of antepartum depression. Mainly, among postpartum or postnatal depression results
from the sudden decline in maternal serum levels of estrogen and progesterone following
delivery of the placenta. These two hormones are very important stimulators for the release of
neurotransmitters – dopamine and serotonin, that help maintain the woman calm and steady
normal mood during pregnancy. The high serum estrogen and progesterone levels also stimulate
the release of adequate cortisol that enables the pregnant woman to cope somewhat effectively
with the heightened stress of pregnancy.
The tool (Edinburgh postnatal depression scale) used in this article by the authors to assess
antepartum depression is a standardized validated tool for assessing postpartum (and not
antepartum) depression. In this regard, it would appear the wrong tool may have been utilized,
and that makes it a little difficult to accept the validity and reliability of their findings.
The PHQ-9 for example might have served a better purpose.
Also, the conclusions drawn are general but do not appear focused on the research question or
the objective being addressed.
Title: PREVALENCE AND FACTORS ASSOCIATED WITH ANTEPARTUM
DEPRESSION AMONG ADOLESCENT WOMEN IN THE ASSIN NORTH DISTRICT OF
GHANA: A CROSS-SECTIONAL STUDY
Version: 1 Date: 22 Apr 2024
Reviewer's report:
Dear Editor,
I have gone through the revised manuscript and all the comments raised had been revised
appropriately. I therefore recommend for the acceptance of the manuscript.
Thank you.
Title: Quality of life and its related-influencing factors in patients with cervical cancer based
on the scale QLICP-CE(V2.0)
Version: 1 Date: 28 Sep 2023
Reviewer:  Leili Tapak
Reviewer's report:
The authors investigater Health related quality of life and its influencing factors of socio-
demographic and clinical characteristics in patients with cervical cancer based the scale QLICP-
CE(V2.0). The quality of the manuscript is good but the regression has a determination
coeffcient of 0.11.  Also, assumptions of the fitted regression like linearity , heteroscedasticity,
autocorrelations of the errors were not checked. Please consider consulting with an expert
statistician to fit better modeling strategy.
Title: Quality of life and its related-influencing factors in patients with cervical cancer based
on the scale QLICP-CE(V2.0)
Version: 1 Date: 01 Dec 2023
Reviewer's report:
This is an informative research that will improve the treatment of patients with cervical cancer
and in the end, improve their quality of life. Currently, treatment not only focuses on clinical
care but rather is holistic and client-centered, looking beyond morbidity and mortality.
I believe this is a good report and can be revised for publication.
My comments are added to the manuscript file and tables
Title: Quality of life and its related-influencing factors in patients with cervical cancer based
on the scale QLICP-CE(V2.0)
Version: 1 Date: 02 Dec 2023
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal and offers
a high-quality overview of the topic.
Although the manuscript can be considered already of good quality, I would suggest taking into
account the following minor recommendations:
- The whole text should be corrected by a native English speaker to make the work clearer and
more readable. Typos errors should be corrected.
- The title should be revised and corrected.
- I find it interesting to include in the introduction a reference about the risk factors that influence
the recurrence of high-grade cervical lesions (see PMID:  37747763).
- The authors have not adequately highlighted the strengths and limitations of their study. I
suggest better specifying these points.
- I also suggest authors better organize the discussion section following this ideal structure: main
findings of the study, strengths and limitations of the study, implications and comparison with
literature and future directions.
- Discussions can be expanded by citing relevant articles about long-term risk factors for the
recurrence of HVP-related lesions (see PMID:  37401466).
Title: A qualitative study on the adaptation of community programmes for the promotion of
early detection and health-seeking of perinatal depression in Nepal
Version: 0 Date: 28 Jan 2024
Reviewer's report:
The study is very important to adapt to the innovations in the LMICs context.
Have you maintained the data saturation point during the interviews?
Please mention whether there are differences in the application of CIDT tool in any situation.
Please follow COREQ or journal’s prescribed criteria for reporting the qualitative study.
Can you discuss more about CIDT in the methods section – What it is? How it was adapted?
What changes were made?
The finalization of the draft is conducted by only one person or a group of experts, please mention
clearly.
Please clearly mention the strengths of the study along with implications in the discussion
section.
Title: Perioperative management of a patient with unexpectedly detected early-stage ovarian
mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature
review
Version: 3 Date: 18 Dec 2023
Reviewer's report:
Dear authors, I read your article with interest. Here are my comments:
- english should be revised by a native speaker.
- I would add, what kind of laparotomy was made (transverse, midline?). If midline, was it up
to umbilicus or above it?
- You wrote that the mass was cystic and solid. And then in the discussion you write that there
were no papillations. I would suggest to rewrite that since papillary projections are also solid
components.
- when using iota simple rules (write which B and which M were present). You wrote there was
no blood flow present, but in the figure you can see blood flow.
- you made a controlled punction of the cyst - how can you be sure, that the tumor stage is IA
and not IC1? Please comment on that.
