JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Pelvic floor function after third and fourth degree perineal lacerations: a case-control
study on quality of life
Version: 4 Date: 05 Feb 2023
Reviewer's report:
This paper is a case control study concerning the life quality of women who got perineal
laceration during their first vaginal labor. However, there are several weaknesses of this study
limited its scientific or clinical value.
1. The study population is women who give their first vaginal birth. This definition is very
confusing. Are these women primipara? As we know, multi-time birth is an important cause
factor of pelvic floor dysfunction, which might confound the study results.
2. The baseline characters were rare, expect the age of the patients. Preconception BMI, the body
weight increase during pregnancy, past history of constipation, diet habits, the newborn weight,
etc., are all confounding factors, which might limit the interpretation of the study results. These
factors should be presented, and some adjustment analysis would be required.
3. This study could not give novel ideas of this field. The questionnaire used in this study is not
original. The follow up method is not specific. And the follow up time is not that long. And the
results are basically the same compared to previous studies.
As the above comments, I personally don’t recommend a further revision of the paper.
Thanks for the opportunity to review this manuscript.
Title: Pelvic floor function after third and fourth degree perineal lacerations: a case-control
study on quality of life
Version: 4 Date: 20 Feb 2023
Reviewer's report:
This study examined pelvic floor function after third and fourth-degree perineal lacerations.
Background
Can you divide the Italian data according to the RCOG classification?
Using the POP-Q names instead “vulva-anal length” would be helpful.
Results
Table 1 Are the Cases and controls commuted?
Although it is a valuable study, the results are questionable without the demographic data of
the groups.
Discussion
Please explain the connection between vaginal tears and POP (see Kozma B et al. Association
between pelvic organ prolapse types and levator-urethra gap as measured by 3D transperineal
ultrasound. J Ultrasound Med. 2018 Dec;37(12):2849-2854. doi: 10.1002/jum.14644. and Dietz
HP, Garnham AP, Rojas RG. Is the levator-urethra gap helpful for diagnosing avulsion? Int
Urogynecol J. 2016 Jun;27(6):909-13. doi: 10.1007/s00192-015-2909-0. Epub 2015 Dec 9.
PMID: 26650224.)
In conclusion, with proper demography data and a more pathophysiological background, this
work is helpful in daily clinical work.
Title: Pelvic floor function after third and fourth degree perineal lacerations: a case-control
study on quality of life
Version: 5 Date: 26 Mar 2023
Reviewer's report:
The authors made many improvements in this manuscript. However, the scientific limitations
in this paper still could not be amended. First, the study population, if primipara or not, that’s
because the pelvic floor function was not just affected by labor pathway, but also the pregnancy
times. For patients of first vaginal delivery, there might be several cesarian section delivery
before. For these patients, how to exclude the effect of pregnancy times on pelvic floor function?
Second, the authors added the baseline parameters in the text, as we can see in Table1. As we
acknowledged in the past, preconception BMI, the body weight increasing during pregnancy
and the new born weight in the case group were significantly larger than the control group.
Consistent with the results that poor pelvic function floor in the case group. However, the authors
made no adjustment analysis. So, how to interpret the actual effect of perineal laceration during
labor and applying a questionnaire concerning about pelvic floor function to illustrate the effect
of perineal laceration?
Thanks for the re-invitation for reviewing the revised manuscript.
As the above comments, I personally don’t recommend publication of this manuscript in your
esteemed journal.
Title: Pelvic floor function after third and fourth degree perineal lacerations: a case-control
study on quality of life
Version: 5 Date: 06 Jun 2023
Reviewer's report:
Thank you to allow me to review this manuscript, after the review of others reviewers.
The subject is interesting and the  methodology, appropriate.
There is a lot of literature about this issue. However, the novelty of this article is the application
of the PFDI questionnaire in the puerperal population.
My comments:
- Abstract: Please, include  at minimum the total score of PDFI in the abstract.
-Background
p3Line 77. It is not necessary to explain in the bakgrouong why Kristeller's maneuver is not a
risk factor. Out of focus. Please, remove this sentence.
p3L69. Countries not in capital letters.
-Results
P5L146. I think is better to write spontaneous delivery than natural delivery.
P6L154. Data from the tables should not be repeated in the text. Please, explain the results
without repeating the numbers sohwn in the table.
