JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of
the Congo: Prevalence, epidemiological, clinical, and therapeutic aspects
Version: 0 Date: 18 Mar 2024
Reviewer:  Alim Swarray-Deen
Reviewer's report:
The manuscript under consideration offers a comprehensive analysis of the prevalence and
intricacies of obstetric vesico-uterine fistula (OVUF) in the Democratic Republic of the Congo
(DRC), with a particular focus on its predominance among young, under-educated, and rural
women post-cesarean sections. The study advocates for enhanced training in cesarean delivery
procedures to mitigate the incidence of OVUF.
Technically, the paper stands on solid ground, employing a descriptive retrospective
methodology to evaluate 355 patients across seven provinces in the DRC. This investigation
follows a community sensitization campaign aimed at bolstering access to specialized OVUF
care. The substantial sample size and the wide geographic coverage of the study add significant
weight to its findings. Nonetheless, the inclusion of a geographic map to delineate the study
areas would substantially improve readers' comprehension and provide context to the research.
The discussion notably points out the absence of specialist medical staff, including surgeons
and obstetrician-gynecologists, in the hospitals where OVUF surgical repairs were conducted.
A summarizing table detailing the characteristics of these hospitals, such as emergency obstetric
care (EMOC) capabilities and theatre availability, would enrich the manuscript.
Minor comments,:
1- Introduction: the presentation of urogenital fistulas could benefit from clarification to
accurately reflect all fistula types, not just vesico-vaginal and uretero-vaginal.
2- Methods and materials: the appropriateness of naming specific hospitals is questioned,
suggesting a potential need for anonymization.
3- Results: replacing "illiterate" with "no formal education" and amending "bachelorette"
to "single" in Table 1 would refine the language for clarity and sensitivity. Additionally,
introducing a graph to illustrate the prevalence of OVUF across different districts and the age
of the fistula would not only clarify the data but also potentially showcase a decreasing trend of
this condition over time, offering a visual representation of progress and areas needing attention.
Title: Obstetric vesico-uterine fistula in nine reference hospitals in the Democratic Republic of
the Congo: Prevalence, epidemiological, clinical, and therapeutic aspects
Version: 3 Date: 13 Apr 2024
Reviewer's report:
The changes as well as the rebuttals are well noted. Of particular note is the fact that the
research is a descriptive cross-sectional study and not a retrospective study as initially indicated.
The revision carried out is therefore satisfactory and the manuscript is now acceptable for
publication.
Title: Association between physical activity and risk of premenstrual syndrome among female
college students: A systematic review and meta-analysis
Version: 1 Date: 20 Apr 2024
Reviewer:  Vittorio Agrifoglio
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 points 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.
-   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.
-    Inositols are proven compounds effective for many aspects of women's lives, from infertility
to premenstrual syndrome. Referring to the following PMID: 37798243, the authors should
discuss in the discussion the possible uses of these compounds.
- Some pathological conditions such as adenomyosis or uterine fibroids may worsen
premenstrual syndrome in some women. The authors should discuss by referring to the following
PMIDs: 37837497, 37568356 the impact on QoL of the above-mentioned conditions.
Title: Association between physical activity and risk of premenstrual syndrome among female
college students: A systematic review and meta-analysis
Version: 1 Date: 26 Apr 2024
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal and offers
a high-quality overview of the topic.
The authors have performed a deep and methodologically rigorous systematic review, and
offered clear and balanced conclusions to the readers, addressing future research priorities.
The tables and figures are clear and interesting.
Although the manuscript can be considered already of high quality, I would suggest taking into
account the following minor recommendations:
- I suggest another round of language revision, to correct a few typos and improve readability.
-What do the results of this study add?
-The authors have not adequately highlighted the strengths and limitations of their study. I
suggest better specifying these points.
-Discussions can be expanded and improved by citing relevant articles (I suggest authors to read
and insert in references the following article PMID: 38540265  and PMID: 38242686).
