JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: The effect of mobile app-based self-care training on the quality of marital relations and
the severity of menopausal symptoms in postmenopausal women: A clinical trial study in Iran
Version: 1 Date: 17 Apr 2023
Reviewer's report:
Dear Authors
The study is " The effect of self-care training through an application on the quality of marital
relations and the severity of menopausal symptoms in postmenopausal women: A clinical trial
study in Iran". While the study appears to be reasonably well conducted, the paper would benefit
from careful revision and additional study outcomes. I have the following specific suggestions.
1) Because the study appeal to an international audience it should be emphasized the importance
of study well and should be explained why it is necessary good.
2) There is no clearly stated hypothesis.
3)What routine care is performed for postmenopausal women in the health center, apart from
checking vital signs?
4)Regarding the random assignment and its concealment, please explain in detail what method
was used. How is the assignment sequence determined? This method needs to be written a little
bit more clearly.
5)Most of the educated people have a low level of education, how could they work with the
application? It would be better to include people with a high level of education as one of the
entry criteria.
6)In two-group studies, it is better to use the words before the intervention and after the
intervention instead of  Pre-test  and post-test. This is the writing style for single-group
experimental studies.
7)The duration of the intervention (eight weeks) is determined on what basis.
The table 3 are written in an unusual format - please check against published papers in this
journal and correct.
8)Why is the number of study samples written as a limitation unless it is determined based on
previous studies and with a percentage of 90%?
9)It is surprising that no participants were lost to follow-up at any time point. This is not a
problem per se, but just to note it is unusual.
10)At most, this study provides preliminary evidence that this intervention may improve the
outcomes that it has measured, but a larger randomised controlled trial with an effort to eliminate
selection bias and improve sampling from the whole population is needed. The wording in
the conclusion section needs to be attenuated to avoid overclaiming based on the results.
Implications for future research should be included.
Title: The effect of mobile app-based self-care training on the quality of marital relations and
the severity of menopausal symptoms in postmenopausal women: A clinical trial study in Iran
Version: 2 Date: 19 May 2023
Reviewer:  Patrícia Scotini Freitas
Reviewer's report:
The manuscript presents a relevant theme and brings contributions to the health area, and
especially to Nursing, advancing in the construction of scientific knowledge about women's
health after menopause and the care provided to this population, which is growing worldwide.
The manuscript is described in accordance with CONSORT and duly registered and with a
favorable opinion from the Ethics Committee of the University of origin of the main authors.
The method details the sample population, how these women were selected, with detailed
inclusion and exclusion criteria and how the data analysis was performed.
Although the text does not emphasize the specific role of nurses in this context, it is understood
that this professional also works in health education, which can be emphasized, including as a
descriptor.
Again, I reaffirm that the manuscript has the potential to contribute to the quality of life of
postmenopausal women and their partners.
Title: The effect of mobile app-based self-care training on the quality of marital relations and
the severity of menopausal symptoms in postmenopausal women: A clinical trial study in Iran
Version: 2 Date: 31 May 2023
Reviewer's report:
Dear Authors
The organization of this article is satisfactory. The instruction section, literature section, and
methods are satisfying. The authors have improved the literature section to enhance the quality
of this research. The results section of the paper presents a good view of the study.
I thank the authors of the article for paying attention and applying the proposed amendments.
Title: Characteristics of Chinese women in need of enhanced sexual health attention and at risk
of hypoactive sexual desire disorder
Version: 0 Date: 21 Sep 2022
Reviewer's report:
Dear Editor and authors,
Firstly, I thank you for my consideration as a reviewer of this manuscript. It is my pleasure to
contribute to BMC Women's Health.
This study contributes to the acknowledgment of the unwillingness to communicate sexual
health, shame of sexual health-related disorders, and sexual distress. I recommend considering
some suggestions for its publication:
In the abstract section, I suggest including more information about the sample of the research.
