JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Essential maternal health service disruptions in Ethiopia during COVID 19 pandemic: a
systematic review
Version: 0 Date: 13 Sep 2022
Reviewer's report:
Thank you for giving me the opportunity to review this manuscript. The manuscript is well-
written. I have some observations which I think could help the author to improve the manuscript.
• Abstract seems wordy. Can you please shorten the abstract?
• Present only important findings in the abstract.
• Overall, author has written a good background story of this study.
• Author studied on COVID-19 impact on maternal health services but inclusion criteria set as
no restriction was made regarding publication date? This is conflicting.
• Among 498 preliminary articles, half of them were duplicate. What was the reasons for such
large amount of article being duplicated?
• Where is JBI assessment report? I didn’t find them in the manuscript.
• Why author did not consider demographic data in the result?
• Sampling procedure of included studies is missing.
• Discussion need to be expanded further logically.
• Implications is not clearly explained.
Title: Essential maternal health service disruptions in Ethiopia during COVID 19 pandemic: a
systematic review
Version: 1 Date: 23 Oct 2022
Reviewer's report:
Thank you, author, for addressing all my comments. I am satisfied with all the comments
except the quality assessment findings. The author mentioned that they assessed the quality of
each study included in this systematic review using the modified Newcastle-Ottawa Quality
Assessment Scale for cross-sectional studies. However, where are those findings reported? My
apologies if I overlooked it somewhere obvious.
Title: Providers’ perspectives on the reproductive decision-making of BRCA-positive women*
Version: 1 Date: 24 Aug 2022
Reviewer:  Yil Severijns
Reviewer's report:
Dear authors,
the manuscript was interesting to read and you address an important topic. However, i have
some questions/suggestions.
Title footnote
* I think it is very important that you immediately address the note that you refer to term women
but also explain why.
Introduction
* The article focus mainly on reproductive choices, therefore I think it might be better to also
include numbers of developing cancer at younger age and not only the age of 70.
* Not only the health professional is important, also the partner is a very important decisional
person with regard to reproductive decision-making. Maybe you could mention something about
that in the introduction.
* Maybe add some information about why the reproductive decision is difficult.
Methods
Methods
* I would recommend to start the methods section with an introduction sentence and not  directly
with a sub heading.
* Could you provide more details about how many interviews were conducted via telephone/
in real life?
* At the data collection there is referred to 'a study investigator' and at the researchers part there
is referred to specific researchers. I would recommend to do this the same in the article.
* Interview guides- you are referring to other interviews, I think you should refer to those
interviews/articles because you are using their instruments.
* Data analysis -I was wondering whether you have checked the inter-rater reliability? This is
mostly is done when two people code the interviews.
* Overall, I think the method section is clear but that some information is missing and that some
parts need some elaboration.
Results
* Could you explain why  4 people didn't want to participate? If you don't know why, you could
maybe just address that reasons for non-participation are unknown.
* In my opinion, many citations from the providers are very long. I think just short citations
would improve the readability.
* The first part of the decision difficulty is not very clear to me. Maybe I just don't understand
it correctly but to what exactly do all the different citations refer to?
* Could you explain why prenatal diagnosis is not included in the table as a reproductive option?
Discussion
* The discussion is clear but again, very brief. I think it could be improved by adding more
references. For example, Joyce Gietel-Habets conducted a lot of research regarding BRCA and
she also explored the decision support needs these couples have.
*  Good that you included the patient information as an appendix, interesting to read. However,
could you provide a bit more information on it?  How did you develop this? Did you also asked
patients for input?  Did you perform an usability test? Is it adapted to a specific language level?
I hope this feedback can help to improve your manuscript.
Best,
Yil Severijns
Title: Providers’ perspectives on the reproductive decision-making of BRCA-positive women*
Version: 1 Date: 07 Sep 2022
Reviewer's report:
I applaud the authors for their work; however, the cohort of respondents in this paper is too small
and too diverse. It might be affected by several factors that prevent generalization (which is a
significant limitation as mentioned by the authors).
