JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: The Effect of Perceived Social Support on Postpartum Stress: The Mediating Roles of
Marital Satisfaction and Maternal Postnatal Attachment
Version: 1 Date: 13 Jun 2023
Reviewer's report:
Study theme:
The authors state in the Introduction section, “Thus, previous studies have reported that
marital satisfaction and maternal postnatal attachment can mediate the effect of perceived
social support on postpartum stress”. Since this has already been examined, I did not fully
understand the novelty of this study. In the Discussion section, the authors also state that “This
study investigated the postpartum stress level and evaluated the complex associations between
perceived social support, marital satisfaction, maternal postnatal attachment, and postpartum
stress using the parallel mediation modelling analysis” in Discussions section. However, it is
questionable whether “the parallel mediation modelling analysis” is able to test that complexity.
As the authors themselves point out, there are many factors that influence postpartum stress (e.g.,
namely social support, women's experience with health care, social norms and expectations,
factors that influence coping, and maternal and child health), so why choose only marital
relationships and attachment as mediators? I also wondered about the direction of association:
the Perceived Social Support Scale contains items that assess support from family, but dose
‘family’ include husbands or partners? If so, I think the associated direction might be “Marital
Satisfaction # Perceived Social Support”.
Statistical methods:
# I wondered why the T-test (for normal distribution) and rank-based inverse normal
transformation (for nonnormally distributed traits) were used simultaneously to validate the
same outcome (MPSS scores).
#Variables used in multiple linear regression analysis and parallel mediation modelling analyses
should be reported (Table 2, Table 4).
Title: The Effect of Perceived Social Support on Postpartum Stress: The Mediating Roles of
Marital Satisfaction and Maternal Postnatal Attachment
Version: 1 Date: 05 Jul 2023
Reviewer's report:
In the abstract section, could you please change the 1st line “Reportedly, perceived social
support, marital satisfaction, and maternal postnatal attachment are associated with postpartum
stress”…..
The available information regarding the previous study's findings adequately enables readers
to comprehend the rationale and procedures of the present study. However, it is important to
provide a broader perspective by incorporating insights from other countries in the introduction
and background sections. Additionally, the methodology section currently lacks justification for
the selection of specific methods, techniques, and sampling procedures. It would be beneficial
to clarify the reasons behind these choices. Moreover, it would be beneficial for the authors
to provide a detailed description of the methodology used for participant selection, including
the criteria for eligibility and the process of randomization. This information would allow
readers to assess the potential bias in the sample and the robustness of the study's conclusions.
Furthermore, the handling of secondary data remains unclear. It would be helpful to elaborate
on the inclusion and exclusion criteria employed for the secondary data analysis. Furthermore,
the results paragraph needs to be summarized to provide a more fluent section for the readers.
Also, the most relevant study limitations/shortcomings need to be appropriately described as the
main caveats have been only partially reported. Finally, what is the take-home message of this
manuscript? You need to rearrange the conclusion part for more analysis.
Title: The Effect of Perceived Social Support on Postpartum Stress: The Mediating Roles of
Marital Satisfaction and Maternal Postnatal Attachment
Version: 4 Date: 20 Jul 2023
Reviewer's report:
Thank you for your reply.
Just one point, the author states that "Variables used in multiple linear regression analysis and
parallel mediation modelling analyses including scores of Maternal Postpartum Stress Scale
(MPSS), Perceived Social Support Scale (PSSS), Marital Satisfaction Scale (MSS) and Maternal
Postnatal Attachment Scale (MPAS)". Should variables related to participants' background
information that could be related to each outcome not be added to the analyses?
Title: Yangmo decoction versus Hyaluronic acid gel in Women with Intrauterine re-adhesion
after Hysteroscopic Adhesiolysis: A Retrospective Efficacy and Safety Analysis
Version: 1 Date: 12 May 2023
Reviewer's report:
The smaple size of Yangmo decoction & HA is too different, and  the comparison between them
is  insufficient.
The action mechanism of Yangmo decoction for prevention of adhesion is not explained.
Title: Yangmo decoction versus Hyaluronic acid gel in Women with Intrauterine re-adhesion
after Hysteroscopic Adhesiolysis: A Retrospective Efficacy and Safety Analysis
Version: 1 Date: 17 Jul 2023
Reviewer:  Oronzo Ceci
Reviewer's report:
For a complete understanding of the article, some information are required. What are the
pharmacological bases of Yangmo decoction?
