JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Combining Demographic Data and Transvaginal Ultrasonography: A Predictive Model
for Endometrial Carcinoma in Postmenopausal Patients
Version: 2 Date: 11 Aug 2024
Reviewer's report:
Dear Editor thank you for giving me this chance to review this study.
The aim of this study is to develop a preoperative risk model that utilizes demographic
factors and transvaginal ultrasonography of the endometrium to assess and predict the risk of
malignancy in females with endometrial cancer.
Here is my questions and concerns:
Abstract:
what is type of this study?
Data collection: whether this was a prospective or retrospective study
Whether participants formed a consecutive, random, or convenience series.
please add 95% confidence intervals of sensitivity and specificity.
please provide this repot based on STARD checklist.
"The benign group comprised 247 cases, including 156 cases of endometrial polyps, 7 cases
of endometritis, 34 cases of submucosal fibroids, and 46 cases of simple hyperplasia. The
malignant/premalignant group included 109 cases, with 83 cases of endometrial cancer and
26 cases of atypical hyperplasia, which are classified as premalignant due to their possiblye
coexistence with cancer" please move this part to result section.
please omit all references from statistical analysis section.
"Endometrial thickness (ET) and body mass index (BMI) values were transformed into
dichotomous variables based on threshold values of 8 mm for ET and >25 kg/m^2 for BMI
[22]."  please move this sentence to method section.
Endometrial thickness (ET), body mass index (BMI),area under the curve (AUC),..., these terms
were repeated several time, please pay attention to this and revise the text thoroughly.
please use same term in the text:  #2  and Chi-square
"Where::
[X1: history of hypertension (yes 1, no 0 );
X2:  history of diabetes (yes 1, no 0);
X3: age over 60 (yes 1, no 0);
X4: BMI > 25kg/m2 (yes 1, no 0);
X5: abnormal vaginal bleeding (yes 1, no 0);
X6: endometrial thickness > 8mm (yes 1, no 0);
X7: incomplete endometrial line (yes 1, no 0);
X8: endometrial vascularization (yes 1, no 0)]. " please move this section to method section and
bring it neatly in the text.
"sensitivity of 82.18%, and a specificity of 82.80%." please add CI 95%
" where RS" what is RS?
Title: Risk Factors of Uterine Perforation when Using Contraceptive Intrauterine Devices
Version: 0 Date: 01 Feb 2024
Reviewer's report:
dear author
thank you for you good study. please clarify the questions and correct as needed.
Please don’t use Wh question in the title.
There is no information about kind of IUD. Please clarify this object.
Please carefully write the type of study. Cross sectional? Descriptive? Case control study?
Please instead of first or second group, case, and control group.
Please write Baseline characteristics instead of Descriptions for table 1.
In table 2 you said in the text vaginal bleeding were reported as most prevalent reasons of visits
in the case group, but here wrote in control group. What is the reason of this differences?
Table 3 is not clear. Please correct it.
In Table 3 What is the anatomical site of these positions (Rectum, Bladder, Lateral pelvic wall)?
Discussion is repetition of result. Please more comparison with other studies.
What are limitations and strong of this study?
Please use the newer articles in the text and references part. The articles are so old.
Title: Risk Factors of Uterine Perforation when Using Contraceptive Intrauterine Devices
Version: 3 Date: 18 May 2024
Reviewer's report:
Dear Authors
I read your valuable research. I mention some comments as follows.
1-It is better to mention how many of the IUDs embedded in the bowel at the time of extraction
caused bowel injury.
2- clarify the exact location of the IUD in bladder.if they were penetrated to the bladder cavity.
3-Did you have any complications in both groups at the time of IUD extraction?
4- How many surgeries were performed by  hysteroscopy?
5- Did your patients have mullerian anomalies?
6-Which percent of patients in case  group have myoma ?
7- Did you have any bladder injury?
8-According to your study what do you suggest to decrease uterine perforation during IUD
insertion?
