JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Postural control impairments following neurotoxic chemotherapy in women with cancer:
a prospective observational study
Version: 3 Date: 28 Jun 2024
Reviewer's report:
Thank you for the opportunity to review the article, “Postural control impairments following
neurotoxic chemotherapy in women with gynecological cancer: a prospective observational
study.” The purpose was to compare changes in postural control in different testing conditions
involving sensory disturbances, quality of life and neurotoxicity concerns in women with
gynecological cancer before and after chemotherapy with taxanes. The manuscript was well
written and the study used interesting methods to assess balance and physical function among
individuals receiving neurotoxic chemotherapy. I hope the authors find my comments helpful.
My comments are limited to the analyses and interpretation of the results:
1. “Thus, greater severity of CIPN does not appear to lead to greater detioration in postural
control.” Instead of relying solely on the TNS cut offs for this analysis, it would be interesting
to determine if there was an association or change in postural control among increasing FACT
scores. I don’t see the TNS cutoffs used very often, so I question their usefulness to be sensitive
to different levels of patient-reported CIPN.
2. In addition to the analyses by CIPN severity subgroup, it would be interesting to see if postural
control differed before and after varying types of neurotoxic chemotherapy. For example,
perhaps people who received two types of neurotoxic chemotherapy (paclitaxel + carboplatin)
experienced worse postural control than those who received only a taxane.
3. “In conclusion, given the severity of impairment of postural control found, we suggest
that postural control should be systematically evaluated with eyes closed on hard surface in
women with breast cancer to identify chemotherapy-induced postural impairment.” This is a
logical conclusion based on the findings, but in reality, no clinician is going to administer these
complex assessments in a busy clinical setting. Do the authors have any more clinically feasible
suggestions for how to test for postural control or balance deficits among individuals receiving
neurotoxic chemotherapy?
Title: Postural control impairments following neurotoxic chemotherapy in women with cancer:
a prospective observational study
Version: 3 Date: 22 Jul 2024
Reviewer's report:
This study found postural control was impaired after chemotherapy, particularly in conditions
with visual disturbances and dual task. Findings from this study should be of interested to
oncologists, nurses and physical therapists. However, there are a few limitations should be
addressed before publication. I hope the following comments will be useful to the authors.
1. I wouldn’t call breast cancer “gynecological cancer”. Gynecological cancers refer to cancers
that affect the uterus, cervix, ovaries, vagina, vulva or fallopian tube. Consider change the title
to “women with cancer”.
2. Consider include a CONSORT diagram.
3. Recommend to include more discussion on potential treatment/prevention methods for CIPN-
related postural control impairment.
Title: Development and Evaluation of an Intervention Package to Alleviate the Psychological
Effects of Premenstrual Syndrome in Adolescent Girls
Version: 1 Date: 04 Feb 2025
Reviewer's report:
Feb 04, 2025
REVIEWER REPORT
Manuscript Title: Development and Evaluation of an Intervention Package to Alleviate the
Psychological Effects of Premenstrual Syndrome in Adolescent Girls
Manuscript ID:
Comments to the Author
Abstract
(1) The abstract is generally appropriate.
Introduction
(1) “Adolescence is a critical developmental stage marked by profound physical, emotional,
and psychological transformations (Sawyer, Azzopardi, Wickremarathne, & Patton, 2018; Zaky,
2016).”.
I recommend that the sentences be supported by more recent studies. For this purpose, you can
refer to the literature or to the following studies.
https://doi.org/10.1016/S0140-6736(19)30401-5
https://onlinelibrary.wiley.com/doi/full/10.1111/jcap.12474
Method:
(1) The method and concept are generally appropriate.
Results:
(1) The results are presented in a clear and understandable manner.
Discussion:
(1) The manuscript is presented in an intelligible fashion and written in standard English.
(2) The discussion is presented in a clear and understandable manner.
Conclusions:
(1) The conclusions section can be expanded according to the results.
References:
(1) Please remove sources older than the last five years.
Title: Development and Evaluation of an Intervention Package to Alleviate the Psychological
Effects of Premenstrual Syndrome in Adolescent Girls
Version: 1 Date: 05 Feb 2025
Reviewer's report:
The study has been handled quite comprehensively and equipped with up-to-date approaches.
Therefore, I congratulate the authors. I request that my suggestions below be taken into
consideration.
First of all, in the introduction section, it can be related to how the difficulties experienced
in relation to gender roles somatize the physical difficulties experienced by young girls (the
physical difficulties of PMS). Thanks to this relationship, it can be easier to understand the
psychological problems experienced by young girls.
