JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Determinants of HIV voluntary counseling and testing: a multilevel modelling of the
Ethiopian Demographic and Health Survey
Version: 0 Date: 23 Oct 2021
Reviewer:  Alemayohu Bayray Kahsay
Reviewer's report:
Analysis of the EDHS database provides evidence from a representative sample. The authors
have picked an important topic which is some how neglected this days. Moreover, to make the
manuscript complete for publication the following suggestions are recommended.
1. I suggest the title to be " Determinants of HIV voluntary counselling and testing: a multilevel
modelling of the Ethiopian Demographic and Health Survey"
2. in the conclusion part of the abstract...….instead of stating all the factors, it is recommended
to put it in the following manner...…..Conclusion: Not only individual level factors but also
community level factors determine the status of HIV voluntary counseling and testing.
3. In the methods section.....it is advisable to put a flowchart showing the data extraction
procedure from the EDHS to make more transparent to the reader. Moreover, it is also important
to clearly put which questionnaire among the many questionnaires are used for this particular
study (HH questionnaire, woman's questionnaire, Biomarker's questionnaire Etc.)
4. In the results section it is advisable to put the tables in a sequential order. Furthermore, Each
table be preceded with one to two paragraphs description for that particular table.
5. It is also recommended to include "agrarian, urban dwellers and pastoralists" instead of using
only urban vs rural in the analysis to make it more meaningful.
6. In this multilevel analysis it is advisable to show the final table comprising a column of odds
ratios and 95% CIs of the individual level factors, the community level factors and a column
for individual and community level factors. To make this part more clearer...…..the procedure
should have to be as follows...…First we have the empty model, second we insert the individual
level factors we get odds ratios, thirdly we insert the community level factors and we get odds
ratios and at last we insert the individual and community level factors combined and get another
odds ratio. This part is not clearly stated in the results section of this manuscript.
Title: The Relationship between Genetic Variants Associated with Primary Ovarian
Insufficiency and Lipid Profile in Women Recruited from MASHAD Cohort Study
Version: 8 Date: 11 Nov 2021
Reviewer's report:
Thank you for the answers.
The authors modified the manuscript as per my suggestion or answered my doubts. Although
they have included data in their answers, please pay attention to the points below:
Answer number 4: the authors mentioned that the study and control women were age-matched.
This information was not included in the text (methodology). If the women were matched,
explain how the process was done. The information that POI-women were not treated with HT
is important and should be included in the "Discussion" section, since HT has an effect on the
lipid profile and cardiovascular risk
Title: A multimodal concept for vaginal cuff closure by modification of the Bakay technique in
total laparoscopic hysterectomy: A randomized clinical study
Version: 4 Date: 03 Nov 2021
Reviewer's report:
Please adhere completly to consort declaration for reporting this trial.
Blinding and allocation concealment are not properly described.
Report the type of analysis performed ( intention to treat, protocol)
paired comparisons requiere paired test.
Title: A multimodal concept for vaginal cuff closure by modification of the Bakay technique in
total laparoscopic hysterectomy: A randomized clinical study
Version: 4 Date: 11 Nov 2021
Reviewer:  Cihan Kaya
Reviewer's report:
Thank you for the opportunity to evaluate the paper titled ‘A multimodal concept for vaginal
cuff closure by modification of the Bakay technique in total laparoscopic hysterectomy: A
randomized clinical study’
Abstract:  In results section ‘The total operative time was significantly shorter in the MT
compared to the ST (59 vs. 55.5 min, respectively; p=0.001) ‘ modified technique seems longer
operation time, sentence should be corrected.
Keywords: To increase the visibility of the paper in future medline search it is recommended to
choose the keywords from Mesh Browser
Methods: It will be better to add a reference for ‘Patient Global Impression of Improvement
(PGI-I) questionnaire’ (Srikrishna S, Robinson D, Cardozo L. Validation of the Patient Global
Impression of Improvement (PGI-I) for urogenital prolapse. Int Urogynecol J. 2010;21:523–
528.)
Title: A multimodal concept for vaginal cuff closure by modification of the Bakay technique in
total laparoscopic hysterectomy: A randomized clinical study
Version: 4 Date: 15 Nov 2021
Reviewer's report:
Dear Omer Tapisiz, MD, PhD, Prof.
