JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: U-Shaped Association Between Serum 25-hydroxyvitamin D concentrations and Urinary
Leakage Among Adult Females Aged 45 Years and Over in the United States: A Cross-Sectional
Study
Version: 1 Date: 18 Dec 2023
Reviewer's report:
The study concludes that the association between serum vitamin D and UL risk follows a U-
shaped pattern among US middle-aged females. This study effectively utilizes open data for
population-level analysis, addressing a prevalent issue in women and linking it to biochemical
variables such as Serum 25-hydroxyvitamin D. It also demonstrates the impact of various factors,
including chronic diseases and gynecological history. Several comments are recommended to
be addressed:
In the last paragraph of the introduction, it is crucial to specify the specific scenarios in which
the link between urinary incontinence and Serum 25-hydroxyvitamin D levels has been studied.
A thorough review for minor language errors is recommended to enhance the overall quality
of the manuscript.
In the limitations section, it is important to address the diversity of methods used to measure
Serum 25-hydroxyvitamin D levels. Despite having the same units of measurement, clarifying
possible variations in measurements is essential.
Graph 2 may give the impression that values above the Serum 25-hydroxyvitamin D cutoff point
can increase the risk of urinary incontinence. Consider revising the graph or providing additional
context to accurately convey the findings.
Title: U-Shaped Association Between Serum 25-hydroxyvitamin D concentrations and Urinary
Leakage Among Adult Females Aged 45 Years and Over in the United States: A Cross-Sectional
Study
Version: 3 Date: 05 Jan 2024
Reviewer's report:
I have had the opportunity to review the revised manuscript, and I am pleased to acknowledge
that the authors have diligently addressed all the comments and suggestions provided during
the initial evaluation.  I am in agreement with the changes made, and I believe the revised
version is now well-positioned for publication. The authors have demonstrated a commendable
commitment to improving their work, and I appreciate their efforts in refining the content.
Title: The Role of Adverse Childhood Experiences in Predicting Child Abuse Perpetration
among Married Mothers in Alexandria, Egypt: A Cross-sectional Study
Version: 2 Date: 21 Nov 2023
Reviewer's report:
Thanks for inviting me to review this manuscript. This is an interesting study that addresses an
important topic.
Please below my comments and suggestions:
Please avoid using abbreviations in the title and Abstract.
Abstract
Page 2, Line 13, You may also show here the prevalence of main child abuse types perpetrated
by the participants.
Page 2, Line 15,  for Different ACEs, you many mention the main factors especially those
were common for all or most types of child abuse such as older mother, spousal violence,
socioeconomic.
Methods
Page 5, Line 2, do not repeat the aim of the study here at the beginning of Methods section.
Page 5, Line 13, Ref 22, Please check if this is the correct reference. Also it is better to use a
prevalence from a similar setting.
Page 5, Line 16-17, Was this a random or convenience sample?
Page 5, Line 19, Who collected the date and where?
Page 7, Line 14-15, On which base you have only included the significant variables in the
multivariate analysis. Some use a P value of <0.2. Please explain.
Page 7, Line 15, Explain what was the outcome in the multivariable analysis.
Results
Page 8, Line 2-9, I recommend having a table for the details of these characteristics.
Page 8, Line 13, Do you mean perpetrated by the participants to their children?
Page 8, Table 1, Please use the standard table formats that each part is in a separate row and
cell rather than using enters.
Table 1, first row (Number of ACEs), Do you mean experienced by the participants at the
childhood.
Page 10 (Line 8) to page 12, This is too much text for results. Is it possible to show the bivariate
analysis in a table to reduce this text.
Page 12, Table 3, I can see that you have only included the variables that are significant on
logistic regression it the tables and not all the variables that are tested. It is better to include all
the variables that are included in the logistic regression model.
You may use only one decimal for ORs and CI
Study limitations
Page 17, Line 3, Better to have this as strengths and limitations sub-section at the end of
Discussion section.
Other potential limitations are;
- Non-random sample and inability to generalize the findings.