What is its dosage? How many times is it administered to the patient in a day? Is there a
correlation with the weight of the patients? How long does the effect of the decoction last once
stopped? Could there be new intrauterine adhesions after discontinuation of administration? Is
all this information absolutely necessary before starting a therapy, or is everything based on
empirical bases?
As regards the pregnancies after the different therapies in the three cohorts, it is not correct to
speak of a period of six months. For all three groups, there was a three-month period of estrogen-
progestin intake, so the real observation period was three months. Could the Authors state that
this period is sufficient to establish that the Yangmo decoction offers more advantages than the
other methods with respect to obstetric successes?
Title: “Evolution” of intravascular leiomyomatosis
Version: 1 Date: 28 Jul 2023
Reviewer's report:
Thank you to let me review this interesting manuscript.
This manuscript reports a rare case of  intravascular myomatosis and its management.
However in my opinion the manuscript needs corrections:
- Punctuation must always be corrected by inserting a space after the point or comma
- English need to be revised in some points
- The discussion should be expanded, writing about the possible cause of this pathology
(Biological and molecular reason ,if  there is literature about this, and biological markers
of Leiomyomatosis that could help to diagnose this type of behavior by myomas ) and the
possibility of a early diagnosis based on symptoms and signs if present in literature (i suggest:
doi: 10.3390/jcm8050691;  10.1016/j.ijscr.2016.05.017; 10.1136/bcr-2022-249480
Title: How do new mothers describe their postpartum sexual quality of life? A qualitative study
Version: 1 Date: 06 Jun 2023
Reviewer's report:
Thanks to the respected authors, the following points are related to the article:
To reach the concept of postpartum sexual quality of life, it seems that the authors did not choose
a suitable research methodology.
There are times when it is necessary to investigate existing theories and concepts in order to
gain a better understanding or to bring out more nuances. When it comes to concepts, the best
way to approach them is through a conceptual analysis research, which will provide and clarify
all possible information, coherent or not, that surrounds this specific concept.
In the methodology used in this research, the aim of the authors is to achieve postpartum sexual
quality of life in women, but practically most of the findings are dedicated to the quality of life
of couples apart from the sexual issue, and the way of expressing the findings of the research,
the reader of the article It does not place the space of the postpartum period. In other words, the
authors have not been able to fully focus on the purpose of the study.
in some few themes such as Postpartum sex storm, which the authors have specifically addressed
the purpose of the study, unfortunately, a good conceptualization has not been done and the
reader cannot have a clear understanding of the author's intended concept according to the
categories.
The authors drew their conceptual map based on the similarities of the findings in Iran and
Switzerland, while their desired conceptual map should be drawn according to the similarities
and differences of the two countries while the authors have expressed the strength of their study
as follows:
A strength of the present study was that our research addressed similar topics in two different
cultures, which provided an opportunity to understand the complexity of women’s sexuality and
sexual relationships between partners in different cultures. Sexuality is a topic that encompasses
international as well as cultural aspects. It also differs by reason of religion and beliefs.
As a reader of the study, I could not get a proper understanding of postpartum sexual quality
of life in Iranian and Swiss women..
Title: How do new mothers describe their postpartum sexual quality of life? A qualitative study
Version: 1 Date: 10 Jun 2023
Reviewer's report:
Dear authors
The research convey a multidimensional approach to the sexual life in two separate contexts.
However, there are a few questions that may clarify the main aims of the study as below:
1- The ration of the study in two thoroughly different cultures in term of this area is not well
defined in the necessity of the research. How did the researchers find out the subject matter may
have common findings in such two different regions?
2- As the most feeling of being a mother especially for first-time mothers compass multiple
tasks for them, being sexual active may be the next priority, yet for first-time fathers this may
be different due their perceived second role as a parent. For this reason, the experiences of the
couples should be studied together or separately for better understanding. Thus, the entitled
themes which encompass "couple" may not describe the whole couple's experiences.
3- The reason for directed content analysis is not very clear. Please explain more about the
existing theories and frameworks which were studied and the theory applied for analysis.
Title: How do new mothers describe their postpartum sexual quality of life? A qualitative study
Version: 3 Date: 22 Jul 2023
Reviewer's report:
The authors did a major revision and the article has been revised based on the comments of the
reviewers, but please, the authors should also take action on the following:
Iranian and Swiss mothers' views on indirect changes in sexual life are different. Iranian women
have a negative view of their body changes after giving birth, while Swiss women feel good
about these changes. This indicates a small cultural difference between the two societies and
should be explained in the discussion section.
