JerMa88/BMC_Womens_Health_Peer_Reviews huggingface dataset:
Title: Assessing the Impact of Lymphedema Therapy Referral on Breast Cancer Survivors'
Lymphedema Knowledge: A Cross-Sectional Survey
Version: 7 Date: 03 Jan 2025
Reviewer's report:
Manuscript: A cross-sectional survey to assess breast cancer survivors’ knowledge about
lymphedema risk, prevention, and management
Journal: BMC Women’s Health
Review Date: January 3, 2025
This cross-sectional study addresses a relevant research topic that can have important clinical
implications related to lymphedema risk reduction in breast cancer survivors. Overall, I find this
manuscript clear and well-written. I believe there are a few areas that need to be revised in order
for this manuscript to be considered for publication in BMC Women’s Health.
Revisions:
Major consideration:
- Several risk reduction practices that have been traditionally recommended by health care
providers have limited evidence supporting them. Besides the weightlifting RCTs by Schmitz
and colleagues, what resources were used to determine the lymphedema risk reduction
recommendations and develop the lymphedema knowledge questionnaire? How did the research
team agree on this list of 10 true / false recommendations, particular the “true” ones related to
weight gain and exercise on plane?
- Also, do you have data on how many different lymphedema care providers were involved with
the participants in this research? Were any steps taken to examine their knowledge / training /
experience related to lymphedema?
- It would be important to acknowledge the evolving status of the research on lymphedema risk
reduction practices, and the knowledge (perhaps inconsistent or outdated) of lymphedema and
other health care providers on risk reduction recommendations. Please see recently published
articles (e.g., Hunley et al: Current evidence on patient precautions for reducing breast
cancer-related lymphedema manifestation and progression risks; Brunelle et al: Evidence-based
recommendations regarding risk reduction practices for people at risk of or with breast cancer-
related lymphedema: consensus from an expert panel)
Minor revisions:
- Please consider revising the manuscript title so it aligns better with the main objective identified
in the abstract / manuscript. The title indicates the study focus is to describe these individuals’
general knowledge related to lymphedema, while the study objective focuses more on the effect
of referral to lymphedema therapy on their knowledge.
- Review and ensure appropriate, consistent use of abbreviations (e.g. RT in manuscript, F and
T in Figure 1)
Title: Assessing the Impact of Lymphedema Therapy Referral on Breast Cancer Survivors'
Lymphedema Knowledge: A Cross-Sectional Survey
Version: 8 Date: 12 Feb 2025
Reviewer's report:
Authors improved the manuscript but some questions remain without responses. How many
questionnaires were given? This a major bias of the study.
Authors should to exclude of the  question "I should exercise my arm while I am flying in an
airplane" and phrase of the text, table, abstract "exercising the arm on an airplane decreases
risk". There is no consensus and recommendations. It's a false message. In an airplane, altitude is
estimated at 1,600 meters by optimizing cabin pressure... Are these recommendations  relevant
for the trips in mountain? It's a false belief!
Title: The effectiveness of pelvic floor muscle training on lumbar function and muscle
performance in sedentary women with lower back pain: A randomized controlled trial
Version: 1 Date: 18 Dec 2024
Reviewer's report:
Reviewer(s)' Comments to Author:
General comment: The author does not distinguish between 'muscle activation' and 'muscle
thickness'. Muscle activation is measured using EMG, and muscle thickness is measured using
ultrasound. In the manuscript, it should be written separately so that 'muscle thickness' can be
used when explaining the measurement method, and activation can be used in concepts such
as exercise, rather than unifying everything. I have checked the comments below for the items
that need to be revised.
Detailed comment:
well written
well written
General comment:
Subheadings (1.1, 1.2, 1.3) have been added to the introduction section of the manuscript. If the
editor finds them unnecessary, they can be deleted.
2.4 Training Program – (2) Group T followed~
The author changed the word 'muscle activation' to 'muscle thickness', so the awkward
expression 'Core muscle thickness training' was revised to word as “core training’ in the
manuscript. The group name should reflect Core training group. Please check and revise it
throughout the text.
As mentioned earlier, there is an error because ‘muscle activation’ was converted to ‘muscle
thickness’. Please revise it. For example, in the 4.3 Deep lumbar stabilizing muscle thickness
section, ‘delay in muscle thickness’ and ‘reduced muscle thickness’ are very awkward
expressions.