Although the topic is important and interesting to look into, there were no new findings presented
in the paper. I recommend sending out to a bigger cohort and exploring new angles regarding
factors that affect decision making in BRCA positive patients.
Title: Providers’ perspectives on the reproductive decision-making of BRCA-positive women*
Version: 2 Date: 25 Oct 2022
Reviewer:  Yil Severijns
Reviewer's report:
Dear authors,
thank you for the new version of your manuscript. The remark on the title footnote was a
compliment, so it was not intended as something you should change. I think the manuscript is
improved by all the changes you have made. I don't have any other remarks and I think this
manuscript is ready for publication.
Best,
Yil Severijns
Title: Intimate Partner Violence against women in Southern Punjab, Pakistan: A
Phenomenological study
Version: 1 Date: 20 Aug 2022
Reviewer's report:
This research is rigorous and well organized and positively contributes to the existing
evidence base regarding IPV in rural communities in low and middle income countries. The
socioecological framework is very helpful in understanding the complex intersection of multiple
layers and factors on the occurrence and perpetuation of IPV.
I think it is very important to gather data from the lived experience of women who
are experiencing IPV. I do note that the questionnaire was quite extensive. It was quite
comprehensive although intentionally did not include sexual abuse within the context of IPV.
That is a large gap in data given that sexual assault is a common tactic of IPV perpetrators.
Multiple sources of data would strengthen the study. The authors mentioned possible focus
groups, etc.
The study population is quite low at only 46, so it is not possible to generalize the findings
without additional research.
I noted that throughout the manuscript, authors put Xs for places that content should have been
filled in. The content was never filled in.  This needs to be fixed.
It would be helpful for authors to include a section about implications of the findings and possible
recommendations for future research or changes in practice, policies, etc. After reading the
manuscript, it leaves the reader with a feeling of "so what now?"
Title: Intimate Partner Violence against women in Southern Punjab, Pakistan: A
Phenomenological study
Version: 2 Date: 08 Nov 2022
Reviewer's report:
Review
I thank the authors for attending to my concerns about this manuscript and improving it
with revisions. However, one comment was not appropriately addressed, and two issues were
introduced while revising the paper.
- The authors did not address the original reviewer’s comment. Instead, they changed the name
of another theme at the community level. The comment is in reference to the theme name Non-
supportive behavior of formal institutions of social control. Natal family becoming antagonistic
as a consequence of police report is not a behavior of the formal institution (police) but instead
of the individual family members.
Please reconsider and revise the theme: Non-supportive behavior of formal institutions of social
control. In that paragraph, a sentence indicating non-support of the natal family because of
reporting to the police was included. Lack of support from relatives seems more appropriate as
part of the Relationship level or as a separate theme.
Revised sections:
- Please add “may’ signaled in brackets below. We know that not all older women (who
experience violence at a young age) become abusive.
“At this stage, these older women (in the relationship of mother-in-law) [may] continue the cycle
of violence on their daughter-in-law through patriarchal bargains(48).”
- Recommendations and future policy implications. The suggestion to give women an elevated
and respected position in the household is vague and negates the historical and pervasive practice
of oppressing women. This suggestion should be aimed at new policy implementation or changes
to current policies that would result in women holding respected positions. The word "position"
also needs to be clarified. For example, in the household, government, community, etc.?
Title: Analysis of the disease burden trend of malignant tumors of the female reproductive
system in China from 2006 to 2020
Version: 1 Date: 08 Sep 2022
Reviewer's report:
Thank you for letting me review this paper on a quite important topic on women's health. I have
a few minor remarks which I address below. In general, I am however wondering whether the
paper needs some more "substantial" results. It is quite descriptive and I was wondering whether
there are other analyses that could be carried out with the available data that would give more
insight into the developments. I would also turn to the editor and/or other reviewer with regard
to this. Besides this, the paper is well-written and understandable.
