JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Breast cancer surveillance in BRCA positive Sri Lankan women: health equity for a high-
risk group at a limited resource setting
Version: 1 Date: 08 Aug 2023
Reviewer's report:
Dear authors and editors,
Thank you for the invitation to review this manuscript about breast cancer surveillance in BRCA-
positive, high-risk women in Sri Lanka. Although the sample size is small, this study highlights
the urgent need for attention to breast cancer screening and surveillance in high-risk women in
Sir Lanka. Please see the following suggestions for further improvement of the manuscript.
Abstract
1. It would be better if the result section includes the data analysis method and statistical software
used for analysis.
Background
2. It has been mentioned that high-risk screening should start at an earlier age, with
mammograms and MRIs annually. It would be better if the authors could specify the age of
commencement for screening recommendation, frequency, etc. Since the guidelines may vary
in different countries, the name/ country of the recommendation guidelines referring to in the
introduction should be included.
3.  If intext-citations are more than one, they could be in the same bracket. Eg, (1)(3)(5) could
be present as (1,3,5). Please revise throughout the manuscript.
4. It would be better if the authors include information about available resources for breast cancer
screening (mammogram and MRI) in Sir Lanka, payment methods for the women, self-paid or
insurance coverage system for screening, and reminder system, etc.
Results
5. Table should be presented in a three-line format and remove the vertical lines.
6. It would be better if the author present age in one format only, either mean (SD) or median
(IQR) or in category.
7. Table 2, age reporting should be revised according to the above suggestions.
8. Family income should be presented as equivalent to USD to have a better understanding of
the audience. Why did the authors take a specific cut-off value for income?
Discussion
9. The second and third paragraphs of the discussion have been presented in the result section.
Therefore, they should not be repeated in the discussion.
10. Please correct the typo in Line 237 “did not now” as “did now know”.
11. The discussion needs to be expanded while comparing the findings of this study with the
previous literature. What are the similarities and differences in high-risk screening measures
uptake in this study and previous studies (in Sri Lanka)?  It would be better to compare with
the neighboring countries as well.
Thank you.
Title: Breast cancer surveillance in BRCA positive Sri Lankan women: health equity for a high-
risk group at a limited resource setting
Version: 2 Date: 05 Nov 2023
Reviewer's report:
The authors have satisfactorily addressed the concerns raised by the reviewers, with the
exception of the methodology used to identify and contact eligible participants from a
deidentified registry. If this aspect can be clarified conclusively, I am inclined to recommend
the paper for publication.
Title: In-bag extraction of tissue through an incision in the posterior vaginal wall in laparoscopic
myomectomy: a large retrospective study
Version: 1 Date: 13 Sep 2023
Reviewer's report:
The results of the study is important for daily practice
The paper has lots of typo and grammar errors, should be revised
Authors should avoid the sentence 'for the first time...)  because the study by Ghezzi et al and
Andan et al. used the same technique to remove the myomas.
Please refer to the recent literature regarding  transvaginal surgeries in gyne practice (PMID:
32633168 PMID: 34411729 PMID: 36018048)
Title: In-bag extraction of tissue through an incision in the posterior vaginal wall in laparoscopic
myomectomy: a large retrospective study
Version: 1 Date: 14 Sep 2023
Reviewer's report:
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, the authors
should clarify some points and improve the discussion, as suggested below.
Authors should consider the following recommendations:
- Manuscript should be further revised in order to correct some typos and improve style.
- The improvement of devices and techniques allowed to perform the majority of surgeries
with minimally invasive approaches. Nevertheless, specimen retrieval still represents an
issue, especially of benign gynecology which require a good esthetic result. In this scenario,
transvaginal specimen retrieval may offer an appropriate solution. I invite authors to discuss pro
and cons of this technique, referring to: PMID: 35728574; PMID: 36150421.
- I recommend to discuss, at least briefly that the opening of the posterior vaginal space
(culdotomy) should be carefully performed, in order to avoid potential complication especially
in case obliterated Douglas pouch (authors may refer to: PMID: 27757537).
