JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Prevalence of polycystic ovary syndrome under NIH criteria among the tenth-grade
Chinese schoolgirls in Guangzhou area: A cross-sectional epidemiological survey
Version: 2 Date: 30 Jun 2022
Reviewer:  Larisa Suturina
Reviewer's report:
The authors present the results of epidemiological study addresses a prevalence of polycystic
ovary syndrome among Chinese adolescents in Guangzhou area, and the topic is,  definitely,
of interest.
The manuscript was reviewed using the STROBE Statement—Checklist of items that should be
included in reports of cross-sectional studies (doi: 10.2471/BLT.07.045120)
The main suggestions be sections are as follows:
Title and abstract
Please, indicate the study’s design in the title and in the abstract.
Background
The international PCOS guidelines recommended updated Rotterdam criteria with both
hyperandrogenism and oligo-anovulation for adolescents based on evidence-informed expert
consensus (Teede, 2018,  doi: 10.1016/j.fertnstert.2018.05.004). We suggest considering this
document   on PCOS diagnosis in adolescents as the basic and internationally approved.
Objectives
The study objectives look different in the abstract and in the body of the manuscript and should
be     slightly edited.
Participants
Provide  the general eligibility criteria
Methods
This section describes several parameters, which are not reported in the manuscript (eating
habits, exercise habits, medical and family history).
Regarding hormonal measurements: It is unclear, if the authors explore the calculated free
testosterone as recommended in the guidelines. Elisa method for testosterone measure should
be mentioned as a study limitation in the relevant section.
The authors present only the following criteria for oligo/anovulation, appropriate for adolescents
for 3 years post menarche: < 21 or > 35 days or < 8 cycles per year, according to the guidelines,
2018.
At the same, there are different criteria for those girls, who are from 1 to < 3 years post menarche:
< 21 or > 45 days. Our suggestions are to clarify if the authors excluded  these cases. If not,
please, revise the OA criteria.
Statistical methods
Explain how missing data were addressed
Results
             Please, add relevant dates, including periods of recruitment and data collection.
Give characteristics of study participants (eg demographic, social)
Clarify, what you present in the table 1 – n(%) ?
Add 95% CI when presenting Percentiles (tables 2–3)
Present data regarding oligo/anovulation in section 3.(The prevalence of PCOS)
Represent p-value (table 5,6)
 Conclusion
Consider  adding  oligo/anovulation to the phrase “the diagnosis of hyperandrogenism among
adolescents should also be based on both clinical and biochemical parameters”.
Title: Prevalence of polycystic ovary syndrome under NIH criteria among the tenth-grade
Chinese schoolgirls in Guangzhou area: A cross-sectional epidemiological survey
Version: 2 Date: 05 Nov 2022
Reviewer's report:
At present, there is no diagnostic criteria of PCOS for adolescent population. According to
the cross-sectional epidemiological survey design, the author carried out a large-scale, cluster
sampling study in Guangzhou area to explore the incidence and related clinical characteristics
of PCOS in adolescent girls, and to collect experiences on clinical diagnosis and treatment of
adolescent PCOS. 1294 tenth-grade schoolgirls in 5 senior high schools in Baiyun District,
Haizhu District, Tianhe District, Liwan District and Yuexiu District of Guangzhou were
investigated,and 1095 serum samples were kept for further tests.According to the diagnostic
criteria of adult PCOS in NIH, the incidence of oligomenorrhea or amenorrhea and Clinical/
Biochemical hyperandrogenism were investigated. Finally, it was confirmed that it is appropriate
to diagnose PCOS in adolescent girls according to biochemical hyperandrogenism indexes (T,
A2, FAI) and clinical hyperandrogenism index (mFG#6), according to this diagnostic standard,
the prevalence of PCOS among the tenth grade schoolgirls in Guangzhou area was 3.86%.
This article is well conceived, logically clear, with appropriate statistical methods and reliable
conclusions, can be recommended for publication.
