JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Histopathologic patterns of female genital tuberculosis with clinical correlation: A 10-
year (2013-2022) retrospective cross-sectional study
Version: 4 Date: 04 May 2024
Reviewer's report:
Thank you for submitting your review.
The comments have been answered well and author have tried to justify their view.
However, few things are to be corrected.
I still do not think the last line of conclusion (both in abstract and full text) “To improve
diagnostic accuracy, it is advisable to biopsy the endometrium shortly before menstruation” is
not derived from findings of your study. So, in my point of view, you can discuss this point in
your discussion but there are no data on your study to say when the biopsy should be taken.
There are multiple mistakes in spelling and spacing. Please proofread your manuscript before
final submission.
You have included table 9 directly as it is obtained from SPSS and the variables taken for
correlation are also not clear. You can make your own table or just mention the findings on a text.
I am still confused which referencing style you have used because the way you have written
the references does not fit in any style. Please go through the author guidelines and cite the
references in the recommenced style.
Regards
Dr. Tulasa Basnet
Title: Histopathologic patterns of female genital tuberculosis with clinical correlation: A 10-
year (2013-2022) retrospective cross-sectional study
Version: 4 Date: 05 May 2024
Reviewer's report:
Dear authors
Thanks for your valuable research and attention to recommendation.
In future research, it is better to study on  large number of sample size.by  focusing on infertile
patients,
Title: Prevalence and associated factors of symptomatic pelvic floor disorders among Women
Living in Debre Tabor Town, Northwest Amhara, Ethiopia
Version: 1 Date: 30 Apr 2024
Reviewer's report:
Accepted with Minor corrections
1. Line 70: Goal or Purpose of the study is unclear. As to how the design population with the
prevalence would be dealt with.
2. Line 141-142: The level of symptoms should be categorised in a universal FASHION.
Somehow and Quite a bit are not standard terminologies
3. Lines 333-334: Th message should be directed towards more of a regional / country
perspective, rather than just your city. Please allow some scope for the discussion or future
research on how to treat or treatment directives with the results from this study of PFDs with
a prevalence in this large scale.
Title: Prevalence and associated factors of symptomatic pelvic floor disorders among Women
Living in Debre Tabor Town, Northwest Amhara, Ethiopia
Version: 1 Date: 05 May 2024
Reviewer:  Matteo Pavone
Reviewer's report:
Dear Editor,
Thank you for the opportunity to review the article by Assefa et al. The study aimed to assess
the prevalence and associated factors of symptomatic pelvic floor disorders (PFDs) among
women in Debretabor, Ethiopia. The cross-sectional study involving 402 women revealed a high
prevalence of PFDs, notably pelvic organ prolapse, urinary incontinence, and fecal incontinence.
Factors such as aging, multiparity, and early marriage were identified as potential risk factors
for PFDs. Early detection and preventive strategies are recommended to address the significant
burden of PFDs in the community, alongside educational efforts targeting the association
between early marriage, multiparity, and PFDs.
The article discusses an interesting topic worthy of consideration for acceptance in the journal.
The writing is well-executed, and the flow from introduction to conclusion is smooth, although
the English language requires revision by a native speaker. I have some minor revisions to
suggest before acceptance:
-Provide expanded descriptions of abbreviated terms in the Background section.
-Capitalize "United States" in the sentence "For instance, in the US population..."
-Clarify the meaning of "immunological " in the context of improving the lives of Ethiopian
women.
- Specify who conducted the sample calculation and statistical analysis.
-Revise the "dependent variables" section to be less schematic and more discursive.
-I recommend adding references to telemedicine as an opportunity for healthcare in rural
areas (doi: 10.3390/jcm9113416. PMID: 33113796); mentioning recent advances in fecal
incontinence treatment (doi: 10.3389/fsurg.2022.882030. PMID: 35495738) and hemorrhoidal
disease (doi: 10.1097/DCR.0000000000001857. PMID: 33496487).
Title: Risk factors for residual lesions after total hysterectomy in patients with high-grade
cervical intraepithelial neoplasia
Version: 1 Date: 08 Feb 2024
Reviewer's report:
In the abstract the conclusions are not supported by the results. Why should menopausal women
undergo hysterectomy if the independent variable is not associated with residual disease? In this
regard, we recommend consulting and adding the following paper: PMID: 35474511.
The introduction does not explain the rationale of the study well. Please revisit it accordingly.
As reported by the authors, age is a factor associated with a difficulty in the diagnostic work-up
of pre-invasive squamous lesions of the cervix. In this regard, we suggest consulting and adding
the following paper: PMID: 25603323.
