S.N

Title of Article & Author

Editor

Reviewer

Comments

1

Editorial: The Risks of Relying on Artificial Intelligence (AI) as a Primary Source of Health Information

https://doi.org/10.3329/ewmcj.v14i1.84913

Editorial Board

Please check for plagiarism. As per article content as editorial, it is acceptable for publishing. 

The strength of the article is good; The Impact of the findings and write-up is time-demanding.

2

Frequency of Genetic Mutation of Cationic Trypsinogen (PRSS1) Gene in Paediatric Patients with Pancreatitis Attending a Tertiary Care Hospital in Bangladesh

https://doi.org/10.3329/ewmcj.v14i1.82909

Assoc. Prof. Dr. Fatema Tuj Johura

Asst Prof. Dr. Md. Ibrahim

1. Please use the deabbreviated form before using the abbreviated form of different words used in the manuscript.

2. Please decrease the number of tables and figures and reduce it in the discussion parts. 

3. Figures should be easily understandable; De-abbreviated form should be used in table.

4. Rewrite the portion of the discussion.

5. In reference,  DOI should be added. 

3

Effectiveness of a Digitally Enabled Patient Support Program through Patient Empowerment for Comprehensive Diabetes Management

https://doi.org/10.3329/ewmcj.v14i1.83032

Assoc. Prof. Dr. Tarana Tabashshum

Prof. Dr. Maruf Bin Habib

Introduction: Mistakes are highlighted. Should be corrected accordingly.

Methods: Spelling mistakes should be corrected.

Results: The numbering of table should not be in Roman. In table 1, units should be mentioned. Table should be in same page. Significant P value is not mentioned in table. 

Discussion: Please follow the Vancouver reference system.

Reference: Should include more references. 

Others:

1. Please use the deabbreviated form before using the abbreviated form of different words used in the manuscript.

2. Rewrite the portion of the discussion.

3. In reference,  DOI should be added. 

4

Associated Factors of Health Promoting Lifestyles among Uttara High School & College Students in Uttara, Dhaka.

https://doi.org/10.3329/ewmcj.v14i1.82989

Dr. Md. Jahidul Islam

Prof. S.M.Noman Khaled Chowdhury

Strength: Statistical tool weakness- Multiple logistic regression analysis to determine risk factors and confounding variables should be pulled out from this manuscript; Recommendation should be included.

5

Evaluation of Prevalence and Risk Factors of Spontaneous Bacterial Peritonitis (SBP) in Cirrhotic Patients

https://doi.org/10.3329/ewmcj.v14i1.82972

Asst Prof. Dr. ADM Rifat Chowdhury

Prof. Dr. Maruf Bin Habib

Please clarify the criteria used to select participants for the study.

Could you provide more details about the data cleaning process to ensure data accuracy and reliability?

Summary: Manuscript reflects study purpose, methods and conclusions accurately, but it may be condensed simply for the understanding of readers. 

Minor grammatical Correction required.

Reference should be added as Vancouver citation method and DOI should be added where applicable. 

6

Three-dimensional Ultrasonography parameters for the diagnosis of Polycystic Ovary Syndrome: A Systematic Review

https://doi.org/10.3329/ewmcj.v14i1.82974

Prof. Sharmin Yeasmin

Dr. Hazim Alhiti

Dr. Sanwoar Rahman

Abstract: please shorten the background but expand the methods and the results

Keywords: please add systematic review

Please add highlight points

Please revise the language fluency of the whole paper

Please add another table or split the exciting table

Please clarify and discuss these points supporting your view with matched references

Why were only 11 studies included despite an initial pool of 148 records?

The PRISMA flow diagram shows exclusions, but were there additional unpublished or non-English studies that could have provided more robust evidence?

How was heterogeneity among studies managed?

The included studies vary in design (prospective, retrospective), diagnostic criteria (Rotterdam vs. NIH), and ultrasound techniques. Did the authors assess statistical heterogeneity (e.g., I² statistic)?

Was there publication bias?

A funnel plot or Egger’s test should be included to check for bias in published literature.