Title: Insights into Pelvic Insufficiency Fracture following Pelvic Radiotherapy for Cervical
Cancer: A Comparative Review
Version: 2 Date: 04 Jan 2024
Reviewer:  Rahul Ravind
Reviewer's report:
Dear Authors
Pelvic Insufficiency Fracture post Radiotherapy is an area which is less explored and I appreciate
the effort taken by you in compiling various studies and bringing out a comparative review on
this topic.
Following are my suggestions and queries on this manuscript.
1.In the abstract kindly provide a conclusion that reflects the findings of your study.
2.The Introduction is very elaborate. Kindly be concise and bring out the essential points related
to this study. For Eg: The definition of cervical cancer is unwanted as the readers are expected
to know that cervical cancer arises from the cervix.
3. Kindly provide a consort diagram on the literature search under methodology.
4. Under methodology -Please state the inclusion and exclusion criteria used for the search.
5. It would be great to search other platforms like Medline, EMBASE etc for an
exhaustive search on this topic. Concomitant use of search strings like 2D Radiotherapy,
Intracavitory Brachytherapy,3D Conformal Radiotherapy(3DCRT), and Intensity Modulated
Radiotherapy(IMRT) will yield better results.
6."Theorized mechanism of PIF after radiation" -The content under the heading should be
concise and presented in the Discussion part.
7. Please present the results of the search under the heading results
8. Under discussion, subheadings 3,4,5,6,7 can be projected.Also, include limitations and
strentghts of this study under discussion.
9. Please present the conclusion of this study under the heading conclusion.
Please use the assistance of a language expert to improve the language, sentence construction
and grammar for this manuscript.
10. Please use a tool for spell check.
11.The tables and figures are well-presented and interesting.
12. Suggest to add a table showing the incidence of PIF in patients who had received
2D,3DCRT,IMRT, IntraCavitory BRACHYTHERAPY.
Title: Insights into Pelvic Insufficiency Fracture following Pelvic Radiotherapy for Cervical
Cancer: A Comparative Review
Version: 2 Date: 27 Feb 2024
Reviewer's report:
This is an interesting review article about PIFs in cervical cancer patients. The authors conducted
extensive and commendable review of literature related to PIFs. However, there is a substantial
scope for improvement in the presentation.
Few modifications / suggestions:
1. Clarification is needed in the second sentence of the results section in the abstract. "Evidence
also supports that all patients  had at least one sacral fracture, making it the most often fractured
bone in the body". Does it mean all patients treated with pelvic radiation? Or all patients with
PIFs? Or all patients with symptomatic PIFs?
2. Second sentence in introduction (WHO estimate) needs reference.
3.Last sentence in the first paragraph of introduction - stage is the most important factor deciding
the treatment modality in cervical cancer.
4. Third Paragraph of introduction - if authors are defining PIF, a reference for that definition
needs to be provided.
5. Introduction paragraph seems to have too much of literature review - to avoid repetition, that
can be summarised further.
6. In theorized mechanism of PIF after radiation - authors should discuss potential contribution
of premature menopause after surgery / radiation for cervical cancer in pre-menopausal women.
Same in subsequent sections as well.
7. In page 12, line 34, authors state that "After radiotherapy, it is necessary to assume that patients
with cervical cancer will most likely develop PIF. Therefore, it can be advised to get it checked
at periodic intervals and to take the right safeguards without being frightened or avoiding
it". However, the data does not appear to support routine screening for PIFs in asymptomatic
cervical cancer survivors, as reflected in international survivorship recommendations. If the
authors wish to suggest screening of all asymptomatic cervical cancer survivors for PIFs, they
should also discuss methods of screening, frequency of screening etc with data to support that
recommendation.
8.In page 13 line 48, authors mention "biopsy" as a risk factor for PIF. Assuming it is bone
biopsy, it seems to be irrelevant in the context of cervical cancer. Clarification in the statement
would be beneficial to the reader. In the same sentence, the authors mention that these risk
factors "further reduced  their bone's susceptibility to fracture" - It is possible they meant "further
increased the susceptibility for fractures" -  it needs to be corrected.
