JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: The Association Between Dietary Fiber Intake and Pelvic Inflammatory Disease in
Women: Findings From the NHANES 2015 - 2018
Version: 2 Date: 02 Jun 2025
Reviewer:  Hossein Salehi Omran
Reviewer's report:
Dear Authors Team of the Manuscript,
The manuscript "The Association between Dietary Fiber Intake and pelvic inflammatory
disease: Findings from the NHANES 2015-2018" is a well-designed study providing valuable
data in terms of the association between dietary fiber intake and pelvic inflammatory disease.
However, it requires some kinds of revisions which should discussed before publication.
1. The "Background and aim" of the abstract is too short and would significantly benefit from
adding more data about the background of pelvic inflammatory disease and the reason behind
the importance of conducting the current study.
2. It would be recommended to provide more data in terms of the methodology of data gathering
by   Multivariate analysis, WWEIA standard dietary interview, and telephone follow-up in the
methods of the abstract.
3. The list of keywords is short and would benefit from adding more important keywords such
as WWEIA dietary interview and telephone interview.
4. In the caption of Figure 2, further information about each of the curves will be provided to
enhance the clarity of the figures.
5. Valuable findings were reported in terms of threshold fiber consumption effect and turning
point (19.45 g/day). However, it has not been well-discussed in the discussion. Furthermore, a
discussion of the rationale behind that as well as the threshold fiber consumption reported by
other studies in other fields is recommended to be mentioned and discussed.
Overall the manuscript is well-written and provides precious findings regarding the relationship
between fiber consumption and pelvic inflammatory disease. However, there are some points
that need to be discussed and addressed before publication.
Title: The Association Between Dietary Fiber Intake and Pelvic Inflammatory Disease in
Women: Findings From the NHANES 2015 - 2018
Version: 2 Date: 07 Jun 2025
Reviewer's report:
This manuscript explores the association between dietary fiber intake and pelvic inflammatory
disease (PID) using data from the NHANES 2015–2018 cycles. Utilizing multiple regression
analysis, subgroup analysis, smoothed curve fitting, and threshold/saturation effect analyses on
data from 2,369 female participants, the authors find a significant inverse association between
higher dietary fiber intake and PID prevalence. In particular, those in the highest quartile of
fiber intake had meaningfully lower rates of PID than those in the lowest quartile, and the
association was L-shaped with a key threshold identified. Subgroup analyses suggest potential
effect modification by smoking status. The authors conclude that increasing daily dietary fiber
intake may help reduce PID prevalence.
Comments:
As your analysis is based on NHANES (a U.S. population representative survey), references
to GBD (Global Burden of Disease) super regions, modeling framework, standard populations,
and uncertainty intervals do not apply and should be removed for clarity and accuracy. If any
GBD-related concepts remain in the methods or discussion sections, please provide detailed
explanations or clarify their relevance to this study.
Please provide a clear explanation of how confidence intervals were calculated in your regression
analyses. Additionally, interpret the CIs in the context of your study findings and help the reader
understand the degree of statistical certainty associated with your results.
Expand the discussion to address the broader public health impact of your findings. In particular,
consider implications for dietary guidelines, public education, and women’s reproductive
health interventions, as well as potential strategies to improve dietary fiber intake in high-risk
populations.
The study rationale should be strengthened. Please update the introduction with recent
literature on dietary fiber and female reproductive tract health, PID prevention, and related
epidemiological studies. This will help contextualize your research and highlight its novelty.
Ensure all numerical values—whether in tables, figures, or the main text—follow a consistent
decimal format throughout the manuscript (e.g., use either one decimal place [.0] or two [.00]).
Replace or supplement older references with the latest research and authoritative reviews
relevant to PID, dietary fiber, and nutritional epidemiology.
Consider refining and expanding the keywords for improved discoverability.
Please avoid presenting non-significant results unless you provide a scientific justification for
their inclusion. If any such findings are necessary for interpretation, discuss their context and
relevance.
Add a section outlining recommendations for future research. This could include suggestions
for longitudinal analyses, interventional studies, potential mechanistic investigations, or broader
population studies to establish causality and generalizability.
