JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: How do women living with HIV experience menopause? Menopausal symptoms, anxiety
and depression according to reproductive age in a multicenter cohort
Version: 5 Date: 28 Apr 2021
Reviewer's report:
The authors did not address any of my comments from first review, so I copied them again here:
Thank you for the opportunity to review this paper examining the prevalence of menopausal
symptoms and anxiety/depression according to menopausal status among women living with
HIV. It is well known that peri and postmenopausal women are more likely to experience
menopausal symptoms than premenopausal women. This association would not be different
among women living with HIV. Every woman would go through the menopausal transition
regardless of HIV status, but some may experience severe menopausal symptoms or early
onset symptoms. What is less clear and would add new knowledge to the literature is the
factors associated with severe menopausal symptoms among women living with HIV. My main
comments are:
1. It would be much more important to examine the factors associated with the severity
of menopausal symptoms among HIV-infected women, adjusting for menopausal status. For
instance, whether HIV-positive women with drug use, poor social support, sexual relationship,
alcohol consumption, different treatments, and poor clinical/immunological condition are more
likely to experience severe menopausal symptoms.
2. Table 1 shows the demographic and clinical characteristics according to menopausal
status, but the results and interpretation don’t make sense. For instance, authors found
that “premenopausal women were more likely to have been born in countries than Span
compared with peri- and postmenopausal women”. Every woman would go through different
stages of menopause, regardless of their demographic characteristics, unless examining certain
characteristics associated with early onset of menopause (<45 years).
3. Around 5-10% of women experience earlier menopause before age 45 (defined as early
menopause). There is some evidence that women living with HIV may experience earlier
menopause and early onset symptoms than HIV-negative women. However, this study only
included women aged 45-60 years, which excluded those women with early menopause and
experiencing symptoms.
4. A large proportion of women living with HIV would have a history of anxiety and depression,
which is not considered as menopausal symptoms during the menopausal transition. It makes
more sense to consider anxiety and depression as a factor associated with menopausal symptoms
adjusted for menopausal status. I would expect women with anxiety/depression are more likely
to report severe menopausal symptoms.
Title: Prevalence of Premenstrual Syndrome and its Association with Psychosocial and Lifestyle
Variables: A Cross-Sectional Study from Palestine
Version: 1 Date: 05 Mar 2021
Reviewer's report:
Although the purposes of this study are right and the method and experiments are valid, the
manuscript needs to be modified, explained, and revised in the following cases:
Abstract section:
• Shorten the background
• Name the tools for measuring eating habits.
• Write the measurements method.
• Which version of the SPSS software is used?
• It is better to write about the prevalence of the syndrome than the symptoms.
• Write p value in parentheses.
Key words:
• Write according to the mesh
Introduction section:
• Shorten the background.
• Report Common symptoms.
• Studies have been done on the factors affecting the syndrome that should have been used more.
• Discuss the contradictions in other studies.
• The challenge and need for research should be written more clearly.
Materials and Methods Section:
• Sampling did not appear to be random. If the sampling was random, tell us more about how
to do it.
• The mentioned formula is to calculate the sample size, to be modified.
• In which part is the ANOVA test used?
• Use correlation tests such as Pearson and regression to examine related factors.
Result section:
• The data is repeated both in the written text and in the tables.
• The tables are not clear. p-value related Which variables?
• The table of Relationship between premenstrual syndrome symptoms & socio-demographic
characteristics was not in the text
• The table of Relationship between premenstrual syndrome symptoms and body weight status
and dietary habits is incomplete and it is not written p-Value.
Discussion section:
• The discussion section is long and should be shortened.
• Write suggestions for future studies.
• Also write the strengths and limitations of the study.
Title: Prevalence of Premenstrual Syndrome and its Association with Psychosocial and Lifestyle
Variables: A Cross-Sectional Study from Palestine
Version: 1 Date: 09 Mar 2021
Reviewer's report:
There are some defects in the research design, which makes the research conclusion worth
discussing.Such as random selection is not clear.