In addition, it should definitely be emphasized that CBT, psychoanalysis or other classical
approaches are insufficient in solving psychological problems related to gender. Thanks to
this emphasis, it can be understood why gender-sensitive approaches are necessary. I think the
following reference will definitely be useful; https://doi.org/10.35365/ctjpp.21.3.22
Research hypotheses must be added for this study created with a quasi-experimental design.
Recruitment to the study should be explained in more detail. How were the participants reached?
The scales used in the study should be explained in detail.
Similar groups and current studies using similar methods need to be compared more. The
following references can be used.
http://dx.doi.org/10.32598/JRH.13.2.2125.1
https://doi.org/10.1111/ppc.12672
Recommendations for future studies and studies to be developed should be increased and
detailed.
Title: The Impact of Carbohydrate Quality Index on Menopausal Symptoms and Quality of Life
in Postmenopausal Women
Version: 1 Date: 24 Feb 2025
Reviewer's report:
The manuscript  entitled "Evaluation of the Association of Carbohydrate Quality on Quality
of Life and Menopausal Symptoms in Postmenopausal Women" is interesting for the readers.
However there are some concerns to solve.
1) Title:  Replace  "Evaluation of the Association" by "The influence"
2) Abstract: The background "Hormone deficiency and dietary habits during menopause
significantly impact health. While excessive carbohydrate intake increases disease risk, adequate
fiber and whole grain consumption can help reduce it." is not adequate for understanding the
aim of study.
3) Abstract: conclusion is unclear;
4) The introduction is weak. I suggest including the following manuscripts:   Changes
in Food Consumption in Postmenopausal Women during the COVID-19 Pandemic:
A Longitudinal Study. Nutrients. 2023 Aug 7;15(15):3494. doi: 10.3390/nu15153494.
PMID: 37571430; PMCID: PMC10421478;  Dietary intake and menopausal symptoms in
postmenopausal women: a systematic review. Climacteric. 2021 Apr;24(2):128-138. doi:
10.1080/13697137.2020.1828854. Epub 2020 Oct 28. PMID: 33112163;  Multidisciplinary
approach during menopausal transition and postmenopause in Brazilian women. Clin Exp Obstet
Gynecol. 2010;37(4):283-6. PMID: 21355458. The  authors may  use in the discussion.
5) The rationale is not clear;
6) The statistical analysis and power calculation are not clear;
7)  Remove the  Table 5 and include the  statistical method for each table.
8) Discussion is weak. The first paragraph is not attractive .  I suggest including a background
then the authors may include the main findings;
9) Include a central figure to explain the results. Also the obesity is another problem that
may influence the data. Therefore I suggest including  the following manuscript: Metabolic
disorder and obesity in 5027 Brazilian postmenopausal women. Gynecol Endocrinol. 2014
Oct;30(10):717-20. doi: 10.3109/09513590.2014.925869. Epub 2014 Jun 5. PMID: 24898135.;
10) The clinical application, limitations and  strengths are unclear;
11) Conclusion is not adequate;
12) Update the references and include the suggested ones.
Title: Assessment of risk factors for high-grade cervical or endometrial lesions to triage women
with AGC-FN : A retrospective study
Version: 1 Date: 01 Sep 2023
Reviewer's report:
The title of the study suggests it is a cohort study of risk factors. However, the introduction
predominantly focuses on triage strategies rather than the risk factors themselves. It would be
beneficial to either shift the focus towards discussing the risk factors or highlight the significance
and value of risk factors in relation to triage strategies.
A cohort study differs from a retrospective case-control study. The methods section should
provide more detail on population inclusion criteria, follow-up procedures, and the recording
of risk factors. If the study is conducted as a retrospective follow-up study, it should be clearly
defined as such in the methods section.
In Table 2 of the results, there seems to be mixed descriptions of counting data and measurement
data within a single cell. It would be clearer if the counting data can be presented in a separate
column, indicating any inconsistencies in decimal places. Additionally, it would be helpful to
include chi-square values in this table. Moreover, Tables 4 and 5 should also include 95%
confidence interval (CI) values for the unadjusted odds ratios (OR).
The discussion section should include a comprehensive analysis of the main research results and
influencing factors discussed in the results section. It is important to also address the relationship
between these factors and the triage strategy. Furthermore, in the regression model, age emerges
as an important influencing factor and is shown as a protective factor. To enhance the findings,
it could be worthwhile to consider analyzing the data by age groups and obtaining adjusted OR
values for each group. While the focus is on risk factors, it is valuable to mention protective
factors as well, as they can provide significant insights for triage strategies.