Title: Recognition and comprehension of breast awareness among hospital staff: a questionnaire
survey using the explanatory leaflet in Japan
Version: 2 Date: 02 Aug 2024
Reviewer:  Francesca de Nard
Reviewer's report:
I am grateful to the authors for having addressed all my comments, which I hope helped to
improve the reporting of the paper. I am satisfied with all of authors’ replies to my comments.
As a last suggestion, I invite the authors to include in the discussion or in the introduction a brief
description of how the opportunistic screening in Japan works (the one provided in the authors’
response to my comment n.6): the starting age is very early even for opportunistic standards,
and I believe that, without that being clarified in advance, the results displayed in Table 3 could
be misinterpreted.
Title: Recognition and comprehension of breast awareness among hospital staff: a questionnaire
survey using the explanatory leaflet in Japan
Version: 2 Date: 06 Aug 2024
Reviewer's report:
The authors have conducted an interesting study relating to the important topic of increasing
the understanding of breast awareness. The authors have responded to all reviewer comments,
and have made several amendments that have clearly improved the manuscript. I have a few
additional minor comments that could further improve this manuscript:
- Abstract (p.1, line 26)- please could the authors use a more specific term than “our institution”-
it is not currently clear in the abstract where this study took place
- Abstract (p.1, line 28)- should this read “499 were deemed suitable for the analysis”
- Methods (p.3, line 17-20)- in response to previous reviewer’s comments, the authors note that
they sent three announcement emails over 2 months to increase the number of respondents- this
information should be reported in the manuscript in the methods. Additionally, in the response
to reviewers the authors have provided several reasons why the response rate may have been
lower than expected- I think it would be beneficial to include these in the manuscript, as it could
be useful for other researchers conducting similar studies.
- Discussion (p.6, line 22)- please could the authors make it clear why raising recognition of BA
among all hospital staff regardless of their occupation is important? Please could the authors
provide some further information on the benefits of increasing awareness amongst all health
care professionals.
- Discussion (p.7, line 11)- this should read “nearly half of them chose the option”.
- Discussion (p.7, line 24)- It’s helpful that the authors have acknowledged that not including
a measure of comprehension was a limitation- I think it’s important to expand on this point
slightly. i.e. a participant reporting they understand the term breast awareness doesn’t give any
indication into what their understanding actually is.
Title: Recognition and comprehension of breast awareness among hospital staff: a questionnaire
survey using the explanatory leaflet in Japan
Version: 3 Date: 30 Aug 2024
Reviewer:  Francesca de Nard
Reviewer's report:
As mentioned in the last round of review, I am grateful to the authors and satisfied with the
amendments of the manuscript.  There are minor corrections that could be considered:
- In page 5, line 8: 'dense BA' should be replaced by 'dense breast'.
Title: Why do women with early breast cancer in Northern Sri Lanka undergo mastectomy?
Decision-making and ways forward
Version: 2 Date: 10 Aug 2024
Reviewer:  Navneet Kaur
Reviewer's report:
Performing 'Breast Conservation Treatment' in breast cancer requires much more than just
informed patients. This study also needs to look at the availability  of required surgical training /
skills and infrastructure to provide timely adjuvant treatment, when addressing the question
"Why do women with early breast cancer in Northern Sri Lanka undergo mastectomy"
Title: Why do women with early breast cancer in Northern Sri Lanka undergo mastectomy?
Decision-making and ways forward
Version: 2 Date: 11 Aug 2024
Reviewer:  Bahaty Riogi
Reviewer's report:
The article address a key issue in breast cancer management that helps us understand the choice
patients make and what informs the decisions they make. It definitely adds to the pool of
knowledge in breast cancer management. Please find some comments.
1. Kindly add a reference for this phrase in the introduction section "Breast-conserving therapy
(BCT) includes BCS and adjuvant radiotherapy and remains the standard of care for early breast
cancer."