In the introduction section, there are updated references. In the second paragraph, I recommend
explaining the possibility of the impact of sociocultural factors on Chinese women. It is
necessary to previous evidence concerning the hypothesis of this research.
I suggest including more information about the sample such as sociodemographic
characteristics. Moreover, I recommend revising the format of the tables to make them easier to
read. Maybe, a table for each risk factor separately.
In the discussion section, I would like to suggest that the authors should begin with the objective
and subsequently with the main results obtained. The authors should revise causality terms and
replace them with the association.
In my point of view, more discussion about the decreased sexual desire by the dissatisfaction
with relationship should be included in each section. Also, I suggest explaining the possibility
of the impact of contextual factors on Chinese women.
Title: Characteristics of Chinese women in need of enhanced sexual health attention and at risk
of hypoactive sexual desire disorder
Version: 1 Date: 28 Mar 2023
Reviewer's report:
Overall, this manuscript shows significant improvement! Much kudos to the authors for tackling
the previous suggestions and improving their argument about the necessity of identifying
Chinese women who need more comprehensive and sex-positive health services and education.
Below are a few minor suggestions to improve the paper’s conciseness and readability:
Pg. 4 line 150 please correct grammar in this sentence.
Pg. 7 line 262 please correct typo
Please refrain from using contractions throughout the paper.
The tables are still somewhat busy and challenging to read. However, you consider several
demographic factors, so this may be justified.
p. 23 lines 729-736 this sentence is too long. Please break it down into multiple sentences for
easier readability.
Overall, I enjoyed reading the discussion and how the authors made sense of their findings. I
believe readers will enjoy the implications of your work.
Best of luck to the authors! Thank you for this meaningful work.
Title: Identifying At Risk Populations Amongst Breast Cancer Survivors and Their Common
Symptoms and Concerns
Version: 2 Date: 05 Jun 2022
Reviewer's report:
Thankyou for the opportunity to review your paper.
It appropriately addresses many of the issues facing women post diagnosis and treatment of
breast cancer.
What percentage of breast cancer survivors are enrolled in your program? And what percentage
agreed to complete the surveys?
I find Table 2 confusing- the numbers of those with stage 2 and 3 disease are very small, but
appear to have low fear of recurrence. The percentages should reflect the percentage in that stage
who have greater or lesser amount of time worrying about recurrence, rather than the percentage
of the worriers.
It would also be worth emphasizing in limitations that the data largely reflects those with early
stage presentation and  that only one third of the group had chemotherapy, which is a major
contributor to ongoing issues
Title: Identifying At Risk Populations Amongst Breast Cancer Survivors and Their Common
Symptoms and Concerns
Version: 2 Date: 23 Jun 2022
Reviewer's report:
This study aims to identify at risk populations among the BCS and their most common concerns.
The advantage of this study is using a large of samples to analyze the data. However, there are
some concerns as following:
1. The significance of this study need to be addressed since there are many studies conducted
to identify the risk group for BCS??
2. The measurements authored used are common for understanding the symptoms or QoL among
BCS. However, the outcome measure that  identify 50% of less back to treatment baseline and
worry about the cancer  seemed not use the validated scales?
3.For the disease-related confounding factors, it seemed that the authors did not consider time
since diagnosis or time since completing treatment et al. In addition, cancer stage and treatment
types were related, the authors analyzed the results separately  seemed to be not appropriately.
4. And the aim of this study would like to identify at risk populations among the BCS, it would
be also interesting if the authors can analyze the how about the symptoms influence worry and
subjective perception of back to pre-treatment.
5. For the discussion, suggest the authors discuss the influence of the time since diagnosis on
cancer worry or back to  pre-treatment and symptoms.
Title: Identifying At Risk Populations Amongst Breast Cancer Survivors and Their Common
Symptoms and Concerns
Version: 4 Date: 11 Aug 2022
Reviewer's report:
Thank you for addressing some of the issues in this revision.
