JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Persistent HPV infection after conization of cervical intraepithelial neoplasia—— a
systematic review and meta-analysis
Version: 4 Date: 02 Feb 2023
Reviewer:  Violante Di Donato
Reviewer's report:
Authors presented a meta-analysis on risk factors that increase the persistence of HPV infection
after surgical treatment.
The topic is very interesting and current given the perspectives proposed by the WHO about
the importance of screening for early detection and the importance of vaccination even after the
treatment of precancerous lesions.
The authors have performed a deep and methodologically rigorous systematic review, and
offered clear and balanced conclusion to the readers, addressing future research priorities.
I would suggest to take into account the following minor recommendations:
- I suggest another round of language revision, in order to correct few typos and improve
readability.
- I recommend to add further details to discuss the ongoing debate about the use/avoidance of
minimally invasive surgery for cervical cancer, considering the available pieces of evidence and
the hystotype of the disease (authors may refer to: PMID: 35909005).
-Discussions can be improved by referring to surgical techniques currently applicable for the
treatment of precancerous lesions related to HPV infection:
Galli V, Mancino P, Santangelo G, Vasta A, Giannini A, D’Oria O, et al.  Loop Electrosurgical
Excision Procedure and Cold Knife Conization: which is the best? A large retrospective study
Ital J Gynaecol Obstet. 2022 June p.p. 120-125 (doi: 10.36129/jog.2022.22)
Title: Persistent HPV infection after conization of cervical intraepithelial neoplasia—— a
systematic review and meta-analysis
Version: 4 Date: 12 Feb 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.
- Authors should discuss robust pieces of evidence about the use of new strategies for cervical
cancer and pre-cancerous lesions screening and diagnosis, even using artificial intelligence and
novel biomarkers (authors may refer to: PMID: 36428831; PMID: 35742340).
- I would recommend to stress novel pieces of evidence about high-risk HPV-negative
high-grade cervical dysplasia, which seems to have more favorable outcomes than patients
with documented high-risk-HPV infection (PMID: 33514481) as well the potential role of
pre-operative conization before radical hysterectomy for early-stage cervical cancer (PMID:
32320800).
Title: Persistent HPV infection after conization of cervical intraepithelial neoplasia—— a
systematic review and meta-analysis
Version: 7 Date: 09 Apr 2023
Reviewer:  Giorgio Bogani
Reviewer's report:
With the corrections made, the manuscript has improved considerably.
However there are still corrections to be made about the list of references.
Guidelines for authors should be followed to the letter for publication.
For example, reference number 47:
Bogani G, Donato VD, Scambia G, Landoni F, Ghezzi F, Muzii L, Panici PB, Raspagliesi
F; investigator of the Italian Gynecological Cancer Study Group. Practice patterns and
90-day treatment-related morbidity in early-stage cervical cancer. Gynecol Oncol. 2022
Sep;166(3):561-566. doi: 10.1016/j.ygyno.2022.07.022. Epub 2022 Jul 29. PMID: 35909005.
I recommend the publication of the article, pending few minor revisions.
Title: Persistent HPV infection after conization of cervical intraepithelial neoplasia—— a
systematic review and meta-analysis
Version: 7 Date: 09 Apr 2023
Reviewer:  Violante Di Donato
Reviewer's report:
The article can be published after the correction of the references.
Only after the correct modification and insertion of each reference the article will be eligible
for publication.
Monti M, D'Aniello D, Scopelliti A, et al. Relationship between cervical excisional treatment
for cervical intraepithelial neoplasia and obstetrical outcome. Minerva Obstet Gynecol. 2021
Apr;73(2):233-246. doi: 10.23736/S2724-606X.20.04678-X.
Title: The Relationship Between Physical Activity and the Severity of Menopausal Symptoms:
A Cross-Sectional Study
Version: 0 Date: 11 Feb 2023
Reviewer's report:
The article has certain clinical significance# But there are the following problems.
1.The author's signature is wrong in upper and lower case.
2. Exclusion criteria should include MHT.
3. References 23,24,26 are similar citations
4. Table 1 was not found.
5. Please state the low, medium and high standards of PA.
6. We know that menopausal symptoms are associated with low estrogen levels#In Table 3, the
authors did not distinguish between premenopause, perimenopause, and postmenopause.
7. In Table 3, the authors did not distinguish between premenopause, perimenopause, and
postmenopause# explain it.
8. There are some grammar and spelling mistakes#such as  page 11#line323 potentially #to
potential , page 11, line 295 by  to in ,page 11 ,  high levels of PA groups to  high levels  PA
groups
Title: Patients with endometriosis may experience worse clinical manifestations and therapeutic
outcomes during COVID-19 in western China- A case series comparative analysis
Version: 1 Date: 10 Feb 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.
