JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Association between Risk Factors and Migraine in Pakistani Females
Version: 2 Date: 13 Aug 2023
Reviewer's report:
I did some notes, the manuscript  can be accepted with corrections,
1-On page 8, "feel upset before migraine ", maybe can be prodromal symptoms, and this
difference is not clear for me. Maybe discuss on the discussion about these points.
2-On page 9, "have a sunshine cause.", it is better to use trigger, so, to avoid the word cause and
use trigger because migraine is a neurological disorder caused by genetic factors and trigger by
environment factors and in the clinical condition there are prodomical symtoms .
3-table 4 on page 10 is very confusing, maybe simplify and make it cleaner
Congratulations for the manuscript
Title: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care
at the Uganda Cancer Institute: A cross-sectional study
Version: 1 Date: 23 Oct 2023
Reviewer:  Frank Ssedyabane
Reviewer's report:
1. The statement “The interval from first patient visit to a primary healthcare provider to when
he or she gets a confirmed diagnosis of cancer is referred to as the diagnostic interval.” In the
introduction needs a citation.
2. In the study design and site, the authors need to describe the study site more, in terms of
diagnostic and treatment procedures, staffing levels and expertise.
3. The authors need to justify the choice of method for selection of variables into the multivariate
model.
4. The authors should provide approval numbers from all ethical approval bodies that approved
this study.
5. The participants need to provide explanation on how they handled participants that were
unable to write/read.
6. The authors need to explain why GlaxoSmithKline (GSK) Africa Non-Communicable
Disease Open Lab, having need listed as a funder and then provided in-kind scientific and
statistical support as part of capacity strengthening does not present a conflict of interest.
Title: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care
at the Uganda Cancer Institute: A cross-sectional study
Version: 1 Date: 28 Oct 2023
Reviewer's report:
Title: Factors associated with diagnostic and pre-treatment intervals among patients with
cervical cancer attending care at the Uganda Cancer Institute: A cross-sectional study.
General comments:
An informative study focusing on diagnostic and pre-treatment interval s among patients with
cervical cancer.
Specific comments:
Abstract
Conclusion - is biased towards diagnosis and pre-teatment is not mentioned.
Results
Table 2: Time intervals
Total intervals and appraisal intervals appear in the table but are not referred to in the text. In
case they are not relevant for this manuscript it would be better to leave them out.
Discussion
The last sentence  of aragraph 1 on page 24 "Deliberate funding of interventional studies in the
LMICs is a necessary though insufficient strategy towards improving cancer survival in these
countries." requires more clarification on the phrase "though insufficient".
Title: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care
at the Uganda Cancer Institute: A cross-sectional study
Version: 1 Date: 28 Oct 2023
Reviewer:  Andrew Marvin Kanyike
Reviewer's report:
General Comment:
The study is well-structured, and comprehensive, and provides valuable insights into factors
affecting diagnostic and pre-treatment intervals among cervical cancer patients in Uganda. The
methods are sound, and the results are well-presented and interpreted. The study limitations are
well acknowledged by the authors.
However, a few of the following comments could be addressed:
Methods:
In the study setting, it's worth mentioning that UCI is the only cancer treatment unit in Uganda
serving the entire country. Also, mention which number of cervical cancer patients UCI receives
on average in a month or annually for context.
The exclusion criteria, “diagnosed through screening” is not clear. Do you mean patients on
treatment without a histological diagnosis?
“…diagnosis of symptomatic breast cancer before 3 months, compared to delays of 3 – 6 or more
months lead to poorer survival...” In this statement under data management and analysis, did
you intend to mean diagnosis before 3 months has better rather than poor survival? please clarify
Discussion
The authors need to improve on the comparison of their findings with existing literature and
provide logical reasons for some of their findings. For example, no attempt has been made to
compare or explain findings such as among others:
“Participants aged 50 – 59 years and with shorter diagnostic intervals (< 3 months) were more
likely to be diagnosed in early stages than those aged less than 40 years and with longer
diagnostic intervals”
“Participants more likely to be diagnosed early included those formally employed and residing
in urban areas.”
You may need to reference the following sentence
“The long diagnostic intervals may be explained by several reasons including low awareness
of cervical cancer symptoms, preference for help-seeking with traditional and complementary
medicine practitioners (T&CMs), low clinician acumens of primary healthcare professionals to
detect cervical cancer, and limited access to cancer diagnostic facilities.”
Title: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care
at the Uganda Cancer Institute: A cross-sectional study
Version: 1 Date: 28 Oct 2023
Reviewer's report:
I read with great interest the Manuscript titled " Is “Factors associated with diagnostic and pre-
treatment intervals among patients with cervical cancer attending care at the Uganda Cancer
Institute: A cross-sectional study." topic interesting enough to attract readers' attention.
