Average rating: | Rated 3.5 of 5. |
Level of importance: | Rated 4 of 5. |
Level of validity: | Rated 3 of 5. |
Level of completeness: | Rated 3 of 5. |
Level of comprehensibility: | Rated 4 of 5. |
Competing interests: | None |
It is a very good work which tackles a difficult subject and which is the subject of contradictory debate in the scientific world. The approach to the subject is interesting since it is based on clinical experience, however the ethical issues leave something to be desired. It is important that the work be better organized, with a standard publication format since it is, until proven otherwise, a literature review. So I suggest to the authors to correct the format of presentations with an introductory section, a methodology section presenting the stages of the realization of the work whether it is the experiment described and the choice of the articles or other documents cited. And, in the body of the text, instead of presenting the sections by discussions 1,2, etc... it is better to present them in the form of sub-sections with of course the sub-titles mentioned in the text. We are at 48 pages, let's say it's excessively long. so it is important to reduce the text to around 4500-5000 words say 15-20 pages at most. One of the missing elements of the work is the illustrations. There are things that can be tabulated like risk factors. Also try to add images to help readers.