Title: Assessment of risk factors for high-grade cervical or endometrial lesions to triage women
with AGC-FN : A retrospective study
Version: 3 Date: 21 Feb 2025
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses a testable research
question(s) (brief or other article types: is there a clear objective)?
No - there are minor issues
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 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?
No - there are minor issues
OVERALL MANUSCRIPT POTENTIAL - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Probably - with minor revisions
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: Good effort on a retrospective analysis of AGC-FN patients in China
The authors have put alot of work and analysis into the above
Some improvements: 1) it needs to read a little easier. right not it is tough to follow and read.
practicality. 2) retrospective analyses are hypothesis generating. The manuscript currently is
recommending management strategies. this is not supported from a retrospective analysis. the
authors should recommend either a similar analysis on an independent data set (another country/
centre), and a prospective study on their recommendations. 3) eliminate data on LR HPV. it is
irrelevant.
REQUESTED REVISIONS:
1) objective. seems to me the objective is to triage or identify patients with AGC-FN that
are more likely to have cervical or endometrial abnormalities. Not necessarily "guide the
decision for biopsy or curettage in women with AGC-FN". I don't think the authors intent is
to eliminate current practice: colposcopy, ECC, Endometrial biopsy in appropriate patients, but
rather possibly supplement with their recommendations
2) the conclusions/recommendations based upon the data need to be softened. This type of
analysis, needs to be tested in a prospective fashion.
ADDITIONAL REQUESTS/SUGGESTIONS:
as listed previously.
Also, making the manuscript more "readable" or easier to read/follow. eg. We explored 4
strategies in the context of AGC-FN, strategy 1..., strategy 2..., etc
then follow with the Sens, spec, PPV, NPV, etc
Title: An Evaluation of Menstrual Health Apps’ Functionality, Inclusiveness, and Health
Education Information
Version: 0 Date: 08 Oct 2024
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses a testable research
question(s) (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 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 - Is the current version of this work technically
sound? If not, can revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: Thank you for the opportunity to review this manuscript that presents
a descriptive study of current menstrual health mobile applications (apps), assessing their
functionality, inclusiveness, and health education information.
The topic is of interest given the increasing popularity of apps for self-managing health. While
a variety of apps are available for women health, few focus primarily on menstruation. As
mobile resources are widely used, especially by younger generations, evaluating the quality of
the information provided and the inclusiveness of the language used are very timely.
In general, the manuscript is clear and concise. The choice of terms like “menstruating people”
and “menstruating individuals” is coherent with the focus on inclusiveness. However, the
authors could explain this term and justify its use as opposed to other studies that use the term
“menstruators”.
The methods are well described, and the fact that 2 people assessed each app independently is
a strength. The evaluation criteria are explained in detail, and the authors adapted the Mobile
Application Rating Scale for their specific needs. The use of this scale provides a way to compare
each app on several criteria, which can be very useful to support decision-making.
The authors discuss their findings in relation to previous knowledge and highlight the main
contributions of their work as well as remaining gaps in knowledge. Overall, the manuscript
is scientifically sound, the methods are transparent, and the interpretation is coherent with the
results. This work contributes to knowledge on menstrual tracking apps and could serve as a
model for other evaluations of mobile apps.
Title: The etiology differs regards to the locations of the lesion: a clinical experience of 1350
patients with adenomyosis confirmed by postoperative pathology
Version: 2 Date: 26 Jan 2025
Reviewer's report:
Dear Authors,
I read your manuscript with great interest. Adenomyosis is a chronic hormone-related pathology
with a high impact on the quality of life of these pre-menopausal women. The most specific, but
not pathognomonic, symptoms are certainly dysmenorrhea, especially severe, and AUB. Very
often other painful symptoms are present such as dyspareunia, dyschezia, dysuria, mainly related
to the presence of concomitant endometriosis. Many works in the literature also evaluate the
different involvement of the internal myometrium (junctional area) and the external myometrium
for different symptoms. Many works also discuss the possible degree of disease and the
correlation with the symptoms.
To improve the article I suggest:
-in the introduction section underline the role of severe dysmenorrhea and AUB as
possible characteristic signs of adenomyosis (this recent article may be useful: doi: 10.3390/
jcm12175624)
- in the results section, if possible, report the data on the involvement of the internal myometrium
and the external myometrium
- correlate the symptoms with respect to internal and external involvement
-describe the degree of disease: mild, moderate, severe
- evaluate any correlation between the degree of disease and symptoms
-in the discussion section comment on these data
Best Regards
Title: The etiology differs regards to the locations of the lesion: a clinical experience of 1350
patients with adenomyosis confirmed by postoperative pathology
Version: 4 Date: 23 Mar 2025
Reviewer:  Takashi Matsushima
Reviewer's report:
The first manuscript has been revised, and the new findings from this research have become
clearer. However, there are still some problems with this manuscript. The main problem is that
the clinical question is not clear, and for that reason, the aim of this study is not specific. As
stated in the aim of this study, ‘which helped to learn more about of the characteristics of the
disease and the pathophysiological mechanisms that may be occurring.’’ comorbidities to aid in
a greater understanding of the disease characteristics.’ it lacks specificity. It should be shown
what medical problems are currently being caused by the fact that the characteristics of ‘subtypes
of adenomyosis’ have not been clarified. Next, it should be specifically stated what will be
improved by clarifying them. If these are corrected, the conclusion should become more specific.