9. In page 14, line 18, authors state that "Because of the megavoltage equipment that is deployed,
pelvic fractures as a result of irradiation are an exceptionally uncommon effect . " This is
in contradiction to the entire premise of the article, since almost all contemporary radiation
treatment facilities utilize megavoltage radiation.
Title: “A part of my life”. A qualitative study about perceptions of female genital mutilation
and experiences of healthcare among affected women residing in Sweden
Version: 1 Date: 20 Mar 2024
Reviewer's report:
This is an interesting and relevant topic. The issue of FGM is a real public health concern in
western countries now. It is well  written and well thought out. However, I observed some minor
points below.
The title is clear and well thought out. It stated clearly that the study is a qualitative study with
a verbatim. The abstract is clear. The introduction is too long but reads well.
The design of the study is well-stated, and the setting is described.
The authors should consider including a table or a chart depicting the distribution of participants
by some major characteristics. e.g. age, gender, occupation etc. Page 6 line 114, the authors
mentioned that participants were recruited by clinicians. How?
The data collection part was well discussed. The design of the study is well-stated, and the
setting is described. How did you actually decide the saturation point was achieved? was there
an agreement among authors etc)?
There is a need to include the source of bias. How were they addressed, including self-biases,
and how they were addressed in the study?
The analysis part needs to be well described.
The results section was fine and generally rooted in the data. It is also well detailed with verbatim.
The themes were well explained.
The discussion section compared and contrasted findings with what is in the literature. However,
needs to be well structured. Summarize a bit the results. This section needs to show well the
limits of the study etc.
Page 27 line 569-580: This paragraph gives the impression that we are coming back to the results
section. Is it its place?
Are there any implications for practice?
Conclusion: Well addressed.
Title: Barriers to Pregnancy Prevention for Adolescents in Rural Haiti: Perceptions of
Healthcare Providers
Version: 2 Date: 12 Mar 2024
Reviewer's report:
My enthusiasm for this report remains low because of the small sample size (N=58 for survey and
N=17 for qualitative interviews).  Given the small sample size, together with the convenience
sampling, I remain skeptical about the ability to generalize the findings to any larger group.
In general, the authors were responsive to the earlier comments.  I had few remaining comments
for consideration:
1. Given that there are only 58 participants, please report the n for the findings rather than
reporting percentages.  Percentages would imply much more precision for your results than you
could possibly have; this is misleading to the reader.
2. Abstract, Results, fifth sentence: I think that the N of 17 here refers to the number of qualitative
interviews conducted rather than the number who “generally supported contraceptive care” as
the latter interpretation would be odd.  Please clarify this.
3. Introduction, first sentence: Ten percent of adolescents reported current pregnancy or already
having a child or children; it isn’t accurate to state that 10% report current pregnancy.  4.  Also,
I didn’t see data on unintended pregnancies among adolescents in references #1-3.  Can you
clarify the source for this statement?
5. Methods, Procedures: Did the interviewer administer the survey using the tablet or did the
participant self-administer it?
Title: The quality of life and work productivity are affected by the presence of nausea/vomiting
in patients taking iron preparations for heavy menstrual bleeding or anemia: A population-based
cross-sectional survey in Japan
Version: 1 Date: 01 Feb 2024
Reviewer's report:
Review summary
Title
Impact of nausea and vomiting on the quality of life and work productivity of patients taking
iron preparations for heavy menstrual bleeding or anemia: A population-based cross-sectional
survey in Japan
The title is not brief and eye catchy because it full of conjunctions; the authors better consider
concept that can include other concepts instead listing everything in the title
Abstract
Background:
This study assessed the impact of nausea and vomiting on the quality of life (QOL) and work
productivity of patients taking iron preparations for heavy menstrual bleeding (HMB) or anemia.
At least, we have to able to see major problem related the outcome variable and gap instead
simply reporting what was done without why.
Method
Population-based versus community-based versus online survey…want to learn about their
difference
Very shallow method like model used for analysis would have been reported; in addition, if I
were you, I would use qualitative approach
Result
Don’t use abbreviations in the abstract because audience will face difficulty about what you did
before going to the detail.