The inclusion criteria of controls are: intact perineum or minor defects. However, 2nd degree
tears could include levator ani muscle injury. Please, specify in the methods section if you
explored levator ani. If not, please, specify it as a limitation.
-Discussion
I think the discussion is incomplete and disordened.
I propose the following structure:
- sentence about the main findings of the present study
- global prevalence of perienal tears (I, II and OASIS), and compare previous publication wioth
your data. Please, specify the prevalence of OASIS (obstetrica anal sphincter injuries).
- relationship between tears and pelvic floor dysfunctions. There are important literature about
that issue at 12 and 20 yerars follow-up.
- Symptoms evaluation using validated questionnaires. Explanation about PDFI. Novelty: to use
this quwestionaarie in puerperal population.
- Comment UI symptoms (previous literature and your data), POP (previous and yours) and AI
symptoms (previous and yours). Comparison, causes...
- Strenghts and limitations.
- Conclusion
Title: Emotional Intelligence and Stress and Their Relationship with Breastfeeding Self-efficacy
in Mothers of Premature Infants
Version: 1 Date: 26 Mar 2023
Reviewer's report:
Thanks to the authors for reviewing breastfeeding promotion. However, the authors should
have written the manuscript with more details. including, the different amount of gestational
age, weight and length of hospitalization can be interfering factors in the results which should
have been controlled in some way or their relationship with the outcome should have been
investigated.
Title: Emotional Intelligence and Stress and Their Relationship with Breastfeeding Self-efficacy
in Mothers of Premature Infants
Version: 1 Date: 17 Jul 2023
Reviewer's report:
All comments are written in the text of the article.
It is necessary to recheck the article in English.
It is necessary to mention the standard deviation in all the cases where the average is mentioned.
you wrote :  Exclusion criteria were having congenital anomalies in infant, any domestic violence
against mother, self-reported history of any known physical and mental illnesses, history of
infertility, experiences of stressful event)). How is it measured?
What have the authors done to determine the validity and reliability of the questionnaires?
Title: Emotional Intelligence and Stress and Their Relationship with Breastfeeding Self-efficacy
in Mothers of Premature Infants
Version: 2 Date: 31 Aug 2023
Reviewer's report:
Reviewer Comment for Editor/Editor-in-Chief BMC Women's Health
Professor Farzaneh Rashidi Fakari
Thank you for giving me the opportunity to review the manuscript entitled, “Emotional
Intelligence and Stress and Their Relationship with Breastfeeding Self-efficacy in Mothers
of Premature Infants”. It is my belief that the manuscript will be improved after making the
recommended modifications. Also, I am not an expert in the English language. However, a
number of editorial changes are needed.
I. Suggestions for Authors and Editors (will be forwarded to authors).
General Comments
================
This title is interesting but If authors pay attention to considerations, can strengthen the body of
knowledge related to the emotional intelligence and stress in mothers of premature infants.
Specific Comments
• Title: The title was informative and relevant to determine the objective of the study.
• Abstract: The abstract was structured and rich. This section is extracted from the main
manuscript. Also, Keywords were selected based on MESH terms. These are good.
• Introduction: The introduction has useful information; you should present the gap of studies
in the review literature. There was valuable review literature but did not clear the gap of study.
Authors should revise this section and use newer references.
• Method and material: The method of study was cross-sectional and regarding to objective of the
study this is one of the best choices. The method was not clear, the authors must be considering
some details. For example, the authors gathered several variables in a sociodemographic
questionnaire. It doesn’t make sense for example correlate a neonate’s height and breastfeeding
self-efficacy. Authors should cite to original scale development study too. The authors
mentioned, “The questionnaires used in our study are standard and have been previously used
in the Iranian population.” Please consider the reference. The main questions are 1: When do
you collect the data? And 2: How do you collect the data in electronic form, hard copy form, or
mixed? Please clarify the level of NICU and duration of data collection.
• Result and discussion: According to the method the findings were based on the purpose of
the study. The result was discussed in multi-angles by relevant studies, but not absolutely.
Also, the discussion is focused on the main finding. Moreover, you should consider clearly
state and mention the importance of the main finding and compare with the same area and
the same population 9preterm babies) and the same culture worldwide. Please add the final
paragraph of the discussion section, expand the discussion section, and write a final summary
of the discussion.