Although the manuscript can be considered already of good quality, I would suggest following
recommendations:
- I suggest round of language revision, in order to correct few typos and improve readability;
- To date, the management of HPV infection/ cervical dysplasia represents still a challenge.
Considering topic of this study, it would be interesting to discuss how various factors could be
crucial in the development of cervical cancer and how could influence the persistence and / or
recurrence of cervical pathologies. I would be glad if the authors discuss this important point,
referring to PMID: 36992282
- I suggest that authors to add a reference to evaluate obstetric outcomes after cervical diseases,
highlighting the importance of early and accurate diagnosis of these pathologies. I would be glad
if the authors discuss this important point, referring to PMID: 33140628
Because of these reasons, the article should be revised and completed. Considering all these
points, I think it could be of interest to the readers and, in my opinion, it deserves the priority
to be published after minor revisions.
Title: Diagnostic and pre-treatment intervals among patients with cervical cancer attending care
at the Uganda Cancer Institute: A cross-sectional study
Version: 1 Date: 29 Oct 2023
Reviewer's report:
In my opinion, this topic analyzed is interesting enough to attract readers’ attention.
Authors should clarify some points and improve the quality of manuscript citing relevant and
novel key articles about the topic:
- I suggest round of language revision, in order to correct few typos and improve readability;
- The authors, considering the topic of this study, could extend and improve the discussion by
evaluating and citing current evidence about crucial role of HPV infection persistence, also after
treatment of high-grade cervical lesions, and its consequences.  (for example I would be glad if
the authors discuss this important point PMID: 37401466 and 37747763.
Considering all these suggestions, the article should be revised and published after minor
revisions.
Title: Knowledge, attitude and practice of physical exercises among pregnant women attending
prenatal care clinics of public health institutions in Hawassa city, Sidama, Ethiopia, in 2021: 
  Descriptive cross-sectional study
Version: 1 Date: 31 Mar 2023
Reviewer's report:
Thank you for providing me this opportunity to review this paper !! I also thank the authors
investigating this important maternal health care area . Here under are my comments and
suggestions to help you improve your paper.
ABSTRACT
-Line spacing should be 2 (yours's is 1.5)
-the number of words is 344 which is too wide. better if you shorten it and limit to max. of
250 words
-line 38-39, omit
-line 46: you said 'systematic random sampling', there is no sampling which is systematic and
random at the same time. better to say 'systematic sampling technique
-line 49: do not you have other way of presenting the findings other than you have mentioned
here ?
-line 59-61: why do you level 63.7% as low taking equal to 42.2% and 35.75% ?
-line 60-61: 'Therefore, health education should be strengthening regarding about the benefit
and disadvantage of physical exercise during antenatal visit' is a vague recommendation and you
did not indicate how it could be achieved . please modifay it
INTRODUCTION
-well written. But, there are too many sentences in a single paragraph. tray to rewrite the first
paragraph in two paragraphs with logical connection
METHODOLOGY
-there are some writing errors including grammar, wordings mistakes and punctuation usage.
please use a writing assistant tools or evaluate your paper for language by a native language
speaker. this also works for you entire document
-Line 107: '1 one ' avoid redundancy
-line 115-117: have you included all pregnant women during any trimester of pregnancy who
were attending antenatal care during the data collection period at randomly selected public health
centers? because you have said that you used sampling . this could not be your study population.
please rewrite it again
-line 132: correct as i commented above
-line 135: have you excluded ' A woman’s who were severely ill' or what?
-line 138-139: who translated the questionnaire? was there back translation?
-line 144-145: should be written in the data collection tool section
-line 157: why you used the old versions of software like Epi Data 3.1 and SPSS version 22 as
there are newer versions ?
-line 159-160: why only chi-square test ? why not you conduct advanced analysis like regressions
which show better associations?
-line 167: where are the definitions of poor knowledge, poor practice and unfavorable attitude?