Title: Prevalence of polycystic ovary syndrome under NIH criteria among the tenth-grade
Chinese schoolgirls in Guangzhou area: A cross-sectional epidemiological survey
Version: 3 Date: 26 Dec 2022
Reviewer's report:
The cross-sectional epidemiological survey of PCOS for teenagers in China is relatively scarce.
According to the cross-sectional epidemiological survey design, the author carried out a large-
scale, cluster sampling study in Guangzhou area to explore the incidence and related clinical
characteristics of PCOS in adolescent girls, and to collect experiences on clinical diagnosis and
treatment of adolescent PCOS. 1294 tenth-grade schoolgirls in 5 senior high schools in Baiyun
District, Haizhu District, Tianhe District, Liwan District and Yuexiu District of Guangzhou were
investigated,and 1095 serum samples were kept for further tests.According to the diagnostic
criteria of adult PCOS in NIH, the incidence of oligomenorrhea or amenorrhea and Clinical/
Biochemical hyperandrogenism were investigated. Finally, it was confirmed that it is appropriate
to diagnose PCOS in adolescent girls according to biochemical hyperandrogenism indexes (T,
A2, FAI) and clinical hyperandrogenism index (mFG#6), according to this diagnostic standard,
the prevalence of PCOS among the tenth grade schoolgirls in Guangzhou area was 3.86%.
This article is well conceived, logically clear, with appropriate statistical methods and reliable
conclusions, can be recommended for publication.
Title: Sexual violence and risk factors among Night Shift female College students in Hawassa
city, South Ethiopia, 2020
Version: 4 Date: 09 Nov 2022
Reviewer's report:
Points further need revision  are:
1.  From the revised version of the manuscript, in  Study Setting, Design, Population, Sampling
procedures,  it says that ; Seven colleges were selected by using the lottery method and all
government colleges were included. But your response said that;  In Hawassa city there is 2
governmental and 22 private colleges randomly we take the two governmental hospital and we
use simple random sampling to select 7 colleges from 22 private colleges that#s 30% of the total
22 private college that#s standard for take sampling. A sample size of 30 is fairly common across
statistics. A sample size of 30 often increases the confidence interval of our population data set
enough to warrant assertions against our findings.  Those two sampling procedure(lottery Vs
simple random) are contradicted and can not be used simultaneously; even if the design effect
was not still considered.  So please revise carefully your manuscript.
2.  The HL test indicated that our final model was fit (p = 0.906). But I did not get this result?
Please put this result to your study. If this statistical result was found in the article, how other
users or readers believe that, the statistical model is really good fit without  any statistical value?
It is essential to put the result, unless presenting unobserved value is like puzzles.
3. When you determine the study sample size, you take margin of error as 5%, why you take it??
Why not you take 2%, 3% or other or do you have any reason that 5% is really the appropriate
margin of error?
Your response;   A smaller margin of error means we can have confidence in our results but we
aren#t so we prefer to take 5% than other.;  Yes really I agree on it, meant that 4% is preferable
than 5%.  So that I did not think that your reason  is the solution, instead please  cite reference
about this  margin of error from other similar study.
Title: Endometriosis, infertility and occupational life: women's plea for recognition
Version: 1 Date: 12 Nov 2022
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and  consider the following recommendations:
- Manuscript should be further revised in order to correct some typos and improve style.
- Introduction what is deep endometriosis and and what its management entails referring to
PMID: 33687160
-Many interventions have been mentioned in the literature for improving the quality of life of
women with endometriosis referring to doi: 10.1186/s10397-021-01096-5
- The quality of life and professional life of the patient with endometriosis can also be affected
by the complications of surgical interventions or by particular problems regarding intestinal
dysfunction and obstetric outcomes. Make a comment referring to PMID: 34995374; PMID:
34995357 PMID: 34623489
Title: Endometriosis, infertility and occupational life: women's plea for recognition
Version: 1 Date: 25 Dec 2022
Reviewer's report:
The topic of this paper is very interesting. However it requires major revisions.