• References: References were not new. Some references are second. This must be revised
specifically about incidence and prevalence.
General: I think this study is interesting but needs to major revision for publishing in BMC
Women's Health.
Title: Emotional Intelligence and Stress and Their Relationship with Breastfeeding Self-efficacy
in Mothers of Premature Infants
Version: 2 Date: 17 Sep 2023
Reviewer:  Mahboobeh Namnabati
Reviewer's report:
Dear
I reviewed and make comments in the manuscripts.
1-Title
-Please, revise the title
What do you mean a bout Emotional Intelligence and Stress
Please, determine what you want assess?
2-conclusion
-You determine the level of  stress and emotional …
Not addressing , please correct that.
- the conclusion in the end of article is repeated . you must write in a another way  in the end
of your article.
3-Results
Please write the important finding and  do not repeat  every findings that   show them in the table.
-Please don’t repeat demographic characteristic  in the text. You mentioned them  in the table.
4-limitation
These are not limitations , it is the methods and how to assess the samples. please revise that.
5-refrences
Please determine  the name of chapter and the its` writer  for the reference 1.  you mentioned
the  writer  for all chapters. please , add the name  of chapter  and writer
6-table 1
What do you mean about yes  and  no?
Title: Prognostic nomograms for breast cancer with lung metastasis: a SEER-based population
study
Version: 2 Date: 01 Dec 2023
Reviewer's report:
This reads much better. A few outstanding issues:
1. COX mostly changed to Cox but a few instances have been missed
2. “However, the survival prognostic nomograms of patients with breast cancer lung metastasis
have not been adequately studied, which may be limited to multiple factors such as follow-up
of the patients.” – suggest clearer wording: “which may be due to several factors such as limited
patient follow-up.”
3. “Throughout the study, the overall follow-up arranged from 0 to 119 months, with a median
follow-up of 25 months.” - Typo: arranged should be changed to ranged
4. “There were 801 patients died at the end of follow-up, including 244 (67.8%) patients in the
training group and 566 (67.6%) patients in the training group.” – i) which is the testing group?
5. Thank you for your explanation of why data up to 2015 were used. I think this explanation
should be added to the text.
6. Figure 3 legends have typo: “prefectly"
7. Figure 4 legend: gray line should be solid, not dashed, to match the lines in the plot
Title: Board game on sexually transmitted infections for imprisoned women
Version: 1 Date: 17 Jul 2023
Reviewer's report:
The study titled: Board game on sexually transmitted infections for imprisoned women is
presented for evaluation.
The process of creating an instrument to improve knowledge in relation to STIs in women
deprived of liberty is shown.
In relation to the introduction, no known data on knowledge about STIs in deprivation of liberty
settings is presented, and specifically in women, to pose a research problem to be solved. Very
general statements are shown. Nor are previous experiences on the development, implementation
and evaluation of this type of games presented in this context, even if they are related to other
health issues. Or if there are none, say so to identify an area of investigation. That is to say, to
give an answer as to why this topic should be dealt with, why in this environment, what has been
done so far on these topics with data and authors, and what is intended to contribute new.
There are no job limitations. Also, point out that knowledge by itself is known to be not enough
to change behaviors. In the introduction it is stated that "Knowledge [...] helps in the prevention
and control of these infections, since it can allow behavior change, self-care, control of risk
factors and adherence to treatment". In other words, in the limitations, the researchers could
reflect on what other interventions could be considered in settings of deprivation of liberty, so
that women can really have some control over STIs and their risk factors, improve their self-care
and adherence to the treatments, related to the acquisition of skills and attitudes also necessary
to achieve some competence in this matter.
Title: Board game on sexually transmitted infections for imprisoned women
Version: 1 Date: 13 Aug 2023
Reviewer:  Everton Ferreira Lemos
Reviewer's report:
Dear authors,
It is with satisfaction that I read the paper entitled "Board game on sexually transmitted infections
for imprisoned women", which deals with an important issue for public health in the context
of prison health.
The text presents methodological consistency, with the production of technology in the form
of board games.
The results presented are satisfactory, presenting the various interlocutors who participated in the
validation (Health Professionals, educators and Game designers/developers and in the semantic
validation with women deprived of liberty.
As a minor revision, it is suggested that a paragraph be included in the discussion suggesting
times for interventions with games for women in prison. For example, it is suggested to
incorporate this educational technology during classes in prison, or during "sunbathing" or health
education activities.