please add them
RESULT
-Generally well written though there are some writing errors as i have mentioned above
-you can incorporate all your tables within the main document according to the journal's
guideline as all the tables are not more than one page
DISCUSSION
-Good, but it will be nice if you try to make some of your justifications more stronger and logical
CONCLUSION
- There is discrepancy between what is written here and in  the abstract section. please try to
be consistent
TABLES AND FIGURES ARE WELL CONSTRUCTED
Title: Knowledge, attitude and practice of physical exercises among pregnant women attending
prenatal care clinics of public health institutions in Hawassa city, Sidama, Ethiopia, in 2021: 
  Descriptive cross-sectional study
Version: 3 Date: 30 May 2023
Reviewer:  Daniel Belema Fekene
Reviewer's report:
Sample size determination and procedure
1. We have used standard Cochrane formula to compute sample size for this stud------in
appropriate term ,just say Cochrane formula was used to calculate -----we is not appropriate
term and revise also in the all manuscript
2. A two stage sampling strategy was applied in the current study. First, 4 he-------- needs
revision
3. -----the first 4, 6, 3 and 5 individuals in selected health centers ,its unclear make it clear
Data collection method, tools and procedure
. Knowledge, attitude and practice were asked as three response set: Yes, No and I do not
know. Each correct answer (yes) was assigned “1 score” and wrong answer (no) or inappropriate
answers (I don’t know) were given “0 score”. --------remove its r already presented in operational
definition
Operational definition
Attitude: Attitude was measured using 8 questions with possible five liker scale responses. Those
participants who scored above the mean were considered as having ‘positive attitude’ towards
physical exercise, otherwise, they were considered as having ‘negative attitude’. -------- hire
you are talking about  likert scale measurement but nothing is presented in the result and in the
tools …..
Knowledge: Women’s knowledge about physical exercise was measured based on the individual
study participant’s correct response of 16 items measuring their knowledge about exercise. Each
question had one correct answer and three options: Yes, No and ‘I do not know’ but in the result
there is only nine question ,why this discrepancy happen ????
Result]
This facility based survey was done to determine magnitude of knowledge; attitude and practice
of physical exercise among pregnant women during antenatal care follow up-----remove it
Obstetric characteristics of the study participants
Table 2 clearly describes the reproductive charactestics of study participants in this study.
Hence, most (76%) of the study participants have got more than one pregnancy----- first state
the paragraph and link it with table and correct the all manuscript accordingly
Title: Knowledge, attitude and practice of physical exercises among pregnant women attending
prenatal care clinics of public health institutions in Hawassa city, Sidama, Ethiopia, in 2021: 
  Descriptive cross-sectional study
Version: 3 Date: 05 Sep 2023
Reviewer's report:
Reviewers report
Reviewer comments
Introduction
• What is known, what is your research gap (unknown), and response to the research gap is
not clear. Try to convince readers by providing a strong research gap statement using however
statement that sends strong signals to readers.
Eligibility criteria
• Don't write the theoretical inclusion and exclusion criteria but focus on only what you faced
practically during the data collection period.
Sample size determination and sampling procedure
• Not clear and try to rewrite it. You have used the multi-stage sampling method but haven’t
considered for design effect, What is your reason behind it?
Data collection procedure
• Very shallow and provides detailed information, particularly about the outcome measurement.
Data analysis
• Try to assess the determinants for your outcome variables using multivariable linear regression.
Discussion
Generally, this section needs revision. Try to support your arguments with evidence and
minimize unnecessary explanations.
Generally
Many typological and grammatical errors need to be corrected and fix throughout the
manuscripts.
Decision: major revision.
Title: The health of mothers caring for a child with a disability: a longitudinal study
Version: 2 Date: 04 Sep 2023
Reviewer's report:
Idunn Brekke, Andreea Alecu; The health of mothers caring for a child with a disability: a
longitudinal study
Previous research shows that parents caring for a child with a disability experience more health
problems than those with a child without disability, and this is especially true for mothers. The
study used data covering all first-born children born in Norway between 2000 and 2015 with
follow-up from 2008 to 2019 with ICD-10 diagnoses taken from the Patient Register. Using
multiple logistic regressions, the authors show that mothers caring for a child with a disability
have higher odds of having certain diagnosis: musculoskeletal disorder, depression, anxiety, a
sleeping disorder or migraines. Background characteristics explain a part of the excess risk. The
absolute differences are modest.
The main problem is the follow-up. The authors criticise that the previous literature did not
control for maternal health prior to birth. In the current study, the data included information on
the mothers’ health before and after the birth of their first child. However, the Patient Register
did not include personal identity codes in 2000-2007. This means that the information before
birth and first follow-years are missing for children born before 2008. The study should restrict
to years where the data are completely available. Alternatively, sensitivity analyses should be
done for the years with complete data.
Did the study sample include multiple births or was it restricted to singletons only?
How were the outcome measures chosen?
Using Cox regression could have been a better choice, but since the age of child was included
in the model, the risk for biased results is minor. Table 1 shows that the mean age of child does
vary substantially between the disability groups.
How did the analyses take account mother’s and/or child’s death?
Several of the selected confounders are correlated, e.g. education. income and employment. How
was the obvious multicollinearity handled?
Add the length of education in years when presenting the categories of educational level.
Table 1 does not include statistical testing.
Systematise Statistics Norway or Statistic Norway.