Title: Knowledge and Perceptions About Dolutegravir and Dolutegravir Counselling: A
Qualitative Study among women living with HIV
Version: 3 Date: 18 Jul 2023
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?
N/A - there are no statistics in this 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: In their present manuscript, authors report results form a qualitative
study addressing patient experiences with counseling about switching from an EFV-based to a
DTG-based therapy in a convenience sample of women living with HIV as well as selected HIV
care providers in two facilities delivering HIV care in in the Lilongwe District, Malawi.
The study is of importance as it documents drivers and barriers to DTG switch from participants
and provider’s perspectives in a context of an early pharmacovigilance signal towards birth
defects followed by reassuring surveillance outcomes. Results can be informative to health
authorities for future recommendations towards long acting HIV treatment as an example.
REQUESTED REVISIONS:
While the interviews and analysis seems correctly described, it is unclear why participants were
recruited according to their ongoing participation to a research study (S4). One could argue that
these participants could be more sensitive to counseling. Are there any differences according to
study participation? These should be addressed through a limitation section in the discussion.
More generally, participants as well as providers attending healthcare facilities with an important
research activity might not be representative of all patients/providers in Malawi. This should be
stated as a limitation. It would have been also informative to know among how many providers
delivering care in these clinics (denominator) these 10 providers were selected from.
Title: Knowledge and Perceptions About Dolutegravir and Dolutegravir Counselling: A
Qualitative Study among women living with HIV
Version: 6 Date: 23 Aug 2023
Reviewer's report:
The authors have addressed all the major points raised.
One minor issue to be revised is  below:
Recruitment of participants-second paragraph: The following statement is not related to the
recruitment process and may be moved to the data collection part.
“Our aim was to gain insights into the role of counselling in women's decisions to either switch
or maintain their current antiretroviral therapy (ART) regimen. The interviews focused on the
patient participants' perceptions of DTG and the quality of DTG counselling provided by health
workers at each facility.”
After this revision, my recommendation is "Accept"
Title: Knowledge and Perceptions About Dolutegravir and Dolutegravir Counselling: A
Qualitative Study among women living with HIV
Version: 6 Date: 28 Aug 2023
Reviewer's report:
PEER REVIEWER ASSESSMENTS:
OBJECTIVE - Full research articles: is there a clear objective that addresses one or several
testable research questions? (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 sufficient 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?
N/A - there are no statistics in this study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - Has the author addressed your concerns sufficiently
for you to now recommend the work as a technically sound contribution? If not, can further
revisions be made to make the work technically sound?
Yes - current version is technically sound
PEER REVIEWER COMMENTS:
GENERAL COMMENTS: In their present revised version authors have correctly addressed my
main concern related to the representativeness of the study sample.
REQUESTED REVISIONS:
Authors have correctly addressed reviewer's comments
Title: MicroRNAs as potential biopredictors for premenopausal osteoporosis: a pilot study
Version: 1 Date: 17 Jul 2023
Reviewer's report:
In my opinion, the analyzed topic is interesting enough to attract the readers’ attention.I think
that the abstract of this article is very clear and well structured.
In my opinion, the discussion could be studied in depth and extended. Maybe, it could be useful
the evaluation of all the newest insights of  endometriale molecular knowledge in order to add
all the information necessary to complete the topic exposed. In particular, I suggest these articles
to get deeper in the topic: PMID: 36979434 and PMID: 36833105. Because of these reasons, the
article should be revised and completed. 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: MicroRNAs as potential biopredictors for premenopausal osteoporosis: a pilot study
Version: 1 Date: 02 Aug 2023
Reviewer:  Athanasios N. Tsartsalis
Reviewer's report:
Although it is an interesting study, there are some points need improvement
1. English language needs editing. There are many grammatical errors
2. Osteoporosis is defined in postmenopausal women with T-score. However premenopausal
osteoporosis is defined with z-score. Authors should change the categories of population study
3. Authors should refer to the cost of these markers and compare it with  the current markers
of bone metabolism
Title: Perceived ideal number of children among adolescents in sub-Saharan Africa: does
exposure to family planning messages matter?
Version: 1 Date: 27 Jan 2023
Reviewer:  Robert Kokou Dowou
Reviewer's report:
Thank you for giving me the opportunity to review this manuscript. This is an interesting study,
with results supported by the literature. However, I have a few comments that, if the authors
address them, will help strengthen the manuscript.
