JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Factors associated with the practice of and intention to perform female genital mutilation
on a female child among married women in Abakaliki Nigeria
Version: 1 Date: 29 Apr 2023
Reviewer's report:
Review report on Factors associated with female genital mutilation among married women in
Abakaliki, Nigeria.
I want to commend the authors' contributions to the scientific field. The manuscript explored
essential concepts relevant to women's reproductive health in their settings. However, the
authors should address a few areas;
1. The manuscript was not formatted according to BMC guidelines; line numbering was not
done.
2. ABSTRACT: In the Methods section in the abstract, the first sentence seems too long, and so
much information is lumped into it. I recommended that the authors review it.
3. METHODS:
a. To place this study in the proper perspective, it will be helpful if more information is provided
about the study area, e.g., the literacy level of women, availability, access to healthcare, and
delivery facilities, as these are essential reproductive health determinants.
b.  Please define the eligibility criteria; where women separated but legally married to their
spouses included? What of women not legally married but cohabiting?
c. The first sentence in the 'Data Collection and Analysis section contradicts the last statement in
the preceding paragraph. More clarity is needed on what was done. Were all the women selected,
or one married woman per household? How was the selection made in a polygynous marriage
if the latter applied?
d. I suggest you include the mean score used to determine the cut-off points for each variable
in the methodology section.
e. Your method of analysis could have been written better. For example, there was no mention
of bivariate or multivariate analysis.
4. RESULTS:
a. The interval used in the age categorization in Table 1 is not uniform. Review it.
b. The titles of Tables 4 and 5 should have addressed the results presented in the tables. Revise
these titles for more clarity.
5. DISCUSSION:
The findings were generally well discussed though many recommendations were embedded in
them.
6. ETHICS:
How was confidentiality addressed for such a sensitive study? In what language was the
consenting done? Was the service of a translator engaged to ensure these vulnerable women
were protected from undue influence and harm? The ability to comprehend enough information
determines a participant's capacity to make autonomous research participation decisions.
Title: The relationship between pregnancy count and duration of breast-feeding with metabolic
syndrome (Fasa Persian Cohort Study)
Version: 1 Date: 30 Mar 2023
Reviewer:  Theresa Azonima Irinyenikan
Reviewer's report:
This study  which looked at the relationship between pregnancy count and duration of breast-
feeding with metabolic syndrome (Fasa Persian Cohort Study) is an eye opener to some
metabolic problems that could follow pregnancy and it will be an important thing to watch out
for following delivery. However, I have the following comments for the authors:
1. In Line 156 the confidence interval should be written as 95% CI and in full within the text
2.Line 192 can be re-written as: reported as
3. Line 209 same was noticed, the quoted 95%CI values should be written in full
4. In lines 293-299 categorical statements were made without references, these should be
referenced
5.Correct line 304 to : the reason for developing
6. Change the 95%OR written on the supplementary tables to 95%CI
7. Reference 6 line 407 did not show the authors names rather only their initials were stated,
kindly correct
Title: Rape Survivors’ Experience in Tigray: A Qualitative Study
Version: 1 Date: 16 Nov 2022
Reviewer's report:
Thank you for giving us this opportunity to review your paper! You will see many comments
that are offered to help to strengthen the presentation of your ideas. They are related to what we
believe is necessary to include in this paper.
The article “Rape Survivors’ Experience in Tigray: A Qualitative Study“ wants to study the
consequences of war, where women and girls are the most likely segment of a society to be
impacted by violence. However, the article does not present any research question. It can be
deduced from the study's objectives (this study aimed to explore the level of war damage on
humanitarian and Tigran's health systems in general and the gender-based violence experience
among sexual abuse survivors in particular). Still, it would be clearer to include the question.
The authors affirm that they used a phenomenological study (method) and thematic analysis
(technique) but need to explain this option with references. It would be essential to know the
number of encodings per category and the definition of each category.
The discussion needs to be deepened by dialoguing more with the authors, for example, those
used in the theoretical framework or others who have explored the identified themes. Some
questions that can help authors improve this section:
- Does the discussion of results have a basis for the theoretical background and the research
questions presented?
- What is the power of argumentation found in the discussion of results?
- Are they articulated with the theoretical background, the study's objectives, and research
questions?
The conclusions need to be further developed, and the reader may be able to find the following
answers:
- Do the conclusions synthesise the arguments that support the results?
- Is there in the conclusions a synthesis of the results?
- Are these conclusions related to the research questions?
- Is there triangulation of the conclusions with the literature?