There is duplication in the text and tables- information in Table 1  regarding treatment
is duplicated in table 3- one table would be sufficient. Likewise consider combining the
information in table 5, as that relates to types of treatments.
There are a few minor language issues- ie Last sentence of the abstract should read "aims TO
identify"; in methods 2nd sentence "patients were completed"- delete were.
In the first sentence of the second paragraph under results should read Patients not Patient's.
Title: Pregnant women’s perception of midwifery-led continuity care model in Ethiopia: A
qualitative study
Version: 0 Date: 18 Dec 2022
Reviewer's report:
Dear Authors,
Thank you very much for the opportunity of reviewing your manuscript on “Pregnant women’s
perception of midwifery-led continuity care in Ethiopia: A qualitative study”. It is an important
subject and fits the scope of BMC Women’s Health, my overall impression is that the method
section needs substantial work to meet scientific rigour.
Line 27-29: That all women want MLCC might be to strong statement.
Line 70: A strategy to reduce this burden is largely requested from developing countries, please
review this sentence, as the reduction of the high numbers of maternal deaths is a committement
by member states to meet the Sustainable Development goals.
Line 94: what is a programmatic qualitative study? Suggest removing the word programmatic,
as this is not used in qualitative research. Please also add a reference for qualitative studies.
Line 96: How were the women approached? In which department? Which pregnancy week were
they in?  How many did you invite to participate and how many people refused to participate
or dropped out? Reasons?
Line 99: Not sure what this sentence mean “The point of idea saturation was the criteria for
determining the sample size”, please clarify/rephrase/ or remove.
Line 105: Please give example on what questions that were asked.
Line 108-110: the sentence starting with the data was recorded, following by the time of the
interviews, suits better after you have told about the FGDs/Interviews.
Line 116-118: To make a better flow, a suggestion is that the sentence” To ensure the quality of
the data, the guides were reviewed by experts, and a pre-test was done to ensure the flow of the
questions and cultural sensitiveness” comes earlier were you talk about the interview guide.
Line 124-132: That you used Braun and Clark’s method for thematic analysis needs to come in
the beginning of the analysis section. As a reader I am curious about how you in your analysis
applied Braun and Clark’s different steps. This is not clear in the current text.
Line: 134: usually in qualitative research, the participant demographic comes in the method
section under participants. If not, you need to include the data you collected on the participants
in data collection.
Line 148: Please review the different themes, a suggestion is to re phrase them so that they
answer your aim: to assess the perception and experience of pregnant women toward midwife
led care in Ethiopia, meaning they should answer the question: what are the perception and
experience of pregnant women toward midwife led care in Ethiopia?
Title: The relationship of PrEP beliefs to perceived personal, interpersonal and structural
benefits and barriers to PrEP use in women who inject drugs
Version: 1 Date: 28 Dec 2022
Reviewer's report:
- The authors present the findings of a study from an often ignored population, thus making the
manuscript important. Overall, I believe the manuscript is great. I only have minor comments:
- I am unsure what is a “biological barrier” to access health services.
- Line 51, the reference “13” appears twice.
- At times it is written “U.S.” and other times “US”
- Please clarify what is meant by “eligible women were taken to a private area for informed
consent”.
- More details are needed on how the research staff approached the patients to participate.
- How was the consent obtained? Did the participants read and signed a consent form? Was it
done orally?
- The results section in the abstract and manuscript should add the standard deviation for the
age in years.
- In the “eligible participants” section, under point 4, clarifications should be brought on the
HIV-negative status. Was the HIV status self-disclosed? Did the researchers do a rapid-test on
location to confirm the HIV-negative status? Was the HIV-negative status based on the last HIV
test? When was that last test taken?
- Please comment on the choice of sample size.