- Accumulating evidence suggests that immune cells, adhesion molecules, extracellular matrix
metalloproteinase and pro-inflammatory cytokines activate/alter peritoneal microenvironment,
creating the conditions for differentiation, adhesion, proliferation and survival of ectopic
endometrial cells. I would discuss these points in the light of new theories about the pathogenesis
of endometriosis, referring to: PMID: 31663401; PMID: 28100109.
- The most common clinical signs of endometriosis are menstrual irregularities, chronic pelvic
pain (CPP), dysmenorrhea, dyspareunia and infertility. Do the authors think that covid-19
infection and vaccination may have increased the rate of menstrual irregularities in women
with endometriosis? I recommend to discuss this point (authors may refer to: PMID: 35807090;
PMID: 35350834.
Title: Patients with endometriosis may experience worse clinical manifestations and therapeutic
outcomes during COVID-19 in western China- A case series comparative analysis
Version: 1 Date: 22 Feb 2023
Reviewer's report:
Despite the interesting topic, the manuscript must be improved in terms of legibility  and
methodology.
in the introduction section please discuss deeper about the clinical implications of deep
endometriosis on pelvic organs' function (i.e. PMID: 26668848, DOI: 10.1111/ajo.12358, DOI:
10.1016/j.jmig.2014.05.012,  qol and new insights on the pathophysiology of the disease (i.e.
PMID: 33851803, PMID 32401078, doi10.1186/s10397-021-01096-5).
materials:
why did you collect only hospitalized patients ?
Did you exlude adenomyosis but in the diagnostic criteria you add adenomyosis!
Why did you exclude patient under hormonal therapy?
please revise paragraph regarding the limitations of the study considering bias selection (see
above)
Title: Patients with endometriosis may experience worse clinical manifestations and therapeutic
outcomes during COVID-19 in western China- A case series comparative analysis
Version: 1 Date: 26 Feb 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, authors
should clarify some points and improve the discussion, as suggested below.
Authors should consider the following recommendations:
-What was the impact of COVID-19 on medical vs surgical therapy for endometriosis? Did you
see any difference? I would add few lines to discuss these points.
-I  would improve discussion on new theories about the pathogenesis of endometriosis, referring
to: PMID: 34096691; PMID: 33851803; PMID: 31663401; PMID: 34008386
Obviously In the future, additional studies with  a greater number of patients are needed to
achieve stronger conclusions.
For all these reasons, I suggested to perform some minor revisions.
Title: “I haven’t had that information, even though I think I’m really well-informed about most
things”: A qualitative focus group study on Australian women’s understanding and views of
potentially modifiable risk factors for breast cancer
Version: 1 Date: 15 Mar 2023
Reviewer:  Kate A. McBride
Reviewer's report:
I'd like to congratulate the authors on a really interesting and valuable study which highlights
the lack of knowledge within the community around modifiable risk factors for breast cancer,
in particular alcohol consumption and post-menopausal obesity.
Overall, I found the paper to be of exceptionally high quality and can only pinpoint a couple
of issues:
There are some few punctuation errors that I am sure will be picked up during proof reading.
In the results section:
1. Limited general knowledge about risk factors for breast cancer:
The authors state: Women discussed their knowledge about the importance of screening in
relation to preventing breast cancer and that this was predominately the information they had
seen or heard about prevention, but admittedly they knew very little about risk factors in relation
to primary prevention: should this read “admitted”?
Title: Prevalence of high-risk Human Papillomavirus infection and associated factors among
women of reproductive age attending a rural teaching hospital in Western Uganda
Version: 2 Date: 22 Dec 2022
Reviewer's report:
1. Result  Section:
- Use standard symbol for plus or minus and not +/-(available in symbols  on computer system)
- Reporting of the odds ratio should be modified to conform to the standard
eg. The odds of a women with HIV testing positive for HPV was .... when compared to HIV
negative women.
2. Discussion:
- Line9, says "....this similarity is predicted". It would be better to say" ... this similarity was
anticipated."
Line 10, "anticipated" should be replaced with "expected"
Line26, Contrary to our work should rather read,  In contrast  to our work
3. Strengths and limitations:
- Couldn't the limitation around the choice of test kits be overcome by using a more appropriate
test kit?
4. Conclusion:
- The evidence from this study is probably not sufficient to make recommendations regarding
the hrHPV serotypes covered by available vaccines. Further studies on samples obtained from
actual cervical cancer cases would probably be required.
Title: Multilevel analysis of women’s education in Ethiopia
Version: 2 Date: 05 Apr 2023
Reviewer's report:
1. On page 1 of the Abstract and specifically results in part online, number 27 says ‘…women’s
education at a 5% level.’ But your determinant factors are significant at 0.1%, so there is no
need to specify the 5% level of significance. The same is true on page 6-line number 123.  