My minor points:
I would drop the fact of 17,5% of malignant tumors of the reproductive system at the beginning of
the abstract. As this is quite in line with the share of Chinese of all ppl. in the world it is not overly
surprising (unless I am missing something). Also, you repeat it twice more and I, in general,
would recommend avoiding too many repetitions. I would not say "stable trend" in the first
sentence of 'Results' in the abstract or "relatively stable change" in the 'plain english summary'
as, at least for me, a trend is not stable (and a change not either). Also, I did not understand
the "tended to be younger" part in the same sentence (in summary). I would recommend, that
you introduce GLOBOCAN briefly in the introduction (at least what it stands for).  Please also
check the sentence "In recent years, incidents of gynecological diseases in females tend to be
younger, with the changes in living environment, behavior and reproductive characteristics ."
in the Introduction. Can incidents be young? and what is meant by the second part (changes in
living ...)?
Under 'Statistical techniques':
The loss of life expectancy was a relatively new concept to me, maybe you could elaborate a
little more on it and possibly add some literature sources (where it has been applied).
It might just be me, but as I am not so familiar with trend analysis I would not mind a little
more information on the calculation of APC and AAPC. Please also indicate which standard life
expectancy you are using for the calculation of YLL.
Under 'Results':
The CMR for a observed tumors is 10.35 (not 10.77) in 2020. Please correct the text. When
desrcribing the LLE you refer to "and total deaths" - do you mean total of the three observed
cancers?
Under 'Discussion':
I would refrain from repeating the results (first paragraphs) at least at length, instead please focus
on interpreting your results. This would also be the time to discuss other research in the field. It
could be an option to compare your results with the Global Burden of Disease Study - Though I
do understand if you specifically did not want to do so but there surely is something else to cite/
refer to.  I did like the seperate sections for each cancer type.
Title: Analysis of the disease burden trend of malignant tumors of the female reproductive
system in China from 2006 to 2020
Version: 1 Date: 07 Oct 2022
Reviewer:  Vittorio Agrifoglio
Reviewer's report:
I read with great interest the Manuscript titled "Analysis of the disease burden trend of malignant
tumors of the female reproductive system in China from 2006 to 2020” which falls within the
aim of this Journal.
In my honest opinion, the topic is interesting enough to attract the readers’ attention.
Methodology is accurate and conclusions are supported by the data analysis. Nevertheless,
authors should clarify some point and improve the discussion citing relevant and novel key
articles about the topic.
Authors should consider the following recommendations:
- Manuscript should be further revised by a native English speaker.
- Exclusion criteria should be better clarified.
- The authors have not adequately highlighted the strengths of their study. I suggest clarifying
these points.
- Does this manuscript conform the Enhancing the QUAlity and Transparency Of health
Research (EQUATOR) network guidelines? It would be mandatory to declare about this
element.
- Was this study registered? I could not find any information about this point.
- To date, several lines of evidence support the possibility to use specific biomarkers to identify
early-stage cervical cancer and, in this way, offer a better prognosis to the patients. This point
deserves to be discussed, referring to: PMID: 33152105; PMID: 28918603
-Accumulating evidence suggests that obesity and metabolic diseases may play a key role in
increasing the risk of cancers, modulating pivotal cross-talk pathways for cell proliferation and
differentiation. I recommend to stress these important points, referring to: PMID: 35314087;
PMID: 28115924.
Title: Frequency of cervical premalignant lesions in the gynecologic patients of a tertiary
hospital in Mogadishu, Somalia
Version: 1 Date: 14 Jul 2022
Reviewer's report:
objectives must be clear in the abstract and background sections
in the background section, there is no need to address the sensitivity and specificity of different
methods of screening as they are not matched in the title just focus on the study method used.
in the abstract- results the ASC-US must state it in detail as its the first time to mention
in abstract keywords, Human Papilloma Virus (HPV) is not keyword mentioned in both title
and abstract
in the background, the last paragraph better be objectives instead of problems stating
language correction in background and methodology sections
Title: Frequency of cervical premalignant lesions in the gynecologic patients of a tertiary
hospital in Mogadishu, Somalia
Version: 1 Date: 02 Oct 2022
Reviewer's report:
First, I congratulate the authors for their dedicated hard work, and I would like to emphasize
this topic's importance in Somalia. There are several relevant confusing, and missing points
throughout the manuscript that must be considered.