Title: The relationship of PrEP beliefs to perceived personal, interpersonal and structural
benefits and barriers to PrEP use in women who inject drugs
Version: 2 Date: 13 Feb 2023
Reviewer's report:
I appreciate the author addressing some of the reviewer’s comments, which clarified some of
my potential concerns. My only minor comment in the methods is that a description of the PrEP
intention variable is missing. The other parts of the methods and results seem reasonable given
the descriptive nature of the study. I will focus most of my feedback on the discussion.
1. My prior comments around the conclusions made in the discussion were to ask the authors to
consider how they interpret their results in the discussion given their study design and analysis.
Statements such as “beliefs alone might have an impact on PrEP intent and that correcting
inaccurate beliefs might be an easy intervention target to encourage PrEP use” implies causality
even if the authors try to offset it with statements about the preliminary and descriptive nature
of their study. The authors’ data, study design, and analysis does not support such conclusions
because 1) structural factors (such as housing and income) were not evaluated in their study
which likely play a key role in modifying any potential associations between PrEP beliefs and
intentions and 2) actual PrEP uptake was not evaluated in the study. At most, the study findings
suggests that more positive beliefs around PrEP is associated with higher PrEP intentions, but it
is uncertain whether an intervention targeting PrEP beliefs will truly have an impact on uptake
without consideration for structural factors as part of that intervention. This uncertainty should
be reflected in the authors’ discussion.
2. As a minor note, please carry the person-first language throughout the manuscript particularly
in the intro and discussion.
Title: The relationship of PrEP beliefs to perceived personal, interpersonal and structural
benefits and barriers to PrEP use in women who inject drugs
Version: 3 Date: 27 Feb 2023
Reviewer's report:
Much thanks to the authors for their willingness to address my concerns around the interpretation
of their results. The discussion is much stronger and I think the paper will make a great
contribution to the literature.
I also apologize for being nitpicky but I do want to let the authors know that the trans community
will often use identify first language rather person first language (transgender women instead
of women who identify as transgender). Just wanted to make sure that this is consistent with
language used by communities.
Title: The Clinical and Pathological Characteristics of Lipid-rich Carcinoma of the Breast#An
Analysis of 98 Published Patients
Version: 0 Date: 28 Mar 2023
Reviewer's report:
This report described review for the clinical and pathological features of LRCB.
This review is well-written, but a few critical problems are pointed.
Major comments
1. The importance of this review should be addressed in Introduction section for readers. The
rarity could be understood. However, the differences between LRCB and normal breast cancer
(IDC) should be described.
2. Whether the suitable treatment for the patients in the reports referred by authors should
be doubted. The country bias could affect the treatment. These factors give the readers
misunderstand for LRCB.
Minor comments
1. The dates of the articles in “Data Sources and Study Patients” and “Epidemiological
Characteristics” are different.
2. The ROC courve in Fig.5 doss not have any sense. The size of 3.25 cm is large for obviously
for axillary lymph node metastasis in tbe patients with NST breast cancer. This is not the factor
for aggressiveness for LRCB.
3. Fig 6 should be changed minimum scale for verical axis from 0.5 to 0 point.
Title: Knowledge and perceptions regarding Human Papillomavirus (HPV) and willingness to
receive HPV vaccination among university students in a north-eastern city in Turkey
Version: 1 Date: 24 Mar 2023
Reviewer's report:
Studying in the field of sexually transmitted diseases, including HPV, is valuable. Authors,
please explain the following comments.
1. Please express inclusion and exclusion criteria as clearly.
2. Please explain how to control the confounding factor of the students' field. So that the level
of knowledge and perception of health science students about HPV is different from others and
it is not logical to compare the results of these two groups, unless the knowledge and perception
between health science students and students of other fields separately check and compare with
each other.
3. Mann-Whitney and Kruskal Wallis tests are used in which part of the results (table)?
Title: Knowledge and perceptions regarding Human Papillomavirus (HPV) and willingness to
receive HPV vaccination among university students in a north-eastern city in Turkey
Version: 1 Date: 10 Apr 2023
Reviewer's report:
- Typo in line 182
- Due to very low level of knowledge, validity and reliability of the questionnaire should be
explained in more detail.