- Are limitations of the conclusion put forward?
I hope my comments contributed to the improvement of the paper.
Title: Rape Survivors’ Experience in Tigray: A Qualitative Study
Version: 3 Date: 19 Apr 2023
Reviewer's report:
OVERALL COMMENT:
The article is much improved and acknowledgement is made that most comments have been
addressed.
Original comment: It is surprising that the interviewers are males given the sensitive topic they
are discussing with the interviewed girls and women. It is recommended that a reflection is
included on how this may have affected the interaction with the interviewees – how could it
have hindered or facilitated the discussion?
Comment after revision: It is clear why the interviewers are male, but reflection has not been
made on how that may have affected the conversation with informants. Were the women shy
to disclose details of their sexual assault and rape? How was this avoided in a conservative
environment?
Original comment: It is unclear if any referral was made for counseling or other support that is
available given the challenging context of conflict.
Comment after revision: While the text now states that guidance to health care services was
provided, it is unclear if this included mental health care and how that was possible given the
level of destruction of health care services described in the article. If that kind of service is
unavailable (as would be expected), this should be acknowledged and presented as another
obstacle facing victims.
Original comment: The information under the subheading ‘armed conflicts ravaging a health
system’ belongs more to the introduction section as it recounts factual information rather then
reported experiences from a qualitative interview.
Comment after revision: The heading of the section was changed, but not its content. The section
still reads like facts rather than the experience of the informants. It is recommended that the
section be re-written to provide details of the individual women’s experience, including quotes.
Original comment: Concluding that “rape in war-stricken Tigray was rampant” requires a
reference since it cannot be concluded from this study alone.
Comment after revision: The sentence remains unchanged in the conclusion of the abstract. This
cannot be supported by the study findings.
Title: Experience and severity of menopause symptoms and effects on health-seeking
behaviours: A cross-sectional online survey of community dwelling adults in the United
Kingdom
Version: 2 Date: 25 Apr 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention. The
goal of this  article was to explore women’s personal experiences of menopause, including
perspectives on group consultations. I think that the abstract of this article is well organized
and clear.
In my opinion, the discussion could be studied in depth and extended. Maybe, it could be
useful the evaluation of the state of the art of new possible ways of management of menopausal
symptomps. In particular I suggest these two articles  PMID: 30509753 and PMID: 28490209.
Because of these reasons, the article should be revised and completed. 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: Experience and severity of menopause symptoms and effects on health-seeking
behaviours: A cross-sectional online survey of community dwelling adults in the United
Kingdom
Version: 3 Date: 08 Jun 2023
Reviewer:  Ilaria Cuccu
Reviewer's report:
I read with great interest the Manuscript titled " Experience and severity of menopause symptoms
and effects on health-seeking behaviours: A cross-sectional online survey of community
dwelling adults in the United Kingdom” , 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. The discussions are clear and
comprehensive. 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: The global prevalence of sexual dysfunction in obese and overweight women: a systematic
review and meta-analysis
Version: 1 Date: 15 Jun 2023
Reviewer:  Ahmad Ghashghaee
Reviewer's report:
Thanks for your submission
Method
1- Do you have any registration code for your project's protocol? If yes, please add it to your
method.
2-Please mention the exact duration of your data search.
3-Please expand the section of inclusion and exclusion criteria.
4-Add a specific part for your quality assessment tool.
5- Please move this part "In this systematic review and meta-analysis, 505 articles were
searched through databases, and 2 possible related articles were identified and transferred to
the information management software (EndNote) through manual search. After reviewing the
articles obtained based on PRISMA steps, finally, 10 studies were included in the final review.
The information from these 10 studies is reported in Table 1 and Figure 1." to your method
6- Whole text needs subheadings
7- Whole text needs a language revision
Title: The global prevalence of sexual dysfunction in obese and overweight women: a systematic
review and meta-analysis
Version: 1 Date: 18 Jun 2023
Reviewer:  Hojat Dehghanbanadaki
Reviewer's report:
Thank you for submitting your manuscript entitled " The global prevalence of sexual dysfunction
in obese and overweight women: a systematic review and meta-analysis".
The aim of this study is so interesting and novel and I believe this study will be impactful. The
methodology of the statistical analysis is accurate; however, I have several major concerns that
need to be addressed in revised manuscript.
1. In the abstract section, the authors reported that “searched for studies reporting the impact of
metabolic syndrome on female sexual dysfunction until August 2022.”. The metabolic syndrome
compromised of numerous conditions and I suggest that authors need to declare that their
inclusion/exclusion criteria is limited to obese and overweight women.