How does 3D ultrasound compare to 2D ultrasound in diagnostic accuracy?

The review claims 3D is superior, but did any studies directly compare both methods?

What are the sensitivity, specificity, and ROC curves for 3D ultrasound in PCOS diagnosis?

Can 3D ultrasound replace or merely supplement Rotterdam criteria?

The conclusion suggests 3D ultrasound should be used alongside Rotterdam criteria, but does it reduce misdiagnosis in borderline cases?

What are the standardized protocols for 3D ultrasound in PCOS?

Different studies used varying methods (VOCAL, inversion mode, Doppler indices). Which technique is most reliable?

Is 3D ultrasound feasible in routine clinical practice?

Cost, training requirements, and accessibility in low-resource settings are not discussed. Should it be reserved for research or specialized centers?

How do hormonal profiles (LH, FSH, AMH, testosterone) correlate with 3D ultrasound findings?

Some studies suggest stromal volume correlates with hyperandrogenism—was this consistently observed?

Does BMI affect 3D ultrasound accuracy?

Obesity is common in PCOS and may alter ovarian imaging. Were adjustments made for BMI in the included studies?

Can 3D ultrasound predict PCOS-related complications (infertility, metabolic syndrome)?

Do vascular indices (VI, FI, VFI) correlate with insulin resistance or cardiovascular risk?

Does 3D ultrasound improve treatment monitoring (e.g., ovulation induction, IVF outcomes)?

What are the major gaps in current evidence?

The oldest study is from 2002—has technology improved since then? Are newer automated 3D techniques (e.g., SonoAVC) more reliable?

Should future studies focus on AI-assisted 3D ultrasound for PCOS diagnosis?

Some studies had small sample sizes (e.g., Jarvela et al., 2002: n=14 PCOS patients), which could affect generalizability.

The included studies vary in methodology (prospective, retrospective, case-control), which may introduce bias.

Different diagnostic criteria (Rotterdam vs. NIH) and ultrasound measurement techniques could affect comparability.

The review summarizes findings descriptively but does not perform a meta-analysis, which would have strengthened the evidence by quantifying effect sizes.

The study only included English-language publications, possibly excluding relevant non-English studies.

No funnel plot or statistical test for bias was mentioned.

Some included studies date back to 2002, and ultrasound technology has advanced since then. Newer studies with improved 3D techniques might yield different results.

While 3D ultrasound appears superior, the review does not address whether it is cost-effective or widely available in clinical settings.

Unassessed heterogeneity so Report I² and perform subgroup analyses.

Publication bias ignored       so Funnel plot + Egger’s test.

Small sample sizes    so Highlight as a limitation.

No diagnostic accuracy so    Calculate sensitivity/specificity if possible.

Please expand the discussion and update some references using this link

https://scholar.google.com/scholar?hl=ar&as_sdt=0%2C5&q=Three-dimensional+Ultrasonography+parameters+for+the+diagnosis+of+Polycystic+Ovary+Syndrome%3A+A+Systematic+Review+&btnG=

7

Nebulized 3% Hypertonic Saline Reduces the Duration of Hospital Stay in Comparison to Nebulized Adrenaline in the Treatment of Acute Bronchiolitis

https://doi.org/10.3329/ewmcj.v14i1.80893

Assoc Prof. Dr. Sumaiya Khatun

Dr. Aga Salehin Farhan

1^st Reviewer:

Positives:

– Clear RCT structure with useful data

– Relevant for pediatric respiratory care

– Tables are well structured

Areas to Improve:

– Many typing mistakes and grammatical error.

– Some figures unclear or poorly labeled

– Absence of blinding may introduce bias

– Keywords need fixing—bronchitis mentioned instead of bronchiolitis

Recommendation: Accept with major revision. Revise language, clarify how randomization was performed, discuss limitation, suggest future research and improve some figures.

2^nd Reviewer:

Objective: Should be in a word.

Methodology: How the author confirms all the cases were due to viral infection- Author should clarify this. There is no need to mention inclusion and exclusion criteria as bulletin form.