- Recall bias as you they are reporting ACEs during their childhood.
- Response bias when reporting child abuse as this might be considered a crime or stigma and
they might not report it frankly or under-report it.
The manuscript needs extensive editing for English language.
Title: The Role of Adverse Childhood Experiences in Predicting Child Abuse Perpetration
among Married Mothers in Alexandria, Egypt: A Cross-sectional Study
Version: 4 Date: 19 Dec 2023
Reviewer:  Nouh Harsha
Reviewer's report:
Dear authors;
Thank you very much for the revised version of your manuscript. It is much improved now. I
am glad to inform you that I endorse its’ publication. However, I still feel that some technical
issues are to be fixed. I do trust the valued editor and the editorial team to make do with this.
For the good of the paper, kindly, find and adjust the points enlisted below:
# Add a proper title for appendix 1
# Put the age categories in Table 1 in a better way, 20-29, 30-39,……..etc.
# In Table 1 and some others, variables explained in the text do not follow the same order as
given in the Table. To avoid readers’ distraction, make sure to explain the variables as per the
order given in the Tables.
# In Table 2, Spell HITS for clarity below the Table.
# Remove the phrase “not illustrated in the Table” from the entire manuscript please. It is
unnecessary.
# In Table 4 use the expression < 0.001 instead of 0.000 or 0.001under p value.
# Fix the P value as  p<0.05 displayed below the regression Table.
# Women age and duration of marriage should be specified (in years) in Table 1.
# Double check and correct the ORs and their 95%CIs. See, for instance, page 15 line 14, page
16 and others.
# As per the regression results, you displayed all the variables which were entered into the
regression model in Table 4. You also emphasized earlier in methods section that those all were
significant in the bivariate analyses that’s why you entered into the regression model. I suggest
that there is no need to enlist all the variables again in the text under results section, given that
we all know they were significant in the bivariate analyses and given that you have enlisted all
in the regression Table. Thus, you can explain the significant variables in the regression model
only in the text.
# Page 9, lin 3-4. Double check and fix the sentence.
Thank you
Title: The Role of Adverse Childhood Experiences in Predicting Child Abuse Perpetration
among Married Mothers in Alexandria, Egypt: A Cross-sectional Study
Version: 4 Date: 19 Dec 2023
Reviewer's report:
Thank you for appropriately responding to the comments.
I have 2 more comments;
1. Please describe the methods and details of choosing the sample randomly. It is not sufficient
just to say it was randomly selected, but need to mention the exact sampling method and how
it was achieved.
2. There is still more room to improve the English language of the manuscript.
Title: The Role of Adverse Childhood Experiences in Predicting Child Abuse Perpetration
among Married Mothers in Alexandria, Egypt: A Cross-sectional Study
Version: 6 Date: 11 Jan 2024
Reviewer:  Nouh Harsha
Reviewer's report:
Dear authors,
Thank you for presenting this modified version taking into account all the raised comments. The
manuscript is quite good now and I do endorse its publication.
NB. Make sure to fix the following 3 points prior to publication, please.
1- Table 1 age at marriage. Invert the first category into “24-25”.
2- Page 12 line 4. Change 45.5% into 45.7% to match the Table’s data
3- Page 16 line 1. Change 36.3 into 36.2 to match the Table’s data.
Thank you
Title: Etiology, consequences and solutions of working women's work-life conflict: a qualitative
study
Version: 4 Date: 09 Dec 2023
Reviewer's report:
The author has addressed most of the comments raised in the previous review, enhancing the
completeness of this manuscript. Additionally, there are still some comments that require further
clarification from the author as follows:
Introduction
1. The author references the definition of work-life balance provided by the CEO of
worklifebalance.com, however, for academic journals, it is advisable to reference more formal
literature. Please consider the following citation.
Brough, P., Timms, C., Chan, X. W., Hawkes, A., & Rasmussen, L. (2020). Work–life
balance: Definitions, causes, and consequences. Handbook of socioeconomic determinants of
occupational health: From macro-level to micro-level evidence, 473-487.