The author brings limitations "although it is possible to play the game without the presence
of a mediator, represented by a teacher, health professional or even a re-educator with more
knowledge on the subject, it is recognized that their participation can facilitate a more productive
discussion ", in this way, the need to incorporate a sentence about the recommended times for
intervention with this educational technology is justified.
The proposed board game with information about STIs proves to be an excellent tool within a
prison setting.
Title: Board game on sexually transmitted infections for imprisoned women
Version: 1 Date: 03 Oct 2023
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?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: The study objectives, study design, implementation and
interpretation are robust and scientifically sound.
The study makes a contribution to science and covers an important topic of STI. However, the
authors need to review the draft for editing especially pages 13 second paragraph and page 16 last
paragraph. A final comment is how was board game introduced among imprisoned women. What
was the consent procedure? How were prison authorities involved in the process of obtaining
consent from the women?
Title: Board game on sexually transmitted infections for imprisoned women
Version: 3 Date: 16 Nov 2023
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (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 sufficient 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?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: The authors have addressed the comments/suggestions to my
satisfaction.
ADDITIONAL REQUESTS/SUGGESTIONS:
No
Title: The unbroken chain of female genital mutilation: A qualitative assessment of high school
girls' perspectives
Version: 0 Date: 02 Oct 2023
Reviewer's report:
This research covers one of the most important and sensitive topics of female genital mutilation.
The introduction section provides a clear background on FGM in terms of classification, and
prevalence. However, a brief section highlighting the significance of the study and its objectives
can be added to give readers a better sense of what to expect.
In terms of methodology, this section is well-structured by describing the study design, setting
and data collection procedure. Considering the high sensitivity of the topic it is important
to emphasize the ethical considerations such as obtaining informed consent, providing more
information on the training of data collectors.
The result section includes a detailed account of participants’ perspectives on FGM. However,
more direct quotations from participants can be added to provide richer context and authenticity.
Discussion section comprehensively summarizes the research findings and relates them to
existing literature. However, discussion of the implications of these findings in the context of
FGM prevention and intervention programs can be considered. Moreover, section that addresses
potential strategies for changing attitudes towards FGM can be added. To strengthen the
‘Discussion’ section, mentioning the limitations of this study, such as the potential for social
desirability bias and the relatively small sample size can be considered.
Overal, adding a section with specific recommendations for policymakers, healthcare providers,
and communities based on your findings can be considered. These recommendations could focus
on ways to address misconceptions, raise awareness, and support girls and women affected by
FGM.
Title: The unbroken chain of female genital mutilation: A qualitative assessment of high school
girls' perspectives
Version: 0 Date: 05 Oct 2023
Reviewer:  Gédéon Ngiala Bongo
Reviewer's report:
The study is very interesting and brings out a serious issue that many people are living: female
genitalia mutilation. This practice has to be banned considering the evolution and revolution that
the world is experiencing in our era. A woman is called to have all the pleasure possible when it
comes to intimacy and makes her husband feel good. Unfortunately, this is not the case for this
particular country where traditional practices are still performed.
The quality of the work is extremely high and a good writing though some incoherence. Some
questions and remarks are inside the manuscript and authors may work on them to make this
work more excellent. The dissemination of this knowledge would help several populations in
this situation.
Title: The unbroken chain of female genital mutilation: A qualitative assessment of high school
girls' perspectives
Version: 2 Date: 01 Nov 2023
Reviewer:  Gédéon Ngiala Bongo
Reviewer's report:
I thank the authors for improving their manuscripts but some questions remained unanswered.
At the beginning of the discussion, no question was answered and even in other parts of the
manuscript. Please, revise and correct it so that your manuscript might be published.
Title: The unbroken chain of female genital mutilation: A qualitative assessment of high school
girls' perspectives
Version: 2 Date: 17 Nov 2023
Reviewer's report:
My comments were adequately addressed. This version of the revised manuscript can be
accepted for publication after some small revision for spelling mistakes/typos (for example, page
3, the 4th sentence from the end of the page, "type IV..." the  first letter of the word should be
capitalized;  page 10 "one participant stated that she would prefer doctors to perform it for her
safety", page  10, typo in the word 'limitation'). Overall, good effort!