Knowledge and attitudes of medical students towards the health impact of climate change: A study from Jordan

Mohammed O. Khabour; Owais Omar Tarabsheh; Bilal M. Al-zu’bi; Omar F. Khabour; Rami Saadeh

doi:10.1371/journal.pone.0324943

Peer Review History

Original SubmissionOctober 15, 2024
15 Oct 2024 Author Response https://doi.org/10.1371/journal.pone.0324943.r001
28 Nov 2024 Decision Letter - Fatma Refaat Ahmed, Editor PONE-D-24-44537Knowledge and attitudes of medical students towards the health impact of climate change: a study from JordanPLOS ONE Dear Dr. Saadeh, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Jan 12 2025 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript: A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'. A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'. An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols . We look forward to receiving your revised manuscript. Kind regards, Fatma Refaat Ahmed, Ph.D. Academic Editor PLOS ONE Journal Requirements: 1. When submitting your revision, we need you to address these additional requirements. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf 2. Thank you for stating the following financial disclosure: [The study was supported by fund from Jordan University of Science and Technology (fund number: 210-2024).]. Please state what role the funders took in the study. If the funders had no role, please state: "The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript." If this statement is not correct you must amend it as needed. Please include this amended Role of Funder statement in your cover letter; we will change the online submission form on your behalf. 3. Thank you for stating the following in the Acknowledgments Section of your manuscript: [Authors thank Mr. Ahmed Kofahi, Mr. Ali Hisham, and Mr. Ali Alomar for their efforts in the recruitment of participants. Authors would like to thank the GeoHealth Hub for Climate Change and Health in the Middle East and North Africa (#5U2RTW012228 and #U01TW012237) for its support.] We note that you have provided funding information that is not currently declared in your Funding Statement. However, funding information should not appear in the Acknowledgments section or other areas of your manuscript. We will only publish funding information present in the Funding Statement section of the online submission form. Please remove any funding-related text from the manuscript and let us know how you would like to update your Funding Statement. Currently, your Funding Statement reads as follows: "The study was supported by fund from Jordan University of Science and Technology (fund number: 210-2024)." Please include your amended statements within your cover letter; we will change the online submission form on your behalf. 4. In the online submission form, you indicated that your data is available only on request from a third party. Please note that your Data Availability Statement is currently missing the contact details for the third party, such as an email address or a link to where data requests can be made. Please update your statement with the missing information. Reviewer's Responses to Questions Comments to the Author 1. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #1: Yes Reviewer #2: No ******** 2. Has the statistical analysis been performed appropriately and rigorously? Reviewer #1: Yes Reviewer #2: No ****** 3. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #1: Yes Reviewer #2: No ****** 4. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #1: No Reviewer #2: No ****** 5. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #1: The Author did a great job with the methodology and analysis however the discussion needs more work. the discussion lacks a flow that engages the reader and does not enable ease in connecting the dots of the findings. Reviewer #2: Kindly revise your article thoroughly following the pattern recommended by the PLOS ONE . For Guidance, read ****** 6. PLOS authors have the option to publish the peer review history of their article (what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy . Reviewer #1: No Reviewer #2: No ******** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/ . PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org . Please note that Supporting Information files do not need this step. https://doi.org/10.1371/journal.pone.0324943.r002
Revision 1