Title: The Association Between Dietary Fiber Intake and Pelvic Inflammatory Disease in
Women: Findings From the NHANES 2015 - 2018
Version: 2 Date: 08 Jun 2025
Reviewer's report:
1, I think the paper need a native English speaker for language editing.#
2, #Why was the time period 2015-2018 chosen instead of 2015-2024?#
3, #Page 3, Line 84: Please provide reference
4, #Was sample size calculation or statistical power calculation performed?
5, #Table formatting should be revised by someone experienced in academic writing. For
example: #Three-line tables:# Top and bottom lines should be bold. #Numerical consistency:#
Odds Ratios (ORs) and p-values should have a unified number of decimal places.
6, Table 2, the analysis strategy is not appropriate. #Option 1:# Incorporate all basic factors into
Model 2, then add obstetric factors to create Model 3. #Option 2:# Include all factors directly
in a single Model 2.
7, #Regarding Figure 2: The curve shows an upward trend before approximately 8. How should
this be interpreted? Calculating the inflection point(s) likely yields three values. Please explain
for other inflection point(s)?
Title: The Association Between Dietary Fiber Intake and Pelvic Inflammatory Disease in
Women: Findings From the NHANES 2015 - 2018
Version: 2 Date: 09 Jun 2025
Reviewer's report:
This study explores the association between dietary fiber intake and pelvic inflammatory disease.
While the research is well-designed with rigorous statistical analysis and addresses a topic of
significant public health value, it has limitations: I note the absence of sexual behavior factors in
the study—such as number of sexual partners and history of STIs, which are core risk factors for
PID—as these were not included in the covariates. It is recommended that this be acknowledged
as a primary limitation in the discussion section.
Title: The Association Between Dietary Fiber Intake and Pelvic Inflammatory Disease in
Women: Findings From the NHANES 2015 - 2018
Version: 2 Date: 10 Jun 2025
Reviewer:  Danilo Aravena-Nazif
Reviewer's report:
The article is very interesting and is relevant to modern health policy in many countries.
Please see the attached file.
Commentary (use the line numbers of the attached document).
Line 224 to line 227. In my opinion is not recommended to discuss the limitations of the results
in the “results” section of the article, it belongs to the discussion. Also, this paragraph mention
effects size and borderline interactions as limitations but no information about the effect size
is provided in the results.
Line 447: Replace “Figur 2” with Figure 2. Lacks point at the end of the sentence.
Table 1. BMI. I think that high BMI is >29,9, not >24,9 as stated in the article.
Table 1. Marital status. I think the term “marital status” have legal implications in the union of
people, so living alone or with a partner not truly represent that definition, in my opinion.
Discusion:
Table 1 shows fewer calories consumption in PID woman. I think this result needs some
commentary.
Table 3. In the title says Table3. Put Table 3 instead.
Table 5. In the table description there is an extra space after PIR. Also, I think that you can simply
say “non adjusted model”. Using “crude model” and the explain that it means “non adjusted
model” seems redundant.
Figure 2, Y axis title says “odd ratio”. The correct term is odds ratio. Also, in that figure odds
ratio is expressed as a proportion, not percentage.
Title: Contrast-enhanced ultrasound findings of ovarian Sertoli-Leydig cell tumor: a case report
with ultrasonographic–pathological insights
Version: 1 Date: 13 May 2025
Reviewer's report:
interesting case with well written description of the clinical and imaging findings. Images are
good as is the discussion. The major issue is in your conclusion  that the pattern of enhancement
provides some diagnostic value in differentiating SLCT from other malignancies. You describe
other ovarian malignancies may demonstrate a similar CEUS pattern. Thus while the pattern
is of value in raising concern for an OR4 or 5 lesions, and is useful to understand in terms
of a modality, the functional aspect of these tumors will be the true distinguishing feature
rather than imaging.  I think your final statement is accurate, although a reader might leave
with the impression that CEUS is useful in diagnosis and differentiation from other ovarian
malignancies, when really its role is diagnosis and characterization of an ovarian mass as higher
risk for malignancy and it is the clinical/laboratory values that will distinguish from other ovarian
malignancies.