2. In the abstract, the authors said they searched until August 2022, but in the method section,
they reported that they searched until June 2022. Please resolve the conflict.
3. In the method, the authors said that they searched for “Female Sexual Dysfunction, FSD,
Smoker, Smoking”. The keywords of Smoker and Smoking are irrelevant to the purpose of this
study. Please correct these typos.
4. In the method section, the authors said “The results extracted from this study were entered into
the software Version 2 (Comprehensive Meta-Analysis)”. The authors should clearly declare
which software they used.
5. The authors should clearly write the inclusion and exclusion criteria in the method section.
6. The manuscript's language is poor, and there are numerous grammatical errors throughout
that need improvement.
7. In the Results section, the author should ensure that reference numbers are placed in the
appropriate location within the text. For example, in the following paragraph, reference number
'21' should be write to its appropriate place. “In the studies included in Table 1, the highest
prevalence of sexual dysfunction in obese women in the study by Yaylali et al. in 2010 in Turkey
was 81% (15), and in overweight women in the study by Silva et al. in 2019 in Brazil, 57.10%.
It has been reported (21) that the lowest prevalence of sexual dysfunction in obese women in
the study of Ernel et al. in 2013 in Turkey was 12.8% (22).”
Title: The global prevalence of sexual dysfunction in obese and overweight women: a systematic
review and meta-analysis
Version: 2 Date: 27 Jun 2023
Reviewer:  Hojat Dehghanbanadaki
Reviewer's report:
I am writing to express my appreciation for the thorough and comprehensive revisions made
to your manuscript. After a careful review of the revised document, it is clear that you have
addressed all of the concerns raised during the initial review process.
Your attention to detail and commitment to improving the quality of your work is truly
commendable. I can tell that you have put a significant amount of time and effort into this
manuscript, and it shows in the final product.
I would like to thank you again for your hard work and dedication to this project. Your revisions
have greatly improved the quality of the manuscript.
Title: Development and validation of competitive risk model for older women with metaplastic
breast cancer
Version: 0 Date: 20 May 2023
Reviewer's report:
This study analyzed clinical data available in the SEER database to develop and validate a
competitive risk model for older women with metaplastic breast cancer.
Overall, the data analysis pipeline is straightforward and well designed, and the paper was well
written.
There is no major issue to be addressed, but it is not clear that the authors found "age" to be
a key risk factor for survival. This study analyzed data from old patients with an average age
of 76 years, so it is not surprising that age shows a statistical significance for survival. Please
deemphasize age as a risk factor.
In that regard, please remove the following sentence "Our study found that the 5-year overall
survival rate of elderly MpBC patients was 57.5 %, much lower than the overall survival rate
of all MpBC patients."
Title: Development and validation of competitive risk model for older women with metaplastic
breast cancer
Version: 1 Date: 19 Jun 2023
Reviewer's report:
The authors have sufficiently address the previous concerns and the manuscript's arguments has
now been strengthened.  Although it would be better that the authors describes how each of
variables to the Fine and Gray model is normalized, the authors already cited the references that
points out how each variables are prepared for the analysis.
Title: Spatial distribution and multilevel analysis of the Ideal Number of Children among
Ethiopian Women
Version: 4 Date: 09 Jan 2023
Reviewer's report:
Comments to the Authors
Abstract:
The abstract section of your manuscript lacks recommendations. The conclusion part of an
abstract in a manuscript should include a kind of recommendation as a rapping sentence. Please
consider the inclusion of a recommendation to a responsible body in the conclusion of the
manuscript.
Introduction
The introduction section of this manuscript best describes the background information regarding
the problem. In addition to describing what is known and unknown about the problem
specifically in the setting of the study, your introduction should describe the relevance of your
study to the population on which it has been conducted and to the scientific community.
Methods
The Study Area and Design of the Study Section of your manuscript describe the setting of the
study clearly. With all this, the authors explained the nature of the survey (EDHS 2016), but
it would be better if they explained the design of the study. Otherwise, I am misinterpreting
your method.
Result
The result section was well presented and interpreted, but I have seen some grammatical and
typing errors in this section of your manuscript.
Discussion
I found your discussion shallow. The results of the study were not addressed with rigorous
discussion. The study could benefit from an in-depth discussion of all the findings.
Conclusion
Similarly, the comments to your conclusion in the abstract apply to this section too.
General comments
For this study to be scientifically sound, I recommend the authors check the manuscript for
grammatical and typing errors in the English language and make improvements in the discussion.