2. The justification for the study is well articulated. We are able to understand the diagnostic
ability  ( mammogram access described)  and treatment ( radiotherapy access)  ability at the
facility being studied. Will it be possible to also include the situation regarding surgical care-
(surgical skills, localisation techniques etc)
3. ethical approval was sought and consent obtained from the participants - very well noted
4. labelling of the tables need to be reviewed- there are two table 1s
5."The purpose of BCT is to provide equivalent survival compared to mastectomy, gain good
cosmetic outcomes and improve quality of life" please provide evidence for this statament. 1st
statement in the discussion section
Title: Why do women with early breast cancer in Northern Sri Lanka undergo mastectomy?
Decision-making and ways forward
Version: 3 Date: 24 Aug 2024
Reviewer's report:
This is a well written manuscript addressing a timely topic.
However, I believe that the below mentioned comments need to be addressed.
Comment 1:  The inclusion criteria is not clear in this study. Who made the decision that the
patients would have been eligible for a BCS?  This is not mentioned in the study methodology.
Eg: A team of specialist including Oncologist, Surgeon, Radiologist etc.
Presence of extensive macrocalcifications or larger tumour to volume ratio etc will affect the
surgical decision
Comment 2 - 15 is a very limited sample size. I would recommend the authours to add a small
paragraph on the total number of patients who have undergone surgery for breast cancer in the
northern province and the Ratio of mastectomy to BCS during this study period. Otherwise, it
is difficult to arrive at a conclusion or generalize the results based on this study.
Title: Pattern Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and
Disability-Adjusted Life-Years for cancer breast in Iran 2009 to 2019: an observational study
based on the global burden of diseases
Version: 0 Date: 14 Mar 2024
Reviewer:  Mehrandokht Abedini
Reviewer's report:
1-What do you mean in the objective “Breast cancer is the first type …”?
2- The manuscript title indicates an observational study, but in the abstract, you mentioned the
type of study as descriptive-analytic. Please correctly define the type of study.
3. Please mention the years of life lost (YLLs),disability-adjusted life years (DALYs), and HDI
index in full words for the first time they appear in the text.
4-I suggest revising the keywords and using the full words for keywords.
5-The English language should be revised. I suggest the manuscript be rewritten by a healthcare
professional, for instance, the introduction should commence with “Breast cancer is one of the
biggest causes….
6- Your manuscript was presented in 2024, but you cited this reference: It is estimated that
685,000 women will die of breast cancer in 2020. Please remove this reference.
7-According to Figure 2 most cases of mortality were in >85 yrs. I recommend discussing this
finding in the results.
8- Please rephrase this sentence “We recommend that you create national screening and
educational policies based on regional risk factors and cultural and financial settings”.it seems
the word “you” is inappropriate.
9-Please shorten the conclusion. Some items in the conclusion should be stated as
recommendations in the last paragraph of the discussion.
Title: Pattern Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and
Disability-Adjusted Life-Years for cancer breast in Iran 2009 to 2019: an observational study
based on the global burden of diseases
Version: 0 Date: 14 Mar 2024
Reviewer's report:
Abstract
1- Conclusion: suggestions should be written based on the findings of your study.
Introduction
2-  Before the following sentence, something should be written about the statistics of other
regions:
In Iran, the prevalence and mortality rate of breast cancer in 2014 was 9795 and 14.2%
respectively.
3- More recent statistics for the following sentence have been reported by the World Health
Organization and other studies. be updated:
In Iran, the prevalence and mortality rate of breast cancer in 2014 was 9795 and 14.2%
respectively.
4- About the economic burden of breast cancer in Iran and the latest studies, write articles to
highlight the importance of your study topic. Studies such as:
Jalali FS, Keshavarz K, Seif M, Akrami M, Jafari A, Ravangard R. Economic burden of
breast cancer: a case of Southern Iran. Cost Effectiveness and Resource Allocation. 2023 Aug
29;21(1):58.