The statistical method is not used correctly. For example, the rank sum test should be used for
the two continuous variables in Table 7 and 8.
Title: Prevalence of Premenstrual Syndrome and its Association with Psychosocial and Lifestyle
Variables: A Cross-Sectional Study from Palestine
Version: 1 Date: 25 Mar 2021
Reviewer's report:
In the section of Background, the content should be divided into several modules to more clearly
present different subjects.
The introduction of study instruments should be divided into separate paragraph for more clear
understanding.
The reliability and validity of measurement tools in this study need to be clarified.
The section of discussion should be divided into separate paragraph, to present several modules
that should include separate subheading.
The limitations of this study should be mentioned.
The evaluation criteria of measurement of psychosocial status should be clarified.
The section of statistical analysis needs to be review by professional statisticians.
Title: Prevalence of Premenstrual Syndrome and its Association with Psychosocial and Lifestyle
Variables: A Cross-Sectional Study from Palestine
Version: 4 Date: 22 Apr 2021
Reviewer's report:
Thanks to the corrections made, some points need to be corrected:
1- It was written in the sampling section:" This cross-sectional study took place in January
and February 2019 at An-Najah National University’s three campuses located in Nablus and
Tulkarem, Palestine.  A total of 433 female students from different faculties were randomly
invited to join the study and sign the consent form. "
Please write to me how selected 3 campuses in your study because according to the title you are
going to generalize the results to one country.
In the case of samples, it is only mentioned that they were randomly selected, but it must
be written exactly how the sampling was done, for example used table of random numbers,
classified, and so on.
2-  In author's description stated that ANOVA test was used to examine the relationship, while
ANOVA is not a test to evaluate the relationship and cannot be used for this purpose. It is better
to use regression to determine the relationship, but first univariate regression should be done
and written in the table, and then multivariate regression should be done based on that. Delete
the rest of the relation analysis you wrote like the analysis of Tables 6 and 7. Regression is a
comprehensive test that encompasses all.
3- If the checklist is used to check eating habits during menstruation, write it down carefully.
4- For all questionnaires, indicate what method was used to check the validity and who has
verified the validity.
5- For all questionnaires, mention how reliability was assessed in your study.
6- Write demographic information in a table and remove them from the text.
Title: Oral Contraceptives and hypertension in women; Results of the enrolment  phase of Tabari
Cohort Study  
Version: 0 Date: 27 Jan 2021
Reviewer's report:
The study reported an interesting and current topic: use of OCP and hypertension. The role of
contraceptives in hypertension is well studied, the article confirms these findings and raises the
hypothesis that there may be a relationship between longer use of COC and development of
SAH, a result that needs to be better discussed.
ABSTRACT: objective need to be reviewed (a cross-sectional study could not answer “OCP
consumption in developing hypertension”) – see how you write it in introduction article section.
Methodology (study design, study period) needs to be clearer, more objective and complete.
Results: mention others risk factors analyze such as obesity, smoking, WC.
METHODS: Despite being well described more details in article 8, I believe that is important to
rewrite important topics, such as recruitment period, protocol of data collection. Did the authors
ask only about previous use or current use of OCP?
TABLES: describe all initials and statistical tests used in each one.
DISCUSSION: in addition to comparing, it with other studies, justify your results.
CONLCUSION: as a cross-section study, you can not say that: “causal association which means
that OCP can be an independent risk factor for hypertension.”
Title: Oral Contraceptives and hypertension in women; Results of the enrolment  phase of Tabari
Cohort Study  
Version: 0 Date: 14 Feb 2021
Reviewer:  Jacqueline Wille
Reviewer's report:
Overall, I think that the substance is here for a published manuscript. However, the number of
basic errors in data reporting and interpretation I noted without access to the full dataset suggests
that careful internal review of manuscript should be done (including by a trained biostatistician)
before resubmission.