I have reviewed the manuscript, entitled “A multimodal concept for vaginal cuff closure by
modification of the Bakay technique in total laparoscopic hysterectomy: A randomized clinical
study " for BMC Women's Health.  In this article, the authors compared circular cuff closure
before colpotomy with standart technique. The key finding was that the outcomes of the two
techniques were similar. They also noticed the possible advantages of the new technique. Being
an RCT, strength the findings. In my opinion, the article can be accepted for publication after
some minor revisions.
My recommendations,
01. The standard technique should also be defined or summarized under the subtitle of surgical
procedure.
02. Please delete the repetitions of the data that were also presented in tables from the results.
03. In my opinion it is unnecessary to give numbers of U, t and #2 in a column of test statistics
in the tables. The used tests for each variable can be presented as a superscript of their p values.
The “p” should also be written in italic  throughout the manuscript and the tables.
04. It would be better if the first paragraph of the discussion indicates the main findings.
05. Please put a comment in the discussion that the preference of circular suture technique comes
from the ancillary port localizations due to perpendicular projection of the incision or suturing
to the contralateral trocars. If not, please mention the possible difficulty for circular suturing of
the cuff for surgeons working with ancillary trocars ipsilaterally.
Best regards,
Title: A multimodal concept for vaginal cuff closure by modification of the Bakay technique in
total laparoscopic hysterectomy: A randomized clinical study
Version: 5 Date: 19 Dec 2021
Reviewer's report:
I have re-reviewed the revised manuscript, entitled “A multimodal concept for vaginal
cuff closure by modification of the Bakay technique in total laparoscopic hysterectomy: A
randomized clinical study " for BMC Women's Health.  In my opinion the article was improved
based on recommendations and it can be acceptable for publication.
Title: Exposure to different types of mass media and timing of antenatal care initiation: Insights
from the 2016 Uganda Demographic and Health Survey
Version: 3 Date: 02 Nov 2021
Reviewer's report:
The authors have sufficiently addressed all of my comments.
I do, however, have one minor comment for the authors. Please review your citations and ensure
that the statements that are being cited are consistent with the study findings. For example, I'm
not sure what Ref 18 & 19 under "Analytic approach" refer to. These cited studies are neither
methodological papers nor related to Uganda. Perhaps it would be more appropriate to cite a
DHS methodological report (Ref 11) that details the sampling.
Title: Assessing colposcopic accuracy for high#grade squamous intraepithelial lesion detection:
A retrospective, cohort study
Version: 1 Date: 26 Nov 2021
Reviewer's report:
The authors reported the efficacy of colposcopy to identify HSIL, and docummented the
differences of interpretations between colposcopy and microscopic examination. The study is
not new but the results are relevant. The minor concern is to Discuss more properly the causes
of these differences. What kind of colposcopic images offer difficulties of interpretation? How
to reduce these differences? What kind of adjustments can be done to avoid errors?
Title: Assessing colposcopic accuracy for high#grade squamous intraepithelial lesion detection:
A retrospective, cohort study
Version: 1 Date: 12 Dec 2021
Reviewer:  Samuel Phillips
Reviewer's report:
The paper presented “Assessing colposcopic accuracy for high#grade squamous intraepithelial
lesion detection: A retrospective, cohort study” investigates the performance of colposcopy to
histological diagnosis for CIN. This study is well presented with an in-depth discussion on the
many different studies evaluating this area of diagnosis.
One main point I believe would improve the manuscript is how the new terminology system
compares to old systems. I am sure the information is presented but currently it is difficult to
determine which studies utilised which system and how they compare. A few simple adjustments
in the discussion could make this clearer and improve what is an already well written manuscript.
Minor comments
Title page:
• Affiliation 5 is out of order and not listed in author list
Abstract:
Conclusion:
• Please use a different word for ‘synthesized’ (i.e. collected, presented)
• Not particularly – be more specific (i.e. is only 70% accurate)
Methods:
• The last sentence of HPV cytology subtypes/categories is very long and confusing, please
consider changing.