Furthermore, the role of HPV according to age should be mentioned: PMID: 33795132.
Please explain the inclusion and exclusion criteria more clearly in the sections. Can you provide
a flow chart of the study?
In the statistics section, provide a sample size calculation to provide power to the study. Still in
the same section, it is not clear what the criteria were for including the independent variables in
the multivariate analysis. Please provide what is requested.
Did you exclude women with glandular lesions in your sample? Specify it. In the discussion, I
think you should also mention this aspect and the importance of the role of HPV in these lesions:
PMID: 37296839.
You should add the clinical implications of your study to the discussion. What it adds to current
knowledge.
Additionally, you should mention the limitations and strengths of your study.
Title: Prevalence and determinant factors of premenstrual syndrome among secondary and
preparatory school students in Dessie city administration, Northeast Ethiopia
Version: 1 Date: 03 Mar 2024
Reviewer:  Yosef Haile
Reviewer's report:
General comments
-Tittle- is clear and well understood
- The manuscript is written well manner however,
- There are grammatical and spelling problems in the documents so please check it.
Specific Comments
The introduction part is written well but the last paragraph should be written as part of
justification so modify it.
- Study setting, period and study design- written in two times please avoid one of it.
-Do you think design effect is appropriate for this study?
-is there any stratification on your sampling procedure? What do you think about it?
Discussion- write the magnitude of PMS of studies used in the discussion.
Write the limitation and strength of your study on the discussion part.
Try to make your recommendation should be aligned with the findings.
Title: The Role of Neoadjuvant Chemotherapy Before Radical Surgery #n Stage IB2/IIA2
Squamous Cell Cervical Cancers
Version: 1 Date: 29 May 2024
Reviewer:  Nicolae Bacalbasa
Reviewer's report:
Intereasting paper demonstrating that NACT shouldn't be used routinely in stage IB2/IIA2
cervical cancerpatients. However, in order to increase the strength of the study we recommend
adding some graphical representations of teh results. Meanwhile English language editing is
needed
Title: The Role of Neoadjuvant Chemotherapy Before Radical Surgery #n Stage IB2/IIA2
Squamous Cell Cervical Cancers
Version: 1 Date: 30 May 2024
Reviewer's report:
The results are interested. However, I raised some major and minor concerns that would improve
the paper.
Major Concerns:
1. Lack of Patient Consent: The study mentions that patient consent was omitted due to the
retrospective design 7. This raises ethical concerns regarding patient autonomy and informed
consent.
2. Selection Bias: The study includes data from six gynecological oncology departments, which
may introduce selection bias and affect the generalizability of the results.
3. Treatment Heterogeneity: The decision to apply neoadjuvant chemotherapy was at the
discretion of each center, leading to potential treatment heterogeneity and impacting the study
outcomes.
4. Inconsistencies in Chemotherapy Regimens: Variability in chemotherapy regimens across
studies, including those involving stage IIB disease, may introduce confounding factors and
affect the interpretation of results 13.
5. Data Collection Methods: The manuscript does not provide detailed information on the
methods used for data collection, potentially affecting the accuracy and reliability of the results.
6. Lack of Objective Criteria: The absence of widely used objective criteria for determining the
best approach for each patient with stage IB2-IIA2 cervical cancer raises concerns about the
consistency and validity of treatment decisions.
7. Limited Follow-up Data: The manuscript does not specify the duration of follow-up for
patients, which is crucial for assessing long-term outcomes such as overall survival 7.
Minor Concerns:
1. Contact Information: The inclusion of authors' email addresses in the manuscript 3 may not
be relevant to the scientific content and could be considered unnecessary.
2. Abbreviation Usage: While abbreviations like SD, OS, UFT, and 5-FU are defined 18, the
manuscript could benefit from a consolidated list of all abbreviations used for clarity.
3. Statistical Analysis Details: The manuscript could provide more information on the statistical
methods employed for data analysis to enhance transparency and reproducibility.
4. Imaging Techniques: The manuscript mentions the use of PET CT and/or MRI for
preoperative staging 7, but further details on the imaging protocols and their impact on treatment
decisions could be beneficial.
5. Discussion of Limitations: A more comprehensive discussion of the study limitations, such
as potential confounders and biases, would strengthen the interpretation of the results and
conclusions.
Title: The Role of Neoadjuvant Chemotherapy Before Radical Surgery #n Stage IB2/IIA2
Squamous Cell Cervical Cancers
Version: 1 Date: 30 May 2024
Reviewer's report:
The abstract satisfactorily summarizes the contents of the manuscript.
The tables  are clear and interesting.