- Sentence: Combined with the patient's adjuvant findings, the tumor stage is likely to remain
unchanged after surgery. - That is probably true but it is very uncommon to only presume that
stage will not change. In the end patient was not completely staged, and that refers also to the
previous point. Can we even talk about IA or Ic1 stage in incompletely staged patients?
- was the patient presented to mdt before and after procedure?
Title: Perioperative management of a patient with unexpectedly detected early-stage ovarian
mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature
review
Version: 3 Date: 21 Jan 2024
Reviewer's report:
I find the case report overall very interesting. I would only recommend to change describing
muscle strenghth in numbers to what that acutally means (as written in case report presentation
paragraph). I know you elaborate it after in preoperative analysis paragraph, but it would help
the reader to see where patient disease was at.
I am also missing your input on further thinking - would you do the same if the diagnosis would
be HGSOC?
And it would also be wise to emphasise you did the rupture of the cysts under controlled
circumstances, since the spontaneous rupture of the ovarian malignant cyst changes the stage
of the disease.
Best of luck!
Title: Perioperative management of a patient with unexpectedly detected early-stage ovarian
mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature
review
Version: 4 Date: 21 Feb 2024
Reviewer's report:
I must congratulate on a rewritten manuscript - it does answear  on many questions I had in mind
during reading the first version.
I would only say, since you mention IOTA criteria - the cyst on the figures attached - using the
IOTA criteria the cyst would be described as multilocular solid, with (considering figure IC)
blood flow in solid component CS 2-3. It would be also good to mention that  mucinous ovarian
cancer is frequently linked with tumor markers  CA 19-9 and CEA , besides CA 125. Since you
mention HE4 - did you calculate ROMA index or use any of the algorithmes we use to help us
diagnose the tumor preoperatively?
There are two different data on post op Ca 19-9; it was probably  mistyped.
And at the end, just a thought around staging the patient... patient was incompletely staged due
to the wishes of a patient alone and her family (even in FST, there should be peritoneal washings
and biopsies of peritoneum and omentum); there is also a question regarding a histology type
(even in IA there is a consideration in chemotherapy in the absence of complete surgical staging
in infiltrative or G3 type of MOC). Probably, regarding ALS, there is also a question if this
patient would even be a proper candidate for chemotherapy?
Overall, the manuscript is interesting, congratulations.
Title: Perioperative management of a patient with unexpectedly detected early-stage ovarian
mucinous carcinoma combined with progressive bulbar paralysis: a case report and literature
review
Version: 7 Date: 25 Apr 2024
Reviewer's report:
Dear authors. I read your article with great interest. Article still needs english proofreading
before being published. Beside that, i have no other comments. Congratulations.
Title: Relationship between classic indicators of health behaviour and contraceptive choices in
women in Flanders
Version: 1 Date: 17 Feb 2024
Reviewer's report:
This is an interesting paper. I have some remarks. In general, the paper -and especially the
discussion-  is too long.
ABSTRACT: what  is ISALA and what does the abbreviation STI stand for? (first time use,
always write in full). The conclusion of the paper is in the "results" the discussion is in the
"conclusion". That's rather odd. You write "....study shows patterns of contraceptive use are
changing. How did you know that? You did not provide any data about contraception in the past.
TEXT: I should delete all data concerning the "unknown" groups for they have no clinical
relevance.
Define non-modern methods: what is this? preservative? pills with 30gamma EE?
The descriptive statistics of your population are incomplete.
I don't see the relevance of vegans and vegetarians using more LNG-IUD and  "no
contraceptives" What conclusion do you draw from that?
IN GENERAL. The main criticism is the way you presented the data. I think the most interesting
question is to determine whether types of  contraception differs depending on the level of
education. Make three columns for the three levels of education. Fill in all the available
parameters (type of CC, healthy lifestyle et cetera in the columns. Then you will see  where
the significant differences are with respect to the level of education. Obviously it is possible
that significant differences are  not caused by the level of education. To find out if there
are interrelated or independent characteristics, you need a logistic regression to determine the
relative weight of the individual characteristics.
Title: Precancerous lesion determinants in women attending cervical cancer screening at public
health facilities in North Shoa Zone, Amhara, Ethiopia: an unmatched case-control study.
Version: 0 Date: 15 Mar 2024
Reviewer's report:
In my opinion, this topic analyzed is interesting enough to attract readers’ attention.
I suggest a few recommendations:
- A correction of the English language is necessary. Typos errors should be corrected.
-  The whole text should be corrected by a native English speaker in order to make the work
clearer and more readable.
- Authors should consider recent evidence about HPV-related lower genital tract lesions, also
after treatment, considering the potential role of ant-HPV vaccination. I would be glad if the
authors discuss this important point, referring to PMID: 37978580.
- Considering topic and results of this study, it would be interesting to discuss about importance
of HPV-vaccination and its possible therapeutic role after treatment in patients with high-grade
cervical dysplasia. In particular, I suggest this article PMID: 33271963
The article should be revised and completed, and it deserves the priority to be published after
minor revisions.