2. What is the need to specify an age limit for education? The EDHS program specifies the age
of the individuals because the data collected by this program is multipurpose, for other things
stating the age is obligatory thing. However, in this study no need of specifying the age of males
even for females. Example page 5 from line numbers 96 up to 98.
3. In the methodology part of the manuscript on page 6 line number 119, there is a variable of the
potential predictor of the higher-level predictor (enumeration area) which is ‘childhood place of
residence’, but you did not use it in the analysis or the result part.
4. You have to follow the standard of reporting significant or p-value results, for example on
page 10 for the variable wealth index you have to report <0.001 other than 0.000.
5. In conclusion, on page 18 you recommend that the government should increase the number
of schools and other infrastructure in rural areas. Is the number of schools based on the problem
of female education? In which part of your result part, you get it? We know it is a general truth,
but reporting it without studying it is not recommendable.
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 2 Date: 07 Jan 2023
Reviewer's report:
In this study, the authors have investigate the association between Menopathy, COVID-19
pandemic-related anxiety, sleep dysfunction and other factors among female medical staff..I
think this paper still needs major  corrections that I have mentioned below.
In this way I advice rejections big defect in methodology
Specific comments
1. Methods:
The authors mentioned (A total of 160 female medical staff were randomly selected).please tell
us more what type of randomization you had chosen what was the total no originally ?and the
result was 160 after exclusion .
2- the authors mentioned (using any medication that could affect their menstrual patterns) can
you please mentioned the list of medications that you exclude
3- the authors mentioned (bleeding disorders, thyroid disease, hyperprolactinemia, chronic renal
failure) how it had been confirmed ?by doing blood test for each or depending on history only ?
when was the last time each participant do that . you know this point is very important as it
reduces bias .
4- how the author confirmed covid infection in the participant ?
5- regarding the scaling system (SCMM , sleep dysfunction rating scale )I get through each one
of them thoroughly as I even checked the references
Regarding SCMM, there is little available data in literature, so we cannot confim the relibility
or validity of this scaling system, also the reference provided by the author (23,24, 25) could
not be found, reference 23 is too old and outdated (2002)
6- sleep dysfunction rating scale: also little or no data could be found to support the use of this
scale, the reference (29), in addition to being old, it could not be found
i suggest using another scale that has been worldwide adopted and used
7-  while the Self-Rating Anxiety Scale, SAS (1971) has been widely used until recently , for
example( Dunstan, D.A., Scott, N. Norms for Zung’s Self-rating Anxiety Scale. BMC Psychiatry
20, 90 (2020). https://doi.org/10.1186/s12888-019-2427-6),
also it has been translated into man languages like: Indonesian (Setyowati, A., Chung, M. H., &
Yusuf, A. (2019). Development of self-report assessment tool for anxiety among adolescents:
Indonesian version of the zung self-rating anxiety scale. Journal of Public Health in Africa,
10(S1), [1172]. https://doi.org/10.4081/jphia.2019.117),
Greek (Samakouri M, Bouhos G, Kadoglou M, et al. [Standardization of the Greek
version of Zung's Self-rating Anxiety Scale (SAS)]. Psychiatrike = Psychiatriki. 2012 Jul-
Sep;23(3):212-220. PMID: 23073544),
Spanish: (Campo-Arias A, Blanco-Ortega JD, Pedrozo-Pupo JC. Brief Spanish Zung Self-
Rating Anxiety Scale: Dimensionality, Internal Consistency, Nomological Validity, and
Differential Item Functioning Among Chronic Obstructive Pulmonary Disease Patients in
Colombia. J Nurs Meas. 2022 Sep 1;30(3):407-418. doi: 10.1891/JNM-D-20-00125. Epub 2021
Sep 13. PMID: 34518431.)
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 2 Date: 09 Jan 2023
Reviewer:  Neda Mohammadinia
Reviewer's report:
Dear author(s),
This study was interesting but it needs to major revision.
TITLE AND ABSTRACT
1-The title is different from the work because your work is the relationship between anxiety and
sleep disorder associated with covid on the menstrual cycle of medical personnel.
2-Write a few lines for Background and then mention the objective in the abstract.
INTRODUCTION
3-Introduction is good, but you wrote the last paragraph 'the majority of COVID-19 studies "and
you gave two references, amend it, please.
4- In the last lines of introduction, what is mean of retrospective? "A retrospective analysis was
conducted of the clinical data and menstrual changes of medical staff and COVID-19 pandemic-
related anxiety, sleep dysfunction, and other factors."
METHODS
5- How to determine the sample size and sampling, please explain.
6- How to inform people to fill in the questionnaire, please explain.
7-Add two headings in methods entitle inclusion and exclusion criteria then explain it.