Title: Spatial distribution and multilevel analysis of the Ideal Number of Children among
Ethiopian Women
Version: 4 Date: 12 May 2023
Reviewer:  Prashant Verma
Reviewer's report:
Dear Authors,
This study aimed to explore a fascinating topic, “ideal number of children” (INC), and
associated factors in Ethiopia using spatial and multilevel analysis. The study drew data from
the Ethiopian Demographic and Health Survey (EDHS) conducted in 2016, with a sample of
13,961 women aged 15-49. The study contributes to the existing literature by incorporating
spatial and multilevel analysis, providing insights into the spatial distribution of INC in Ethiopia,
and identifying significant hotspot clusters in the Somali region. The study emphasizes the
importance of spatial and multilevel analysis in comprehending fertility intentions and designing
effective family planning policies.
The followings are some queries and suggestions that authors can incorporate to enhance the
quality of the manuscript and the propensity of acceptance.
• The study utilizes the DHS 2016 data, was the same information collected during Interim DHS
2019? If yes, can we use the latest DHS data?
• Figure 1 is in image form and looks to be taken from somewhere. Please prepare this figure
with clear visuals using smart-art/shapes.
• Under Count Regression Models (Page 6), in the third sentence, firstly explain the problem of
unequal mean and variance since the word “problem” is ambiguous. Similarly, language issues
are to be addressed at various places in the manuscript.
• Did the author perform any statistical test for inequality of mean and variance?
• Margin adjustments are required in the tables.
• Notations can be modified in the manuscript e.g., ki as ki
• Table 3 looks pretty lengthy; kindly arrange the table with multiple columns of variables and
try to fit it into one page.
• Is there any explanation for using Rate Ratio rather than Risk Ratio?
• Can Interim DHS 2019 data be used for the validation of analysis?
• The study provides no reasons for the high INC in the Somali region, which could require
further investigation. Authors may come up with possible reasons for the same.
• Authors should include the policy implications of the given analysis in the manuscript.
• Authors need to consider a reevaluation of the manuscript for language corrections.
Title: A pilot study of the use of human amniotic membrane as subcutaneous implants in a
mouse model: A potential for temporary substitutes in two-stage breast reconstructions
Version: 0 Date: 21 Jan 2023
Reviewer's report:
The topic could be very interesting.
Materials and methods description as well results are not well exposed. Conslusions are poor.
You should show histophatological analysis and results at longer follow-up.
Language revision should be assessed.
Picture format is not acceptable.
Title: A pilot study of the use of human amniotic membrane as subcutaneous implants in a
mouse model: A potential for temporary substitutes in two-stage breast reconstructions
Version: 0 Date: 23 Jan 2023
Reviewer's report:
Breast reconstruction is widely performed in breast cancer surgery and biomaterials are
acquiring extensive importance to improve the reconstructive procedures.
The Authors in this paper studied whether the amniotic membrane could be used as a temporary
implant in the first stage of breast reconstruction, with the aim to assess:
- the potential of the amniotic membrane for inducing inflammatory reactions in comparison
with control materials regardless of the shape of implants,
-  the feasibility of shaping the amniotic membrane as breast implants,
-  the volume or amount of bulging which could be provided by the implants,
- their durability.
I commend the Authors for their ingenuity in trying to investigate the role of amniotic membrane
in such a setting and i believe this paper potentially focuses on a trend topic for Plastic and breast
reconstructive community.
However, limitations of the study are properly outlined in the manuscript and they seem to
severely weak its potential for publication in this preliminary version.
As mentioned by the Authors themselves: “… the question of vascularization and feeding of the
produced bulk, its probable weight, and the need for advanced technology prohibit the extensive
use of such implants.”
Moreover “the tolerance of the membrane for high amounts of fluid, the best media used for
filling a larger implant, and the durability of the prominence produced by it; and the strength
of the implant in cases of stress or trauma” represent main issues that need to be outlined to
establish the potential role of amniotic membrane in breast reconstruction.
Iconography quality and presentation is not adequate and should be improved.
Title: A pilot study of the use of human amniotic membrane as subcutaneous implants in a
mouse model: A potential for temporary substitutes in two-stage breast reconstructions
Version: 0 Date: 07 Mar 2023
Reviewer's report:
I read with plasure  this study on use the HAM  for the production of temporary breast implants.
Undoubtedly there are evident critical issues and limitations but these are well declared. Sincerly,
I have many doubts on the actual possibility of use of HAM for the production of temporary
biologic breast implants in human subjects, but these "very very" preliminary results are
interesting.