Introduction: okay
Method
I didn’t understand how nausea and vomiting are given the same effect; nauseating mothers do
not vomit necessarily and low severity. But, if there is a vomiting, it will become more severe
in all aspects…measuring both as the same problem is not convincing me.
Result
What about level of education as being educated matters even to respond accordingly
Figures 1-5 cannot be accessed
Discussion
No justification/explanation for discrepancy/similarity with previous studies
Limitation: what about trusting the given information?
My major concern is about the relevance of this study
Why did you bother to study about what is already proven scientifically and known universally?
If you have nausea/vomiting, no interest to eat, you are sick/weak, you cannot work, poor
productivity, affected holistically, poor quality of life…what is new? Is there any special
thing among Japanese mothers? Even, the effect of iron is known though it differs because of
individual threshold difference. Please, I need to learn about it.
Thank you!
Title: Overweight and Obesity among female Adolescents in Nigeria; an emerging, but under-
reported epidemic
Version: 0 Date: 29 Dec 2023
Reviewer:  Chinedu A. Idoko
Reviewer's report:
A good manuscript and a good effort.
However, the Sampling Technique utilized in this study has to be effectively captured in the
text. Simply making a reference to the NDHS report is not sufficient.
The Authore have to clearly explain how they applied the cluster sampling/ any other sampling
technique applied  in the study.
Title: Overweight and Obesity among female Adolescents in Nigeria; an emerging, but under-
reported epidemic
Version: 0 Date: 19 Mar 2024
Reviewer:  Chisom Adaobi Nri-Ezedi
Reviewer's report:
This manuscript offers a concise and timely exploration of the pressing issue of obesity
among female adolescents in Nigeria, which holds promise for policy development and future
intervention strategies. Nevertheless, it is crucial to acknowledge the temporal limitations of the
data utilized, drawn from the Nigeria Demographic and Health Survey of 2018, which predates
the onset of the COVID-19 pandemic and the ensuing global economic downturn. Given the
authors' compelling argument regarding the household wealth index as a significant predictor,
it is imperative to recognize the potential for shifts in socioeconomic dynamics that may have
occurred since the data collection period. Consequently, while this study provides valuable
insights, it may not fully reflect the current landscape of obesity among female adolescents.
Therefore, further research is warranted to elucidate the present circumstances accurately.
Despite these acknowledged limitations, the study holds significant value and should be
considered for publication. Its insights into the prevalence of obesity among female adolescents
in Nigeria are invaluable for informing policy and guiding future interventions in addressing this
emerging epidemic. Thus, while recognizing the need for further research to capture the evolving
landscape accurately, the merit of this work in advancing our understanding of the issue cannot
be understated. Therefore, I recommend its acceptance for publication in BMC Women's Health.
Title: Overweight and Obesity among female Adolescents in Nigeria; an emerging, but under-
reported epidemic
Version: 3 Date: 22 Apr 2024
Reviewer's report:
Dear authors,
Your incorporation of reviewer comments and suggestions have strengthened your paper.
Congratulations on a good job.
I have a minor correction for Figure 1: Prevalence of Adolescent Obesity - Does 10.1%
prevalence of obesity should be corrected to overweight/obesity OR your figure should depict
the overall prevalence of obesity AND overweight.
Title: A case report on rare co-occurrence of invasive ovarian mucinous adenocarcinoma,
unilateral renal agenesis, and bicornuate uterus: Is it a new triad?
Version: 1 Date: 13 Feb 2024
Reviewer's report:
Thank you for giving me the opportunity to give my review on your article.
1. This case is a very interesting and a rare case indeed. But one thing caught my attention.
This is a case of Mucinous adenocarcinoma occurring in patient with unilateral renal agenesis
and bicornuate uterus. I see that the bicornuate uterus may have correlation with the
incidence of unilateral renal agenesis, since mesonephros and Mullerian duct interlinked during
embryogenesis. But, how about Mucinous adenocarcinoma? Is there any correlation between
these conditions and the incidence of malignancy in this case?