Title: The Impact of the COVID-19 Pandemic on Routine HIV Care and Cervical Cancer
Screening in North-Central Nigeria
Version: 0 Date: 14 Sep 2023
Reviewer:  Abideen Salako
Reviewer's report:
Thank you for asking to review the manuscript
General Overview: The manuscript is well structured addressing the impact of the pandemic
on  Cervical cancer and HIV care.  However, the presumption that this is the first manuscript
reporting the influence of COVID-19 on preventive care is a wrong assumption as there are
similar works that have reported the same scope of work. Therefore the conclusion needs to be
rephrased appropriately (line 29) as " This study buttresses the challenges in assessing routine
and preventive care during the COVID-19 pandemic" or the most suitable phrase to capture
their conclusion"
Abstract:
Introduction: The introduction needs to be better restructured to reflect the subject matter without
ambiguity.
Methods: Well-written
Result Section: Well written
Discussion: The discussion appears to be a repetition of the results found. The authors need to
ensure the appropriateness of the discussion of their findings. This section requires a relative
overhaul.
Strength and Limitations: The statement in lines 286-287 should be rephrased or deleted as this
is not the first paper to examine the impact of COVID-19 on cervical cancer and or HIV care in
LMICs even in Nigeria. There are papers with similar evaluations.
Conclusion:
Line 298 corrects SARA-COV-2  to SARS-COV-2.
There is a need for the conclusion to be better rephrased, rather than the repetition of study
findings. Line 301-310 should be deleted
The Conclusion could read thus: " The novelty of the COVID-19 pandemic and the policy
recommendation at curtailing the disease poses significant barriers to routine HIV care and
cervical cancer screening uptake in north-central Nigeria with possible dire consequences on
the 95-95-95 global target" Therefore effort or measures be instituted to mitigate the possible
impact of disease outbreak on.......
Title: The Impact of the COVID-19 Pandemic on Routine HIV Care and Cervical Cancer
Screening in North-Central Nigeria
Version: 0 Date: 26 Sep 2023
Reviewer:  Mohammed Mohammed Manga
Reviewer's report:
General:
A few grammatical errors need to be reviewed again and corrected
Title:
Concise and appropriate. But the word “Pandemic” should be added after Covid-19 such that
it reads
The Impact of Covid-19 pandemic on routine …………………………………..
Key words:
“cervical cancer prevention” should be replaced with “cervical cancer screening”
“HIV viral load monitoring” should be deleted as it is already reflected in “HIV management”
which is all encompassing
Abstract:
Introduction: There is need to reflect some peculiarities of Nigeria where the study was based.
Methods and Results: No comments
Conclusion: Line 29, “pandemic” should be added after Covid-19. This need to be corrected in
many relevant places in the manuscript.
Main Manuscript:
Introduction:
Although WHO recommendations support the use of pap smear as the gold standard for cervical
cancer screening in low-resource settings, there is need to mention HPV DNA testing as the
current global standard for its numerous advantages over cytology-based approach.
Additionally, while Covid-19 lockdown was in place in Nigeria, digital poverty especially in
rural setting have worsened communications and information dissemination.
Methods:
Line 109: the word “screening” is missing after “cervical cancer” and should be added
Results:
While it is important to provide the trend of events in 2020 (which is the Covid-19 year) based
on quarter 1 to 4, merging two years (2018 and 2019) before covid and comparing with one
year during covid and one year post covid might be misleading. It is therefore better to have a
comparison of three years as 2019 (before covid), 2020 (during covid) and 2021 (post covid).
The four quarters in 2020 could be separately compared using a line graph. Otherwise, the entire
trend could be painted using a uniform three-monthly interval or six-monthly interval between
2018/19 and 2022.
Discussion:
To reflect the few changes that might arise with slight modifications in result presentation.
Strengths/Limitations and conclusion:
No comment.
Title: The Impact of the COVID-19 Pandemic on Routine HIV Care and Cervical Cancer
Screening in North-Central Nigeria
Version: 2 Date: 31 Oct 2023
Reviewer:  Abideen Salako
Reviewer's report:
Thank you for asking for a second review of the manuscript after the corrections have been
effected.