- Association between knowledge level and willing to receive vaccine should be focused.
- Has the questionnaire  the cut-off level of knowledge?
Title: Knowledge and perceptions regarding Human Papillomavirus (HPV) and willingness to
receive HPV vaccination among university students in a north-eastern city in Turkey
Version: 1 Date: 11 Apr 2023
Reviewer:  F. Wang
Reviewer's report:
HPV  infection is one of the most frequently encountered sexually transmitted infections;  So it
is important to to evaluate HPV-related knowledge levels among student to assess vaccination
willingness, and to determine factors associated with HPV-related knowledge.But there are
following problems in this article:
1. The suudy was only conducted at a university in northern Turkey. It is recommended to
increase the schools in different areas of Turkey;
2. There are not analysis of the reasons for the   failure of the questionnaires;
3. The Conclusions in the abstract needs to be redefined;
4.The discussion should be implemented with more recent evidence.
Overall, the paper is rejected by  the presentation and the contents of the paper.
Title: Knowledge and perceptions regarding Human Papillomavirus (HPV) and willingness to
receive HPV vaccination among university students in a north-eastern city in Turkey
Version: 1 Date: 01 May 2023
Reviewer's report:
An important burden of the disease on the affected people is its psychological burden. In the
introduction,  you need to pay attention and discuss psychological responses of HPV diagnosis
in  traditional and Islamic cultures like Iran and Turkey. Please notice that.
Suggest that future studies be conducted on the effectiveness of educational interventions about
HPV on people's willingness to get vaccinated.
Title: Knowledge and perceptions regarding Human Papillomavirus (HPV) and willingness to
receive HPV vaccination among university students in a north-eastern city in Turkey
Version: 2 Date: 23 May 2023
Reviewer's report:
Authors' revise is approved, however, “to volunteer to participate in the study and to complete the
questionnaire form in full” is not inclusion criteria, please delete it, and also delete the sentence:
All students who met the inclusion criteria were included in the study.
Title: Pattern and trends of the total and age-specific fertility rates during 1990-2018 in Pakistan
Version: 2 Date: 12 Dec 2022
Reviewer's report:
Overall, the paper is of excellent quality but I have serious reservations with respect to
significance and implications of this study which have not been discussed enough. Also, there is
no discussion related to if the results of indirect estimates corroborate with data of 1998 and 2017
Census conducted in Pakistan as well as other surveys. This must be part of discussion section.
Likewise, why is the study significant and the methods being used to estimate is important should
be made part of introduction section. Also, there needs to be a portion in discussion that should
highlight the implications of your results... What will be the benefit for practice/policy if you
have analyzed trends of TFR and ASFR
Title: Pattern and trends of the total and age-specific fertility rates during 1990-2018 in Pakistan
Version: 2 Date: 23 Dec 2022
Reviewer:  Tullio Golia D'auge
Reviewer's report:
I read with great interest the Manuscript titled "Pattern and trends of the total and age-specific
fertility rates during 1990-2018 in Pakistan" which falls within the aim of the Journal.
In my honest opinion, the topic is interesting enough to attract the readers’ attention.
Nevertheless, authors should clarify some point and improve the discussion citing relevant and
novel key articles about the topic.
- Manuscript should be further revised by a native English speaker to improve clarity and
readability.
- What are the actual implications of this study?
- Discussions can be expanded and improved by citing relevant articles (I suggest authors to
read and insert in references the following article PMID: 31623520).
Considered this 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: Pattern and trends of the total and age-specific fertility rates during 1990-2018 in Pakistan
Version: 4 Date: 01 Apr 2023
Reviewer:  Tullio Golia D'auge
Reviewer's report:
Dear authors, thank you for sending me the corrected manuscript.
I read your work with great interest and pleasure. The work with the changes made after my
advices and those of the other reviewers is complete and, in my opinion, ready for publication