Table 1: As stated in the manuscript, please express that there is no significant difference in data
between groups within the table 1.
Table 2: Revisions confirmed
Table 3: The requested revisions were not reflected. Please revise the muscle activation section
to muscle thickness change. Please also change the LBP score to pain score.
Title: The effectiveness of pelvic floor muscle training on lumbar function and muscle
performance in sedentary women with lower back pain: A randomized controlled trial
Version: 2 Date: 24 Feb 2025
Reviewer's report:
Overall, the revisions have been well reflected, but I think it will be possible to review
publication after some additional revisions.
Manuscript
Methods
2.3 Evaluation methods
Currently, the variables are written in the order of muscle thickness test, VAS, and muscle
endurance test in manuscript while the results are written in the order of muscle endurance test,
muscle thickness, and VAS in Table 3. To ensure consistency between the manuscript and Table
3, please unify the order of data presented in the text and the table.
Results
After listing the results, please indicate which Table corresponds to each statement by adding
the Table number at the end of each sentence.
Discussion
4.4 LBP
I think the sentence ‘The primary focus of emergency medicine practice is pain management’
is awkward in the overall flow. It should be deleted or revised.
Table 3
1) The expression of the sentence explaining *, **, +, ++ in the Note section is awkward. Please
revise the sentence to mean that it is a comment indicating that there is a significant difference.
2) For the data labeled 'Differential' at the bottom of the Table, if it refers to 'the differences in
pain scores' in the text, please revise it to "Differences in pain scores" for clarity.
Title: Comparison of concomitant hysterectomy and uterine preservation for pelvic floor
reconstruction using transvaginal mesh in the treatment of POP: A systematic review and meta-
analysis
Version: 2 Date: 15 Dec 2024
Reviewer's report:
BMC is an international journal. The inclusion of Chinese journals might include publication
bias which is difficult for non-chinese speaking to control. This should be stated
One of the main problems with TVM is pelvic pain. Extrusion, exposure or erosion is one
problem and this has been studied in this manuscript. However, pain should also be reported.
Discussion
The first sentence is quite simplistic, vague and should be omitted. The authors appear to be
biased towards the use of TVM and they should at least use the word “could”. Prolapse in anyway
is not only the result of muscular defect. So the sentence is incorrect and should be deleted.
Under this context the authors should include in the manuscript that native tissue repairs are
available with some advantages and disadvantages.
The authors state that uterine preservation preservs vaginal length. Well statistically yes m but
they found a difference of 0,5cm. Is this really clinically important? To what is this important.
A statistically significant difference does not always correlate with a clinically meaningful
outcome. Do the authors believe that a woman with a 6,5cm vaginal length is somewhat worse
than to a woman with a vaginal length of 7,5cm?
The questioning and caution of use of TVM is based on the guidance of certain scientific societies
that should be mentioned (apart from FDA). The authors mention that it is used in East Asian
countries. (Also European countries are still using TVM) . What is the guidance from scientific
societies regarding TVM from east Asian countries? It appears that this is just practice based.
The prudent use of TVM is not well presented in the manuscript. The authors also state”
“profound prolapse”. This should be replaced by severe prolapse. The authors also state
“connective tissue” . Something is missing.
One of the main problems with TVM is long term pain. Extrusion, erosion is one problem and
this has been studied in this manuscript. However, pain should also be reported.
In the conclusions the first sentence should be focused to the parameters evaluated in this study.
So, it should state that uterine sparing surgery with TVM compared to VH with TVM appears
equally effective … etc….
Title: Comparison of concomitant hysterectomy and uterine preservation for pelvic floor
reconstruction using transvaginal mesh in the treatment of POP: A systematic review and meta-
analysis
Version: 2 Date: 27 Jan 2025
Reviewer's report:
Dear Editor,
Thank you for the opportunity to review this interesting and valuable paper. The authors
aim to analyze the existing literature to assess whether uterine removal is necessary and
whether it provides a positive clinical impact in the treatment of pelvic organ prolapse (POP)
using transvaginal mesh (TVM). However, I believe several aspects of the manuscript could
benefit from further consideration and improvement. Below, I outline my observations and
recommendations:
• The introduction should provide a more comprehensive context by addressing the FDA
warning on the use of TVM. This would help readers better understand the current clinical and
regulatory landscape surrounding TVM and its implications for the study.