The objective does not match with the conclusion. Indeed it is not clear if the primary aim is to
analyse the impact of deep endometriosis or ART treatment on patients’work life.
In this context, it is not clear why the patient 2 (unemployed) is included in the study.
The authors should better explain the semi-structured in-depth interviews in “Methods section”.
Please specify inclusion and exclusion criteria.
The authors should add detailed informations on the data analysis performed.
In “Results section”, it could be interesting to know if the type of endometriosis (deep
endometriosis?) the type of surgery and the IVF treatment (years) have influenced the patients’
quality of life.
The results of the three main themes are not clear. An adequate scientific structure of this section
is required. For example, instead of: “Several patients, many patients, more than half”, it is
important to provide n (%)
It would be also interesting to know the repercussions of COVID19 on these patients.
In table 1 the authors has to specify acronym: IVF (in vitro fertilization)
Interviews were conducted exclusively by telephone. Could it represent a study limitation?
A check of the English language is necessary.
Title: Inter- and intra-observer agreement in the assessment of the cervical transformation zone
(TZ) by visual inspection with acetic acid (VIA) and its implications for a screen and treat
approach: a reliability study
Version: 3 Date: 18 Oct 2022
Reviewer's report:
The concept of the study is very interesting because the evaluation of the transformation zone is
critical for the treatment selection in LMICs. However, there may be a big difference between
evaluating the photo and the real-life evaluation because the image would lack the 3-D view,
especially for the TZ2, which needs manipulation to see the whole TZ.
Please discuss this point and clarify how to implement the study's findings into practice.
Abstract: Line 31 Human papillomavirus
Results: Please describe the min/max year of the experts' experience. What is their specialist
or background?
Why does the percentage of mages considered good quality for diagnosis differ between the two
rounds? Please explain the possible reasons.
Discussion: Please discuss what can be implemented into the practice from this study's findings.
Does this mean the screen-triage-treat can be harmful? What should be done to make the
approach more accurate and reliable?
Title: Inter- and intra-observer agreement in the assessment of the cervical transformation zone
(TZ) by visual inspection with acetic acid (VIA) and its implications for a screen and treat
approach: a reliability study
Version: 3 Date: 27 Oct 2022
Reviewer:  Simon Manga
Reviewer's report:
This is a well written manuscript with high scientific merits on a very important subject in
colposcopy/cervical cancer screening in LMICs. This paper will add significant literature on
intra and inter observer reliability of TZ types.
A very big congratulations to the authors
Title: Abortion terminology preferences: a cross-sectional survey of people accessing abortion
care
Version: 2 Date: 24 Aug 2022
Reviewer's report:
This paper takes on the important topic of abortion stigma, but the context provided and analysis
can be strengthened. Thank you for the opportunity to review this paper.
Background: What about the role of criminalization leading to stigma or fear of talking about
abortion? In post-Dobbs world, this is a particularly relevant context to include.
Line 56-68: Since this section is pulling in international contexts of terminology where more
research has been done, the authors should consider other contexts like Bangladesh that use
“menstrual regulation” as an example of ways abortion is framed/talked about in different ways
Line 112: were there responses to “other” and what did those include?
Line 116-128: Given that stigma is structurally or socially created, how can this be
conceptualized and included in this model? The 3 states California, Illinois and New Mexico
have different sociopolitical contexts, politicians who speak differently about abortion and
reproductive health care, and different laws passed related to abortion. The authors should
consider including these sociocultural contextual factors into a multilevel model to describe that
as a determinant of how people discuss abortion/have abortion stigma.
Table 1: If the authors consider including a proxy of the sociocultural context around abortion
stigma, it would be helpful to show Table 1 by state/clinic (alongside the total column).
Line 125: What is the reasoning behind using non-Hispanic white as the reference category?
What is the conceptualization of race/ethnicity in this study?
Line 134: Using clinic site as a random effect rather than covariate would produce better
estimates (especially due to variability in clinic sample sizes) and the results would reflect
an “average” or “general” finding rather than covariate model interpretation (see Statistical
Rethinking by Richard McElreath).