The article concludes that their findings suggest that mothers caring for a child with a disability
are more likely to have health problems than mothers of children without a disability after
controlling for maternal health prior to birth. This seems to be true, but difficult to confirm with
the current data and methods.
Title: The health of mothers caring for a child with a disability: a longitudinal study
Version: 2 Date: 07 Sep 2023
Reviewer's report:
Thank you for having the opportunity to read this well-prepared manuscript. The authors use data
from different registers in order to highlight how child disability can be related to maternal health
outcomes by controlling for maternal health before birth. I perceive that the title is informative,
and the abstract include the requested sections. The Background (Introduction in the manuscript)
gives a review of the research field, a rationale for the relevance of this study and its aim. The
Methods section cover all necessary information about design, sample, measures, and statistical
analyses with justification for choice of design and statistics. The Results are presented in a well-
structured manner. The section Discussion and Conclusion consider the relation of the results
in this study and previous research, strengths and weaknesses of the study. The conclusion is
relevant in relation to the aim and results, although it could have been elaborated in line with
what is written in the Abstract. On page 14, 3rd paragraph, in the next to last sentence I have
difficulties to understand “although the including covariates”.
Title: The health of mothers caring for a child with a disability: a longitudinal study
Version: 3 Date: 31 Oct 2023
Reviewer's report:
Idunn Brekke, Andreea Alecu; The health of mothers caring for a child with a disability: a
longitudinal study
The authors have made the changes according to the comments by the two reviewers. The article
can be accepted for publication after these two minor things are corrected. New text in Methods
could be change to past tense (were removed instead of are removed). Figure 1: Correct Odds
ratio instead of Oddsratio.
Title: Chronic Endometritis Incidence in Infertile Women with and without Polycystic Ovary
Syndrome: A Propensity Score Matched Study.
Version: 0 Date: 04 Oct 2023
Reviewer:  Radha Vembu
Reviewer's report:
1.Title can be revised as it is starting with a negative note.
2. Abstract : conclusion can be reframed.
3. line 90 - has to be reframed. -
4. 93- criteria for diagnosis of CE needs to be defined based on number of plasma cells
5. 113 - grammatically not correct
6. 139, 143 -144 : does not convey the meaning. It has to be reframed correctly.
7, 158 -159 - needs to be reframed
8. 165 -167 - can be framed as a single sentence to convey the meaning properly
9. 170 -173: INflammation can be replaced by inflammatory
175 -176 - not sure of what it is conveying
185 - correct to bacterial
190 - needs correction of sentence
overall grammatical mistakes need to be addressed.
Title: Chronic Endometritis Incidence in Infertile Women with and without Polycystic Ovary
Syndrome: A Propensity Score Matched Study.
Version: 0 Date: 06 Oct 2023
Reviewer's report:
Manuscript: No higher incidence of chronic endometritis in infertile women with polycystic
ovary syndrome: a propensity score matched study
Authors: Guo et al.
General comments
The study is a retrospective analysis of 205 patients with PCOS group and 4021 patients without
PCOS aimed to assess the incidence of CE among infertile women with PCOS by hysteroscopy
combined with histopathology CD138 immunohistochemical staining of endometrium. The
analysis was performed comparing results between two wild groups and after propensity score
matching. No significantly higher CE incidence in infertile women with PCOS was found. The
study is interesting but should be carefully improved.
Specific comments
When you state that the current is the first study aimed…. Is it the result of a systematic search?
Please pay attention.
In the abstract I suggest to include the P value only for non-significant values (a rising trend..).
The study period is of about 5 years. How many surgeons have changed? Similarly, I think
that also the pathologists changed and the techniques for the immunohistochemical staining
of endometrium (and the commercial kits, the cut-off, and so on). All these points should be
detailed in the methods sections and then discussed as study limitations.
Have you included patients under oral contraceptive pill, metformin or other medications, such
as antibiotics?
Was the endometrial biopsy performed in all patients? Also in absence of macroscopic disease?
Please detail how the PCOS diagnosis performed (have you performed a complete endocrine
panel in all patients?). Retrospectively? Were the same tests performed also  for excluding PCOS
in the control group?
The propensity score matching should be better detailed (for which characteristics?).
More detail about the commercial kit for the immunohistochemical staining should be given.
The cut off values. The reference ranges. The intra- and inter-observed coefficient of variation,
and so on.
Data on CE should be reported also subclassifying PCOS patients according to PCOS phenotype.
I suggest to discuss two comprehensive reviews about the relationship between PCOS
and infertility (doi: 10.1093/humrep/deab181) and oocytes competence (doi: 10.1016/
j.tem.2016.11.008) in order to clarify the difficulties to define the intervention benefits from
scientific and clinical point of view.