JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Therapeutic ultrasound versus injection of local anesthetic in the treatment of women with
chronic pelvic pain secondary to abdominal myofascial syndrome: a randomized clinical trial.
Version: 5 Date: 27 May 2022
Reviewer's report:
Dear authors,
thanks for your revised manuscript and the point-by-point reply. I can see some improvements
made according to the reviewers’ suggestions. However, I am not satisfied with the revision and
suggested the editor another revision round.
I will explain my reasons for this decision:
- Your point-by-point reply is not that user friendly as you often state something like “it was
modified” or “it was corrected in the text” leaving the task to the reviewer to find the passage in
the manuscript… I am honest, I do not have time for searching, I would love to read something
like “you can find it on page X, line Y”. Moreover, the result section has undergone several
corrections making it difficult to identify which is the final version.
- When a reviewer has a point, it would be wonderful if you could explain why you have decided
to make adaptations to the manuscript according to the point or why you do not make changes…
for example the suggestions in the background section were not acknowledged… when I ask
about how women with CPP AND AMP are affected, what is the specialty of having both
syndromes instead of only one of them, what is the difference between a woman with only CPP
and a women with CPP AND AMP, then of course I want to hear about the definition of CPP
(paragraph 1) and AMP (paragraph 2 + 3), but I also want to hear about CPP AND AMP… this
information is still lacking in the manuscript…
- Many questions raised by the reviewers were only answered in the point-by-point response but
were not integrated in the text. Maybe you could reconsider if you would not integrate more of
the suggestions made by the reviewer.
And one last remark, as we are all reviewing manuscript voluntarily, it would be seen with
pleasure if you would thank the reviewers for spending time with your manuscript…
Title: Therapeutic ultrasound versus injection of local anesthetic in the treatment of women with
chronic pelvic pain secondary to abdominal myofascial syndrome: a randomized clinical trial.
Version: 6 Date: 10 Jul 2022
Reviewer's report:
Dear authors,
thanks for the revised manuscript and your point to point reply.
Although it still took some time to work through the files, the improvement of the manuscript
is obvious and I will suggest acceptance.
Title: Postmenopausal women's experiences of a resistance training intervention against
vasomotor symptoms - A qualitative study
Version: 2 Date: 23 Mar 2022
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:
- Manuscript should be further revised in order to correct some typos and improve style.
- I would suggest to underline, at least briefly, the effects of other non-pharmacological
intervention to (partially) reverse and ameliorate menopause's symptoms&signs (authors may
refer to: PMID: 29452786; PMID: 34703415).
Title: Postmenopausal women's experiences of a resistance training intervention against
vasomotor symptoms - A qualitative study
Version: 2 Date: 10 May 2022
Reviewer's report:
Thank you very much for the opportunity to review this interesting manuscript.
Below are some suggestions:
Title
I suggest this version:
Postmenopausal women's experiences of a resistance training intervention against vasomotor
symptoms - A qualitative study
Abstract
in line 4 I would change the word menopause to women
Introduction
Line 82
I believe this sentence needs a reference:
"Since previous intervention trials in postmenopausal women have been affected by attrition or
low compliance, there is a need to better understand what affects uptake and adherence to an
exercise intervention in this patient group."
Line 86
This sentence didn't look good. I leave a reflection to encourage the rewriting of this sentence:
Qualitative studies seek to reveal the phenomenon in the natural place of its occurrence and are
extremely useful to explore people's perspectives, as is the case of this study.
"With qualitative methodology it is possible to attain a deeper insight into results obtained from
quantitative analysis."
Methods
Line 122
I miss a better description of this “neutral setting”
Line 148
I believe it is interesting to name the sample closing technique and point out the reference used
for this.
Line 161
How many researchers did the data analysis independently?
Discussion
Line 390
I think it is better that the wording of the aim of the study is the same every time it appears
in the text
Line 454
Qualitative studies are not intended to make comparisons or correlations, so I believe this phrase
should be removed. It is necessary that the authors discuss the results of the experiments, without
comparisons or correlations as they have done in most of the text.
“On the contrary, our analysis found that motivation to exercise during the trial was not related
to improvement in VMS. Both women who noticed a treatment effect and those who did not,
instead described how resistance training made them feel good and increased general well-being
regardless of change in VMS.”
I see no need to talk about sample size in the strengths and limitations section. This is not relevant
for a qualitative study.
I miss a table with the sociodemographic characteristics of each woman participating in the
study, I think that this individual characterization is essential for the qualitative study.
And as a last suggestion, I believe that the authors can build a figure showing the steps of data
analysis, construction and refinement of categories.
Congratulations and success.
