JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 1 Date: 19 May 2023
Reviewer's report:
Thanks for raising an important issue. The introduction is relevant and context-based. Sufficient
information about the previous study findings is presented for readers to follow the present
study rationale and procedures. But the introduction and background section needs to be more
descriptive. Weak methodology section. The methodology section contains only theoretical
information but could not justify the reasons for using particular methods/ techniques/sampling
for the research. Furthermore, the results paragraph needs to be summarized in order to provide a
more fluent section for the readers. Also, the most relevant study limitations/shortcomings need
to be appropriately described as the main caveats have been only partially reported.  Finally,
what is the take-home message of this manuscript? Explain more in the conclusion section.
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 1 Date: 21 May 2023
Reviewer's report:
- Results in part of abstract were difficult to understand so this part should be revised.
- Background in part of introduction should be changed. Important of preoperative diagnosis
between leiomyosarcoma and low grade endometrial stromal sarcoma should be mentioned.
- What is the study design of this study?
- Eligibility criteria and exclusion criteria of participant should be detailed.
- Diagnostic criteria of uterine sarcoma such as leiomyosarcoma or endometrial stromal sarcoma
should be added.
- Were immunohistochemistry stain of specimens applied to increase specificity of diagnosis?
- What was the missing data of this study and how to deal with missing data?
- The main findings in this study such as history of myomectomy, tumor diameter, and
hypervascularity of uterine mass on ultrasound should be described in point estimation and their
precision.
- Plan of future research that reported in part of discussion was not clear.
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 2 Date: 13 Jun 2023
Reviewer's report:
I read with great interest the Manuscript titled “Clinical features of uterine sarcomas presenting
mainly with uterine masses: a retrospective study” , topic interesting enough to attract readers'
attention
The quality of the manuscript has improved thanks to the changes made. The methodology is
accurate, and conclusions are supported by data analysis.
Considering all these points, I think it could be of interest to the readers and, in my opinion, it
deserves the priority to be published.
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 2 Date: 20 Jun 2023
Reviewer's report:
- Table2 compared baseline characteristics of participant between uterine leiomyosarcoma and
low grade endometrial stromal sarcoma groups thus discussion and conclusion of ultrasound
features/ history of myomectomy on uterine sarcoma was incorrect.
- Please described this sentence (uLMS tumor cells may have been present in previous uterine
fibroids, and residual cells may progress to uLMS) in more detail and insert citation.
- What is the limitation of retrospective nature in this study?
e.g. lack of information on ...
- Conclusion of this manuscript should be stated as ultrasound features and a history of uterine
fibroids may alert clinicians in suspicion of uterine leiomyosarcoma when compared with low-
grade endometrial stromal sarcomas.
Title: Clinical features of uterine sarcomas presenting mainly with uterine masses: a
retrospective study
Version: 3 Date: 27 Jun 2023
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (Brief or other article types: is there a clear objective?)
Yes - there is a clear objective
DESIGN - Is the current approach (including controls and analysis protocols) appropriate for
the objective?
Yes - the approach is appropriate
EXECUTION - Are the experiments and analyses performed with sufficient technical rigor to
allow confidence in the results?
Yes - experiments and analyses were performed appropriately
STATISTICS - Is the use of statistics in the manuscript appropriate?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: I carefully evaluated the revised version of this manuscript.
The authors have performed the required changes, improving significantly the quality of the
paper.
Title: Factors influencing the prevalence of cervical cancer screening in Malaysia: A nationwide
survey
Version: 1 Date: 06 Jun 2023
Reviewer:  Tengku Muhammad Hanis
Reviewer's report:
General
- The paper described the influencing factors of the prevalence of cervical cancer screening in
Malaysia.
- This study utilised national-level data involving all the states in Malaysia, which is the main
strength of the paper.
- Overall, this is a well-written paper and has good potential.
Title
- No comment.
Keywords
- No comment.
Abstract
- No comment.
Intro
- Lack of background comparison with other Asian or SEA countries.
Methods
- No comment.
Results
- Weighted estimated population in Table 1 and Table 2 should be explained in the method
section – how it was derived.
- Ethnicity in Table 3 should be correctly formatted.
- In Table 3, does the unadjusted model the same as the univariable association mentioned in
Methods (Subsection Data Analysis) – if it is, please standardise the term used throughout the
paper.
- In Table 3, does the adjusted model the same as the multivariable regression mentioned in
Methods (Subsection Data Analysis) – if it is, please standardise the term used throughout the
paper.
- Table 3, why there is no OR and CI for the rest of the ethnicity group – Indian, Other Bumiputra
and Others, Marital Status – Widowed/Divorcee, Education Level – secondary, tertiary. – does
an unadjusted model mean the author did univariable logistic regression?
