JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: COMPARISON OF URINARY ADIPONECTIN IN THE PRESENCE OF
METABOLIC SYNDROME IN PERI- AND POSTMENOPAUSAL WOMEN
Version: 2 Date: 17 Dec 2021
Reviewer's report:
1. Line 14-17, the statement for sample size determination was too simple. The hypothesis of
this study should be stated in the sample size determination section.
2. In case of not significant result, real power calculation should be performed in the result to
convince the reader.
3. Post hoc analysis should be performed for Table 3 due to a significant p value.
4. The p value for the trend of age vs. adiponectin level should be calculated to convince the
reader (Figure 3).
Title: COMPARISON OF URINARY ADIPONECTIN IN THE PRESENCE OF
METABOLIC SYNDROME IN PERI- AND POSTMENOPAUSAL WOMEN
Version: 2 Date: 25 Dec 2021
Reviewer:  Mohd Ashraf Ganie
Reviewer's report:
Introduction
1. The author is requested to justify the line number 2 [page no.3]
2. Metabolic syndrome is not discussed properly in the introduction part
3. There is no need of discussing pandemic covid 19 in this section. [line no.19, page no.3]
4. The author is suggested to shed a light on the background of adiponectin  vasoactive peptide.
[line 10,page no.3]
5. Overall English language needs editing.
6. There are numerous typo and syntx errors, please correct
Materials and Methods
1. The author is suggested to mention why age range at least 40 years womens   recruited [page
4 line no.9]
2. The author is suggested to  briefly explain the straw+ 10 stage of reproductive aging [page
4 line no.10]
3. Elaborate the inclusion and exclusion criteria in a proper manner which is not [page 4 line
no.12]
Results
1. The result part is too short which is not justified the author is suggested to elaborate the
association of each and every parameters mentioned in a given tables.
2. The author is suggested to include the insulin(variable) parameter as well because as per
previous litratures  adiponectin has positive correlation with insulin sensitivity
Discussion
1. The results obtained from their studies not discussed here [page no 8 ,line no.13]
2. The refrence is missing [page no 8 ,line no.18]
3. The refrence of line number 20 is missing [page number 8]
4. Studies which are consistent and inconsistent with our results have not been discussed
anywhere in the discussion portion.
5. What was the need of screening urinary adiponectin levels is not mentioned properly.
The studies already worked on evaluated urinary adiponectin levels have not been mentioned
properly.
6..The discussion part lacks the mechanistic explanation and is not reflected with result part.
Title: COMPARISON OF URINARY ADIPONECTIN IN THE PRESENCE OF
METABOLIC SYNDROME IN PERI- AND POSTMENOPAUSAL WOMEN
Version: 3 Date: 03 Feb 2022
Reviewer's report:
1. The power calculation is not perform for the main result (Adiponectin level between with
and without MetS).
2. There is  still lack of post-hoc analysis for Table 3.
Title: Title page: Women with polycystic ovary syndrome (PCOS) have reduced melatonin
concentrations in their follicles and have mild sleep disturbances
Version: 1 Date: 26 Oct 2021
Reviewer's report:
The study is interesting; however, I have a question regarding melatonin measured in follicular
fluid and its implications with sleep. How does melatonin measured in follicular fluid act
systemically and interfere with sleep? I believe that the measurement of melatonin in blood
plasma is the most direct way to interrogate the function of the circadian rhythm. In the follicle,
melatonin must affect oocyte competence. What is the relationship between melatonin in follicle
and oocyte maturation and embryo development? This issue must be better explained in the
manuscript, which needs a deep revision, especially in the abstract and conclusion which are
uninformative and overwelled.
Also, the 125I-radioimmunoassay is the best measurement method for Melatonin, since the small
volume of follicular fluid, and also melatonin and other components, the High Performance
Liquid Chromatography (HPLC) should be better to identify small differences.
Do some hormonal levels affect melatonin concentration? If yes, a multivariate analysis
removing the effects of confoundable variables is necessary.