Title: Contrast-enhanced ultrasound findings of ovarian Sertoli-Leydig cell tumor: a case report
with ultrasonographic–pathological insights
Version: 1 Date: 31 May 2025
Reviewer's report:
nice  case  report , need  some  rewriting , modification & additional information to be  more
sound  for  publication
I  try  to   summarized    the  advised  changes in points  mentioned  in above  uploaded PDF
under  tittle ( comments  to  author)
Title: Contrast-enhanced ultrasound findings of ovarian Sertoli-Leydig cell tumor: a case report
with ultrasonographic–pathological insights
Version: 2 Date: 19 Jun 2025
Reviewer:  Shaymaa Abdulqader
Reviewer's report:
Dear Authors :
This is an interesting case and procedure. But cannot differentiate between the various types of
ovarian malignancies .
Title: Contrast-enhanced ultrasound findings of ovarian Sertoli-Leydig cell tumor: a case report
with ultrasonographic–pathological insights
Version: 2 Date: 23 Jun 2025
Reviewer's report:
I sincerely appreciate your prompt response and the adjustments you made to the research based
on my suggestions. Your cooperation and attention to detail mean a great deal to me.
Thank you once again for your  efforts.
Title: Different interventions for OHVIRA/Herlyn-Werner-Wunderlich syndrome based on age
and symptoms: A single-institution cohort study
Version: 2 Date: 20 Sep 2024
Reviewer's report:
This is a good case series on an uncommon condition in Gynaecology.
A few comments
1) Herlyn-Werner-Wunderlich is the original term and a better term to use in conjunction with
OHVIRA syndrome.
Wunderlich syndrome is also a rare clinical syndrome characterized by an acute onset of
spontaneous renal hemorrhage into the subcapsular, peri-renal, and/or pararenal spaces, without
a history of antecedent trauma.
To avoid confusion, I feel it would be better if the authors use Herlyn-Werner-Wunderlich.
2)The MRI and CT images are great, though I was wondering if the authors have any other
imaging modalities (e.g. 3D imaging).
3) In the result section, the authors state “Fistulas were detected in three cases, and therapeutic
interventions (surgery or hormone therapy) were performed in five cases”. I am confused with
this statement. As an OBGYN, a fistula is defined as an abnormal connection between two body
parts, such as an organ or blood vessel and another structure (e.g enterovaginal or enterovesicular
fistula). Are the authors talking about the same thing?
Title: Different interventions for OHVIRA/Herlyn-Werner-Wunderlich syndrome based on age
and symptoms: A single-institution cohort study
Version: 2 Date: 09 Oct 2024
Reviewer's report:
Thank you for all the cases
In case 4, it is initially described as right renal agenesis and then in MRi, it was left renal agenesis.
After a cesarean section, was there a need for MRI. An examination at the time of cesarean
would have given  enough information. However, which side was the renal agenesis? If it was
bicornuate uterus, will this come under OHVIRA syndrome? Intra op pictures will help to clarify
case 6- please mention the size of the endometriotic cyst. Normally endometriotic cysts do not
disappear with medical treatment
Case  7- where exactly was the cyst.  Was the haematocolpos mistaken for cyst? Images will help.
Looks like most of the cases were mistaken initially for bicornuate uterus.
Title: Women's lived experiences of intimate partner violence progress after breast cancer: a
hermeneutic phenomenological study
Version: 2 Date: 02 Dec 2023
Reviewer's report:
What was the weakness of previous studies that this study was conducted with hermeneutic
approach?
What was the necessity of conducting this study with a hermeneutic approach?
In the method section, specify study design. Explain the study design to the reader. For the
hermeneutic approach, you must refer to the relevant philosopher. Next, write for what purpose
this approach was used in the present study.
How was the access to women?
You asked participants about painful events in their lives. How did you manage these situations
when they were under severe stress in expressing their experiences?
Old references need to be revised. Use references from the last 5 years. You can use old
references only in the method section.
It is not necessary to present evidence by mentioning the percentage in the discussion of a
hermeneutic study.
The term lived experiences is not seen anywhere in the manuscript. This term should be seen
from the purpose to the end of the discussion.
The study approach has not been seen in the method section as well as the discussion section.
The discussion should be rewritten according to the guiding philosophy of the research and
emphasizing new references.