2. The author mentioned that 55.9% of the population are employed, and about half of them
are women. However, the author's citations do not align with the descriptions presented. Please
verify the accuracy of the referenced literature.
…55.9% of the population are employed, and about half of them are women (11).
11. Akram NA, Farooqi SR. A model-based ‘varimax’ sampling strategy for a heterogeneous
population. Annals of Human Biology. 2014;41(2):118-26.
3. There is a wording error in the sentence in the third paragraph of introduction section.
“Therefore, it is necessary for working Women to achieve work-life balance (WLB).” "W"
should be in lowercase, not uppercase.
Ethical considerations
1. The author has only explained the exclusion criteria for participants but has not clarified how
data from participants willing to participate in the study yet not completing the face-to-face
interview (such as recordings and written records) will be handled – whether they will be deleted
or retained but not included in the analysis.
Result
1. The contents of the alternative ways of working section were still not consistent with the
contents of Table. In the contents of the manuscript, it is written as " emotional and practical
support," but in the table, it is listed as " Information support and others’ support." Please check
and ensure consistency.
Discussion
1. In the discussion section (the 7th paragraph), the author has presented literature supporting
qualitative results, such as emotional support, but has not provided references supporting
instrumental support; only social support is mentioned. It is recommended that the author
provide relevant literature supporting instrumental support to complement the existing
references, which currently focus on emotional support.
Additional comments
1. The format of manuscript should be consistent. For example, if the content in the “Inclusion
and exclusion criteria” is in the "Calibri" font, it might be changed to the "Times New Roman"
font.
Title: The Benefits and Risks of Menopause Hormone Therapy for the Cardiovascular System
in Postmenopausal Women: A Systematic Review and Meta-analysis
Version: 1 Date: 11 Sep 2023
Reviewer's report:
The authors present a rigorous systematic review and meta-analysis of the effects of menopausal
hormone therapy on the risk of all-cause mortality, cardiovascular events, stroke, and
thromboembolism as well as the effects of menopausal hormone therapy on FMD and NMD.
Meta-analysis found that MHT did not lower the risk of all-cause death and CV events,
but did increase the risk of stroke and thromboembolism.  Meta-analysis also demonstrated
improvements in FMD, but not NMD with use of menopausal hormone therapy.  Strengths of
the study include that it was conducted in a rigorous manner using appropriate PRISMA and
MOOSE guidelines with Cochrane and GRADE criteria used to assess the credibility of the data
for the outcome measures. They also assessed the timing hypothesis and determined that early
MHT reduced the fist of all-cause mortality and CV events, further improved FMD, but did not
reduce the risk of stroke and venous thrombosis compared to late MHT. While this is important
data, I also think it is important to address the timing hypothesis in relation to similar age women
without treatment.  What did the outcome variables look like in women #60 on MHT look like
relative to women #60 without treatment?  Same question for the women #65.
I strongly believe that this work would be improved by a sub-group analysis looking at doses
and formulations of MHT. This is likely to play an important role on the outcome measures and
will greatly benefit the literature.
Abstract:
-Define abbreviations on first use for reader clarity (RCT, RR, SMD, etc.)
-unclear what is meant by arterial tension- FMD? blood pressure? Arterial stiffness? This
language is used several times throughout the manuscript and is unclear
-Data relative to LDL and TG was from a different meta-analysis and should not be included
in the abstract of this report.
-Line 191- What does outcome mismatch refer to?
-Lines 396-404- Where is this data in the results? This is the first time we’re seeing it.
-lines 420-421- These analyses are key and should be included.
Title: The Benefits and Risks of Menopause Hormone Therapy for the Cardiovascular System
in Postmenopausal Women: A Systematic Review and Meta-analysis
Version: 1 Date: 31 Oct 2023
Reviewer's report:
The manuscript titled ‘The Benefits and Risks of Menopause Hormone Therapy for the
Cardiovascular System in Postmenopausal Women: A Systematic Review and Meta-analysis.’