Results: No need to add figure 1. Description Table 2 is missing; Before using the short form, please use de-abbreviated form. Table V: n=35- How? The author did not mention whether all patients needed O2 therapy or not.

Why in Figure mp 2, n=90? Table VII, n=90?

Discussion: Moe references should be added to validate the results. Should correct references as Vancouver citation method and use DOI where possible.

8

The Importance of Supraclavicular Lymph Node FNAC: Striking Prevalence of Major Pathologies in a Tertiary Care Private Practice

https://doi.org/10.3329/ewmcj.v14i1.83070

Assoc. Prof. Dr. Saad Mohammad

Dr. Hasnat Zaman Zim

Manuscript:

Title: It is relevant for publication.

Introduction: Reference is missing.

Materials and Methods: The cytological diagnosis category reference should be added

Result: Diagnostic breakdown should be in one paragraph or in a tabulated form.

Use either pie chart or Bar diagram.

Discussion: Reference is missing

Limitation: Should be mentioned.

Reference: Should follow vancouver citation method and DOI should be added where applicable.

9

Dengue Fever in Bangladesh: Clinical, Laboratory and Gender-Based Insights from the 2023 Outbreak

https://doi.org/10.3329/ewmcj.v14i1.83004

Assoc Prof. Dr. Nur Nahar Ayrin

Asst Prof. Dr. Nazmin Ahmed

1. Please use the deabbreviated form before using the abbreviated form of different words used in the manuscript.

2. Rewrite the portion of the discussion.

3. In reference,  DOI should be added. 

10

Association of high-sensitivity C-reactive protein with chronic kidney disease in type 2 diabetes mellitus patients

https://doi.org/10.3329/ewmcj.v14i1.83072

Prof. Dr. Mohiuddin Mojumder

Dr. Mukit Ahmed

The Article can be published with minor corrections in the table. 

The point should be highlighted why CKD-V (ESRD) has been excluded in the study- it should be mentioned in the methods or in the discussion.

Minor grammatical correction needed.

Table and figure should be clearly mentioned with reduce number.

These suggested improvements would enhance the study’s scientific rigor, practical relevance, and overall impact, making it more informative for both clinical practice and public health policymaking.

11

Clinical Profile of Dengue Patients Admitted during the 2023 Bangladesh Dengue Outbreak

https://doi.org/10.3329/ewmcj.v14i1.83110

Prof. Fayeza Madam

Prof. Dr. Maruf Bin Habib

Summary: Content is well demarcated and publishable in context of Bangladesh.

1. Please use the deabbreviated form before using the abbreviated form of different words used in the manuscript.

2. Rewrite the portion of the discussion.

3. In reference,  DOI should be added. 

12

 Clinical and Radiological Outcomes of Skin Traction for Femoral Shaft Fractures in Children Aged 2 to 5 Years

https://doi.org/10.3329/ewmcj.v14i1.83420

Assoc Prof. Dr. Md. Shariful Hasan

Assoc. Prof. Dr. Galib Md. Shawon

The Article can be published with minor corrections.

1. Please use the deabbreviated form before using the abbreviated form of different words used in the manuscript.

2. Please decrease the number of tables and figures and reduce it in the discussion parts. 

3. Figures should be easily understandable; De-abbreviated form should be used in table.

4. Rewrite the portion of the discussion.

5. In reference,  DOI should be added. 

13

Distinct Yet Connected: A Comparative Review of Lytic Skull Lesion Pathologies

https://doi.org/10.3329/ewmcj.v14i1.85192

Assoc Prof. Dr. Md. Shariful Hasan

Dr. Mukit Ahmed

This is a well-conceived comparative review combining three illustrative clinical cases with a structured literature review on lytic skull lesions—calvarial tuberculosis, angiomatous meningioma, and metastatic follicular thyroid carcinoma. The topic is clinically relevant, particularly for neurosurgeons, radiologists, and pathologists working in resource-variable settings.

The manuscript demonstrates strong clinical insight, appropriate use of imaging and histopathology, and a commendable effort to follow PRISMA 2020 principles. With minor to moderate revisions, this article is suitable for publication in an indexed medical journal.