Title: Women's lived experiences of intimate partner violence progress after breast cancer: a
hermeneutic phenomenological study
Version: 2 Date: 06 Dec 2023
Reviewer's report:
Thank you very much for giving me the opportunity to review this article. It is a very interesting
topic, but it seems that the article is written according to the guidelines of a different journal
than the one I received, and this problem can be seen in all its sections. A simple example: the
reference number should be in brackets.
Title
Rewrite the title and remove the word "change".
Abstract
It is written very briefly. There is no introduction to it. Methodology: The sampling method,
when the study was carried out, the stages of analysing the data, etc. were not specified. Results:
The number and names of primary and secondary codes were not provided. Make a conclusion
based on the findings
Introduction
Not clear why this needs to be done. The review of articles was very limited, Explain why you
are using the phenomenological qualitative method.
Methodology
The Methods section needs a major rewrite, and needs to get organized; For example, the time
of conducting the study is written at the end of collecting the data, or one of the inclusion criteria
was written between collecting the data. Explain the reason for using the Van Menen method
and describe its steps. Time to study? Sampling methods? Explain the reason for using the
Van Menen method and describe its steps. What is the AAS questionnaire? There has been no
explanation given. Duration of the disease, acute stage of the disease or treatment (chemotherapy
and radiotherapy) were not included in the inclusion criteria. Why not.? What was the consent
process? How was informed consent obtained, taking into account the sensitivity of the subject?
Where did the interviews take place? The privacy of the participants should be explained during
the interview. Explain how the data are collected according to the Van Manen method. The
findings written in the data analysis section should be removed from the methods section. The
method of rigor in the present study should be explained.
Add a table to display the primary and secondary codes. Provide only one quote for each.
Results
How many codes or subcategories are generated in each step of Van Manen's thematic analysis?
List the secondary codes. This sentence is in breach of the entry criteria: "Except for one
participant who divorced one year after breast cancer onset, the rest of the participants still lived
with the same spouses".
Discussion
There should be a relevant discussion of the results. Recent references should be used for the
discussion. Did the authors have an age limit for the samples? If not, please rewrite the limitation
section. Write a conclusion based on your findings. The application of the results in practice or
for policy makers in the health care system should be added.
Title: Women's lived experiences of intimate partner violence progress after breast cancer: a
hermeneutic phenomenological study
Version: 5 Date: 27 Jan 2024
Reviewer:  Zahra Ebrahimi Rigi Tanha
Reviewer's report:
According to the title and main purpose of the article, the following points should be taken into
consideration:
It is better if the research discloses at least the sub-sub themes to provide better reasoning and
understanding of the result and its discussions.
The findings are brief and objective, and I recommend using more abstract themes, considering
that you use interpretive phenomenology.
Title: Empowering Postpartum Women: The Role of mHealth Apps in Promoting Mental Health
and Obesity Prevention
Version: 1 Date: 20 May 2025
Reviewer's report:
Under the results and discussion:
Table 1 is dense and could benefit from splitting out the last two variables into another table. It
could benefit from visual summarisation (e.g., bar charts or pie charts for key variables).
The BMI distribution shows a high obesity rate (46.3%), which is striking. The authors should
discuss whether this is consistent with national data or if sampling bias may be present.
The positive relationship between unhealthy food intake and BMI is expected, but the positive
relationship between healthy food intake and BMI is counterintuitive and needs further
explanation.
The finding that higher BMI is associated with better mental health in some groups (rarely/never
app users) is surprising and should be critically examined.
Title: Empowering Postpartum Women: The Role of mHealth Apps in Promoting Mental Health
and Obesity Prevention
Version: 1 Date: 22 May 2025
Reviewer:  Mohd Ismail Ibrahim
Reviewer's report:
I have reviewed the manuscript and found it to be generally well written. However, several areas
require clarification and refinement to enhance readability and overall comprehension.
Title - phrase "Healthy Weight Management" may be sound vague. Consider "Weight Control"
or "Obesity Prevention" for specificity.
Abstract:
• Statistical details (R² values) are heavily emphasized, but the abstract may benefit from a brief
mention of methodology limitations
• The phrase “mental health issues” in results lacks clarity – does it referring to symptoms, well-
being, or clinical diagnoses?