9 Dec 2024 Author Response Dear Editor of PLOS-ONE We are thankful to the reviewers for their thoughtful and detailed review of our manuscript (ONE-D-24-44537) entitled “Knowledge and attitudes of medical students towards the health impact of climate change: a study from Jordan”. All the recommended changes and edits have been incorporated in the revised version of our manuscript. We greatly appreciate the time and effort invested to produce this detailed review. Our point-by-point response is provided below. Comment 1. When submitting your revision, we need you to address these additional requirements. Please ensure that your manuscript meets PLOS ONE's style requirements, including those for file naming. The PLOS ONE style templates can be found at https://journals.plos.org/plosone/s/file?id=wjVg/PLOSOne_formatting_sample_main_body.pdf and https://journals.plos.org/plosone/s/file?id=ba62/PLOSOne_formatting_sample_title_authors_affiliations.pdf Response The manuscript was checked to meet PLOS ONE's style requirements 2. Thank you for stating the following financial disclosure: [The study was supported by fund from Jordan University of Science and Technology (fund number: 210-2024).]. Please state what role the funders took in the study. If the funders had no role, please state: "The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript." If this statement is not correct you must amend it as needed. Please include this amended Role of Funder statement in your cover letter; we will change the online submission form on your behalf. Response We have revised the Financial Disclosure statement as indicated. The revised statement is: The revised statement is “The study was supported by funds from Jordan University of Science and Technology (fund number: 210-2024) and the GeoHealth Hub for Climate Change and Health in the Middle East and North Africa (Fogarty NIH awards number 5U2RTW012228 and U01TW012237). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.” Changes to the Financial Disclosure statement were added to the cover letter. 3. Thank you for stating the following in the Acknowledgments Section of your manuscript: [Authors thank Mr. Ahmed Kofahi, Mr. Ali Hisham, and Mr. Ali Alomar for their efforts in the recruitment of participants. Authors would like to thank the GeoHealth Hub for Climate Change and Health in the Middle East and North Africa (#5U2RTW012228 and #U01TW012237) for its support.] We note that you have provided funding information that is not currently declared in your Funding Statement. However, funding information should not appear in the Acknowledgments section or other areas of your manuscript. We will only publish funding information present in the Funding Statement section of the online submission form. Please remove any funding-related text from the manuscript and let us know how you would like to update your Funding Statement. Currently, your Funding Statement reads as follows: "The study was supported by fund from Jordan University of Science and Technology (fund number: 210-2024)." Please include your amended statements within your cover letter; we will change the online submission form on your behalf. Response The Acknowledgement statement was revised as suggested. In addition, the financial statement was revised as shown in our response to point 2. 4. In the online submission form, you indicated that your data is available only on request from a third party. Please note that your Data Availability Statement is currently missing the contact details for the third party, such as an email address or a link to where data requests can be made. Please update your statement with the missing information. Response. The data availability statement was revised to include contact information. Reviewer comments Reviewer #1: The Author did a great job with the methodology and analysis however the discussion needs more work. The discussion lacks a flow that engages the reader and does not enable ease in connecting the dots of the findings. Response Thank you for your comment. The Discussion section was revised to ensure proper flow and connections between different findings. Reviewer #2: Kindly revise your article thoroughly following the pattern recommended by the PLOS ONE. Response The manuscript was revised to meet PLOS ONE's style and pattern requirements. Sincerely yours, Dr. Rami Saadeh Attachments Attachment Submitted filename: Responses to reviewers.docx https://doi.org/10.1371/journal.pone.0324943.r003
27 Jan 2025 Decision Letter - Fatma Refaat Ahmed, Editor PONE-D-24-44537R1Knowledge and attitudes of medical students towards the health impact of climate change: a study from JordanPLOS ONE Dear Dr. Saadeh, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by Mar 13 2025 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript: A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'. A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'. An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols . We look forward to receiving your revised manuscript. Kind regards, Fatma Refaat Ahmed, Ph.D. Academic Editor PLOS ONE Journal Requirements: Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. [Note: HTML markup is below. Please do not edit.] Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #2: (No Response) Reviewer #3: (No Response) ******** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #2: Partly Reviewer #3: Yes ****** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #2: I Don't Know Reviewer #3: Yes ****** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #2: Yes Reviewer #3: Yes ****** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #2: No Reviewer #3: No ****** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #2: 1.Kindly add continuous line number to the manuscript 2.ABSTRACT: Kindly add about methodology. 