Title: Changes and challenges in sexual life experienced by the husbands of women with breast
cancer: A qualitative study
Version: 1 Date: 26 Dec 2021
Reviewer's report:
• Type of study i.e. qualitative should be indicated in the title. It is also better to use the word
“experience” instead of “perspective”.
• In the background line 34, breast cancer survival rate should be indicated in Iran as well.
• In methods line 88, there are different types of content analysis, indicate which type you used.
• In methods, line 141 onward, you need to explain in more details about how you made sure
about trustworthiness of the data.
• In the results, line 236-237, you need to explain what the proverb “my pants have been doubled”
means.
• In the discussion, since most of the participants complained about the appearance you need to
compare sexual health after mastectomy vs. breast conserving surgery which is now a standard
approach in many breast cancers.
Title: Changes and challenges in sexual life experienced by the husbands of women with breast
cancer: A qualitative study
Version: 1 Date: 26 Mar 2022
Reviewer:  Soheila Rabiepoor
Reviewer's report:
Dear Professor Obare, Editor of the Journal of BMC Women's Health
Thank you for giving me this opportunity to review this paper.
-  In my opinion authors Concise description of the nature and topic of the study Identifying the
study as qualitative or indicating the approach.
-  Also description and significance of the problem/phenomenon studied; review of relevant
theory and empirical work; problem statement was done as needed.
In the methodology section
1- It is better to specify how and why research participants, documents, or events were selected.
2- Since the researchers’ characteristics that may influence the research  please specify
personal attributes, qualifications/experience, relationship with participants, assumptions, and/
or presuppositions; potential or actual interaction between researchers’ characteristics and the
research.
In the result section:
- In my opinion It is better that main findings (theme and subthemes) be displayed in a table.
In the discussion:
-  The findings of this study should be further related to other studies by considering the culture
of the research community.
- Explain research suggestions better.
Title: Factors Associated with Delay in Seeking Care for Breast Symptoms
Version: 2 Date: 17 Apr 2022
Reviewer's report:
This study looks at the result of 106 questionnaires completed at a breast clinic in Malaysia
to determine factors which might be associated with delayed presentation, defined as having
symptoms present for more than 90 days.
Only 21 of the 106 had a delayed presentation, so this makes statistical interpretation
challenging.
In the "results" it states that 38 were first time presenters to the health clinic but in the "methods"
it states that all were first time attendees. This is confusing.
It is unclear how many women were approached to complete the questionnaire-did all new
attendees complete it?
The predominantly young demographic, >70% under 40 years of age needs to be  emphasized-
these are at lower risk of breast cancer and their health seeking behaviour may be different to
an older cohort who will have a higher risk.
Medical history, apart from family history of breast cancer  or previous breast symptoms are
not relevant for timing of presentation here- suggest this table is deleted. Likewise a sentence
that most had spoken to another individual before attending the clinic would suffice rather than
a table.
Title: Factors Associated with Delay in Seeking Care for Breast Symptoms
Version: 2 Date: 10 Jun 2022
Reviewer's report:
Congratulations on the article.
Some aspects deserve close attention.
Since the introduction, the article has addressed breast cancer as a problem, but the population of
this study is not women with breast cancer. Women with general breast symptoms were studied.
The vast majority of these women probably did not progress to the diagnosis of breast cancer,
a result that was not presented.
Women with non-malignant breast symptoms undergo a slower and less stressful clinical
approach. The main result of the article, in which women with a lump delayed presentation, can
possibly be explained because the benign breast lump is a much more frequent symptom than
the malignant lump and does not require investigation and treatment as quickly.
In addition, it is imperative to explain whether the day the patient presented to the health clinic
to seek evaluation refers to a consultation at the BESTARI clinic or whether it was considered
the first consultation in any clinic motivated by the breast symptom. This clarification should
be made in the abstract and should be made clearer in the method.
This explanation is essential to analyze the results. A woman with a breast symptom who has
had previous care at another facility and who has been informed about the likely benignity of
her symptom would not be referred for care at a specialist cancer center as quickly as a woman
with suspected malignancy.
It is also necessary to review the discussion in situations where the results of this study are
compared with articles whose population were women with breast cancer. In conclusion, the
results are also compared with a previous study carried out with women with breast cancer.
If these explanations and corrections were made, the article presents useful and relevant results
for this research topic.
Title: Domestic Violence Experienced by Women With Multiple Sclerosis: A Study from the
North-East of Iran
Version: 1 Date: 28 Apr 2022
Reviewer:  Mona Rahnavardi
Reviewer's report:
in abstract:
1-In the abstract, in the method section, there is no need to write a reference and year, just refer
to the questionnaire.