Introduction:
• Overdependence on older stats e.g., smartphone usage by 2019—consider updating or omitting
if outdated.
• Multiple mentions of the benefits of m-Health apps can be streamlined to reduce redundancy.
• Transitions between topics (e.g., from obesity to m-Health to mental health) could be improved
for flow.
Method:
• It is unclear which specific indicators (e.g., “physical activity per week” or “screen time”)
came from which study. The repeated use of overlapping references like ref (36) across multiple
constructs (e.g., lifestyle, dietary habits, mental health) creates citation vagueness, especially
when some of these studies may not directly address all these elements.
• Self-reported data for BMI and mental health is mentioned as a limitation only in the discussion;
consider briefly flagging this in methods as well.
Results:
• Table 1 (Descriptive Statistics) is dense and difficult to follow — consider splitting or
summarizing key indicators for clarity.
• Table 3 mentions two indicators with low factor loading (age, working) to be eliminated -
unclear if this was done in subsequent models (must clarify or confirm).
• Figures 3–6 are described but critical visual components for SEM interpretation are missing.
Discussion:
• Repetition of findings — some statistical findings are restated multiple times; could be more
concise.
• Claims like "frequency of app use leads to healthier food consumption" may imply causality.
Better to phrase as “is associated with” given cross-sectional design.
• The discussion would benefit from stronger public health implications, policy insights, or
linkage to existing programs in Malaysia.
Conclusion:
• Some strong claims (e.g., "significantly contributes to weight management") might overreach
given self-reported, cross-sectional data.
• Lacks a clear call to action for stakeholders (e.g., public health authorities, app developers).
References:
• Some redundant citations (e.g., Radzi et al. appears multiple times).
• Formatting inconsistencies — some references include DOIs and others don’t.
• Check reference [19] — WHO source link appears broken/incomplete.
Title: Empowering Postpartum Women: The Role of mHealth Apps in Promoting Mental Health
and Obesity Prevention
Version: 3 Date: 20 Jun 2025
Reviewer:  Mohd Ismail Ibrahim
Reviewer's report:
Thank you for your revised submission. All major concerns have been adequately addressed,
and the manuscript has improved considerably. Only minor issues remain as follows:
• The terms "mental health symptoms", "mental health issues", and "mental health problems"
are used interchangeably throughout the text - Choose one consistent term (e.g., “mental health
symptoms”) to maintain clarity.
• Although most causal claims were revised, phrases like: “Regular engagement with fitness
mHealth applications substantially enhances mental health…” (Abstract/Conclusion). It implies
causality, which should be softened due to the cross-sectional design – suggestion - replace with
“is associated with better mental health” or “may support improved mental health.”
• Some sentences in the Discussion and Results sections still restate statistical findings already
explained in tables/figures.
• Figures 3–6 (SEM models) have limited caption content – suggestion: add brief explanations
to each caption indicating the purpose of each model (e.g., "Structural model for daily app users
showing significant pathways").
• A few references still have inconsistent formatting (e.g., some use initials only, others spell
full names, and some URLs lack access dates).
Title: Empowering Postpartum Women: The Role of mHealth Apps in Promoting Mental Health
and Obesity Prevention
Version: 4 Date: 27 Jun 2025
Reviewer:  Mohd Ismail Ibrahim
Reviewer's report:
Thank you for your careful and thorough revisions. You have addressed all of the previous
concerns very well, resulting in a much clearer and stronger manuscript. Congratulations; your
work is now of publishable quality. I appreciate your efforts in improving the paper, and I look
forward to seeing it published.
Title: Incidence and Predictors of Pregnancy among Reproductive-age Women in an ART Clinic
at a Public Health Facility in Arsi Zone, Southeastern Ethiopia: A Five-Year Retrospective
Cohort Study
Version: 2 Date: 09 Sep 2024
Reviewer's report:
Thank you for submitting your work, which sought to determine the incidence of pregnancy and
associated factors amongst women of reproductive age living with HIV and receiving  ART at
public health facilities in Ethiopia.
Preventing unintended pregnancies among women living with HIV  is one of the four prongs
of a comprehensive PMTCT service delivery  model. Understanding the associated factors
is important for targeted implementation of interventions to support  women's  reproductive
choices.