2.  For the figures you provided, it shows a lot of information. However, it would be better if
you add an arrowhead or markings to highlight the part you want to show to the reader. Such
as in Figure 4 A-B, the markings could easily differentiate between the normal colonic mucosa
and the stroma-based invasive glandular tumor.
3.  In this case, we have unilateral renal agenesis and bicornuate uterus that you mention a lot
in the Discussion section, especially regarding the possibility that it is a failure in embryonic
development phase.  But i don't see any statement in you case report that mention about this
girl's condition since she was born. Does she had any trouble during birth? Premature birth?
Did she shown any signs or symptoms regarding any genetic abnormality? Does anyone in her
family have a similar problem?
Thank you
Sincerely yours
Title: Factors influencing menstrual regularity among female workers: a cross-sectional analysis
study
Version: 1 Date: 18 Mar 2024
Reviewer:  Iván Fernández-Suárez
Reviewer's report:
The article is solid in terms of the research sample and the methodology used.
As elements of improvement, the need to update the data is highlighted, being taken of the same
more than 10 years of current which determined need for updating and should be highlighted
as a limitation of the study.
Within this period important changes have been observed, for example, it would be positive
to highlight studies that confirm that vaccination against the covid has generated alterations in
menstrual cycles that should be discussed in this article.
Some studies that may be considered include:
https://journals.lww.com/greenjournal/fulltext/2022/04000/
Association_Between_Menstrual_Cycle_Length_and.2.aspx?
ref=popsugar.com&=___psv__p_5110395__t_w_
https://journals.sagepub.com/doi/full/10.1177/17455057221109375
https://www.mdpi.com/2077-0383/11/13/3800
https://www.medrxiv.org/content/10.1101/2021.11.23.21266709.abstract
https://www.degruyter.com/document/doi/10.1515/med-2022-0452/html
Title: Factors influencing menstrual regularity among female workers: a cross-sectional analysis
study
Version: 1 Date: 24 Mar 2024
Reviewer:  Nasrin Matinnia
Reviewer's report:
Dear  Authors
The physiological and situational factors  are well measured
But
1-There are valid questionnaires to measure stress and depression. Measuring these two variables
with two questions is not accurate.
2-"In the past year, did you have thoughts of wanting to die? " This question cannot check for
suicidal thoughts.
Title: Factors influencing menstrual regularity among female workers: a cross-sectional analysis
study
Version: 1 Date: 25 Mar 2024
Reviewer's report:
The reviewed manuscript entitled " Factors influencing menstrual regularity among female
workers: a cross-sectional analysis study” tries to identify the physiological, psychological, and
situational factors affecting menstrual regularity among female workers.
-- The authors should explain the knowledge gap in the introduction section. Several studies have
been conducted on menstrual regularity and related factors, some of which have been conducted
in the same country as the present study. What is new in this study?
For example, a study was conducted in 2022 in Korea on 9,335 premenopausal women to
investigate the regularity and length of the menstrual cycle and associated factors.
(Song S, Choi H, Pang Y, Kim O, Park HY. Factors associated with regularity and length of
menstrual cycle: Korea Nurses’ Health Study. BMC Women's Health. 2022 Sep 1;22(1):361.)
In the mentioned study, the reproductive, lifestyle, and occupational factors were evaluated in
more detail than in the present study. For instance, occupational factors including current work
schedules (as an average frequency of rotating night shifts per month over the past year), Physical
demands at work (as time spent on feet), and frequency of heavy lifting (physical load of 10 kg;
times/day) have been examined. However, in the present study, the only occupational factor is
shift work schedule (yes/no). Sleep disorders and stress are not considered pure occupational
factors and can be affected by work conditions as well as social conditions.
--The discussion section is boring. It feels like that proven scientific facts are being expressed
by the authors. Maybe it is because this study has no new findings compared to other studies.
--With all due respect to the researchers, I think there is nothing attractive about this study.