Discussion and conclusion
- Prevalence of cervical cancer screening was 35.2%. It will be quite interesting to know the
prevalence of neighbouring or other SEA countries.
- Age > 60 had lesser odds of having a pap smear compared to 18-34 – this result contradicted
the statement “Growing older may be associated with increased disease risks, resulting in an
increase in the frequency of clinic visits and the likelihood of disease screening, including cancer
screening” – this result should be discussed as well.
References
- Adequate.
Title: Factors influencing the prevalence of cervical cancer screening in Malaysia: A nationwide
survey
Version: 1 Date: 09 Jun 2023
Reviewer's report:
I read with great interest this study and I am pleased to review it. The abstract in well organized
and clear. I think that the discussion could be analyzed in depth, adding some aspects of the
prevention of cervical cancer. In particular, I think that in order to have a complete exposition
of the topic the treatment of early cervical cancer should be reported. This should be done, in
order to  highlight that an appropriate screening and treatment are fundamental for eradicate
this disease. In particular I suggest these articles as an exapmle: PMID: 37149905 and PMID:
36141917.
Tables are clear. Considered all these points, I think it could be of interest for the readers and,
in my opinion, it deserves the priority to be published after minor revisions.
Title: Factors influencing the prevalence of cervical cancer screening in Malaysia: A nationwide
survey
Version: 1 Date: 11 Jun 2023
Reviewer:  Giorgio Bogani
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.
Although the manuscript can be considered already of high quality, I would suggest to take into
account the following minor recommendations:
- I suggest another round of language revision, in order to correct typos and improve readability.
-The introduction should be extended and completed. I find interesting to include a reference
to the risk factors that influence the persistence of HPV infection after conization (see PMID:
36992282).
- I would recommend to stress novel evidences about the prevalence of high-risk HPV infections.
- I also suggest authors to better organize the discussion section following this ideal structure:
main findings of the study, strength and limitations of the study, implications and comparison
with literature, future directions.
- Discussions can be expanded and improved by citing articles about patients' obstetrical
outcomes after treatment (I suggest authors to read and insert in references the following article
PMID: 33140628).
- The authors have not adequately highlighted the strengths of their study. I suggest better
specifying these points.
For all these reasons, I recommend the publication of the article, pending few minor revisions.
Title: Factors influencing the prevalence of cervical cancer screening in Malaysia: A nationwide
survey
Version: 3 Date: 27 Jun 2023
Reviewer's report:
I read with great interest the Manuscript titled “Factors influencing the prevalence of cervical
cancer screening in Malaysia: A nationwide survey”, topic interesting enough to attract readers'
attention
The quality of the manuscript has improved thanks to the changes made. The methodology is
accurate, and conclusions are supported by data analysis. References are relevant to the search.
Considering all these points, I think it could be of interest to the readers and, in my opinion, it
deserves the priority to be published.
Title: Factors influencing the prevalence of cervical cancer screening in Malaysia: A nationwide
survey
Version: 3 Date: 29 Jun 2023
Reviewer:  Tengku Muhammad Hanis
Reviewer's report:
The authors have addressed most of my concerns  (thank you for that) though a few remained
unanswered.
Point 3:
- “Ethnicity” in Table 3 was not correctly formatted even though the authors mentioned in the
response letter that they have corrected it. The term “ethnicity” should be unindented.
Point 6:
- The authors did not address my concerns. The author mentioned that they did a univariable
logistic regression in Table 3 for an unadjusted model. So, the authors should present the OR
and 95% CI values in Table 3 for the rest of the sublevel for age group (>60), ethnicity group
(Indian, Other Bumiputra and Others), Marital Status (Widowed/Divorcee), and Education
Level (secondary, tertiary).
- If other statistical tests/analyses are used, it should be clearly explained in the method section.
New comments:
- Change from “univariate” to “univariable” or "simple" and “multivariate” to
“multivariable” (please refer to https://doi.org/10.2105%2FAJPH.2012.300897 for more detail).
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 2 Date: 16 Dec 2022
Reviewer's report:
Title :  Fetomaternal outcome and factors associated with term premature rupture of membrane:
Case-control study in SPHMMC, Addis Ababa, Ethiopia.
General comment:
- The analysis need re-analysis.
-  Follow the BMC manuscript guideline?  Without page number and  line number   difficult
to communicate.
-  Abbreviation is not recommended to Titles? How many scientific community understand
“SPHMMC”
Specific Comment:
1. “ The questionnaire's internal consistency was checked using Cronbach’s alpha 0.79”  was
the sample size enough based on the available  items  to test consistency and reliability?