2- Merely referring to percentages is sufficient, it is not necessary to write the numbers
In introduction:
1-Always use the latest meta-analyses of studies in reporting the prevalence of domestic
violence.
2-The introduction section is too long. Please write more briefly and highlight the need for
research.
In method:
3-Given that you are working on domestic violence, how to obtain informed consent from the
samples, as well as the World Health Organization's ethical considerations.
The discussion is very long and needs serious revision
Title: Breast Self-Examination Practice and Predictors among Female Secondary School
Teachers in Addis Ababa, Ethiopia: Using the Health Belief Model
Version: 3 Date: 14 Jun 2022
Reviewer:  Mesafint Abeje Tiruneh
Reviewer's report:
Most comments of the  previous review are addressed. However, still some critical comments
remain and presented as follows.
1. Title
1) Line No. 1-2: The content of the manuscript talks about both practice and predictors. However,
the title indicates only predictors. Therefore it is better to amend the title as “Breast self-
Examination practice and predictors among female secondary school teachers in Addis Ababa,
Ethiopia: using the Health Belief Model”.
2. Background
1) Line No. 99: Please revise the objective to address both practice and predictors. It shall be
corrected as “Therefore, this study aimed to assess practice of BSE and predictors among female
secondary school teachers applying the health belief model.
3. Methods and materials
Data management and analysis:
1) Line No. 186: Please write the actual p-value for model adequacy test. It is also better to
indicate the finding of “the assumption of no multi-collinearity”.
4. Results
Predictors of breast self-examination practice:
1) Line No.224: Please align the percent with AOR; 7% vs AOR:  1.06, please correct it in the
discussion part too.
2) Table 4:
• The percent is not necessary for the cross-tabulation of variables (Yes and No), the frequency
is enough.
• p-value is not in the right place for “Teaching experience”.
5. Discussion
1) Line No. 315: The word “onjective” shall be “objective”.
Title: Prevalence and risk factors for depressive and anxiety symptoms in middle-aged Chinese
women: a community-based cross-sectional study
Version: 4 Date: 25 Apr 2022
Reviewer's report:
This is an interesting and well-written paper about the prevalence and risk factors for depressive
and anxiety symptoms in middle-aged Chinese women. There are several unclear points that
need authors explain.
1. Author indicated that they have information about chronic diseases, but no detail was showed
about it, such as what kind of diseases?
2. Did authors get any information about how many participants received antidepressant
treatment or takeing antidepressant drug. The results may be influenced by this.
3. A reference is needed on regular physical activity in Page 8, Line 4.
4. Considering in logistic regression analysis, the higher the frequency of the outcomes, the
greater the product of the odds ratio and the true relative risk. If the risk ratio is greater than 1 the
odds ratio is overestimated, and if it is less than 1, it is underestimated. Thus, logistic regression
analysis is used for the lower prevalence of the outcome (PMID: 9832001, PMID: 14567763).
The results of depressive symptoms and anxiety symptoms in this study exceeds 10% (19.5%
and 14.2%). Is multivariate logstic regression model really appropriate for your study?
5. Language correction is needed.
Title: Prevalence and risk factors for depressive and anxiety symptoms in middle-aged Chinese
women: a community-based cross-sectional study
Version: 4 Date: 28 May 2022
Reviewer:  Yanfeng Zhou
Reviewer's report:
The study investigated the prevalence and risk factors for depressive and anxiety symptoms in
middle-aged Chinese women.
The author can take the following comments to improve their manuscript!
1. The second paragraph is too long. Line 15-21 should be briefly summarized. In addition, the
author mentions that “a number of epidemiological studies have focused on… (Lines 21-22,
page 4)”, I wonder whether standardized scales for depression and anxiety are used in these
studies? The author should summarize the limitations of previous studies in detail.
2. Please check whether the National Survey of Women’s Health includes women aged 10-70
years. According to Lines 12-13, page 6, only 452 participants are aged 10-39 years.
3. How was “took estrogen in the past 6 months” determined? From the questionnaire?
4. Please add references for lines 4-5, page 8.
5. Multivariate analysis refers to statistical models that have 2 or more dependent or outcome
variables. Please check the statistical analysis.
6. Table 1 should be presented by depressive and anxiety groups.
7. The practical implications for public health or clinical value of this study need to be discussed.
8. The manuscript needs to be extensively revised by an English native speaker.
Title: Effect of vitamin K2 Administration on Depression Status in Patients with Polycystic
Ovary Syndrome: A Randomized Clinical Trial
Version: 1 Date: 20 Feb 2022
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:
- Manuscript should be further revised in order to correct some typos and improve style.