Introduction
This section should be concise and informative. The authors did not provide a clear research
question.
Method
This section is poorly written, with no explicit inclusion and exclusion criteria. How do the
authors identify the patients (i.e., WHO-ICD coded diagnosis? or surgery reports?)
Haw cervicovaginal smear was performed, evaluated, and according to which classification was
based should be discussed in the method section.
Ethical and consent data should be provided in this section.
The statistics paragraph should be revised and expanded.
Result
This section is also poorly written, and data related to several variables mentioned in the method
section were not provided (i.e., complaints, smoking status, body mass index, age at menarche,
duration of sexual activity, multi partnership status, multi partnership status of their partner,
exposure to traditional procedures (cauterization, female genital mutilation) and examination
findings ).
These variables significantly impact cervical premalignant lesions; therefore, their correlations
should be emphasized using multivariate logistic regressions.
Discussion
Despite no data except the rate of premalignant provided, no study findings can be compared
to the previous studies in the literature.
There are no limitations and conclusion sections.
Besides the importance of the topic, this study can be rewritten from the beginning with the help
of an academician.
Title: Rare causes of genital fistula in nine African countries: A retrospective review
Version: 0 Date: 23 May 2022
Reviewer:  Abner Korn
Reviewer's report:
This manuscript provides some information that may be helpful to future measurement of fistula
occurrence such as separating those due to unsafe abortion and trauma from traditional health
practices, etc. from counts of iatrogenic fistula.It also provides some information on fistula due
to infectious causes and radiation therapy.
The primary criticism I have is also acknowledged by the authors; that the fistulas included
were only those seen by two of the authors and may not be representative of all fistulas in a
given country. Because of this, the information in the tables, comparing countries is difficult
to interpret. For example, the high rate of fistula associated with traditional healing practice in
Somalia compared to Uganda could be related to referral patterns (where there other facilities
other than where the authors worked where care might have been available), or perhaps the
authors worked in ma more rural setting in Somalia but a more urban setting in Uganda.
The information presented in Table 2 would be more interesting to me if the authors could give
more detail about the fistulas encountered. Did these fistulas differ from the obstetrical fistulas in
meaningful ways such as size, location, damage to surrounding tissue, etc.? In their experience,
are these fistulas more difficult to repair?
Given the small numbers shown, I suggest rounding up the data in table 2 to whole numbers.
For example instead of 89.47% use 89% as this will make the table easier to read and you don't
have the precision to warrant the former.
Title: Rare causes of genital fistula in nine African countries: A retrospective review
Version: 0 Date: 22 Jun 2022
Reviewer:  Olayide Ogunsiji
Reviewer's report:
Dear Authors,
Thank you very much for directing the attention of the global community to this very important
(but rarely thought of) women's health issue.  Definitely, the publication of this manuscript will
inform relevant interventions to support women living with fistulas borne out of rare causes.
I found the manuscript to have been well written and it was a pleasure reviewing it.
Best wishes.
Title: The correlation of the fecal microbiome with the biochemical profile during menopause:
A Brazilian cohort study.
Version: 2 Date: 24 Aug 2022
Reviewer:  Hussein Wahhab Saleh Rabeea
Reviewer's report:
the name of the title should be changed because the sample was taken from some group of
women of different ages. so maybe to change "Evaluation of fecal microbiome interaction and
menopause in a cohort of Brazilian women"
The Vitek technique was supposed to be used to determine the specific strain of bacteria and
whether it is Gram-positive or negative.