What are the sizes of the follicles aspirated? Was it a pool of all follicles from the same patient
or was it analyzed individually?
Minor revisions:
Line 324: “In recent years, dysrhythmia is believed to affect ovarian function and is one of the
pathogenesis of PCOS.” Please provide the appropriate references to support this information.
Reference 26 is a review and to support the information that “serum melatonin concentration
of PCOS women is higher than that of the control group” (326-328) some experimental articles
must be cited as well.
Table 2: IVF and ICSA are Percentages, so this must be described in the table.
What is the difference between “No. of top quality” and “rate of top quality”? It seems the same
thing to me, and it is not necessary.
Table 3: The percentage can be changed only to two numbers after the point (62.50% instead
of 62.500)
Title: Title page: Women with polycystic ovary syndrome (PCOS) have reduced melatonin
concentrations in their follicles and have mild sleep disturbances
Version: 1 Date: 30 Oct 2021
Reviewer:  Mohd Ashraf Ganie
Reviewer's report:
This manuscript entitled “Women with polycystic ovary syndrome have reduced melatonin
concentration in their follicles and have mild sleep disturbances” submitted to BMC Women’s
Health describes whether the level of melatonin, a rhythm regulating hormone changed in the
ovarian micro environment in PCOS women. . The manuscript in present form is not acceptable
for publication. However the following comments may help the authors in improving the
manuscript.
Title: Title page: Women with polycystic ovary syndrome (PCOS) have reduced melatonin
concentrations in their follicles and have mild sleep disturbances
Version: 2 Date: 26 Jan 2022
Reviewer's report:
The authors have answered all my questions and the manuscript is suitable for further
publication.
However, I still have some suggestions:
- Although it is not an essential data that compromises the acceptance of the article, I would like
to know if it would not be possible to obtain the information of melatonin blood serum levels.
- Introduction: linha 97-99
“Melatonin in follicle is from serum and the surrounding reproductive cells, therefore, the
concentration in the follicular fluid becomes much higher than that in the blood [8].”
This reference is from an article published in 1987 (JCEM), there is no recent publications that
complete this affirmation?
Bests regards
Title: Magnitude and associated factors of Early Implanon discontinuation among rural women
in public Health facilities of central Ethiopia: A community-based cross-sectional study
Version: 1 Date: 15 Sep 2021
Reviewer's report:
The subject of the paper is new and important to address in this fiel of research.
The paper has high potencial to be published. However, I may suggest a couple of changes:
- The title is too long and it is not representing the main ideia of the paper. I suggest to ajust it;
- Women who is not listed in the book can not be excluded because they can not be included,
so it is a inclusion criterium;
- Table 01 - percentage is also frequency (relative frequency);
- Tabel 02 - please make a clear statment on the differency among the sample in each variable.
After this few changes, I believe that this paper is good enough to be published and it is adding
new information to the women´s health field.
Title: Magnitude and associated factors of Early Implanon discontinuation among rural women
in public Health facilities of central Ethiopia: A community-based cross-sectional study
Version: 3 Date: 02 Jan 2022
Reviewer:  Wubet Alebachew Bayih
Reviewer's report:
Most of my concerns have been fully addressed and thank you for that. Moreover, kindly ask
you to carefully consider the textual organization of your manuscript so that it can be more
palatable for the readers.  Most importantly, please go through the following issues for further
enrichment of your manuscript.
1. Kindly reduce the phrase “who removed it” from the revised title
2. The word “data” should always be followed by a plural verb.eg. Data were, Data are, etc.
3. Put reference to your definition of early implanon discontinuation
4. The authors should clearly state what direct and/ indirect beneficent actions were given to
the mothers?
5. Moreover, I am still unclear with your exclusion criteria pertaining to biological mothers.
Title: Examining Educational Attainment and Allostatic Load in Non-Hispanic Black Women
Version: 4 Date: 13 Jan 2022
Reviewer's report:
Thank you for your revision as my comments.
I think the ms has been improved and revised well.