Is addressing an important issue that has been controversial for decades. The authors, Gu et al.
conducted this systematic review meticulously, targeting the controversies around MHT. The
meta-analysis is thorough, and presentation of the results is clear and succinct.
My comments are listed below:
1. In the abstract, the results and the conclusions seem mutually exclusive. That should not be
the case. Please include all the key results including the stratified analysis.
2. The conclusion, in the abstract and end of the manuscript, needs to be authors interpretation
of the results. There should be comments of ‘Timing hypothesis’; whether or not it has been
proved; things like that.
3.  The authors did mention that dose, regimen, duration, and route of administration could not
be evaluated in this analysis. However, it is not clear why? This point needs to be added to the
limitations. Like time of MHT initiation, the above mentioned factors might be the defining
conditions for success or failure of MHT.
4. The manuscript has multiple typos and grammatical errors, that need to be fixed.
Title: Machine learning to predict unintended pregnancy among reproductive-age women in
Ethiopia: evidence from EDHS 2016
Version: 1 Date: 08 May 2023
Reviewer's report:
Major Concerns:
• Classifying the data into Training and Testing: shall be at least 80%:20% or 70%: 30%.  The
researchers classified the data into 90%:10%, which I think would give a smaller portion for
validation.
• Write some descriptions about the ML approaches that the researchers applied. That will help
the audience to learn about each ML algorithms briefly.
• Please add some descriptions about how the new ML approaches have better predictive ability
than the traditional ones like logistic regression.
o Please add some sentences about the
• Writing errors: Please correct some spelling errors and fragmented sentences:
o  The overall writing is poor.
o Line 357 and 358.
o Line 377: Machine algorithms
o Avoid repeated sentences, such as
• The Discussion Part is poorly written.
More details needed in the discussion part:
o Line 331: The ML approach identifies, Region as the 1st most important factor.  In their
discussion part they also described “The sociodemographic variations between the individuals
in each region could be one of the causes”.  But these seems not enough, please add some more
detail discussion points about why there is more variation across regions in relation to unintended
pregnancy. Which regions are most affected, and which are least affected? What are the socio-
economic reasons associated with the most and least affected regions?
o Line 345: Again, Religion is the 3rd most import factors, can you add some description points
in the discussion part, about which religion in Ethiopian context is highly related with un-
intended pregnancy.
o Line 352 – 359: The discussion provided here doesn’t make sense at all.
o Line 365 – 367: doesn’t make sense.
o “Effective predictive modeling may raise medical care standards and increase maternal
survival”. How? How this is related to unintended pregnancy?
• Revise the conclusion part as it is poorly written, also please add some policy recommendation
based on your findings. For instance, add phrases like:
o This may create a better understanding of unintended pregnancy and help to develop more
effective policies to advance unintended pregnancy in the country. The findings reinforce the
need for committed efforts to improve upon access….
Title: Machine learning to predict unintended pregnancy among reproductive-age women in
Ethiopia: evidence from EDHS 2016
Version: 3 Date: 09 Dec 2023
Reviewer's report:
Abstract
- In the background section, it would be great if the authors would include specific quantities
representing the so-called “burden” or to breakdown the meaning of the so called “significant
cost to the society including……..”
- In the Methods section: Authors need to clearly mention the specific ML algorithms that
were trained and validated. In addition, the method used for feature importance should also be
mentioned.
- In the results section:
# Authors should consider presenting key quantitative results or statistics related to the
performance of the ExtraTrees model instead of just saying “Top performance”. For instance,
provide accuracy percentages, sensitivity, specificity, or any other relevant measures to quantify
the model's effectiveness.
# The same applies to the findings for “feature importance”. Providing the specific quantities
may provide more insights for a reader.
Background
- Include citation for line 69 – 74
- Include citation for line 84 – 88
- For line 96-102, authors should revisit my previous comment and improve this part
accordingly.
Methods
- In line 130-132 authors touched on the importance of handling missing data, but couldn’t
explain what exactly they did regarding the same.
- In the Data Split section, authors should clearly produce the ratios used (eg 70%training: 30%
validation).