Jabbari A, Hadian M, Mazaheri E, Jelodar ZK. The economic cost of cancer treatment in Iran.
Journal of Education and Health Promotion. 2023 Jan 1;12(1):32.
Conclusion:
5- Suggestions should be written based on the findings.
6-  The limitations of the study should be written.
reference:
7-To be written with the help of Endnote software.
8- The first letter of the names of the journals must be capitalized.
Title: Pattern Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and
Disability-Adjusted Life-Years for cancer breast in Iran 2009 to 2019: an observational study
based on the global burden of diseases
Version: 2 Date: 21 Jun 2024
Reviewer's report:
Dear Authors
Thank you for your valuable study.  Here are some recommendations for enhancing the quality
of the article:
- The manuscript title indicates an observational study, but in the method section, you mentioned
the type of study as descriptive-analytic. Please correct it.
- There are several editing errors in the text of your manuscript, which are indicated in the text
of the attached file with a track change. Please correct the indicated items.
- Please define the abbreviation completely before using it for the first time.  The desired items
are specified in the text of the attached file.
- In the second paragraph of the materials and  methods section, as specified in the attached file,
mention the sources after "several sources".
Title: Pattern Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and
Disability-Adjusted Life-Years for cancer breast in Iran 2009 to 2019: an observational study
based on the global burden of diseases
Version: 2 Date: 24 Jun 2024
Reviewer's report:
The title of the study does not align with its objective. While the title suggests an investigation
into the epidemiological relationship between a disease and the Human Development Index
(HDI), the term "HDI" is not explicitly used in the study. Moreover, examining the
epidemiological relationship with such a broad indicator is overly general. It is recommended
that the title and objective of the study be revised to better reflect the actual focus of the research.
Missing HDI in Conclusion:
The study's final conclusion also fails to mention the HDI. This omission leaves a critical element
of the study's objective unaddressed.
Ecological Correlation and Generalizability:
The observed relationship is based on an ecological correlation analysis, which limits the
generalizability of the findings to the individual level. The discussion section of the study
should acknowledge this inherent limitation of ecological studies, which can sometimes lead to
ecological fallacy. This fallacy occurs when inferences about individuals are drawn from group-
level data. In this case, a high HDI at the provincial level does not necessarily translate to a high
HDI among the disease-affected population. The opposite could be true.
Title: Pattern Incidence, Mortality, Years of Life Lost, Years Lived With Disability, and
Disability-Adjusted Life-Years for cancer breast in Iran 2009 to 2019: an observational study
based on the global burden of diseases
Version: 3 Date: 15 Jul 2024
Reviewer's report:
Dear Authors
Thank you for revising your manuscript. The final files you submitted for your manuscript have
been checked and are suitable for publication.
Title: Chronic Lower Abdominal Pain in An Elderly Female Patient: A Case Report about
Sigmoid Colon Fistula and Pelvic Abdominal Infection
Version: 0 Date: 03 Aug 2024
Reviewer's report:
Dear Authors,
I read with interest your paper. You describe a case of chronic pain persisting for 36 years in a
woman. But already from the title it is not clear what the final diagnosis was. The text suffers
from multiple grammatical errors. Bibliographical references are missing and the reader cannot
follow the thread of the discourse.
Clip clipping
The etiology of lower abdominal pain is multifactorial and complex. When considering chronic
right lower abdominal pain, potential causes to be considered include inflammatory infections
and tumor diseases affecting the ileocecal region, appendix, and adnexa, as well as reversible
external abdominal hernias. Reference missing
Are some examples of this last comment.
The title should draw attention to the pain that has persisted for 36 years but then the text fails to
mention at least the salient features of the clinical diagnostic history that the patient has followed
for so many years.
what was the final diagnosis? once defined, it should be looked at according to literature data,
highlighting possible retrospective diagnostic difficulties. and above all highlighting why a
woman had to wait 36 years (a lifetime one might say) before receiving a definitive diagnosis.