Some things are not evident in the abstract like the quality of life of women.
and like (8). Research that aids in understanding the effect of menopause on endocrine
deficiencies, particularly on enterohepatic circulation and the ability of the estrobolome’s to
deconjugate estrogens in the female body,
-The regard to introduction may be very similar to the idea of research in the link below https://
www.frontiersin.org/articles/10.3389/fmicb.2017.01884/full
- It was mentioned in the results the characteristics of the participants, these samples of the
group of women smokers as well as alcoholics, and it was not mentioned in the introduction
or the abstract that there is a relationship between hormones and their effect on microbes for
these groups .
-Some references was not have root on internet such as :Markowitz VM, Chen I-MA,
Palaniappan K, Chu K, Szeto E, Grechkin Y, et al. IMG: the integrated microbial
genomes database and comparative analysis system. Nucleic Acids Res [Internet]. 2012 Jan
1;40(D1):D115–22. Available from: https://academic.oup.com/nar/article-lookup/doi/10.1093/
nar/gkr1044
-There are some gaps between the lines in the references  that need to be addressed  Like source
number 83,85,78,74,71,62
Title: The correlation of the fecal microbiome with the biochemical profile during menopause:
A Brazilian cohort study.
Version: 2 Date: 27 Aug 2022
Reviewer's report:
Journal: BMC Women's Health
Manuscript title:  Evaluating fecal microbiome and menopause interaction in a Brazilian cohort
Summary statement: a well-written manuscript that reflexes hard work.
Major strengths: the manuscript can contribute to a better understanding of the effects of the
intestinal microbiome on women's health during an important period of their ages.
Specific areas of improvement:
Line 1,2: the title should be changed to (The correlation of fecal microbiome with biochemical
profile during menopause. A Brazilian cohort study)
Line 143: Duration of fasting?
Line 144: Did you include or exclude women with preexisting hepatic disorders due to alcohol
consuming?
Line 145: Volume or weight of the fecal sample
Line 148: Mean the duration of storage of fecal samples in the patient’s house?
Line 152: Mean duration of storage of fecal sample until examination?
Line 153: What were reproductive aspects data?
Line 171-173: Was there modification in the method of DNA extraction? What was the
indication for modification?
- Regarding Participant’s characteristics:
. Did the women have any previous or current STDs?
. Are the metabolic and hormonal disorders and drugs that can affect the metabolic tests taken
into consideration such as DM, PCOS, thyroid disorders, and lipids lowering drugs?
- Table 2:
. How much was the BMI or WHR?
. What is the p-value of the parameters in the table?
- Table 4:
. No need to compare (estradiol, LH, or FSH) between groups it is already expected, and any
subsequent discussion regarding this comparison should be removed (Line 366).
Line 263-264:  Are antibiotic usage, bowel habit, or any type of bowel cleansing considered?
Line 331-335: Are any of the postmenopausal women on hormonal replacement therapy?
Line 317: Did other possible diseases that affect ALP exclude? Otherwise, they should be added
as possible explanations e.g. bone disorders.
Line 374-376: Kidney damage causes elevation of urea and creatinine and NOT vice versa.
Line 397: The abbreviations should be added after the first mention of the complete word. After
that, the acronym can be used as needed.
Line 399: Was the total, free testosterone or free androgen index (FAI)  measured?
Line 406: Which hormone? If it means SHBG it is a protein.
- In the discussion:
. There are multiple open endings. Open endings have advantages and disadvantages. The
advantage is that they give the opportunity for new research and they are indicators of the honesty
of the work. The disadvantage is that may give the reader an impression that the research is not
enough to answer the questions that are already asked by the researchers of the manuscript.
Line 531-533: Please remove this paragraph.
Line 536-538: How it is typical? They are either age-related physiological changes or indicators
of underlying disorders. This paragraph should be removed.
- References:
. References 2, 7, 10, 11, 40, and 82 should be replaced with more updated references.