• Also, in last sentence “and squamous cell carcinoma or worse”
Discussion:
• Page 17 – “positive”
Title: Evaluation of Sexual Dysfunction in Gynecologic Cancer Survivors using DSM-5
Diagnostic Criteria
Version: 3 Date: 06 Oct 2021
Reviewer's report:
Comments to the Author
This study provides information on “Evaluation of Sexual Dysfunction in Gynecologic Cancer
Survivors using DSM-5 Diagnostic Criteria”
Interesting part is the inclusion of distress in FSD evaluation.
I provide below a few suggestions.  I hope it will help the authors to revise this manuscript and
make the information more accessible and appealing to BMC Women reader.
Methods:
R97-r102 Inclusion criteria having sexual intercourse within last four weeks. This excludes
patients with sexual complaints due to the treatment who can not have sexual intercourse (vaginal
shortening) or patients who are not sexual active any more due to the treatment. This is a
interesting group and now excluded.
Why is smoking a part of the exclusion criteria
Results
201 patients were identified for the study. These patient should be identified related to the
inclusion criteria. So I do not understand the 11 patients (r145) discussed (recurrent disease and
smoking)
Sexual functioning of the participants
R 165 10,4% no sexual activity (inclusion for research sexual intercourse during last 4 weeks?)
Discussion
R215 Lower rates of FSD. Maybe this is also related to the inclusion criteria. It would be nice if
you inform the reader if other studies using the same inclusion criteria. If the inclusion criteria
are not the same, it could be a reason of lower FSD rates.
It would be nice if the researchers give some advice in what questions can be used in daily
practice to evaluate distress in relation to FSD.
Title: Evaluation of Sexual Dysfunction in Gynecologic Cancer Survivors using DSM-5
Diagnostic Criteria
Version: 3 Date: 12 Oct 2021
Reviewer's report:
As we know psychological conditions including depression, anxiety and … are so common
in Cancer Survivors and sometime need to be treated by psychiatric medication. How does
it considered in your exclusion criteria? Because your exclusion criteria have not involved
medication use including SSRI and …..
The other point is that cancer sometimes affects martial relationship, intimacy and closeness
which in turn influence the frequency of sex and quality of sex. Therefore, sexual dysfunction
in these cases can be also secondary to marital conflict not only to gynecologic cancer.
The last point is that gynecologic cancer in some women sometimes turns on complicated
feelings and emotions in their partner such as fear, guilt, and anxiety and … that can affect sexual
life of couple. While, it is not only related to women gynecologic cancer.
Finally, it seems that evaluation of sexual dysfunction in gynecologic cancer survivors in this
study just has considered medical and surgical aspects of the gynecologic cancer and some
important parts of gynecologic cancer that deteriorate their sexual function, has been missed.
Title: The Bergen Facebook Addiction Scale: Its psychometric properties and invariance among
women with eating disorders
Version: 3 Date: 03 Nov 2021
Reviewer's report:
There is a big methodological problem
The authors do not indicate with which sample the EFA, the CFA and the invariance analysis
were performed. Now, 123 participants are too few to conduct these three studies.
I suggest performing an analysis with the Mcdonald's Omega coefficient
Title: Sexual behaviors and vulnerability to sexually transmitted infections among transgender
women in Iran
Version: 1 Date: 16 Apr 2021
Reviewer's report:
I want to congratulate the authors for the great work done. I think it is an interesting, current
and necessary article. The article is scientifically rigorous and well written. The tests carried
out are adequate.
The results are presented clearly and concisely, as well as the discussion and conclusions. I don't
see the need to make changes.
Title: Sexual behaviors and vulnerability to sexually transmitted infections among transgender
women in Iran
Version: 3 Date: 18 Nov 2021
Reviewer's report:
Thank you for the opportunity to review this article. It addresses sexual satisfaction and risk
among transgender women in Iran. The authors have made several changes to the manuscript
which improve its overall quality. Also, the relationship between vaginoplasty and sexual
satisfaction is significant, and I would like to thank authors for elaborating on this in the
manuscript. My suggested edits are minor in that they address areas where more robust phrasing
may be needed or suggest alternate phrasing that is more acceptable to the US and European
medical communities when working with transgender research subjects.