Although the manuscript can be considered already of high quality, I would suggest taking into
account the following minor recommendations:
- The whole text should be corrected by a native English speaker in order to make the work
clearer and more readable.
- Typos errors should be corrected.
-I could not find any information regarding the approval of the Institutional Review Board. Did
author have this approval before the study start?
- I find it interesting to include a reference to the long-term outcomes of patients with cervical
cancer treated with a minimally-invasive approach compared to the "classic" open approach (see
PMID: 37862783).
- The authors should include further details about the methodology used to collect data and about
the treatement used for the chemotherapy.
- The authors have not adequately highlighted the strengths and limitations of their study. It
would be better to explain these points.
-What do the results of this study add?
-What are the implications of these findings for clinical practice and/or further research? It is
important to report the results obtained by the authors in the context of clinical practice and to
adequately highlight what contribution this study adds to the existing literature on the topic and
future study perspectives.
Title: The Role of Neoadjuvant Chemotherapy Before Radical Surgery #n Stage IB2/IIA2
Squamous Cell Cervical Cancers
Version: 1 Date: 30 May 2024
Reviewer's report:
Thank you for the opportunity to review this article.
There are some concerns ,
The outcome and aim are not clearly discussed .
The data are not new .
Retrospective study with unequal arms .
Conclusion not discussed
Low number of patients
Title: The association between endometrial polyps and insulin resistance from the expression
of PI3K and AKT proteins perspective
Version: 1 Date: 23 Apr 2024
Reviewer's report:
Dear authors
Congratulations on your valuable study
Did you not measure the amount of mRNA for a specific reason?
Was it not possible to use more references for you?
Unfortunately, the discussion section needs to be rewritten, as the comparison with the studies
was not done.
Title: The association between endometrial polyps and insulin resistance from the expression
of PI3K and AKT proteins perspective
Version: 1 Date: 01 May 2024
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses a testable research
question(s) (brief or other article types: is there a clear objective)?
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with technical rigor to allow
confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
No - there are minor issues
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Probably - with minor revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: *The study was well performed with solid theoretical basis and
clinical applications, but evaluated only a single aspect of the pathogenesis of endometrial
polyps.
*The Authors have selected one aspect of the pathogenesis of endometrial polyps and described
a questionable clinical application.
*The diagnostic and therapeutic application of this study is linked to a ""study hypothesis"".
The confirmation of this hypothesis is supported by the clinical condition of insulin resistance
which in itself already requires a therapeutic approach.
REQUESTED REVISIONS:
The authors themselves are aware of the limitations of their study focused on a single
pathogenetic factor that is probably never alone, and not always, responsible for endometrial
stimulation.
Title: Polycystic Ovarian Syndrome Elevates the Distress of Sexual Pain in Iranian Women
with Infertility
Version: 1 Date: 07 May 2024
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 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.
- Inclusion/exclusion criteria should be better clarified.
- The authors have not adequately highlighted the strengths and limitations of their study. I
suggest clarifying these points.
- What are the actual clinical implications of this study? it is important to report the results
obtained by the authors in the context of clinical practice and to adequately highlight what
contribution this study adds to the literature already existing on the topic and to future study
perspectives.
- The authors should enrich the discussion by referring to the role of inositol supplementation
and its importance in PCOS patients (Refer to PMID: 37798243).
- The authors should enrich the discussion by describing the mechanisms responsible for the
development of infertility and PCOS, with special attention to the role of obesity, insulin
sensitivity, and metformin and GLP-1s treatment (Refer to PMID: 38540265).
Title: Prevalence of Intimate Partner Violence among Indian women and their determinants: a
cross-sectional study from National Family Health Survey – 5
Version: 1 Date: 30 Nov 2023
Reviewer:  Khadije Ezzati-Rastegar
Reviewer's report:
1. Domestic violence is different from intimate partner violence. Which one do you mean
exactly? because domestic violence can be done by any family member.
2. I do not understand. Isn't your goal IPV? How must a single woman have experienced intimate
partner violence?
3. Inclusion criteria are not specified. For example, how many years have you been living
together?
4. The manuscript is very poorly written, especially the method and results. Therefore, the
abstract and discussion were not reviewed.
5. Other comments are written in the main manuscript.
Title: Prevalence of Intimate Partner Violence among Indian women and their determinants: a
cross-sectional study from National Family Health Survey – 5
Version: 2 Date: 10 May 2024
Reviewer's report:
Dear Authors,
Well done on your revision of the manuscript. Enjoyed rereading again. I have provided some
minor comments and suggestion for your consideration in the attached document (it was easier
to just work with the document).
Great work!