Line 161: What were the "other" responses people included? Do these provide qualitative value
to these findings?
Line 171-176: A lot of findings in one sentence that are hard to follow – separating sentences
by age and race/ethnicity would be more clear.
Limitations Line 196-216: The participants were receiving facility-based care, so these findings
do not address how people pursuing self-managed abortion talk about abortion or experience
abortion stigma.  Another limitation is diversity in gender identity. Did participants identify as
cisgender women, nonbinary, transgender? If this wasn’t collected, that should be included as a
limitation as well given the more stigmatizing care nonbinary and trans individuals experience.
Line 239: This should separate into it’s own paragraph about saying the word abortion to reduce
stigma, and is backed up by participants mostly preferring abortion. This seems a major take
away related to combatting abortion stigma that should be emphasized.
Title: Abortion terminology preferences: a cross-sectional survey of people accessing abortion
care
Version: 3 Date: 16 Dec 2022
Reviewer's report:
The authors responded to all comments comprehensively and the manuscript is improved. My
only remaining suggestion is to include in the methods text or in a footnote of the table their
brief justification (that they included in response to reviewers) for choosing non-Hispanic White
as the reference category to make it clear to readers and not reify racialized norms of having
White as reference category.
Title: Human papilloma virus infection and its associated risk for cervical lesions: a cross-
sectional study in Putuo area of Shanghai, China
Version: 2 Date: 12 Nov 2022
Reviewer's report:
First of all, I would like to thank you for the opportunity to review this research. I consider this
research to be much needed for public health and it certainly brings a high level of relevance.
The research presents a consistent introductory and methodological section, so that it is a very
reliable study.
As aspects for improvement I recommend adding a section entitled "Procedure" where it is
explained how the research has been developed from the initial idea to the end. In this case, add
such a section just before the discussion.
Title: Human papilloma virus infection and its associated risk for cervical lesions: a cross-
sectional study in Putuo area of Shanghai, China
Version: 2 Date: 13 Nov 2022
Reviewer:  Ban Hadi Hameed
Reviewer's report:
dear authors thanks for your efforts
language and grammar editing
avoid repetition of data
Table 1: age groups o be mentioned in categories for more convenience, unmarried be more
specifically virgin or not, HPV very unlikely to infect virgin women, the data is deficient should
include other parameters like vaccination status and medical morbidities and other STD status
Table 2: specify infection rate out of total or infected cases.
Table 3 merges with table 1
The figures are non-conclusive and add nothing to the work as it is logical to have more infection
in the cervix clinic
Title: Human papilloma virus infection and its associated risk for cervical lesions: a cross-
sectional study in Putuo area of Shanghai, China
Version: 3 Date: 15 Dec 2022
Reviewer's report:
1. Put the references before the full stop.
2. mention study design
3. sample size calculation
statistical analysis:
1. how was the risk ratio calculated ?
2. where are the calculations given ? In which table?
3. mean & standard deviations are not given in the tables , figures and text
4. how was the normality of data calculated
Discussion:
1. no need to repeat the results
2. discussion points to be compared with other studies
3. "Women aged > 60 can be diagnosed primarily with HPV screening combined with thin-
cytologic test (TCT) results"   - was the TCT done by the authors ??
4. rephrasing of the paragraph required as marked in the article.
5. validity of the study would have increased if rural population was also included.
Title: Human papilloma virus infection and its associated risk for cervical lesions: a cross-
sectional study in Putuo area of Shanghai, China
Version: 3 Date: 15 Dec 2022
Reviewer:  Hojjat Sheikhbardsiri
Reviewer's report:
This is an interesting paper and the content is very good but I suggest the paper can be improved
in the following ways
Abstract
Please modify the headlines based on the format of the journal
-In the conclusion part, it is necessary to specify the researcher's proposal to improve the
conditions and use of the beneficiaries
Introduction
Please bring the following items
- Introduction needs to be strengthened with disaster risk management resources please see the
conclusion references
- Definition of the research problem
- The magnitude and importance of the study variable
- Bringing the variable epidemiology information of the study at the world level and the place
of study
- Expressing the necessity of conducting the study
Finally, the practical purpose of the study should be stated
Result
Please report main results in details in result section for case of text
Discussion
# Discussion is well written, but it needs the interpretation of authors. Please add your
interpretation and explanations to this section.