The authors have addressed related issues raised in the manuscript, and thus the manuscript can
be accepted for publication in the journal.
Title: Patient experiences of being advised by a healthcare professional to get pregnant to
manage or treat endometriosis: A cross-sectional study.
Version: 1 Date: 17 Jul 2023
Reviewer:  Phuc Nhon Nguyen
Reviewer's report:
Dear authors,
Thank you for prompt work  of the authors .
The authors contribute to the literature that pregnancy does not limit the development of
endometriosis.
The  negative effect of endometriosis on pregnancy  has been well-known. However, the opposite
impact has been never proven.
Thus, I support for this interesting finding in Australia.
I also have some concerns:
1.  In  introduction:
-Impact of endometriosis on pregnancy and its mechanism  should be included.
-Hypothesis of pregnancy in associated with the development of endometriosis should be
mentioned.
2. In the method
-The criteria for diagnosis of pregnancy needed to be described.
- The criteria for diagnosis of endometriosis (through surgery or medical diagnosis by
professional providers) should be detailed including ultrasound scan, MRI, CT scan, biopsy...
3. In the result
- In the paragraph: "Patients reported three main reasons healthcare professionals mentioned for
providing the advice to get pregnant or have a baby (multiple responses allowed):
1. As a treatment for endometriosis (68.2%, n=1153).
2. Because endometriosis can affect fertility (56.1%, n=948)
3. As a cure for endometriosis (36.8%, n=622)."
I don't understand that what is difference between response number 1 and 3.
- A table of characteristics of  study population such as career, geographical features, education,
parity, obstetric history, economic condition, etc... should be described. Since these points affect
to the pathology and patient's option.
-The results related to pregnancy (positive test of preganancy, miscarriage, preterm birth, term
delivery...) could be added.
-Classification of endometriosi (4 stages) should be added.
4. Discussion
-More references of similar subject in other coutries and other population outside of Autralia
are reuired to compare the issue.
5. Conclusion is well established. However, conclusion must be shorten and focused.
One more limitation of this study is a self-reported, community-based, cross-sectional online
survey. Thus, bias can not be avoided. Another study with comparative group (different
population in Autralia or with other countries) or comparison among subgroups such as stages
of endometriosis  will be better.
Finally, I encourage the authors for minor revision and  early publication.
Sincerely,
Phuc Nhon Nguyen MD, MSc
Title: Patient experiences of being advised by a healthcare professional to get pregnant to
manage or treat endometriosis: A cross-sectional study.
Version: 1 Date: 11 Sep 2023
Reviewer's report:
This is a very well-written manuscript of a survey evaluating the impact of recommending
pregnancy as a treatment for endometriosis. The authors described the patient and counselor
context very well. They systematically grouped the open answers and reported some impressive
examples in the manuscript.
Quality of life was part of the study. It is not clear whether standardized forms were used. If
not, this should be mentioned as a limitation in the manuscript. If you did, you might consider
comparing the quality of life with that of women who were not advised to become pregnant.
This would improve the quantitative assessment of the intervention’s impact.
Since many different advice may come together in one consultation, it is not always possible
to distinguish the true cause of the psychological and socioeconomic pressure. For example,
some points in Chapter 5 may also be the result of counseling about reduced infertility due to
the (newly diagnosed) endometriosis. This should also be mentioned in the limitation.
Consider adding a legend to Figure 1 (thematic map of EPES) for further explanations. Adding
colors can also be helpful in adding visual hierarchy.
Overall, it is a very interesting and relevant topic with a large population, which may compensate
for the limitation that it is not a comparative study.
Title: Patient experiences of being advised by a healthcare professional to get pregnant to
manage or treat endometriosis: A cross-sectional study.
Version: 3 Date: 15 Nov 2023
Reviewer:  Phuc Nhon Nguyen
Reviewer's report:
Dear authors,
Thank you again for your great work.
I understand that the community-based study remains some unchanged limitations.
However, the authors have promptly revised the manuscript following all the reviewer's
comments.