Title: Barriers to and opportunities for advancing racial equity in cervical cancer screening in
the United States
Version: 0 Date: 26 Dec 2023
Reviewer's report:
Overall, this is a very important paper that is written very well. There are two major concerns
for the work, that could easily be addressed:
1. Incorporating a focus on SGM health in addition to race
2. Recognizing the limitations of the snowball sampling approach and the limitations of
interviewing physicians only from RI and MA. Although, authors mention this in the limitations,
there is a need to broadly contextualize the findings of the study. MA and RI, do not have
the racial/SGM diversity which is clear, however, the inability to understand the relationship
between health disparities data and individual patient care can be generalizable beyond these
participants.
Abstract
• Could authors rephrase the conclusion, in being explicit about who they are expecting should
facilitate the provider- and institutional practices?
• Development of guideline, especially the USPSTF guidelines often considers race and other
social determinants of health, but what is especially innovative about this work, is the focus on
how the guidelines are implemented. It would be good to focus on this later aspect more strongly
throughout the manuscript.
Background:
• Unclear, what is implied by “high availability of Pap tests” Would widespread be a better word?
• Authors used the word “native” which is a broader term compared to the OMB category of
American Indian and Alaskan Native, would they please provide a footnote toward the choice
of this word, and how it compares to the AI/AN categorization.
• The authors provide a very thorough background and where applicable highlight gender neutral
aspects of cervical cancer screening. However, there is a distinct lack of mention of SGM related
issues. The methods however, make it clear that the authors did query about SGM health. Could
authors supplement some of this information in the background? How does SGM status +race
impact cervical cancer screenings?
Results:
• Very well written, but would suggest that authors give it a thorough proofread to check for
grammatical and typo errors
• Please revisit Theme 2, sub theme 2 to ensure that the results section only reflects the data
from the interviews and not the author interpretations (those belong in the discussion section)
Discussion:
• Very well written, but would the authors consider adding a sentence or two on the implications
of this work on other screen preventable cancers, such as breast and colorectal?
Title: Barriers to and opportunities for advancing racial equity in cervical cancer screening in
the United States
Version: 3 Date: 12 Mar 2024
Reviewer's report:
Authors of this article have been adequately responsive to the reviewer's feedback in their
revisions, and I commend the authors for their work. There are two minor comments related to
the revisions that should be addressed prior to publication:
- At places the authors have now specified "racialized" Does this apply to Hispanic ethnicity?
How does ethnicity factor into the newer approach taken by the authors?
- Building on the previous point, there could be implications for how race is handled regionally,
like the authors suggest in the Southeastern states. However, here I think you want to be careful,
since one of the states with the highest incidence is in Puerto Rico. How would the implications
shift with such a regional approach?
Title: Comparison of premenstrual symptoms, psychological well-being, and nutritional status
between Palestinian women with and without polycystic ovarian syndrome: a case-control study
Version: 2 Date: 18 Dec 2023
Reviewer's report:
Title: “Comparison of premenstrual symptoms, psychological well-being, and nutritional status
between women with and without polycystic ovarian syndrome: a case-control study”
Comments and recommendations on the content of the manuscript:
Background
P. 6, lines: 122-125: The aim of the study is not precisely formulated. Moreover, the Authors
should correct punctuation (such as  p.4, lines 70-71) and eliminate spelling errors (such as “life
style”)
Methods section
P. 7, line 148: what means “normal” recent ultrasound and please describe more precisely - what
kind of ultrasound?
Please add in this section, information more basic information about the groups such as age,
BMI, ethnicity/race.
Results section
Tables 1-4:
Abbreviations such as NIS, ART, PMS, WHR should be described below the tables.
Table1
What means “doing exercise” (how long, how often, what kind of physical activity? Moreover,
there is not presented in the text of the article, what means “regular/irregular” physical activity.
Please describe what means "good" and "bad" adherence to the Mediterranean diet according
to the MEDAS scale.
Discussion and Conclusion section
The strength and limitation section should be added and separated as a subsection from the
Discussion section.
In the Conclusion section, the Authors do not respond to the aim of the study.
P. 18, line 358: do the Authors observe the “weight changes” in this case-control study?
p. 18/19, lines 361-262: are you sure that your study demonstrated a significant correlation
between…”
Title: Comparison of premenstrual symptoms, psychological well-being, and nutritional status
between Palestinian women with and without polycystic ovarian syndrome: a case-control study
Version: 4 Date: 24 Apr 2024
Reviewer's report:
The Authors of the manuscript entitled:  "Comparison of premenstrual symptoms, psychological
well-being, and nutritional status between women with and without polycystic ovarian
syndrome: a case-control study" addressed all my comments.  I have no more remarks.