JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 0 Date: 13 Oct 2023
Reviewer:  Christine Kremer
Reviewer's report:
This is an interesting case on an important topic - unfortunately the facts reported can lack
originality since it is known that PFO is known to increase stroke risk  for stroke especially in
the younger population. As regard to COC this is known to increase  the risk of thrombosis and
in combination with other risk factor increase the risk of stroke. Even I think this topic deserves
more attention I don´t really see how a screening for young females before COC is feasible in
most of the societies, since it´s a high prevalence.
As a case report it does not contain novel information and might be  more suitable for a letter to
the editor with more focus on awareness of risk factors in young women taking oral COC.
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 3 Date: 31 Oct 2023
Reviewer's report:
Please change the word 'common' on the first sentence of the abstract. "Patent foramen ovale
(PFO) is a common cause....". My suggestion is to make a statement of 'Patent foramen ovale
is known cause......' or another alternative.
Otherwise, good job.
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 3 Date: 12 Nov 2023
Reviewer:  Christine Kremer
Reviewer's report:
Dear,
Thank you for the revision.
I am still raising concerns about the proposed routine screening for PFO in woung women taking
COC without any epidemiological data.
The similiar case would be to suggest routine screening in patients with family history of stroke,
coagulopathies, eclampsia etc.
I strongly favor risk factor control with smoking cessation as the foremost risk factor assessment
including family history, hypertension, migraine and a test for coagulopathies then choosing a
low-estrogen COC or other types of contraception (why was that not discussed?).
I am ok that it could be considered but very doubtful that this is a priority even in country with
sufficient resources which in these cases should have a more specific individualized counseling
before choosing COC. And finally there could be also contraceptives measures for men.
Another point is that we in these cases consider DOAC (if we are not sure that it was the COC
exposure and PFO closure)
Did the patient smoke? (or was this toxin exposure)
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 5 Date: 19 Dec 2023
Reviewer:  Christine Kremer
Reviewer's report:
Dear authors I understand your points and the reasons why you did not integrate the suggestions
in your manuscript.
The argument for the screening would be that there are no alternative methods of contraception
that are not even mentioned in the conclusion.
These  alternative methods are usually suggested to women with a high risk of stroke and should
appear in your conclusion.
If necessary you could differentiate between those who need it for gynecological reasons , which
is a minority and those you can actually choose.
As pointed out before a more systematic screening of this group would not be reasonable.
And according to the wording used: considered not appear as such in eg. guidelines.
Not changed: please if possible write non-smoker instead of not exposed to toxins. Since this
could also imply a passive exposure.
Title: Full title: Recurrent Stroke in A Reproductive Age Women With Patent Foramen Ovale
Version: 6 Date: 05 Jan 2024
Reviewer:  Christine Kremer
Reviewer's report:
Thank you no further comments.
minor
If women are with stroke risk factors, we recommend other contraceptive methods than oral
contraceptives, such as condoms.
Suggest changing to- if women show additional vascular risk factors ...we recommend...
Title: Creating allies: qualitative exploration of young women’s preferences for PrEP methods
and parents' role in PrEP uptake and user support in urban and rural Zambia
Version: 1 Date: 02 Oct 2023
Reviewer's report:
This is a well-organized, and well-written paper on an important research question. I recommend
this paper to be published. I have some suggestions for further details to add to the which can
strengthen your paper:
Methods:
1. It is not clear to me how or why certain respondents were chosen for IDIs vs FGDs.  Did you
purposively select clients based on prior knowledge that sensitive topics would be discussed?
Or select based on something else? Some insight would be helpful in the paper.
2. Did the study team organize FGDs by a certain characteristic or balance? For example, to have
all mothers in one FGD and fathers in another. Or was participation based on which scheduled
time each participant could make?
3. You mention that results were presented at a stakeholder consultation - who was present at
this consultation? Respondents? Or program implementers? It would be helpful to clarify who
this "broader audience" was. (Later in the paper, I see that information is provided about this in
the Discussion. I suggest moving it earlier in the methods).
Results:
4. The results section is presented well. I was left wondering how different the perspectives
were among AGYW who had used PrEP before, compared to those who hadn't, or had never
heard about PrEP? If any notable differences among these groups were noted among the analysis
team, it would be interesting to specify this. Esp. in considering how providers/practitioners
should approach PrEP and sexual health conversations among AGYW who are PrEP naive vs.
experienced
Discussion:
5. Really detailed and constructive Discussion section! One suggestion to consider is broadening
the recommendations beyond just HIV prevention education to STIs in general. This research
has relevance beyond just HIV to broader sexual health awareness and support for AGYW. Of
course PrEP is just to prevent HIV, but the discussions and counseling provided to AGYW can
extend beyond HIV to other STIs - just as an opportunity for more horizontal programming.