Title: Cross Cultural Workers for women and families from migrant and refugee backgrounds:
A mixed-methods study of service providers perceptions
Version: 1 Date: 25 Feb 2021
Reviewer:  Clemence Due
Reviewer's report:
Thank you for the opportunity to review this timely study concerning maternity care for women
with refugee and migrant backgrounds. It was a pleasure to read about a program which may
lead to the provision of more inclusive care for this group of women.
I have some suggestions which I hope will help to strengthen the paper.
One key question relates to women with refugee backgrounds specifically, and the terminology
of 'migrants and refugees'. As I am sure the authors know, refugee background women
have additional risk factors and 'vulnerabilities' when compared to most women with migrant
backgrounds. However in the paper this is not really explored. I would suggest that a brief
acknowledgement of this in the limitations would be useful - and a nod to future research
considering refugee women specifically. In addition, I think adding definitions or an explanation
for how the term "with migrant and refugee backgrounds" is used. The paper also begins by
noting the number of asylum seekers, however asylum seekers themselves are not returned to in
the paper. I would suggest either deleting this and noting in the definition that asylum seekers
are outside the scope of the paper or using the definition to specifically include asylum seekers
within the term 'refugees'. Relatedly it would be helpful to know if the CCW program is available
to asylum seeker women or not, and some details about how may refugee background women
specifically access CCWs.
I also wanted some more details regarding the CCW program more generally, including
particularly whether the language and cultural/ethnic backgrounds of the CCWs are the same as
those of the bulk of their clients/patients or if it differs.
A couple of (small) suggestions for the methods: 1) It might strengthen the paper to have a
reference to saturation. Not all qualitative research uses saturation, although it is common in
content analysis. A reference may head off such critiques; 2) Consider a brief description of the
survey in the body of the text for readers who may be unlikely to read supplementary materials,
and; 3) in limitations perhaps reflect on the fact that some interviews were quite brief.
The analysis is well done and clear, with clear findings and good, representative extracts.
However, I think the authors should consider weaving the findings from the CCW interviews
through the rest of their analysis. This would add nuance to the findings and also alert the reader
to when findings may be a function of some participants not having had much to do with the
program, and where the findings reflect those with the most expertise. Many of the findings
from the CCWs do indeed map - and sometime clarify - the existing 'themes' from the content
analysis so I don't not think this would be onerous to do but would make for a more consolidated
results section.
Thank you again for the opportunity to review this paper and I hope this feedback is helpful.
Title: Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma
University Medical center, Southwest Ethiopia
Version: 2 Date: 08 Feb 2021
Reviewer:  Tadesse Nigussie
Reviewer's report:
The manuscript tied to address the critical issues of women in developing countries specifically
Ethiopia. But the manuscript has many defects.
1. Over all the arrangement of manuscript is not good
2. There are many editorial problems like grammar, punctuation and word usage.
3. Sample size has to be added in the abstract.
4. The study design also not well explained how cross sectional study can address the issue. Or
it has to be follow up study.
5. In the abstract part of result section the last sentence is not clear. You start declaring
significance at less than 0.05 but you are saying “But, the result showed
there is no significance difference in mean value pre and post-operative (p=.048).”
6. Ethical clearance is not placed in appropriate place.
7. Sample size calculation and sampling technique are not well written.
8. It is better if linear regression conducted to assess factors associated with quality of life.
9. Over all the manuscript needs modification.
Title: Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma
University Medical center, Southwest Ethiopia
Version: 2 Date: 17 Feb 2021
Reviewer's report:
Evaluation study: "Quality of life of obstetrics fistula patients before and after
surgical repair in the Jimma University Medical center", Southwest Ethiopia presents an analysis
on an important aspect of clinical treatment, which is the quality of life.