8- Explain completely, validity and reliability of tools, you used.
RESULTS
9- "85 of whom scored more than 2 points and less than 12 points ". It is better write 2-12 points.
10-What is the time scale in table 1?
DISCUSSION
11-The discussion is long.
12-In some parts of the discussion, the effect of covid on the menstrual cycle of the patient is
examined, not the medical staff (for example text of refrence30).
RESTRICTION
13-In the restrictions, the first line refers to patients?!" First, a relatively small number of patients
were enrolled".
14- what is the meaning of this sentence in the first line of conclusion?
"the results indicate the association between the COVID-19 pandemic-induced regular exercise,
15- Some terms are not medical specialized, such as
"dim complexion, abnormal urination, languidness, dim menstruation, thin menstruation, …
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 2 Date: 23 Jan 2023
Reviewer:  Fatima Mutasher Swadi
Reviewer's report:
Dear editor i would like to thank you for your trust to allow me to revise this article.
Ihave noted that the author did all the required tasks, apart from that  Declaration and funding
can be included within the method.
With great thank.
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 3 Date: 18 Feb 2023
Reviewer:  Fatima Mutasher Swadi
Reviewer's report:
Dear editor thank you too much
All the the suggested changes has not been done
The article still has the same points of weakness.
My suggestion that  this article should be rejected.
With great thank
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 3 Date: 20 Feb 2023
Reviewer:  Neda Mohammadinia
Reviewer's report:
Thank you for your amendants but I think your paper needs to minor correction.
1-The title is not yet clear and appropriate with your study. For example these titles are better:
-The association between Menopathy, COVID-pandemic-related anxiety  and sleep dysfunction
among female medical staff
- Relation between covid -pandemic anxiety and sleep disorder with  the menstrual disorders
in female  medical staff
2- Specify the type of random sampling because it is important to mention the sampling method.
Stratified Sampling, Cluster Sampling, Systematic Sampling or Simple Random Sample
Title: Relationship between covid-pandemic anxiety and sleep disorder with menstrual disorders
among female medical workers
Version: 4 Date: 22 Mar 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?
Yes - appropriate statistical analyses have been used in the study
INTERPRETATION - Is the current interpretation/discussion of the results reasonable and not
overstated?
Yes - the author's interpretation is reasonable
OVERALL MANUSCRIPT POTENTIAL - 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: I carefully evaluated the revised version of this manuscript.
The authors have performed the required changes, improving significantly the quality of the
paper."
Title: Sexual-related determinants of life satisfaction among married women: A cross-sectional
study
Version: 2 Date: 23 Oct 2022
Reviewer:  Effat Merghati-khoei
Reviewer's report:
Reports like the current one are essential even if they have been conducted repeatedly in Iran,
where sexuality-related topics are unspoken. This article reports the predictive role of sexual
life components in life satisfaction among Iranian married women. I have significant problems
with this manuscript as follows:
Title: should be changed to: "Predicting life satisfaction in Iranian women by sexual satisfaction
components among married women: A cross-sectional study "
Abs. Selection criteria, research setting, and sampling method all are missing; the results part
is not comprehensive for the reader at all and I recommend that it be reported in narrative form
so that any non-expert reader can understand it,  this amount of numbers and figures are not
clear enough.
In general, the article is written in an abstract manner and should be revised more broadly by
explaining the concepts. For example, I could not understand what the author (s) means by
the components of sexual life. What is their hypothesis about the phenomena interested in the
research? from my viewpoint, the questionnaires that have been selected do not necessarily and
accurately measure the components of sexual behavior or sexual life construct, and the author
(s) should rationalize their research questions and the selected inventories in the article.
Title: Sexual-related determinants of life satisfaction among married women: A cross-sectional
study
Version: 2 Date: 22 Dec 2022
Reviewer's report:
The topic of your research is important especially because limited research in this field in Iran.
I have identified some comments, which are aimed at supporting the authors in strengthening
their work toward publication.
Abstract: please mention the setting.  In which area of Iran was the study conducted?
It is better to report the Mean (SD) of participants' age, in the results.
Introduction: In the introduction, it is good to mention the results of the studies conducted in
this field and the existing gaps.
Methods: In the methods and abstract, you did not mention in which city of Iran the study was
conducted. Please describe the setting and locations.
How did you obtain informed consent? Was it oral or written? I mean, did you meet with the
participants in person or did you send them the link after a telephone arrangement?
It seems that the study was done in the city of Qazvin. Considering that sexual issues are very
dependent on culture and Iran has many cultural differences in different cities, the results cannot
be generalized to Iranian women.
Results: Wouldn't it be better to adjust with influencing variables such as age, education, and
duration of marriage in ?
Discussion: line 175: Most previous studies have investigated the association between ..
please refer to some of them