Great paper!
Title: Sexual function index adaptation for breast cancer patients (FSFI-BC)- Translation and
Psychometric properties of Persian version
Version: 2 Date: 25 Jan 2023
Reviewer's report:
Dear corresponding author
In my opinion it is a practical and valuable research. But you should first edit your manuscript
for future considerations.
Abstract
Please rewrite the method. Start with type and year of study and continue the main parts.
Please report the result of EFA in result.
Please omit the "questionnaire" from keywords.
Introduction
I recommend to transfer the "This tool should be able to assess side effects and treatment
outcomes .... breast cancer survivors" after the introducing the various tools for assessing the
sexual dysfunction for the reason of choosing this scale among other scales.
Method
This part is so weak and unclear.
One of the best indicator of internal consistency in methodological studies is McDonald's omega.
So please report it for your study. Also what was your interval time for calculation of ICC?
Please rewrite the VALIDITY part. We should read it in detail.  First start the explanation with
face validity and then content and construct validity.
We know that EFA and CFA needs separate samples. Why you use same samples for run these
two methods?
Please explain way of running the EFA and CFA in details. For example the EFA method and
rotations? Please use similar articles.
Please write about the calculation way of normality and outliers.
Results
Reporting the descriptive statistics of FSFI-BC score is not true at first of results. Because we
are not sure that your translated questionnaire had good validity and reliability. So first report
validity and reliability and then FSFI-BC score at the end of results.
Please report the kappa or S-CVI/Ave for content validity (and add it in methods). These are the
new and trustable methods of quantitative content validity assessment.
Please report the EFA before CFA. Also draw a table with 6 columns (Factors Name,
questionnaire Items in each factor, Communalities of any items, Factor Loading, Eigenvalue,
and  % of extracted variance) for EFA report.
Also please method of number of factors identification. You can use scree plot for it. But I
recommend to use of EGA.
For CFA we need a figure that shown final structure of your scale after modifications (extract
in from AMOS).
In method you said that ICC was calculated. So please report it.
Discussion
Please define each of factors in discussion and add more related articles for comparison the EFA
structure of you study with them.
Please add limitations and strength of your study at the end of discussion. Also what what your
implication of your research?
Best wishes,
Title: Sexual function index adaptation for breast cancer patients (FSFI-BC)- Translation and
Psychometric properties of Persian version
Version: 9 Date: 04 Sep 2023
Reviewer's report:
I reviewed the second version of the manuscript, and I would like to apologise for the delay! I
think that the paper gained substantial quality through the revision Although most of my points
were answered satisfactorily, I only have one major point left and some minor comments below:
The manuscript still has serious translation and formatting problems, it is better to have it
checked by a native translator.
The answers of the authors to the following comments were not convincing and it is better to
edit them again.
1. the research aim is very vague. I would prefer to see, at the end of the Intro, a clear
statement regarding the aims, methods, and criteria that would infer ‘acceptable’ performance.
For example, What is the expected factor analytic solution?
2. Remove the demographic information from the table and explain it briefly in the text.
Title: Global, Regional, and National Quality of Care Index of Cervical and Ovarian Cancer: A
Systematic Analysis for the Global Burden of Disease Study 1990-2019
Version: 1 Date: 07 Dec 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?
Not sure - I am not able to assess the statistics in this 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: I had the pleasure to review the manuscript entitled "Global,
Regional, and National Quality of Care Index of Cervical and Ovarian Cancer: A Systematic
Analysis for the Global Burden of Disease Study 1990-2019". The manuscript is appropriately
organized. I would like to invite the authors to revise their manuscript considering the following
minor points:
- Abbreviations and acronyms (such as SDI) are often defined the first time they are used within
the main text and then used throughout the remainder of the manuscript. Please consider adhering
to this convention.
- The conclusion section of your abstract only repeats your study findings with no definite
interpretation. It needs to be revised thoroughly. I suggest providing a statement that mentions
the overarching clinical implications of your findings and explains why your findings are
relevant/important and how they can shape future research.
- More relevant key words are required. At least you may add cervical and ovarian cancer in
this list.
- "two subdivisions" is not a common way to categorize tumors. You may use "types".