3.INTRODUCTION: Kindly Write a strong rationale 4.Study design is mentioned in caption but not written anywhere. Kindly add name of the study design used. 5.Conclusion may kindly be strengthened. Reviewer #3: The manuscript addresses an important and timely topic, focusing on medical students’ awareness and attitudes toward the health impacts of climate change, particularly in the underrepresented MENA region.The methodology is robust, with a clearly defined study population, ethical approval, and validated data collection tools.The discussion ties the findings to relevant global and regional studies, emphasizing the need for integrating climate change into medical curricula. However, the same suggestions for improvement is to address typographical and grammatical errors such as in introduction Sentence: "Phenomena associated with climate change are plenty and include extreme weather (heat waves, cold weaves, and floods)..."Issue: "Cold weaves" should be "cold waves." In methods, Sentence: "Before distributing the questionnaire, the instrument was reviewed by two experts in the field to verify its clarity and content."Issue: No grammatical error, but "clarity and content" could be expanded for specificity.Suggestion: "Before distributing the questionnaire, the instrument was reviewed by two experts in the field to verify its clarity, relevance, and content accuracy." In results, Sentence: "The percentages of male and female students were comparable (47.1% and 52.8% respectively)."Issue: A comma is missing after "52.8%." ****** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy . Reviewer #2: No Reviewer #3: Yes: Zain Ali ******** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/ . PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org . Please note that Supporting Information files do not need this step. https://doi.org/10.1371/journal.pone.0324943.r004
Revision 2
31 Jan 2025 Author Response Dear Editor of PLOS-ONE We are thankful to the reviewers for their thoughtful and detailed review of our manuscript (ONE-D-24-44537 R1) entitled “Knowledge and attitudes of medical students towards the health impact of climate change: a study from Jordan”. All the recommended changes and edits have been incorporated in the revised version of our manuscript. We greatly appreciate the time and effort invested to produce this detailed review. Our point-by-point response is provided below. Academic Editor PLOS ONE Comment Journal Requirements: Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. Response Thank you. References were checked. All references are now complete and correct. We don’t have retracted papers among the references. Reviewers' comments: Reviewer #2: Comment 1.Kindly add continuous line numbers to the manuscript Response Thank you. Continuous line numbers were added to the manuscript. Comment 2.ABSTRACT: Kindly add about methodology. Response The Methodology part was expanded in the Abstract as suggested. Comment 3.INTRODUCTION: Kindly Write a strong rationale Response. The rational in the Introduction was revised as suggested. Comment 4.Study design is mentioned in caption but not written anywhere. Kindly add name of the study design used. Response The name of study design was added to the Method section Comment 5.Conclusion may kindly be strengthened. Response The Conclusion section was revised as suggested. Reviewer #3: Comment The manuscript addresses an important and timely topic, focusing on medical students’ awareness and attitudes toward the health impacts of climate change, particularly in the underrepresented MENA region. The methodology is robust, with a clearly defined study population, ethical approval, and validated data collection tools. The discussion ties the findings to relevant global and regional studies, emphasizing the need for integrating climate change into medical curricula. However, the same suggestions for improvement is to address typographical and grammatical errors such as in introduction Sentence: "Phenomena associated with climate change are plenty and include extreme weather (heat waves, cold weaves, and floods)..."Issue: "Cold weaves" should be "cold waves." Response Thank you. The indicated sentence was revised as indicated Comment In methods, Sentence: "Before distributing the questionnaire, the instrument was reviewed by two experts in the field to verify its clarity and content. "Issue: No grammatical error, but "clarity and content" could be expanded for specificity. Suggestion: "Before distributing the questionnaire, the instrument was reviewed by two experts in the field to verify its clarity, relevance, and content accuracy." Response The indicated sentence was revised as suggested. Comment In results, Sentence: "The percentages of male and female students were comparable (47.1% and 52.8% respectively)."Issue: A comma is missing after "52.8%." Response. The sentence was revised as suggested. Sincerely yours, Dr. Rami Saadeh Attachments Attachment Submitted filename: Responses_to_reviewers_auresp_2.docx https://doi.org/10.1371/journal.pone.0324943.r005