I agree with keeping this as the title, but then valid reasons must be derived from the text. all
this currently escapes external reading.
Updated the references, and add some references on PID, such as: PMID: 23007248
figures are not mentioned in the text. what do they mean? Furthermore, legends are not clear.
you dwell a lot on the intra-operative description, which can be an added value if it is followed
by a contextualised rationale for the individual case.
please then clearly define the final diagnosis what it was and carefully dwell on it with respect
to both the patient and the literature.
In my opinion, the case may have potential for uniqueness to publication but requires different
drafting and conceptualisation.
Title: Chronic Lower Abdominal Pain in An Elderly Female Patient: A Case Report about
Sigmoid Colon Fistula and Pelvic Abdominal Infection
Version: 0 Date: 07 Aug 2024
Reviewer's report:
Dear Authors,
Thank you to allow me to review this interesting case report.
The case is interesting considering Its rarity and could be useful for physicians that may be
faced with similar clinical conditions. However, in my opinion authors should clarify in the
introduction section the rarity of this condition and the unicity of their manuscript. Furthermore,
the discussion section could be expanded both in terms of etiology, symptomatology and
management of similar clinical conditions (For example different pathogens could led to
different symptoms).
If the Introduction and discussion sections will be implemented the manuscript could be suitable
for publication
Title: Uterine arteriovenous malformation: a case report with proposal for pathogenesis
Version: 3 Date: 25 May 2024
Reviewer's report:
Thank you for the opportunity to review this article.
There are some concerns,
Language errors.
The case showed broad ligament varicosities and enhanced myometrial vascularity.not AVM
with a mass effect or even on histopathology.
Describe the embolization and why failed and after how many weeks ,it failed .
One case presented .
Is it a post menopausal bleeding ?
Is there a pathology in the uterus ?
What about endometrial sampling and thickness?
What about thrombosis in varicosity?
Title: Uterine arteriovenous malformation: a case report with proposal for pathogenesis
Version: 3 Date: 29 May 2024
Reviewer:  Nicolae Gic#
Reviewer's report:
Dear author’s
Your case is very interesting and  for interest for the readers.
The images are good.
Could you debate why the embolisation was not feasible in this case?
The article should contain a short conclusion at the end of the article.
The review part of the article it is mandatory to contain how the data were collected.
It is mandatory to obtain the informed consent from the patient.
Please explain the novelty of this case or what new info brings to the existing literature.
English review is necessary
Title: Uterine arteriovenous malformation: a case report with proposal for pathogenesis
Version: 5 Date: 28 Jun 2024
Reviewer's report:
The interesting article provides a comprehensive case report and a hypothesis on UAM
pathogenesis, supported by detailed diagnostic imaging. Strengths include a thorough case
description and clear imaging data.  However, as the study's scope is limited to a single case,
including a broader literature review,  comparing and contrasting this case with other reported
cases to highlight unique features and commonalities.  Additionally, since this is a rare case
and an unusual cause of postmenopausal bleeding, could the authors hypothesize why this
arteriovenous malformation became active post-menopause?   Addressing these points will
prepare the article for acceptance.
Title: Informed consent and coercion in recruitment advertisements for oocyte donors
Version: 2 Date: 03 Jul 2024
Reviewer's report:
The authors conducted a review of online ads for oocyte donors to assess the frequency of
mention of the risks (medical, psychological, long term regret) among private versus medically
affiliated agencies. The study assessed advertisements in 2020 during the pandemic . This is
a novel study that makes a significant contribution to the existing literature.  There are a few
minor comments that may strengthen the manuscript.
1. In the Introduction, please define "private " versus "medically affiliated" agencies.
2. Last paragraph of the Introduction, please change the tense of the verbs with the sentence
beginning, "Within the context of a pandemic..." to "During the pandemic, which had
devastated..."