- Accumulating evidence suggests that one of the most important mechanisms of PCOS
pathogenesis is the insulin-resistance. For this reason, the use of insulin-sensitizers, such as
inositol isoforms, gained increasing attention due to their safety profile and effectiveness.
Authors may better discuss this point, taking to account these recent articles: PMID: 26927948;
PMID: 27579037
- To date, diet restriction and fasting gained increasing popularity due to the possibility to modify
metabolism, even in durable way to epigenetic modulation. In a fasting condition, indeed,
metabolic imbalance typical of PCOS may improve significantly. I would discuss this point,
referring to recent articles about the hypothesis: PMID: 28735644; PMID: 27510483
Title: The effect of preserving pregnancy in cervical cancer diagnosed during pregnancy: a
retrospective study
Version: 2 Date: 24 Feb 2022
Reviewer's report:
This is a good effort at collation of data for a rare event .
Suggestions
1.Among the 12 patients  who decided to continue pregnancy , most received treatment in the
post partum period and only 4 patients received treatment during pregnacy. Also  2 patients
were diagnosed post partum and 7 patients were diagnosed  beyond 30 weeks  and  they
underwent delivery within 4 weeks of diagnosis  . Thus the conclusion that "Continuation of
the pregnancy when diagnosed with cervical cancer did not affect the oncologic outcome of the
mother nor increase either surgical or obstetric complications. " may not be apt  and may be
more appropriately worded
2. To provide response to neoadjuvant chemotherapy and if any patient had a progression of
disease while undergoing neo adjuvant chemotherapy.
3. Also  it would be helpful to know in patients who were diagnosed in  2nd /3 rd trimester and
started treatment post partum whether there was any stage migration in the interim period .
Title: The effect of preserving pregnancy in cervical cancer diagnosed during pregnancy: a
retrospective study
Version: 2 Date: 14 May 2022
Reviewer:  Lihui Wei
Reviewer's report:
1.Some data need to be verified. For example, in abstract, ten of 38 patients (26.3%) continued
their pregnancy after learning of their diagnosis, but in the text, 12 in continuation group.
2.Prior to treatment, informed consent and sufficient communication is important, In addition,
pregnancy complicated with cervical cancer requires multidisciplinary decision-making, but has
not been mentioned.
3.This article is similar to the published article(Management of Cervical Cancer in Pregnant
Women: A Multi-Center Retrospective Study in China; doi: 10.3389/fmed.2020.538815),
although the number of examples is fewer than the former, and some details are not clear enough,
but the differences can be analyzed in the discussion part.
4.In addition, the discussion is not thorough enough, such as the surgical choose, lymph node
removal or bleeding issues.
5.Figure 2 is not clear and artistic#The number and percentage of cases can be placed outside
the circle
Title: The relationship between dietary phytochemical index and resting metabolic rate mediated
by inflammatory factors in overweight and obese women: a cross-sectional study
Version: 1 Date: 06 Mar 2022
Reviewer:  Amany A. Salama
Reviewer's report:
thank you for writing this article about an  important and hot topic in public health
I have a few minor comment that you could revise
Abstract: Contains a repeated sentence line 31, it can be longer and more well constructed to
give a panoramic idea about the subject.
Introduction: as the title addresses the DPI; it is better to elaborate on DPI and anti-obesogenic
effects of polyphenols at 1st.
References: Out of 40 ref. only one 2020, one 2019 & one 2018!
References should be updated.
Especially as there are few recent topics addressing similar issues and even from the same or
similar university.
Clin Nutr Res. 2021 Apr; 10(2): 161–171. doi: 10.7762/cnr.2021.10.2.161
The Association of Dietary Phytochemical Index with Metabolic Syndrome in Adults
Fatemeh Dehghani Firouzabadi,1 Ahmad Jayedi,1 Elaheh Asgari,1 Mena Farazi,1 Zahra
Noruzi,1 Kurosh Djafarian,2 and Sakineh Shab-Bidar 1
Title: The relationship between dietary phytochemical index and resting metabolic rate mediated
by inflammatory factors in overweight and obese women: a cross-sectional study
Version: 3 Date: 28 May 2022
Reviewer:  Amany A. Salama
Reviewer's report:
Thank you for going through all comments systematically and fulfilling them as possible.
But after correction, some sentences in the  abstract need to be revised.
line 33: Results: There was marginally significant (x) between adherence to DPI
e.g., (association or relation) or : There was a marginal significance
line  36-37: Our results indicated that(???)had a mediatory effect on the relationship between
RMR. per.kg and DPI (P>0.05).
(what) please rewrite the sentence to be complete