Conclusion
# What are your suggestion for future studies?
To strengthen the article, especially in the introduction and discussion section the following
studies are suggested, please if possible, to use, cited, and add to article reference
- Crowd Simulations and Determining the Critical Density Point of Emergency Situations
-A proactive risk assessment through healthcare failure mode and effect analysis in pediatric
surgery department
-Response capability of hospitals to an incident caused by mass gatherings in southeast Iran
-Human resources for health: A narrative review of adequacy and distribution of clinical and
nonclinical human resources in hospitals of Iran
-Prevalence of postpartum depression in women amid the COVID-19 pandemic: A systematic
review and meta-analysis
Best regard
Title: Human papilloma virus infection and its associated risk for cervical lesions: a cross-
sectional study in Putuo area of Shanghai, China
Version: 4 Date: 06 Jan 2023
Reviewer:  Hojjat Sheikhbardsiri
Reviewer's report:
Dear editor and authors
I believe that all the changes I suggested have been implemented in a correct way, improving
the quality and suggestions for publish in Journal of BMC women health.
Best regards
Title: Hysteroscopy for retained products of conception: a single-institution experience
Version: 1 Date: 26 Oct 2022
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, the authors
should clarify some points and improve the discussion, as suggested below.
Authors should consider the following recommendations:
- Manuscript should be further revised in order to correct some typos and improve style.
- I recommend to discuss novel published data about see-and-treat in-office hysteroscopy versus
operative hysteroscopy for the treatment of retained products of conception (PMID: 35698805).
- I truly think that the authors should discuss in a wider way the potential occurrence of
complications during hysteroscopic surgery. Some articles may offer an appropriate overview
about the topic: PMID: 28832907; PMID: 29339301.
Title: Hysteroscopy for retained products of conception: a single-institution experience
Version: 1 Date: 12 Nov 2022
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and consider the following recommendations:
- Manuscript should be further revised in order to correct some typos and improve style.
- Improve the introduction by expanding the reasons why some placental material may be found
and what symptoms it may entail.
- Be more specific on the measurements of residual material in the cavity and compare the
outcomes based on their dimensions
- Be more specific about the type of hysteroscope used. Have you also used office hysteroscopy?
what role can this approach play in the treatment of this pathology? discuss referring to PMID:
33922785
Title: Individual and community-level factors associated with early marriage in Zambia: a mixed
effect analysis
Version: 1 Date: 08 Aug 2022
Reviewer:  Choolwe Jacobs
Reviewer's report:
The paper examined individual and community level factors associated with early marriages in
Zambia. Data from the Zambia Demographic and Health Surveys (ZDHS) for 2017, 2013-204,
and 2018 was used for analysis. The authors found a reduced prevalence of 44% in 2018
compared to 52% in 2007. Using a pooled weighted sample of 10,112 young women aged 20-29
years, the authors found that both individual- and community- level factors influenced early
marital behaviour in Zambia. This is an important study informing efforts being made globally
particularly in low- and middle-income countries.
However, I have some comments and suggestions that are worthy considering if this paper is
to be published.
• I suggest that the title and objectives are in tandem, in the current form, the authors state
contextual factors in the title and yet in the objective they are mentioning community factors.
While this certainly means the same, it is important to ensure consistency.
• Also on the title, there is a mention of early marital behaviour while in the objective they
mention early marriage. Again, this requires consistency.
• In the conclusion for the abstract, the authors suggest need to re-evaluate and  re-designing
SRH programmes, this recommedation may require need to be specific on the recommendation
being made.
• On the results sections, Table 2, the authors should remove the star (***) along the variable
name as it would be misunderstood as P values <0.001.
Thank you