2. What is services 24/7 with , Is that 24  hours and 7 days, , it is not clear?
3. “ The principal investigators and supervisors supervised the data collection process on daily
basis for completeness and “   the sentence Ends with and , not clear? There is a missing word
after and?
4. Table 6: 0.129(0.28,1.298): How  OR  is out of between confidence interval ? 0.129 is out of
0.28 and 1.29 , it should be between 95% CI
5. Table 6: 15.236(2.766,9.913): 15 is not found between 2.7 and 9.9? It needs further analysis ?
6. Table 6: “ Inter pregnancy interval in months”  variable : SPSS has no any control mechanism
that can make  at the middle of respondents?
7. Discussion section  start with summary result paragraph?
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 2 Date: 02 Jan 2023
Reviewer's report:
Generally comment
The paper's overall language quality is poor; there are numerous grammatical errors throughout
the entire manuscript. Before the next submission, I recommend that the entire manuscript
should be revised.
Major revision required
1. The title misrepresents the study. As a result, the title need modification.
2.  Because the study is not novel, numerous studies, including a systematic review and meta-
analysis, were carried out. So, what new information has been added to the obstetrical literature
and scientific community?
3. The abstract did not adequately reflect the aspects of the study (background, methods, results,
and conclusions). Revise it once more.
4. I'm not convinced by your title, objective, or study design. Your chosen study design does
not answer the research question based on your title and study objective. Because your chosen
study design only addressed the factors of premature membrane rupture. As a result, your
title should be modified to "Determinants of Term Premature Membrane Rupture in Pregnant
Women Admitted to SPHMMC."
5. What was the study population for this study?
6. What was the inclusion/exclusion criteria for this study?
7. Where is your reference for the definition of the variables in your research (short
interpregnancy interval, optimal interpregnancy intervals, longer interpregnancy intervals, early
ultrasound, and abortion)? Please include a reference for the operational definition.
8. On the result table, you put unknown and others as categories; what did this indicated?
9. On table 5, when presenting the data in table form, first put the frequency, then the percentage,
and then revise all based on this.
10.  Wide confidence intervals may indicate insufficient sample size to detect the role of some
factors in the Term premature rupture of membrane case. For example, the inter-pregnancy
interval and the place of ANC follow-up. So these variables affect the study's power, and you
must be categorize again and conduct additional statistical analysis.
11. Before the next submission, the entire document needs significant language correction.
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 4 Date: 01 Mar 2023
Reviewer's report:
Reviewer comments
The paper was improved, but I still have a concern about the following point.
1.  On table 1, 2, 4, and 5, some categorical variable reported as 0 on two by two table should
be categorized and analyzed again, or simply written in text form rather than put on table.
2. Why only variables with bivariate p were values less than 0.25 included in multivariate
analyses?
3. What is Nagelkerke R square?
4. What is your recommendation for place of ANC follow up other institution was risk factor
for term premature rupture of membrane? What is your possible explanation for this?
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 4 Date: 03 Mar 2023
Reviewer's report:
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia.
The revised manuscript incorporates the comments.
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 8 Date: 15 Mar 2023
Reviewer's report:
All the comments given by both reviewers were addressed except one comment by reviewer 2
which is "Why only variables with bivariate p were valued less than 0.25 included in multivariate
analyses?"  was not properly addressed
Title: Determinants of term premature rupture of membrane: Case-control study in Saint Paul’s
Millennium Medical College Hospital, Addis Ababa, Ethiopia
Version: 8 Date: 27 Mar 2023
Reviewer's report:
Reviewer comments
Thank you for the opportunity to review this manuscript I read the revised manuscript in detail
and the manuscript is well-structured and written in a good manner.  However, I raised some
minor comments and suggestions below.
Minor revision
The paper's overall language quality is still  low; there are numerous grammatical errors
throughout the entire manuscript.  I recommend that the entire manuscript be revised by a native
English speaker again.
On line 128, Under Definition word you put citation, please remove it.
Title: Postpartum depression in Vietnam: A scoping review of symptoms, consequences, and
management
Version: 2 Date: 12 Feb 2023
Reviewer's report:
The manuscript analyzes and synthesizes the findings of studies on PPD examining the
symptoms, consequences, and management strategies among Vietnamese women. Thank you
for studying PPD. Overall, the manuscript is well-written, the structure is basically complete,
and the language is relatively fluent. However, this scoping review is limited to Vietnamese
women. The discussion section in current format with limited quoting to international references
in order to put the study findings in a wider context could limit the usability of the report for
the broader range of potential readers.