Moreover, the study adds significantly an important conclusion to the literature that pregnancy
or having a baby should not be suggested as a treatment for endometriosis and the provision of
this advice by healthcare professionals can have negative impacts on those who receive it.
Congratulation!
Best regards,
Phuc Nhon Nguyen M.D
Tu Du Clinical Research Unit (TD-CRU), Tu Du Hospital, Ho Chi Minh City, Vietnam
Title: Application an internet facilitation in a community-based cervical cancer screening
project
Version: 2 Date: 18 Apr 2023
Reviewer's report:
The manuscript by Hui Du and co-workers aims to evaluate new approaches to ensure wider
access to HPV screening programs. In particular, the use of the Internet as a means of
communication between health professionals and women to perform a self-test. The objectives
of the work are in line with the aims of BMC Women's Health and the results are well
documented.
I have minor revision:
1) To improve the manuscript I would like to ask the authors whether in failed test cases this
was repeated. Was the second result positive or negative for HPV?
2) The introduction deserves more attention in order to more accurately describe HPV-
related pathology in women, as well as mention other models that seek to facilitate access to
screening programs. For a multidisciplinary approach I suggest two manuscripts (DOI: 10.3390/
jpm12091387, DOI: 10.3390/biology11081114).
3) An aspect that the authors do not highlight but which I suggest to include concerns the
usefulness of this system even in pandemic conditions, for example from COVID-19 where
contacts are reduced but access to medical care must always be guaranteed.
4) A minor linguistic proofreading is required.
Title: Application an internet facilitation in a community-based cervical cancer screening
project
Version: 2 Date: 24 Jul 2023
Reviewer's report:
The paper describes a community-level cervical cancer screening feasibility study using HPV
self-sampling in Pingshan Xin District, Shenzhen, China from July 2014 to July  2017 ( on p. 5,
however,  the study period is indicated from September 2014 to April 2017).
The paper needs minor revision.
1. Of the 12,699 women registered and 10,792 shipped samples, 10,010 vaginal swabs were
received at the lab. Please clarify, what happened to the rest of the samples? Were they lost in
mail or not posted? Were there orders that were not fulfilled?
2.  Please add information which sampling device was used and if it has been validated for self-
sampling.
3. Please add a paragraph in the Discussion about the problem that the SeqHPV assay lab method
resulted in so much fewer positive test results. Please provide information about its sensitivity
and specificity for testing CIN2+, if possible.
4. Please add some sentences to the Discussion to explain why HPV testing was used for women
younger than 30 years of age, why hysterectomised women were excluded (i.e. is hysterectomy
always total in China), why colposcopy was used (not LBC or conventional cytology) for
additional investigations, and how treatment was performed after a positive colposcopy (i.e.
whether see-and-treat was also performed). This is important information for many other
countries. Also, please add what was done in case of non-adequate HPV test results.
5. It would be interesting to know what was the percentage of different HPV subtypes among
positive test results.
6. Please modify Figures 1 and 2, flow charts are unclear at the moment. Perhaps a pdf-version
would be better to avoid changes in formatting.
7. The paper might improve from an English language editing.
Title: Application an internet facilitation in a community-based cervical cancer screening
project
Version: 5 Date: 25 Oct 2023
Reviewer's report:
The objective of the manuscript is to evaluate the feasibility of a cervical cancer screening model
in an Internet community using self-sampling HPV testing as primary screening. In a total of
10,010, 98.9% of patients obtained HPV test results from both or one of the tests. No adverse
events were reported demonstrating that in the self-sampled HPV test the Internet platform
facilitates screening in recording, data collection and tracking and increases screening coverage.
In this reviewer's opinion the text is complete in its parts. However I suggest implementing the
discussion and paper number to cite. In this regard, DOI: 10.3390/jpm12091387 is suggested
Title: Level of knowledge, attitude, and practice on modern contraceptive method and its
associated factors among housemaids living in Debre Tabor Town, northwest Ethiopia: A
community-based cross-sectional study.