In discussion, it is necessary to discuss the differences and similarities between education level
and AL level in Black compared with other races. For example, it is necessary to mention
whether there was a significant association between college level or higher education level and
AL level in other races. These discussions may support the need for educational support in Black
women.
The discussion of high AL due to racial discrimination in this study is so long. Since this is not
highly relevant to the results of this study, it would be better to reduce them except for contents
related to education. There is a need for further discussion, focusing on the part where the level
of education acts as a determinant of health.
Title: Magnitude and determinants of intimate partner violence against women in East Africa:
Multilevel analysis of recent demographic and health survey
Version: 1 Date: 23 Dec 2021
Reviewer:  Suzana Maria Ramos Costa
Reviewer's report:
This work is relevant to know the predisposing factors for violence inter-partners in East African
countries. I agree that  policy suggestions for better informing women about both local legislation
and the availability of health services is important, but mainly improving the educational level
of the female population so that they have good self-esteem will result in a decrease in this and
others types of violence against women.
Title: Health Literacy and Health Promoting Behaviors among Inpatient Women during
COVID-19 pandemic
Version: 1 Date: 24 Dec 2021
Reviewer:  Irene Gómez-Gómez
Reviewer's report:
- In the introduction section, I think more justification is needed as to why this study is going
to focus on women
- In the methods section I would suggest to divide  methods in subsections:
Design and setting, participants, instruments, procedure and statistical analysis
- In the methods section, I would recommed authors to include  exclusion criteria
- In methods section, I would recomed to give more information about  validity and reliability
of the Iranian version  of the HPLP-11 and HELIA.
In the methods section, I think more detail is needed for the statistical analisys section. I suggest
describing what kind of statistical analysis have been used for each variable.
- Along the manuscript I suggest being consistent when expressing statistical data. In the case of
correlations in different parts of the manuscript, the numerical results are expressed in different
ways.
- In discussion/conclusion sections I would suggest  to include a paragraph about implication
for practice of the results.
Title: The effect of self-care education program on the severity of menopause symptoms and
marital satisfaction in postmenopausal women: A randomized controlled clinical trial
Version: 1 Date: 27 Dec 2021
Reviewer:  Shirin Hasanpour
Reviewer's report:
My comments are as follows:
Abstract
-It is better to write the random allocation method in the Abstract section.
- Marital satisfaction is only a part of quality of life. In the conclusion, it is better to mention
marital satisfaction instead of quality of life.
- Please write keywords based on MESH.
Introduction
-Correct the last sentence of the first paragraph of the introduction.
Method
- In the participants' section explain more "physical and mental problems: on what basis are they
determined? Do not these problems exist during menopause?
- The primary and secondary outcomes are not specified.
- Sample size is determined based on which variable?
- In the sampling section, it is better to delete the last 4 lines because it is explained in the
intervention procedure section.
- Explain the routine care of control group in the intervention procedure section. Are all the
training sessions of the intervention group done by one person? Be explained.
Results
-The results section is well written.
Discussion
-The first paragraph of the discussion is about the importance of the study, which should be
moved to the introduction section.
- The results of the study are not well compared and discussed with similar compliant and
opposite studies.
Title: The effect of self-care education program on the severity of menopause symptoms and
marital satisfaction in postmenopausal women: A randomized controlled clinical trial
Version: 1 Date: 06 Jan 2022
Reviewer's report:
Dear authours,
1. In the baseline table / before the intervention, it is necessary to first measure the score of
MSSI-38 and RADS. To show the effect of the intervention.
2. Sample size is incorrect. Based on which article is it calculated and which software? How
much is the effect size(es)?
3. How was the training routine 5 sessions?
4. Instead of Kolmogorov- Smirnov test, it is better to use skewness and Kurtosis.
5. In what year was it done? If it was during the Corona epidemic, how was it held?
Title: The effect of self-care education program on the severity of menopause symptoms and
marital satisfaction in postmenopausal women: A randomized controlled clinical trial
Version: 1 Date: 22 Jan 2022
Reviewer's report:
Thanks to the authors for the time and effort taken to prepare the manuscript.