In the abstract, the authors use the term “dyspareunia.” It is unclear if this refers to all receptive
sex or strictly vaginal sex. I would recommend the use of an explanation or the term “pain on
rectal and vaginal receptive sex” to help clarify. This is repeated in line 115 and is confusing
there as well. It is difficult to suggest alternative language without knowing how the question
was asked, but “pain during receptive vaginal or anal sex” may be less confusing. Later in the
manuscript, authors use the term “sexual pain” which may also be more appropriate.
Page 3 line 57 the authors use the term “improper functioning of sex organs” and I would
recommend changing this to “difficulty with their genitals.”
Page 4 lines 81-82 the authors state “including anal sex without condoms” where the more
appropriate term is condomless anal receptive intercourse.
Line 97 the authors state “gender affirming” and this should be “gender affirming care” or
“gender affirmation”
Line 103 the authors state “failure to perform gender affirming procedures” which might be
better stated as “not having undergone gender affirming medical or surgical care.”
Lines 170-173 – the authors discuss vaginal sex; please clarify if this is in all participants or those
who have undergone vaginoplasty; it is confusing as written as not all participants have a vagina.
Lines 197-199 – the authors imply that the legal status of sex puts people at higher risk; please re-
write this sentence to discuss legal ramifications and the risk for STI’s including HIV separately.
Line 205 – the authors state that the interests of transgender women are similar to the interests
of cisgender women. Please add data about the cisgender women being used as a comparison
if there are similar studies on sexual behavior.
Lines 214-215 – the authors discuss that people were willing to have sex against their will. This
is confusing. I have not read the source study, but please elaborate – perhaps the authors mean
sex that they would not perform with unpaying partners?
Lines 235 to 236 – the authors state that surgery is only about genital satisfaction, but do
not address non-genital gender affirming surgeries. I would add that genital surgery further
contributes to genital satisfaction.
Title: Sexual behaviors and vulnerability to sexually transmitted infections among transgender
women in Iran
Version: 4 Date: 11 Dec 2021
Reviewer's report:
Again, thank you for the opportunity to review the revised manuscript. My comments have been
addressed, and the manuscript is much improved.
I do have one comment that should be addressed before publication but does not require
additional review. In response to a comment from Reviewer 2 about individuals willing to have
sex against their will (lines 215-217), the authors changed the text in the manuscript so that
it reads, "70% of participants had sex for money and therefore, they were forced to have any
kind of sex, including anal sex, even against their will".  Sex work is not synonymous with non-
consensual sex. This should be clarified  -- I also drew the authors' attention to this issue in an
earlier version of the manuscript.
Title: Quality of life among cervical cancer patients following completion of chemo-
radiotherapy at Ocean Road Cancer Institute (ORCI) in Tanzania
Version: 1 Date: 05 Jun 2022
Reviewer's report:
This is very important work which has been poorly and insufficiently investigated and studied
in sub-Saharan AFrica, where cervical cancer is the commonest cause of death among women,
despite being a largely preventable disease. This study attempts to qualify QOL mostly post
treatment with chemoradiation, 3 - 12 months post treatment. The manuscript is replete with  7
tables of data using three different scores - these are very difficult to read and interpret. The
manuscript offers no baseline QOL information so the impact of treatment cannot be quantified.
Further the actual regimens used for treatment are not given, nor what proportion of patients
completed the full course of treatment as prescribed and whether adherence had any impact on
post-treatment QOL scores. In terms of financial difficulties,  the score in table  is 70.4 which is
'good' - but this does not make sense - in many studies financial matters have major impact on
QOL of survivors. The authors must interrogate this issue in more detail. Because the criteria
of the various domains are not described, Interpretation of the scores is difficult. For instance
the score for sexual activity was 94.4 had a score of less than 33.3 - but for sexual enjoyment
52.1 had a score of < 33.3. The authors explanation and discussion do not enlighten the reader
as to what the issues really are. In my view the description and interpretation  of the results is
inadequate and insufficient and needs to be completely revised
Title: Quality of life among cervical cancer patients following completion of chemo-
radiotherapy at Ocean Road Cancer Institute (ORCI) in Tanzania
Version: 1 Date: 29 Jul 2022
Reviewer's report:
REVIEW
This is a well structured article, focussing on a very important aspect of cancer treatment, that
is the estimation of Quality of life of patients of cervical cancer after treatment. But there are
certain points that needs clarifications.
