Reviewer’s report
Title:  The relationship between menopausal symptoms and burnout. A cross-sectional study among
nurses.
Version: 1 Date: 10 Nov 2018
Reviewer: Narjes Bahri
Reviewer's report:
Dear editor 
Thank you for referring the review of manuscript entitled "Menopausal symptoms and job burnout. A
cross-sectional study on a sample of menopausal nurses". 
I read  the  manuscript  carefully and I found it as  an  importance  topic. However  there  are  some
methodological concerns about this study that recommended to be revised as following:
1-Some modification of title is necessary. I recommend like following: 
"The relation between menopausal symptoms and job burnout among nurses during in menopausal
transition."
2-The  abstract needs some revision as below: 
a-In  method:  Please  provide  more  detail  about  method  i.e.:  the  kind  of  study,  setting,
questionnaire, inclusion criteria, and statistical methods.
b-The results  should be reflecting the main goal of study: the relation between menopausal
symptoms and job burnout.
c-Conclusion should be edit base on correct results.
d- Please check the key words in MeSH database.
3-Introduction is too long. Please provide a briefly introduction in 1-2 pages. 
4-  Some other studies reported the relation between the severity of menopausal symptoms and
psychological disorders. for example Bahri et.al study :
"Investigating the Relationship between Severity of Menopausal Symptoms and Depression, Anxiety
and Other Menopausal Symptoms"
5-The method of sampling arise the concerns about some biases in the study. However may be
nurses who had more menopausal symptoms or more burnout participated more. 
6-Please mention about the ways and amount of reliability of all questionnaires in Italian version.
Please explain about the method for achieving validity of questionnaire.
7-Please add about the statistically meaningful. 
8-In the result section avoid duplicated reports i.e. same data in both text and tables.
9-There is serious concern about the sample size (94 people). Is the sample size is adequate for the
result? Please provide the formula and the parameters of calculating the sample size.
10-It is recommended that reporting the whole scores of job burnout questionnaire.
11-Discussion is too brief. Please provide a more in-depth and more detail discussion regarding the
finding of study.
I hope that above mentioned recommendations would be helpful to improve the quality of the paper.
Beat Regards 
Dr. Narjes Bahri 
Are the methods appropriate and well described?
If not, please specify what is required in your comments to the authors.
No
Does the work include the necessary controls?
If not, please specify which controls are required in your comments to the authors.
No
Are the conclusions drawn adequately supported by the data shown?
If not, please explain in your comments to the authors.
No
Are you able to assess any statistics in the manuscript or would you recommend an additional
statistical review?
If  an  additional  statistical  review  is  recommended,  please  specify  what  aspects  require  further
assessment in your comments to the editors.
I recommend additional statistical review
Quality of written English
Please indicate the quality of language in the manuscript:
Needs some language corrections before being published
Declaration of competing interests
Please complete a declaration of competing interests, considering the following questions:
1. Have you in the past five years received reimbursements, fees, funding, or salary from an
organisation that may in any way gain or lose financially from the publication of this
manuscript, either now or in the future?
2. Do you hold any stocks or shares in an organisation that may in any way gain or lose
financially from the publication of this manuscript, either now or in the future?
3. Do you hold or are you currently applying for any patents relating to the content of the
manuscript?
4. Have you received reimbursements, fees, funding, or salary from an organization that holds
or has applied for patents relating to the content of the manuscript?
5. Do you have any other financial competing interests?
6. Do you have any non-financial competing interests in relation to this paper?
If you can answer no to all of the above, write 'I declare that I have no competing interests' below. If
your reply is yes to any, please give details below.
I declare that I have no competing interests.
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