- The manuscript warrants a thorough linguistic revision. For example, in one sentence (line
70-71) you have used "such as" three times.
REQUESTED REVISIONS:
As above
Title: Global, Regional, and National Quality of Care Index of Cervical and Ovarian Cancer: A
Systematic Analysis for the Global Burden of Disease Study 1990-2019
Version: 3 Date: 02 Jan 2024
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 satisfactorily addressed the reviewers comments
and revised their manuscript appropriately.
Title: Predictors of social intermediate factors associated with sexual quality of life of women:
Systematic review and Meta-analysis
Version: 0 Date: 18 Nov 2023
Reviewer's report:
Thanks to the editor who gave me the opportunity to review this article. This article is well
designed and executed and requires limited revisions as noted below.
1. Various models have been presented for indicating the mechanisms of social determinants
affecting health. ------ give reference please.
2. Reference 16 should come after the value-cultural context of the society.
3. It is better to mention the countries where the study was conducted in the results section.
4. Table 1 is part of the main findings of the study and should be in the main article, not in
supplementary data.
5. Considering other intermediate variables of health social determinants, high-risk behavior
(consumption of cigarette, alcohol, drugs of abuse) in two studies [24, 25], anxiety one study
[32], stress one study [24], and variable of violence in two studies [24, 28] had a relationship
with sexual quality of life------------- Why was meta-analysis not done for high-risk behavior
and violence, where there were two studies?
6. There is no significant relationship between duration of marriage and sexual quality of life.
CI95%= -0.33 to 0.68. In this meta-analysis, heterogeneity is significant, not the analysis itself
and Diamond has cut the baseline.
Discussion part is written great.
7. In discussion: relationships between couples…… It’s better to change marital relationship
Title: Predictors of social intermediate factors associated with sexual quality of life of women:
Systematic review and Meta-analysis
Version: 0 Date: 25 Nov 2023
Reviewer:  Mansoureh Yazdkhasti
Reviewer's report:
Dear Authors
The study is " Predictors of social intermediate factors associated with sexual quality of life of
women: Systematic review and Meta-analysis ". While the study appears to be reasonably well
conducted, the paper would benefit from careful revision and additional study outcomes. I have
the following specific suggestions.
1)I suggest creating a subsection at the end of the introduction in which the purpose and
objectives of the study are explained in more detail "present study".
2)Present full electronic search strategy for at least one database, including any limits used, such
that it could be repeated.
3) Under searching strategy: Your study mainly focused on including published articles. Why
you did not use gray literature?
4) Why did you prefer Newcastle-Ottawa Scale (NOS) than JBI quality appraisal checklist?
5) Under data extraction section:  Is their automation tool used?
6) Under data extraction: ‘The two researchers discussed to make a unified decision in cases
of conflict’. How could come to reach consciences. This phrase is not clear. It is vague, and
needs to be clarified?
7) Please suggest future studies in this area.
Title: Predictors of social intermediate factors associated with sexual quality of life of women:
Systematic review and Meta-analysis
Version: 1 Date: 25 Dec 2023
Reviewer:  Mansoureh Yazdkhasti
Reviewer's report:
Dear Authors,
The study is " Predictors of social intermediate factors associated with sexual quality of life of
women: Systematic review and Meta-analysis ". Thank you for giving me the opportunity to
review this article. I would like to thank the authors of the article for implementing the proposed
amendments. Good revisions have been made in the new version and the organization of this
article is satisfactory, but it still needs some changes.
Abstract/ Keywords:
1)Please remove “Systematic review” and replace with “Systematic review and meta-analysis”
2) It is better that the keywords are selected from the Mesh system (PubMed/ Mesh Term)
Title: Predictors of social intermediate factors associated with sexual quality of life of women:
Systematic review and Meta-analysis
Version: 1 Date: 28 Dec 2023
Reviewer's report:
Dear Editor
All necessary corrections have been applied by the authors. Please just correct the following
items.
1- In the introduction, The question of this review study is,2 “Which intermediate factor of health
social determinants is "2" extra. Please delete it.
2- At the beginning of the method section, refer to the model used to write this systematic review
study.
3- Instead of “showed a positive weak relationship with very weak to strong confidence interval
range” you should write “there was no significant relationship between duration of marriage and
sexual quality of life between two groups.
With  respect
Title: Detectable viral load associated with unmet mental health and substance use needs among
trans women living with HIV in San Francisco, California
Version: 1 Date: 03 Nov 2023
Reviewer's report:
This paper reports findings based on a survey of a small sample of trans women in San Francisco,
focusing on associations between HIV viral load and mental health and substance use, and
unmet need for care services. This is certainly a topic of significance, however, there are some
methodological issues that raise questions.