Version: 2 Date: 11 Apr 2023
Reviewer's report:
This manuscript assessed the level of knowledge, attitude and practice on modern contraceptive
method and its associated factors among housemaids in Ethiopia; This study is very instructive,
and  there are still some issues which should be concerned:
1.The manuscripts is recommended to be regulated in accordance with the STROBE statement.
2.It seems lack of specificity in inclusion and exclusion criteria, and the authors should elaborate
on these contents.
3.The results in the abstract needs to be redefined
4.The discussion should be implemented with more recent evidence.
5.The authors should ultimately make several specific suggestions based on the results of the
study to make the article more practical rather than just only describing the phenomenon.
Overall,the manuscript needs be  reviewed after revising.
Title: Level of knowledge, attitude, and practice on modern contraceptive method and its
associated factors among housemaids living in Debre Tabor Town, northwest Ethiopia: A
community-based cross-sectional study.
Version: 2 Date: 21 Apr 2023
Reviewer:  Giuseppe Gullo
Reviewer's report:
Dear authors,
I read with great interest the manuscript, which falls within the aim of this Journal. In my honest
opinion, the topic is interesting enough to attract the readers’ attention. Nevertheless, authors
should clarify some points and improve the discussion, as suggested below. Authors should
consider the following recommendations:
Manuscript should be further revised in order to correct some typos and improve style.
- Accumulating evidence suggests that CONTRACEPTION BY CONDOM AVOID  and is
SAFE FROM SEXUAL TRASMITTED INFECTIONS AS WELL FROM VIRUS AS zika
virus that can be contracted more easiely as well about infections that can be trasmitted in a
furìture waterbirth.
Since the importance of the topic, I would discuss, at least briefly, adding more details. Authors
may refer to:
Congenital Zika Syndrome: Genetic Avenues for Diagnosis and Therapy, Possible Management
and Long-Term Outcomes.
Waterbirth: current knowledge and medico-legal issues
Title: Level of knowledge, attitude, and practice on modern contraceptive method and its
associated factors among housemaids living in Debre Tabor Town, northwest Ethiopia: A
community-based cross-sectional study.
Version: 8 Date: 15 Jul 2023
Reviewer's report:
Review comments on the manuscript Ref: Submission ID
f2811b3d-48b5-4894-8319-4dd129a82dc2
A. Abstract-on clean manuscript
On line number 22 housemaids is not clear
Methods, line number 25-26 needs rewriting; it is unclear
Result, line 28 is poorly constructed
B. Introduction
It line44-45 and somewhere else is monotonous
C. Methods
Sampling technique if there is a registration book why do you used lottery method, but I doughty.
Do you used all the six kebeles( but could you substitute with other appropriate term or define
it )or  some proportions?
Data collection line 188 is ambiguous where is Woreta?
Statistical analysis line 196 why is multivariable? What is/are your outcome variable/s?
Line 219 is not well constructed
D. Discussion is not well done and does not have references or could it be only the first study?
Generally the clean document needs revision
English rewriting and grammatical correction should be considered again.
Did you test your model fitness? If so show us at the foot table 6
Is Debre Tabor city or Town? You used them interchangeably.
How dare you say that the prevalence is low, if you did not get previous study to compare?
I made review having given numbers on the clean document
Thank you
Title: Causal Effects of Gut Microbiome on Endometriosis: A Two-Sample Mendelian
Randomization Study
Version: 2 Date: 28 Aug 2023
Reviewer's report:
Congratulations for the well written and interesting study on a novel topic in endometriosis
research.
I only suggest to speak about different sites of disease in particular bowel endometriosis (eg doi
10.1016/j.jmig.2019.02.015; 10.1016/j.jmig.2018.08.031) and
give some data on location of endometriosis in the endometriosis cohort if available.
If not available, the author should put it as a limitation of the study.
Title: Causal Effects of Gut Microbiome on Endometriosis: A Two-Sample Mendelian
Randomization Study
Version: 2 Date: 08 Sep 2023
Reviewer's report:
The article is well written and brings new information on endometriosis and gut microbiome.
Materials and methods are clear. The discussion section could be implemented by mentioning
the potential clinical impact of your discoveries.
Congratulations.