• I recommend explicitly referencing the supplementary materials in the methods section and
ensuring that the complete search strategy is included in those materials. This would enhance
the reproducibility and transparency of the review process.
• Clearly distinguishing between intraoperative and postoperative complications.
• Categorizing complications by severity using a standardized classification system, such as the
Clavien-Dindo scale.
•It would be helpful to specify which studies employed a laparoscopic approach and which used
an open surgical approach. A subgroup analysis comparing these two approaches is strongly
recommended, as they differ significantly in terms of outcomes and complications.
• Clarify at what postoperative time points vaginal length was assessed in the various studies.
This information is essential for understanding the variability and comparability of the results.
• I suggest starting the discussion section by providing a clear summary of the main findings of
the study. This would help orient the reader and set the stage for the subsequent analysis and
interpretation.
• The study population does not include obese patients, who, in real-world clinical practice,
frequently undergo surgery for POP. This exclusion should be explicitly acknowledged and
discussed, as it may limit the generalizability of the findings.
Addressing these points would strengthen the manuscript and provide readers with a more
complete and critical perspective on the topic. I hope these suggestions prove helpful in further
refining the paper.
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 3 Date: 30 Jun 2024
Reviewer's report:
Dear author/s,
Some of my suggestions are in the form of explanations in the word file. It is also important to
check your full manuscript especially in terms of journal writing rules, titles, etc.
With my regards.
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 4 Date: 17 Jan 2025
Reviewer:  Elham Manouchehri
Reviewer's report:
Greetings and respect to the respected authors,
While wishing success, I put some comments in the text. Please correct or provide justification.
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 4 Date: 21 Jan 2025
Reviewer's report:
Dear Author,
This study is very well-written, and I believe it will contribute significantly to the literature.
I have a small suggestion: What percentage of the participants are midwives? Additionally, is
it accurate to refer to the research questions as pertaining only to obstetrics and gynecology
nurses? I think the term "midwives" should be added.
Best regards,
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 4 Date: 27 Jan 2025
Reviewer's report:
Dear authors, congratulations on your work. I have reviewed the revised version of the article,
thank you for adding this valuable work to the literature.
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 5 Date: 06 Feb 2025
Reviewer:  Elham Manouchehri
Reviewer's report:
Greetings and respect
It seems that most of the comments are sufficiently and correctly done.
Two comments are provided on page 18, which should be corrected if necessary.
with respect
Title: “High-stress, conscientiousness and positive coping”: correlation analysis of personality
traits, coping style and stress load among obstetrics and gynecology female nurses and midwives
in twenty-one public hospitals in Southern China
Version: 6 Date: 08 Feb 2025
Reviewer:  Elham Manouchehri
Reviewer's report:
With regards and respect
While congratulating on the occasion of conducting this valuable research, corrections are
accepted.
Good luck
Title: Effectiveness of an empowerment-based self-defense program among South African girls:
results from a cluster-randomized control trial in schools
Version: 1 Date: 09 Jan 2025
Reviewer:  Soe Myat Htet
Reviewer's report:
I appreciated such great work and dedicated on this a complex study during such a challenging
time. Hope you receive some ideas to revise this study! Just a minor issue is required to revise
for strengthening this study’ conclusiveness.
Title: Effectiveness of an empowerment-based self-defense program among South African girls:
results from a cluster-randomized control trial in schools
Version: 1 Date: 10 Jan 2025
Reviewer:  Ritika Thalakiya
Reviewer's report:
The study investigates the effectiveness of an empowerment-based self-defense (ESD)
intervention for preventing sexual violence among adolescent girls in South Africa. The
study addresses a significant public health issue with a well-defined research question. The
methods section provides a clear and detailed description of the study design, participants,
interventions, and data collection procedures. The inclusion of qualitative data from stakeholders
provides valuable insights into the implementation process and the broader impact of the
intervention beyond the primary outcomes. While the study provides valuable insights into the
challenges and complexities of implementing such interventions, the inconclusive results and
potential limitations require careful consideration. By addressing these points, the authors can
significantly improve the quality and impact of their manuscript.
Title: Determinants of Puerperal sepsis among Postpartum Women who were admitted to Harar
Town Public Hospitals, Eastern Ethiopia: Unmatched case-control study design
Version: 1 Date: 18 Dec 2024
Reviewer's report:
Dear colleagues
Indeed, I am unable to express how much I am such grateful for your kind emails and requests
for peer reviewing your nice papers. Thank you very much, again.