Generally, authors should again go through my previous comments and make necessary
improvements if possible.
Title: Prevalence of anxiety and depression among Lebanese women using oral contraceptives:
A cross-sectional study
Version: 2 Date: 01 Oct 2023
Reviewer's report:
The manuscript is written very well. Covered an important gap in the knowledge with
significance.
All components are written very well and clear.
Methods done in accordance with aim and objectives of the study.
This study is suitable for publication
Subsequently: I have only few  questions need to considered in order to make it  suitable for
publication:
1) How you got informed consent from the participants? Written or oral?
2) Why you chose only 5 women for pilot study, pilot study needs at least 30 participants who
will be excluded later from the main study
3) In statistical analysis, why chose for multivariate who showed P < 0.02?
Title: Pattern and determinants of contraceptive use among the Muslim women in Wajir and
Lamu counties in Kenya: A cross-sectional study
Version: 3 Date: 09 Dec 2022
Reviewer's report:
It is a good research highlighting very common but a critical public health challenge. I have
very minor suggestions.
-It would be better if clear objectives are stated in the background (may be in Abstract too).
-Minor language corrections are needed such as unnecessary capitalizations.
Title: Pattern and determinants of contraceptive use among the Muslim women in Wajir and
Lamu counties in Kenya: A cross-sectional study
Version: 3 Date: 04 Apr 2023
Reviewer's report:
I have sent along my comments within the document that you've submitted. Overall, this is
a study that further validates earlier research on drivers and barriers for family planning use,
particularly in areas of high religiosity. I have highlighted a number of areas for revision /
reconsideration. I would recommend a limitations section. One notable area of concern is the lack
of respondents who are below the age of 18- this is unusual given the sampling technique and
household size. Not having  adolescents under 18 in a study of this nature is a notable limitation
(and also, statistically speaking, highly unlikely). It would be useful to do a final copyedit for
formatting and grammar.
Title: Pattern and determinants of contraceptive use among the Muslim women in Wajir and
Lamu counties in Kenya: A cross-sectional study
Version: 7 Date: 25 Aug 2023
Reviewer's report:
Thank you very much for your responses to my previous comments. This new version is greatly
improved.
The one issue that remains for me is your sampling and the outcome that there were not ANY
girls under the age of 18 selected for this study. You state that you randomly selected households
and if there was more than one WRA, you used a Kish grid to select the woman / girl. Given the
size of your sample and the proportion of the population between the ages of 15-17, there should
be at least a few respondents ages 15-17. You cite that it is because FP is highly stigmatized.
To that end, can you show that there were refusals of consent for participation from girls ages
15-17 (and at what level/rate)?
You state, "We excluded those who did not provide consent, and women aged <18 (unless they
were emancipated minors) or >49 years old. Although minors below 18 were part of the inclusion
criteria there were no minors interviewed."
From this, it seems that unless they were emancipated, WRA ages 15-17 were actually excluded
from the study and, in fact, NOT a part of the inclusion criteria.
Once this is clear, I think this study should move forward.
Title: Prevalence and associated factors of sexual dysfunction in female hemodialysis patients:
First report from Somalia
Version: 0 Date: 13 Nov 2023
Reviewer:  Zakaria Hamdan
Reviewer's report:
"Prevalence and associated factors of sexual dysfunction in female hemodialysis patients: First
report from Somalia"
Well written, but there are some grammatical changes that need to be made.
I advise getting more details regarding the possible physiological changes that may lead to
sexual dysfunction in hemodialysis patients; including Intradialytic changes in blood pressure,
Ultrafiltration volume,  and perhaps the dose of hemodialysis measured with Kt/V or URR.
In the discussion part, there are no direct comparisons with the results of other studies that
evaluated sexual dysfunction among female hemodialysis patients, for example, the median
score of sexual dysfunction using the same questionnaire was 14.8 (IQR, 2.0–33.1) reported by
Clin J Am Soc Nephrol. 2012 Jun; 7(6): 974–981.
Thank you