Evaluating the effect of a self-care education program on the severity of menopause symptoms
and marital satisfaction in postmenopausal women is very important.
I have Specific Comments as:
Sample size - Suggestion: describe the abbreviations of the formula
The educational content needs detail sufficient for other groups to repeat the study if wish.  Do
you can to attach it as supplementary material or give more detail?
You cite the normal test. Why in statistic paper If you confirm the normality, why Mann-Whitney
test?
Results: Socio-demographic characteristics has double information in table and text
Effect of self-care education on the severity of menopause symptoms and marital satisfaction
- start this text: In the methods session, you already describe the use of Mean and DP. Note
necessary repeat.
Discussion: I suggest starting the discussion with the principal result of the study.
About limitation: Do you have more limitations?
About references: 29% of References are last 5 years. If possible to actualize?
Title: Impact of prior underinsurance on cervical cancer screening among Davidson County,
Tennessee, women diagnosed with invasive cervical cancer, 2008-2018
Version: 2 Date: 29 Nov 2021
Reviewer's report:
Abstract
Lines 57-58 need to be revised. Association is not causation. The conclusion should be that it is
important to look into factors of under-screening in this population and acceptability of targeted
screening programs.
INTRO
Line 79: Please change cytological screening to co-testing or simply screening programs.
Lines 92-96 confusing. What are you trying to say here? Yes, guidelines changed allowing for
longer screening intervals. Use specific metrics about what population remains underscreened.
111 There have been many studies that look at prior insurance coverage in patients with cancer.
Please clarify what exactly you are studying that is different
117 your hypothesis “We hypothesized that women with a history of no insurance or
underinsurance would be more likely to have missed recommended screening or pre-cancer
follow-up and less likely to have screening test failure compared to women with no such history.”
Is wordy and confusing.
There was a lot of missing information.  Line 313 There wasn’t enough data for about a third
of your sample size to tell if they had prior screening. This is a big weakness particularly since
screening campaigns are common in communities.
DISCUSSION
Line 378 please reword- “an overwhelming majority of women had not adhered” puts all the
burden on the patients- do we know they were invited? Were the instructions given properly?
Your conclusions are far too broad based on your findings
Your paper needs a strengths and weaknesses section.
Title: The characteristics of husbands and violence against women in Wuhan, China: A cross-
sectional study
Version: 1 Date: 14 Oct 2021
Reviewer's report:
Domestic violence is indeed a serious global problem and it is important to understand the
various drivers of domestic violence and this can inform programming of interventions to reduce
violence against women.  I applaud the authors for adding evidence to the field of violence
prevention.
However I have a couple issues that the authors need to consider.
The main issues is about inform consent and ethics approval. The authors do not mention
anything about how informed consent was done and whether the study was approved by an
Ethics board.
The authors need to proofread the manuscript and check for grammatical errors.
The authors need to clearly define who the study population is.  They indicate that they enrolled
married women but then in the table of results have widowed/divorced category.  They need to be
more clearer on their inclusion and exclusion criteria.  They also need to outline in the methods
section how the participants were enrolled/selection ( was it random selection or every one who
met the inclusion criteria). Were there some women who refused to take part in the study?
Much as the focus of the study is the relationship between a woman's experience of violence
and her partner's characteristic, it is important to look at these in context of a woman's own
characteristic (eg her employment status, age, her education level relative to her partner's ).  The
authors also need to be clear in the manuscript whether they are looking at lifetime experience
of violence and possibly also look at past year violence as the interpretation of risk or protective
factors might also depend on this.
Title: Being Fast or Cautious? Sociocultural Conditions Influencing the Sexual Pathways of
Black Females in the United States
Version: 1 Date: 08 Nov 2021
Reviewer's report:
This manuscript represents an important topic that should garner more research than it has
previously. . The authors do a good job of laying out the rationale for the study and the results and
discussion are clear. One area mentioned in the Discussion (loss of a paternal figure) deserves
further investigation. However, some areas need further insight:
1. The overall view that there is a lack of sociocultural exploration of Black female sexual
development is not wholly accurate. There is a body of literature, albeit not as robust as for white
females, that explores various culturally specific sociocultural factors affecting development
and sexual decision-making. More of this literature should be cited.