1. The inclusion criteria included screening positive for a substance use disorder or psychological
distress, and having missed an appointment or having a detectable viral load. This may not be
the best sample for examining the relationships between these variables. The focus on unmet
care needs seems more appropriate.
2. All participants were in care for HIV, but it is not reported how long they had been in care.
How long does it usually take to get to undetectable with good ART adherence? Are all of the
participants within that range?
3. An AUDIT score of 3 was used to categorize “alcohol dependence”. The usual cutoff to
identify at-risk drinking for males is 4; the lower cutoff for females as I understand it is related
to typical body mass and physiological differences by sex (not gender).
4. The small sample size limits the ability to detect effects in analyses stratified by age and race/
ethnicity.
Discussion
5. Since substance use disorder or psychological distress was an inclusion criteria, it doesn’t
make sense to make statements about the prevalence of substance use and mental health
problems in the sample.
Title: Detectable viral load associated with unmet mental health and substance use needs among
trans women living with HIV in San Francisco, California
Version: 1 Date: 06 Nov 2023
Reviewer's report:
Overall comments: This is a well-written manuscript on a topic of high public health relevance,
and the examination of unmet needs for care for mental illness and substance use disorders in the
context of HIV care for trans women is novel and important. I would  recommend the manuscript
for publication with a few revisions and offer some  suggestions  below for clarification.
Abstract: I would consider highlighting the findings presented in lines 284-291 of the main
body of the manuscript, since the focus is on unmet care needs. It is fine to state the prevalence
of mental health and substance use disorders, but those are expected to be high based on the
inclusion criteria for the study, and it is not clear that those were inclusion criteria in the abstract.
I would focus on the unmet health care needs and give the actual percentages of as the main
finding.
Background: Last sentence of first paragraph (lines 85-87): Consider adding more context about
the study that produced the estimates (e.g, Almost half of trans women living in San Francisco
in 2020…. based on a study of …).
Lines 105-106: Combine sentences rather than starting a sentence with And (or remove the And
from the second sentence).
Methods: Lines 126-27: How was the screening done for alcohol/SUD and psychological
distress for the inclusion criteria? Was it part of the baseline survey measures (AUDIT/PHQ-4)
or was some other indicator used (e.g., lines 175-179, self-report of diagnosis by a health care
provider)? Was the missed HIV appointment or detectable viral load as part of the inclusion
criteria in the past 12 months? I would specify the timeframe.
Analysis: Lines 206-233 and lines 224-233 should go in the measures section, probably under
the description of treatment cascades. At first read I was very confused about how the text about
the treatment cascades translated into the figure until I realized that the questions about referrals
for care were mentioned elsewhere.
Results: Line 259: I assume polysubstance use does not include cannabis but this should be
explicitly defined somewhere.
Lines 284-285: I would suggest finding a way to incorporate the proportion of people in HIV
care who were on treatment and the proportion virally suppressed into the cascade figure. Maybe
that means the HIV cascade could be separate (you could place them size by side). The HIV
results in the current figure don’t seem very meaningful since people had to be diagnosed and in
care as part of the inclusion criteria as I understand. It would be useful to show that while trans
women are diagnosed and at least somewhat engaged in care, many are not virally suppressed.
Tables: Table 3: indicate column percentages; Table 4; indicate row percentages; define what
polysubstance use includes as a footnote (does it exclude cannabis?)
Title: U-Shaped Association Between Serum 25-hydroxyvitamin D concentrations and Urinary
Leakage Among Adult Females Aged 45 Years and Over in the United States: A Cross-Sectional
Study
Version: 1 Date: 02 Nov 2023
Reviewer's report:
This is a well-conducted study.  The relationship between serum vitamin D status and urinary
leakage (UL) among middle-aged American females was studied. Though the UL was from
a questionnaire where recall bias is possible.  but authors have taken measures to analyze the
confounders and threshold analysis.
I Recommend this study for publication
Title: U-Shaped Association Between Serum 25-hydroxyvitamin D concentrations and Urinary
Leakage Among Adult Females Aged 45 Years and Over in the United States: A Cross-Sectional
Study
Version: 1 Date: 18 Nov 2023
Reviewer's report:
All corrections are in the corrected copy, the authors used we/our in all manuscript, which is not
accepted (except in the discussion). They should use the passive tens