Decision: ACCEPT WITH MINOR TO MODERATE REVISION

This manuscript is:

• Scientifically sound
• Clinically useful
• Relevant to neurosurgery and radiology practice

With improvements in language, figure presentation, and methodological clarity, it will meet international journal standards and serve as a valuable reference article.

14

Surgical Intervention for Fibrous Dysplasia in the Proximal Femur: A Case Report

https://doi.org/10.3329/ewmcj.v14i1.83419

Assoc. Prof. Dr. Galib Md Shawon

Dr. Md. Shariful Hasan

This manuscript presents a clinically relevant orthopedic case report describing the surgical management of fibrous dysplasia (FD) of the proximal femur in an adolescent patient using allograft bone and trochanteric plate fixation. The topic is appropriate for a regional and international orthopedic readership, and the surgical approach is sound.

However, the manuscript currently requires moderate revision to meet international publication standards, particularly regarding language quality, redundancy, structure, and clarity of discussion.

Major Issues Requiring Revision

1. Language and Scientific Tone (Major Concern)

The manuscript contains frequent grammatical errors, informal phrasing, repetition, and inconsistent tense usage, particularly in:

• Introduction
• Discussion
• Case presentation

Examples:

• “gentle, non-inherited, genetic problem” → should be “benign, non-inherited genetic disorder”
• “Doctors guess it hits roughly…” → should be “The estimated incidence is…”

Recommendation:
A professional English language editing is strongly required before acceptance.

2. Redundancy and Repetition

• Definitions of fibrous dysplasia are repeated multiple times (Introduction + Discussion).
• Syndromic associations (McCune-Albright, Mazabraud) are discussed repeatedly with similar wording.

 Recommendation:

• Keep basic disease definition in the Introduction.
• Focus the Discussion on case-specific learning points, surgical rationale, and comparison with existing literature.

3. Abstract Structure

• The abstract mixes background, case summary, and conclusion without clear separation.
• Surgical indication and outcome could be stated more concisely.

 Suggested Abstract Structure:

• Background (1–2 sentences)
• Case Presentation
• Intervention
• Outcome
• Conclusion

4. Case Presentation Formatting

• Some sections are duplicated (e.g., imaging findings repeated verbatim).
• Physical examination findings are minimal.

 Recommendation:
Streamline the Case Presentation using standard headings:

• Chief complaint
• Clinical findings
• Imaging
• Diagnosis
• Intervention
• Follow-up & outcome

5. Discussion Needs Sharpening

While informative, the Discussion should:

• Clearly justify why surgical fixation was chosen instead of conservative management
• Briefly compare trochanteric plate fixation vs intramedullary options
• Emphasize lessons learned from this case

 Consider adding:

“This case supports early surgical stabilization in proximal femoral FD complicated by pathological fracture to prevent progressive deformity and restore early mobility.”

6. Figures & Captions

• Figure captions are very brief and could be more descriptive.
• Ensure all figures are referenced sequentially in the text.

Minor Issues

• Typographical errors (spacing, punctuation)
• Inconsistent citation formatting
• Repetition of “pathological fracture” without specifying fracture type

Ethical & Reporting Considerations

• No ethical concerns identified.
• Patient confidentiality appears maintained.
• Open-access license is appropriately declared.

Final Recommendation

Decision: ACCEPT WITH MODERATE REVISION

This manuscript is clinically valuable and publishable, provided the authors address:

1. English language and grammar
2. Redundancy reduction
3. Improved discussion focus
4. Structural refinement

15

Silent bloom in a burnt soil: A post-ablation pregnancy ending in hysterectomy

https://doi.org/10.3329/ewmcj.v14i1.83418

Assoc Prof. Dr. Saad Mohammad

Prof. Dr. Sharmin Yeasmin

Manuscript:

Title: Acceptable and relevant to the manuscript.

A brief discussion on endometrial ablation with the technique should be mentioned. Closure technique and if drain is used should bementioned. 

In text citation should follow vancouver citation style. Please use citation after full stop. Like: ……..outpatient follow up.[4]