If they are not corrected, the manuscript cannot be accepted.
The following is a list of individual issues.
1. abstract, lines 1-2: ‘the etiology of the disease remains enigmatic.’: It should be shown what
problems are caused by the fact that ‘the etiology of the disease remains enigmatic.’
In other words, the clinical question is not stated.
2. Abstract Results ‘The mean age of all patients was 46.67±5.74 (23, 81) years old (at the time
of operation); 1259 (93.3%) were premenopausal and 91 (6.7%) were postmenopausal.’: Is it
necessary to include this result here? Results that are not directly related to the purpose are not
usually included in the abstract.
3#Abstract conclusion#Our study, based on the classification of lesion distribution (diffuse
versus focal) and anatomical location (anterior versus posterior uterine wall), enhances the
understanding of adenomyosis pathophysiology.##Please draw your conclusions from the
results of this study.
4. Introduction, paragraph 3, line 1: ‘However, prior studies remain limited by insufficient
histopathological validation, small sample sizes, and incomplete characterization of lesion
subtypes.’: The specific problems that these things are causing should be stated.
5#Conclusion:’that patients in the diffuse adenomyosis group were older, had more pregnancies,
higher BMI, long course of disease and higher risk of moderate to severe dysmenorrhea’,
’Adjusting for gravidity, abortion, the presence of menorrhagia, symptoms of anemia, and
CA125, the results showed that patients in the posterior adenomyosis group have higher risk
of moderate to severe dysmenorrhea, more endometriosis combination and intraoperative blood
loss.’ From these results, a conclusion should be drawn.
Title: The etiology differs regards to the locations of the lesion: a clinical experience of 1350
patients with adenomyosis confirmed by postoperative pathology
Version: 5 Date: 14 Apr 2025
Reviewer:  Takashi Matsushima
Reviewer's report:
The manuscript has been revised again in accordance with the reviewers' comments, and the
results obtained from this study have become clearer. In addition, the aim of this study has
become clear as the clinical question has been clarified. An appropriate conclusion has been
drawn for this purpose. This is a manuscript that will be accepted. Thank you for all your hard
work on the manuscript revisions.
Title: Factors associated with respectful maternity care reported by patients in selected health
facilities in Musanze District, Rwanda: A facility-based cross-sectional study
Version: 1 Date: 16 Dec 2024
Reviewer:  Michael Habtu
Reviewer's report:
• Ensure the background section includes a clear justification for selecting Musanze District as
the study area.
• What is the rationale for using the finite population formula to calculate the sample size?
• How was the model fitness evaluated for the multivariable logistic regression analysis?
• Table 3 should include the distribution of counts and percentages categorized by RMC status.
Title: Factors associated with respectful maternity care reported by patients in selected health
facilities in Musanze District, Rwanda: A facility-based cross-sectional study
Version: 1 Date: 31 Dec 2024
Reviewer's report:
The topic is relevant to public health and manuscript is overly well written. However, the
document has several grammatical errors. The author is advised to get assistance with proof
reading to improve the grammar.
The conclusion does not speak to the findings of the study. I recommend that the author makes
recommends around the key findings of being employed Vs not employed, primiparity vs
multiparity, caesarean vs SVD, Health centre vs hospital, Day time vs night time, Insurance vs
no insurance. What do we learn from this and what do recommend to improve the other groups
(for example what can be done differently in a hospital to improve RMC just like it is in Health
centers... staffing?? ... increasing space?? ... or any other innovation)
This manuscript can be accepted with revisions above
Title: Factors associated with respectful maternity care reported by patients in selected health
facilities in Musanze District, Rwanda: A facility-based cross-sectional study
Version: 4 Date: 03 Apr 2025
Reviewer:  Yvonne Harding
Reviewer's report:
There are two calculation errors to look at:
Please re- check the percentage calculation for Not Employed in Table 1,  should read 32.5
Also, kindly re-check for Health Insurance Type,  does not equal 335 so the percentages
calculated are incorrect (n=333).