The authors should engage a service of a professional that can help address grammatical errors
In the Multivariable logistic regression authors used relied only on individual level variables to
determine the factors that are associated with perceived ideal family size among adolescents; Is
there any special reason for doing this? For instance, there could be other possible household or
community level variable that can influence perceived ideal family size among adolescents
What makes this form of analysis in this study multi-level?  For instance, the author did not
show any random effect model analysis in this multivariate regression.  Author could have only
use normal linear logistic regression
The authors should ensure that after writing the Sub-Saharan Africa in full for the first time,
they should rather use SSA in the subsequent use of (Sub-Saharan Africa) and this also apply
to any other acronyms use in the manuscript
Title: Spatio-temporal trends of the age-at-menarche percentiles among Portuguese women
since 1920
Version: 1 Date: 07 May 2023
Reviewer's report:
This is a well-written methodologically very strong article about changes in the age-at-menarche.
The article provides an in-depth look into the topic, and due to the state-of-the-art modelling
techniques, the authors can give insight views into how this important figure changed throughout
the last decades. In my opinion, this is not only relevant for the target population (Portugal)  but
gives some nice details that are generally relevant.
As said, the main strength is the state-of-the art methods the authors used to analyse their
data. Particularly interesting are the derived percentiles and the computed decreasing rate for
the different birth years. The main limitation (which the authors also mention) is the unclear
assessment of the regional information due to the specific data situation.
Some points and comments to consider:
1) The authors should consider adding more information about the other distribution they
checked and compared via the GAIC, at least in some kind of Appendix. This might be relevant
for researchers in other countries that want to follow this nice analysis approach. Also the
different options regarding the effects of the explanatory variables (e.g. why skewness parameter
is modeled only via an intercept) could be somewhere compared based on goodness-of-fit
measures like the GAIC.
2) The authors clearly mention the limitation regarding the regional information from the breast-
cancer screening (which might not be the place the women lived as a child at its age at menarche).
But in my opinion, this should be clarified earlier for the reader, and all claims about regional
differences etc. should be flagged as strictly exploratory.
3) Reproducibility: couldn't the authors make the syntax and perhaps even some of the data
available for the readers so they could benefit by reproducing part of the results of the innovative
modelling approach? This could further improve the impact of this trial.
Minor points:
o Is percentile regression really a commonly used term (e.g., abstract)? Wouldn't distributional
regression be more general?
o Regarding the regional MRF effects, I think the last sentence "shrinked towards the mean"
needs some more clarification. If I understand correctly, the main advantage here is that
neighboring regions have similar effects?
Title: Spatio-temporal trends of the age-at-menarche percentiles among Portuguese women
since 1920
Version: 1 Date: 21 Jun 2023
Reviewer's report:
First review of the manuscript for BMC Women's Health entitled; “Spatio-temporal trends of
the age-at-menarche percentiles among Portuguese women since 1920”
I think that the article is very straight forward, quite interesting and may be possible for
publication, no extra analyses are needed. The introduction needs a few changes regarding
content and the discussion needs to be deepened. Since the paper is presented for the referee
without numbered lines is it complicated to refer precisely to the different parts of the paper,
hence is my comments added as notes to the PDF of the article.
The main limitation of the paper is the English scientific language. I'm not native English
speaking and probably are there more things to react to than I have noticed. I strongly recommend
that the article should be subject to thorough language edition and preferably also reviewed by
a native English-speaking referee for the language content. Except all my comments regarding
language are there also some suggestions and questions regarding the content as seen in my
comments in the PDF-file.
If the paper is assessed as potentially acceptable for publication, will I look forward to see a
rewritten version of the article for a second review.
Title: Spatio-temporal trends of the age-at-menarche percentiles among Portuguese women
since 1920
Version: 3 Date: 15 Aug 2023
Reviewer's report:
Second review of the manuscript for BMC Women's Health entitled; “Spatio-temporal trends
of the age-at-menarche percentiles among Portuguese women since 1920”
I think that the article should be published, it has improved due to comments from the second
reviewer and some improvement of the English scientific language. I am pleased with some
of the changes due to my comments too. I still think the English language could be further
improved. However I rest my case I don’t need to see an eventual third version.
Yours sincerely,
Anton Holmgren
MD, PhD, Paediatric endocrinologist
PS I am not really sure about being anonymous or not, can follow the other reviewer.