The research should be supplemented with:
1. Bioethics Committee approval number
2. Brief description of surgical method
Title: Quality of life of obstetrics fistula patients before and after surgical repair in the Jimma
University Medical center, Southwest Ethiopia
Version: 6 Date: 16 Apr 2021
Reviewer's report:
The article "Quality of life of obstetrics fistula patients before and after surgical repair in
the Jimma University Medical center, Southwest Ethiopia" has been corrected according to
submitted comments. I propose to publish the article.
Title: Clinical analysis of the MyoSure hysteroscopic tissue removal system of endometrial
polyps in women with an intact hymen
Version: 1 Date: 14 Mar 2021
Reviewer:  Aysel Nalcakan
Reviewer's report:
First of all, I was very interested in your study because of the problems we face to face in our
country in the necessity of invasive procedures in patients with intact hymen. I would like you to
share a few photos taken during myosure application in this procedure. What kind of preparation
did you use for cervical ripening? and have you got any patients that you can't get past the
cervical os?
(Since the help of a teneculum cannot be taken to correct the uterine axis)
Thank you very much.
Yours sincerely
Dr. Aysel Nalçakan
Title: Clinical analysis of the MyoSure hysteroscopic tissue removal system of endometrial
polyps in women with an intact hymen
Version: 1 Date: 21 Mar 2021
Reviewer's report:
Thank you for the opportunity to evaluate this report. The paper is about the efficacy and safety of
MyoSure hysteroscopic tissue removal system in women with endometrial polyp and with intact
hymen. I think this paper requires revision before publication. I have the following comments:
1. You should complete the information about the manufacturer of the sodium hyaluronate gel
and MyoSure system (city, country).
2. In the material and method section, you should define which parameters you evaluated (such
as surgical time time, amount of intraoperative bleeding, intraoperative complications, polyp
size, number and location, etc.)
3. How did you measure the amount of intraoperative bleeding? Please describe it in the materials
and methods section.
4. According to which did you determine the size of the polyp? By ultrasonography or by
hysteroscope? Please define it in material and methods section.
5. The statistical methods should be defined in material and methods section.
6. Please check the preoperative hemoglobin value in table 1. Is the value of 111.63±23.78 g/
dl true?
7. Please discuss the strengths and limitations of the study.
8. You should add a conclusion paragraph indicating the main results of the study.
Title: Clinical analysis of the MyoSure hysteroscopic tissue removal system of endometrial
polyps in women with an intact hymen
Version: 3 Date: 11 May 2021
Reviewer:  Funda Akpinar
Reviewer's report:
Dear Authors,
I read your manuscript. The subject is interesting and it is finely written. The revisions requested
by the reviewers were completely replied. Thank you:)
Regards,
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 2 Date: 31 Jan 2021
Reviewer's report:
-The first time you use the acronym QOL it doesn't explain it.
-Includes patients with early menopause when symptoms may be different.
-It does not specify the time of menopause, which can be a confusing factor.
-It necessary to demonstrate the normality of the data to use means and standar desviation in
table 1 and 2.
-I would remove the economy in table 3 and I would do the statistics again
-Review bibliographic reference 2,5, 12, 15, 16 and 32.
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 2 Date: 06 Feb 2021
Reviewer's report:
Is it total score?
It should be wrong
Because MENQOl has higher score
Write complete form for the first time
If they are postmenopausal why 40????
Use these articles in your discussion:
1- Effects of training the menopausal health to the husbands on perceived social support among
women during transitional period to menopause
2- Association between Lifestyle and Severity of Menopausal Symptoms in Postmenopausal
Women.
3- Predictors in Initiating and Maintaining Nutritional Behaviors to Deal With Menopausal
Symptoms Based on Multi-Theory Model
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 2 Date: 12 Feb 2021
Reviewer's report:
The manuscript presents correctly conducted research. There are no mistakes, however, these are
very simple results, not bringing too much new. There is already a huge amount of publications
on the quality of life in postmenopausal women. The lack of novelty of this research is my main
complaint.