Also, I apologize for the late response as I have unusual busy situation in my life which to some
extent distracted me from some usual daily activities. Re apologize again, Kindly accept my
Apology.
I have reviewed carefully this nice article about really interesting subject to me. As a matter of
fact I have agreed to the results obtained by the author like prolonged labor, PROM, C/S delivery
and other variables are all contributing factors to the development puerperal fever.
Indeed, The author through logistic regression with calculation of the Odd ratio and 95% CI has
proved his assumption in the aim of the study.
However, I have little remark on table no 1 despite it is relative NOT absolute. The author has
stated the number of cases, Control and total?
I think on personal ground that removal of the total and replacing them with chi square
comparisons would be more favorable. It is not absolute rejection rather it is just a personal
remark. The final decision about it will be back to the author and Journal board.
Sincerely Yours
Wisam Akram
Decision; Accept
Good work!
Title: Determinants of Puerperal sepsis among Postpartum Women who were admitted to Harar
Town Public Hospitals, Eastern Ethiopia: Unmatched case-control study design
Version: 1 Date: 26 Dec 2024
Reviewer's report:
Dear authors,
First of all I want to thank the authors and the editor for the opportunity of heaving read this
manuscript.
Secondly I believe this manuscript should benefit from a thorough revision by a native english
speaker.
What does this article bring as novelty? Everything is already well known
Kind regards,
Title: Determinants of Puerperal sepsis among Postpartum Women who were admitted to Harar
Town Public Hospitals, Eastern Ethiopia: Unmatched case-control study design
Version: 4 Date: 23 Jan 2025
Reviewer's report:
Dear colleagues
Thank you very much for diverting this extremely important article to me for peer reviewing.
I a little bit mixed up? did I peer review this article before? I remember reviewing similar article
sometime ago ? Anyhow the author has proved his point of view in his results by using the
appropriate statistical methods.
As a matter of fact, The random use of post partum antibiotic after labor and the diversity of
antibiotic available nowadays in the markets have made the approach to the true incidence of
puerperal fever difficult to assess nowadays.
The author conclusions have been reached by well constructed logistic regression to the
following risk factors; PROM, CS delivery, long active stage as well as to the referral centers.
The author interpretation of the resulting ODD ration and their associated CI are all true.
Lastly, The sample size chosen in this article was assessed carefully by me through using
Medcalc and Minitab software and supports the credits reached by the author in his paper.
So, my decision ; ACCEPT
Thank you very much
Sincerely yours
Wisam Akram
Title: Determinants of Puerperal sepsis among Postpartum Women who were admitted to Harar
Town Public Hospitals, Eastern Ethiopia: Unmatched case-control study design
Version: 9 Date: 28 Feb 2025
Reviewer's report:
Dear authors thank you for your kind responses and amendment of the comments.  The term
"email"(line 7 and line 9) is not meaning full.
With Best Regards!
Title: Impact of Enhanced Recovery after Surgery Concept Process Optimization on the
Perioperative Period of Gynecologic Laparoscopic Surgery
Version: 0 Date: 22 Nov 2024
Reviewer's report:
Thank you for the work you have done on the Perioperative Period of Gynecologic Laparoscopic
Surgery and the Impact of Enhanced Recovery after Surgery Concept Process Optimization. The
study investigates the influence of the enhanced recovery after surgery (ERAS) optimization
concept on the perioperative period of gynecologic laparoscopic surgery.  I have observed
that the retrospective observational study encompassed patients who underwent gynecologic
laparoscopic surgery at Jiaxing Hospital of Traditional Chinese Medicine for ovarian cysts,
adenomyosis, and uterine fibroids, according to the ERAS concept process optimization
(ERAS group). The novel discoveries indicate that the optimization of ERAS for gynecologic
laparoscopic surgery may enhance patient satisfaction, reduce complications, and improve
patient outcomes.
The authors acknowledge that the study's statistical power may be restricted by the
comparatively small sample size, which could potentially obscure small effects or rare adverse
events. It is crucial to specify the measures that were implemented to mitigate this. Potential
bias may be introduced by changes in surgical techniques, anesthesia protocols, or other clinical
practices that may occur over time and affect outcomes independent of ERAS optimization, as
a result of the retrospective design employed in the study. The paper's quality could be further
improved by elucidating the procedures to mitigate these deficiencies. Thank you.