Title: Postpartum depression in Vietnam: A scoping review of symptoms, consequences, and
management
Version: 4 Date: 15 Mar 2023
Reviewer's report:
The authors have addressed some but not all of my concerns
The biggest concern remains the clustering of postpartum symptoms. The authors provide no
current theoretical basis to this statistical strategy nor provide strong evidence that there is some
temporal advantage  to clustering in terms of early detection. This is simply conjecture. In
addition, they state they will investigate the concept of clustering in the future. Thus, their use of
this strategy in the present manuscript  is premature.  Clustering weakens this manuscript and is
not necessary to the importance of examining PPD in a Vietnamese population of women. The
EPDS (which most of the reviewed papers used) Is a well established (albeit not without some
criticism)screening tool with specific cut off scores. The tool captures both mood and anxiety
symptoms. No information was given as to why clustering would be superior to the data arising
from the use of the EPDS.
In the background the authors touch on the stigma and common barriers to increasing public
awareness regarding mental health problems in general, to supporting  Vietnamese women
sharing their postpartum symptoms and to provide effective interventions. This is not expanded
on in their discussion of the challenges of implementing any type of screening or early detection
strategies.
Other issues:
The definition of PPD is equivocal, eg. in the DSM it is placed as a MDD with postpartum onset
within 4 weeks of birth, while the ICD-10 indicated with 6 weeks of birth. I suggest the authors
use a published definition and state they will use this as their operational definition. Their use
of the term blues as part of their own definition can infer "baby blues" is also included.
In their response to previous comments, they indicated they could not find the prevalence rate
in Asian women so removed that text from the latest draft, but it looks like it is still there.
The second paragraph of the background requires careful review for clarity and sentence
structure. Examples of text that lacked clarity:
- literally synthesized
-depression is often not well concerned
-diagnostic guidelines linking symptoms and co-occurring symptoms
The discussion and conclusion focuses on the very early period after birth (first 4 to 7 days),
the need to assess all women at this time and to intervene. The authors do not support their
statements with evidence that it is necessary in all women. Indeed,  antepartum risk assessment
to identify those at risk  for PPD is a more common focus of current literature. Although I
understand that the authors ' priority is on Vietnamese literature, there should be more references
to current  strategies in other countries to identify women at risk and to develop and test novel
intervention strategies.
Title: Postpartum depression in Vietnam: A scoping review of symptoms, consequences, and
management
Version: 7 Date: 08 Jun 2023
Reviewer's report:
The manuscript is again significantly improved. I have made some editing suggestions to
simplify 2 sentences and correct the word "timing" in specific places as i think you are referring
to "timely".
All other of my previous comments and suggestions have been addressed in your response to
the reviewer document and in the revised manuscript
Title: Effectiveness of physical therapy interventions in women with dyspareunia: A systematic
review and meta-analysis
Version: 2 Date: 20 Jan 2023
Reviewer's report:
Dear authors
Your  manuscript offers some insight on the effectiveness of physical therapy interventions in
women with dyspareunia. I think the topic is interesting,  nevertheless I suggest major revision
to the article and i have the following comments:
1. Major English revision is required and strongly recommended through the paper.
For example: Line 28: sexual intercourse, which directly affects physical, sexual and mental
health.
Line 32 a systematic search and metanalysis was conducted..
Eg: Line 60: among painful disorders dyspareunia stands out. The onset of pain..
2. Please leave the reference at the end of the line.
3. I suggest to differentiate between superficial and deep dyspareunia not just in the introduction
but also for the analysis and through the manuscript because the two symptoms may have
different pathogenesis and regarding the main topic of the review and meta-analysis it may
beneficiate from different therapies in particular superficial dyspareunia may beneficiate from
pelvic floor physical therapy.
4. I would to suggest to insert among articles included and references a randomized control
trial which is not mentioned on pelvic floor physiotherapy in women with endometriosis
and superficial dyspareunia (Del Forno S, Arena A, Pellizzone V, Lenzi J, Raimondo D,
Cocchi L, Paradisi R, Youssef A, Casadio P, Seracchioli R. Assessment of levator hiatal
area using 3D/4D transperineal ultrasound in women with deep infiltrating endometriosis and
superficial dyspareunia treated with pelvic floor muscle physiotherapy: randomized controlled
trial. Ultrasound Obstet Gynecol. 2021 May;57(5):726-732. doi: 10.1002/uog.23590. PMID:
33428320). The absence of this article means that the review was not complete therefore the
analysis should be reviewed. I have some doubts on the quality of the research. Therefore I think
the paper should be major revised or in case of the impossibility to correct this major error it
should be rejected.
5. In the Material and Methods part, you should  clearly state the type of paper (eg: this is a
systematic review and metanalysis).