Taking into account the excellent scientific technique of the authors, I suggest you to try to create
a meta-analysis and systematic review on the impact of various factors on the quality of life of
perimenopausal women. Such a manuscript would allow broader conclusions to be drawn and
used by a larger audience.
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 2 Date: 17 Feb 2021
Reviewer's report:
The study addresses an interesting but not innovative theme. Its importance is loco-regional
since the subjects have peculiar characteristics making it difficult to extrapolate the results to
other populations of postmenopausal women.
The descriptive cross-sectional study is correct but the statistical analysis was not entirely clear.
Although the authors mentioned Pearson's correlation twice on paper, it was not demonstrated
in the results.
English is clear in general but some phrases are confusing, especially when using linking words,
in addition to very long phrases. It is recommended to revise and adapt the English.
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 4 Date: 20 Mar 2021
Reviewer's report:
I suggest standardizing the number of study participants (45-70 years???) in the sections:
Materials and methods, Sample size and Study group.
Because you say "270 women aged 40-60 years". I agree that older women (45y) fits better, but
I would keep the 60y limit as originally idealized.
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 4 Date: 30 Mar 2021
Reviewer's report:
Abstract and the Results section and tables must be imroved.
In Abstract:
1) there is not a direction of correlations,
2) "...compare MENQOL item scores " between what?
3) p value is not needed
Results section should be divided into subsections and modified.
In table 3 I wasn't sure if beta is a mean percentage difference, rather correlation coefficient,
not odds ratio if dependent variable is numerical or is it binomial? and then you should use a
logistic regression, not linear.  Exercise is a categorical variable with 3 categories, so it should
have 2 coefficients. Table 3 is not necessary because the same could be concluded from table
1 in the last column.
Title: The Factors Associated with the Quality of Life among Postmenopausal Women
Version: 5 Date: 18 Apr 2021
Reviewer's report:
1) I didn't mean to delete all p values in the whole manuscript, but I wanted you to delete a word
"value" and leave only "p" instead of "p-value".
2) If you deleted table 4, you should also delete about regresssion in the Statistical methods
section.
3) The results are too briefly and too poorly described both in the Abstract and in the Results
section. It is not enough to write that there is an association between something and somethind,
but it is necessary to write what this association is about, e.g. smokers had a significantly better
quality of life or Smokers assessed their quality of life significantly better than non-smokers
(average scores for smokers vs average scores for non-smokers, p =....) etc. , and in what
dimensions ...
Title: Breast cancer on social media: a quali-quantitative study on the credibility and content
type of the most shared news stories
Version: 0 Date: 30 Mar 2021
Reviewer's report:
I congratulate the authors on the hard work of preparing this very interesting qualitative-
quantitative study on the type and value of information on breast cancer that is shared on social
media. I believe this is an important public health issue that has probably been overlooked for too
long. This article brings valuable information which could represent a starting point for public
health authorities to build a coordinated information campaign on social media platforms. The
article is well written and understandable from a clinician’s point of view.
I have the following comments:
- I suggest the article to be shortened for easier reading.
- I think tables 5 and 6 should be omitted and the relevant statistical conclusions presented in
the text only.
Title: Breast cancer on social media: a quali-quantitative study on the credibility and content
type of the most shared news stories
Version: 2 Date: 27 Apr 2021
Reviewer:  Pia Vra#ko
Reviewer's report:
Dear Authors,
I find your revision properly addressing all reviewers' suggestions. The manuscript is now
improved and ready to be published.
Congratulations for excellent work!
Yours sincerely.
Title: Postoperative urinary retention after pelvic organ prolapse surgery – influence of peri-
operative factors and trial of void protocol
Version: 1 Date: 17 Jan 2021
Reviewer:  Adnan Orhan
Reviewer's report:
Thanks for having me for the review.
A Retrospective but well-designed study.
Well written.
Could add robust data for POUR to the scientific literature.
Sincerely.