# The study is a cross sectional study to assess the improvement in Quality of life post
chemoradiotherapy,this estimation can only give the quality of life after treatment but there is
no comparative evaluation of QOL before and after treatment so the conclusion that significant
improvement in QOL was observed after chemoradiotherapy appears to be lacking credibility.
# The QOL questionnaires used does not include proctitis, cystitis or pain abdomen as measures
of QOL which are the most important post radiotherapy toxicities affecting the quality of life
of the patients.
# Line 165 says patient recieveing both surgery and chemoradiotherapy had a better overall
QOL. It is important to note that a tripple modality therapy is always avoided in cancer cervix
due to the higher toxicity risk with a tripple modality therapy.
Overall it needs to be rewritten with more clarification. Few observations are contrary to  the
current evidence and therefore if observed needs more discussion and clarification.
Title: Quality of life among cervical cancer patients following completion of chemo-
radiotherapy at Ocean Road Cancer Institute (ORCI) in Tanzania
Version: 1 Date: 31 Jul 2022
Reviewer:  Tullio Golia D'auge
Reviewer's report:
I read with great interest the Manuscript titled "Quality of life among cervical cancer patients
following completion of chemo-radiotherapy at Ocean Road Cancer Institute (ORCI) in
Tanzania".
The topic is of utmost importance given that cervical cancer is the most common tumor
in developing countries  and management, screening and impact of disease and chemo-
radiotherapy are problems not solved yet.
The manuscript is interesting, nevertheless, there are some points to improve.
-Tables should be made clearer and easier to interpret and scores should be standardized.
-The authors have not adequately highlighted the strengths and limitations of their study. I
suggest better specifying these points.
- Abbreviations and grammatical errors in the manuscript should be revised and corrected .
-To improve comparison with existing literature, authors should amplify references (see PMID:
29958629; 35455328)
-Patients' data included in the study should be improved (i.e how many patients have completed
treatment? Did adhesion have an impact on QoL?)
- The results should be improved to make the data more comprehensible.
Title: Quality of life among cervical cancer patients following completion of chemo-
radiotherapy at Ocean Road Cancer Institute (ORCI) in Tanzania
Version: 3 Date: 26 Sep 2022
Reviewer:  Tullio Golia D'auge
Reviewer's report:
I thank the authors for their kind letter of reply.
I am glad to have received the new manuscript and I appreciated the corrections.
In my opinion, the topic is interesting enough to attract the readers’ attention; methodology is
accurate and conclusions are clear and supported by the data analysis. Discussions have been
improved.
Considered all this points, I think this work could be of interest for the readers and, in my opinion,
it deserves the priority to be published.
Title: Associations between depressive symptoms, socio-economic factors, traumatic exposure
and recent intimate partner violence experiences among women in Zimbabwe: a cross-sectional
study
Version: 1 Date: 30 Nov 2021
Reviewer's report:
I first want to commend the authors on completing this important, meaningful, engaging
research. I feel with a few edits, this manuscript will be an important contribution to the literature.
There are a number of grammatical and punctuation errors throughout the manuscript. Examples
include the use of quotations, commas, and parentheses. Another example would be the use of
depression symptoms instead of depressive symptoms.  I would recommend the authors take a
careful look through the manuscript for correct use of grammar and punctuation or have a third
party review the manuscript.
I am curious why only female research assistants were trained to collect data. Were male research
assistants explicitly excluded and for what reasons?
What is meant by (check amount) on line 188?
For hypotheses, it would be helpful to clarify the estimated directionality in addition to saying
there will be a relationship.
I understand there are a lot of variables, but the figure is difficult to follow. As it is now, there
are overlapping values, and there are varying levels of direction, such as some being left to right
and some right to left. I'm wondering if it would be possible to move some of these variables and
lines around to make this more digestible for the reader? Or perhaps, in this case, only having
Table 3 may suffice?