2. The sociocultural factors impacting sexual decision-making for Black females is not
mentioned in the manuscript; however, it is highly correlated with sexual risk, STIs/HIV, and
overall outcomes. For example, the intersection of race, gender, and sexuality has been explored
in studies that show issues such as sex ratio imbalance in communities impact sexual debut
and behavior. Did the participants grow up in predominately Black, racially/ethnically mixed,
predominately White (or another race/ethnicity) environments? What was their socioeconomic
status growing up? If not addressed, this should be described in Limitations.
3. While data shows that Black females prefer Black males, it should not be implied in the
paper that those are the only choices (see #2 about where they grew up). If participants were
specifically asked about sexual encounters with Black males, indicate that in the paper.
4. Define early sexual encounters in the paper--it was in the table but came too late.
5. Were participants asked to discuss sexual encounters (particularly the first time) that were
voluntary vs. involuntary?
6. The feel of the eRsults is sort of 'bad' vs. 'good.' It felt as if the "fast" girls were discussed
from a deficit perspective and the "cautious" girls from a strengths perspective. For example,
it leaves questions about "fast" girls who had sexual health information, good parental support,
yet still engaged in risky behaviors. What is the study that would help to explain this?
7. Are there any participants who were "fast" and stayed in the "fast" lane, and the same for
"cautious?" If so, what factors may impact this?
8. Is there any information on the types of schools the participants went to--for instance, going
to a school that provided comprehensive sexual education vs. abstinence-only has an impact on
the early exposure to accurate health information.
Title: Rural-urban migration as a factor associated with physical and sexual intimate partner
violence Peru 2015-2017: a secondary analysis of a national study.
Version: 3 Date: 13 Feb 2022
Reviewer:  Sandra M. Stith
Reviewer's report:
The authors are to be commended for doing a great job with this revision.  I have only two
suggestions.
1.  The more I read this paper, the more I think it might be helpful to address the issue
of Collectivism vs. individualism.  Several authors have examined how collectivism vs.
individualism impacts IPV. There is a measure used to determine the status of countries on these
issues.  I looked on the Internet and found “Peruvians to be highly collectivist and share a sense
of solidarity.”  People in collectivist countries “are often interdependent and will often prioritize
the needs of their group over their personal desires”.   The US is an individualistic country where
people are more independent.   Why this concept may really be important to address in your paper
is that Collectivism might explain that women in Peru may be close to their families and rely
on them. If their families live in rural areas (which may be more common than living in urban
areas) moving to urban areas away from their families of origin may be especially challenging.
When they move away from them to a more urban area, they may not have the family to rely on
which may make them more vulnerable to IPV.  In many ways the authors have explained this,
but have not used the concept of collectivism which I think would improve the paper.
2.  In the discussion, on page 11,  the authors use the term "on the other hand".
"The results of the comparisons of IPV among women with different internal migration
flows and nonmigrants complement the information from previous studies, including a study
conducted in Peru with rural-urban migrant women that identified a high prevalence of domestic
violence and related it with mental health problems (32). On the other hand, research on married
working couples who migrated from a rural area to an urban area in China found a high
prevalence of IPV (15).
The  concept, “on the other hand,” indicates that the China study results were different, but
they didn’t seem different to me.  A better word, if the results are similar, would be to say, “In
addition, research on married working couples…..”
Overall, you’ve done a nice job responding to critiques.
Title: Rural-urban migration as a factor associated with physical and sexual intimate partner
violence Peru 2015-2017: a secondary analysis of a national study.
Version: 4 Date: 01 Mar 2022
Reviewer:  Sandra M. Stith
Reviewer's report:
After carefully reviewing the revised manuscript, I recommend publishing it with no additional
revision.  I believe it it is well-written and adds much to the field.  I enjoyed reading the paper.