15 Apr 2025 Decision Letter - Fatma Refaat Ahmed, Editor PONE-D-24-44537R2Knowledge and attitudes of medical students towards the health impact of climate change: a study from JordanPLOS ONE Dear Dr. Saadeh, Thank you for submitting your manuscript to PLOS ONE. After careful consideration, we feel that it has merit but does not fully meet PLOS ONE’s publication criteria as it currently stands. Therefore, we invite you to submit a revised version of the manuscript that addresses the points raised during the review process. Please submit your revised manuscript by May 30 2025 11:59PM. If you will need more time than this to complete your revisions, please reply to this message or contact the journal office at plosone@plos.org . When you're ready to submit your revision, log on to https://www.editorialmanager.com/pone/ and select the 'Submissions Needing Revision' folder to locate your manuscript file. Please include the following items when submitting your revised manuscript: A rebuttal letter that responds to each point raised by the academic editor and reviewer(s). You should upload this letter as a separate file labeled 'Response to Reviewers'. A marked-up copy of your manuscript that highlights changes made to the original version. You should upload this as a separate file labeled 'Revised Manuscript with Track Changes'. An unmarked version of your revised paper without tracked changes. You should upload this as a separate file labeled 'Manuscript'. If you would like to make changes to your financial disclosure, please include your updated statement in your cover letter. Guidelines for resubmitting your figure files are available below the reviewer comments at the end of this letter. If applicable, we recommend that you deposit your laboratory protocols in protocols.io to enhance the reproducibility of your results. Protocols.io assigns your protocol its own identifier (DOI) so that it can be cited independently in the future. For instructions see: https://journals.plos.org/plosone/s/submission-guidelines#loc-laboratory-protocols . Additionally, PLOS ONE offers an option for publishing peer-reviewed Lab Protocol articles, which describe protocols hosted on protocols.io. Read more information on sharing protocols at https://plos.org/protocols?utm_medium=editorial-email&utm_source=authorletters&utm_campaign=protocols . We look forward to receiving your revised manuscript. Kind regards, Fatma Refaat Ahmed, Ph.D. Academic Editor PLOS ONE Journal Requirements: Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. Reviewers' comments: Reviewer's Responses to Questions Comments to the Author 1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation. Reviewer #2: All comments have been addressed Reviewer #4: All comments have been addressed ******** 2. Is the manuscript technically sound, and do the data support the conclusions? The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented. Reviewer #2: Yes Reviewer #4: Yes ****** 3. Has the statistical analysis been performed appropriately and rigorously? Reviewer #2: I Don't Know Reviewer #4: Yes ****** 4. Have the authors made all data underlying the findings in their manuscript fully available? The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified. Reviewer #2: Yes Reviewer #4: Yes ****** 5. Is the manuscript presented in an intelligible fashion and written in standard English? PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here. Reviewer #2: No Reviewer #4: Yes ****** 6. Review Comments to the Author Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters) Reviewer #2: Dear Author, language may kindly be further improved and refined. xxxxxxxxxxxxxThanks xxxxxxxxxxxxxx Reviewer #4: The study addresses an important public health issue and fills a gap in the MENA region regarding the awareness of climate change impacts on health among medical students. There are typographical and grammatical issues throughout, such as “cold weaves” instead of “cold waves” and inconsistent use of singular/plural nouns. I suggest proofreading 'optional' ****** 7. PLOS authors have the option to publish the peer review history of their article (what does this mean? ). If published, this will include your full peer review and any attached files. If you choose “no”, your identity will remain anonymous but your review may still be made public. Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy . Reviewer #2: No Reviewer #4: Yes: Nasser M Alorfi ******** [NOTE: If reviewer comments were submitted as an attachment file, they will be attached to this email and accessible via the submission site. Please log into your account, locate the manuscript record, and check for the action link "View Attachments". If this link does not appear, there are no attachment files.] While revising your submission, please upload your figure files to the Preflight Analysis and Conversion Engine (PACE) digital diagnostic tool, https://pacev2.apexcovantage.com/ . PACE helps ensure that figures meet PLOS requirements. To use PACE, you must first register as a user. Registration is free. Then, login and navigate to the UPLOAD tab, where you will find detailed instructions on how to use the tool. If you encounter any issues or have any questions when using PACE, please email PLOS at figures@plos.org . Please note that Supporting Information files do not need this step. https://doi.org/10.1371/journal.pone.0324943.r006
Revision 3
28 Apr 2025 Author Response Dear Editor of PLOS-ONE We are thankful to the reviewers for their thoughtful and detailed review of our manuscript (ONE-D-24-44537 R2) entitled “Knowledge and attitudes of medical students towards the health impact of climate change: a study from Jordan”. All the recommended changes and edits have been incorporated in the revised version of our manuscript. We greatly appreciate the time and effort invested to produce this detailed review. Our point-by-point response is provided below. Journal Requirements: Please review your reference list to ensure that it is complete and correct. If you have cited papers that have been retracted, please include the rationale for doing so in the manuscript text, or remove these references and replace them with relevant current references. Any changes to the reference list should be mentioned in the rebuttal letter that accompanies your revised manuscript. If you need to cite a retracted article, indicate the article’s retracted status in the References list and also include a citation and full reference for the retraction notice. Response The references were checked and formatted according to PLOS style. They are complete and correct. None of the cited papers have been retracted. Reviewers' comments: Reviewer #2: Dear Author, language may kindly be further improved and refined. xxxxxxxxxxxxxThanks xxxxxxxxxxxxxx Reviewer #4: The study addresses an important public health issue and fills a gap in the MENA region regarding the awareness of climate change impacts on health among medical students. There are typographical and grammatical issues throughout, such as “cold weaves” instead of “cold waves” and inconsistent use of singular/plural nouns. I suggest proofreading 'optional' Response The manuscript was checked for English. Changes were highlighted in the revised manuscript. ________________________________________ Sincerely yours, Corresponding author Attachments Attachment Submitted filename: Plos R3 responses.docx https://doi.org/10.1371/journal.pone.0324943.r007
4 May 2025 Decision Letter - Fatma Refaat Ahmed, Editor Knowledge and attitudes of medical students towards the health impact of climate change: a study from Jordan PONE-D-24-44537R3 Dear Dr. Saadeh, We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements. Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication. An invoice will be generated when your article is formally accepted. Please note, if your institution has a publishing partnership with PLOS and your article meets the relevant criteria, all or part of your publication costs will be covered. Please make sure your user information is up-to-date by logging into Editorial Manager at Editorial Manager® and clicking the ‘Update My Information' link at the top of the page. If you have any questions relating to publication charges, please contact our Author Billing department directly at authorbilling@plos.org. If your institution or institutions have a press office, please notify them about your upcoming paper to help maximize its impact. If they’ll be preparing press materials, please inform our press team as soon as possible -- no later than 48 hours after receiving the formal acceptance. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. Kind regards, Fatma Refaat Ahmed, Ph.D. Academic Editor PLOS ONE Additional Editor Comments (optional): Reviewers' comments: https://doi.org/10.1371/journal.pone.0324943.r008
Formally Accepted
Acceptance Letter - Fatma Refaat Ahmed, Editor PONE-D-24-44537R3 PLOS ONE Dear Dr. Saadeh, I'm pleased to inform you that your manuscript has been deemed suitable for publication in PLOS ONE. Congratulations! Your manuscript is now being handed over to our production team. At this stage, our production department will prepare your paper for publication. This includes ensuring the following: * All references, tables, and figures are properly cited * All relevant supporting information is included in the manuscript submission, * There are no issues that prevent the paper from being properly typeset You will receive further instructions from the production team, including instructions on how to review your proof when it is ready. Please keep in mind that we are working through a large volume of accepted articles, so please give us a few days to review your paper and let you know the next and final steps. Lastly, if your institution or institutions have a press office, please let them know about your upcoming paper now to help maximize its impact. If they'll be preparing press materials, please inform our press team within the next 48 hours. Your manuscript will remain under strict press embargo until 2 pm Eastern Time on the date of publication. For more information, please contact onepress@plos.org. If we can help with anything else, please email us at customercare@plos.org. Thank you for submitting your work to PLOS ONE and supporting open access. Kind regards, PLOS ONE Editorial Office Staff on behalf of Dr. Fatma Refaat Ahmed Academic Editor PLOS ONE https://doi.org/10.1371/journal.pone.0324943.r009

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