{"id":1919,"date":"2025-05-28T11:35:23","date_gmt":"2025-05-28T11:35:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmjopen\/?p=1919"},"modified":"2025-05-28T11:35:23","modified_gmt":"2025-05-28T11:35:23","slug":"top-ten-most-read-in-april-sexual-health-in-rural-pakistan-me-cfs-and-long-covid-rsv-vaccination-in-pregnancy-and-supraventricular-arrhythmia-during-septic-shock","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmjopen\/2025\/05\/28\/top-ten-most-read-in-april-sexual-health-in-rural-pakistan-me-cfs-and-long-covid-rsv-vaccination-in-pregnancy-and-supraventricular-arrhythmia-during-septic-shock\/","title":{"rendered":"Top ten most read in April: sexual health in rural Pakistan, ME\/CFS and long COVID, RSV vaccination in pregnancy, and supraventricular arrhythmia during septic shock"},"content":{"rendered":"

In the latest rundown of our top ten most read articles, we highlight new entries to our monthly chart of the most widely read publications in BMJ Open<\/em> from April 2025. The top ten table below is based on full text views\u2014including downloads of the full article PDFs.<\/p>\n

\"Human<\/a>
NIAID\/NIH<\/figcaption><\/figure>\n

 <\/p>\n

Sexual and reproductive health in rural Pakistan<\/strong><\/p>\n

In the first new entry in the top ten\u2014sitting at the top of the chart\u2014Inayat Ali and colleagues report findings from a cross-sectional study<\/a> of sexual and reproductive health knowledge, attitudes and practices among male and female adolescents living in rural subdivisions of the Thatta district of Sindh, Pakistan.<\/p>\n

The authors report that, among the respondents, there were no significant differences in mean scores for knowledge and attitudes between males and females, although a difference in practice score was identified. In multivariable analysis, participant marital status and father\u2019s occupation were associated with knowledge score; marital status, household income, father\u2019s occupation and mother\u2019s education were associated with attitude score; and marital status and mother\u2019s occupation were associated with practice score.<\/p>\n

The study utilised a systematic, multistage sampling technique and had a response rate of 83%; however, the authors report a strong gender imbalance in favour of female respondents, which they indicate is due to the timing of data collection.<\/p>\n

Symptom clusters, diagnosis and healthcare experiences in ME\/CFS and long COVID<\/strong><\/p>\n

At number two in April\u2019s top ten list, Mansoubi and colleagues report findings from a secondary analysis<\/a> of UK survey data, investigating symptoms, coexisting conditions and service utilisation among people with myalgic encephalomyelitis\/chronic fatigue syndrome (ME\/CFS) or long COVID. The online survey was conducted between May and July, 2023\u2014among 10\u2009458 individuals who responded to the survey, 8804 confirmed that they or a close friend\/family member had ME\/CFS or long COVID.<\/p>\n

The investigators report that ME\/CFS and long COVID have overlapping but distinct symptom clusters, suggesting common challenges with respect to management. They also emphasise that their study findings highlight significant delays in diagnosis and low satisfaction with specialist services as key issues to be addressed.<\/p>\n

RSVpreF vaccine in pregnancy <\/strong><\/p>\n

At number six in April\u2019s top ten, Alami and colleagues report on the post-marketing safety profile<\/a> of respiratory syncytial virus (RSV) prefusion F (RSVpreF) vaccine among pregnant individuals. In their analysis of the US Food and Drug Administration\u2019s Vaccine Adverse Event Reporting System (VAERS) database, covering spontaneously reported adverse event data from Sept 1, 2023 to Feb 23, 2024, they identify 77 relevant reports, 42 of which were classified as serious. Among pregnancy-related events, preterm birth was the most frequently reported (27 event reports), most of which were moderate to late. In a disproportionality analysis, reports of preterm birth in conjunction with RSVpreF vaccination were determined to have been observed more frequently than would be statistically expected.<\/p>\n

The authors conclude that their findings largely aligned with the safety profile observed in prelicensure studies, but that they do highlight a previously observed safety signal for preterm birth. They recommend active surveillance studies focused on maternal and perinatal outcomes to further investigate this signal and guide future clinical recommendations.<\/p>\n

New-onset supraventricular arrhythmia during septic shock <\/strong><\/p>\n

Rounding out the new entries to the top ten, Labb\u00e9 and colleagues present the study protocol<\/a> for a randomised controlled trial to compare the efficacy and safety of three management strategies in patients with new-onset supraventricular arrhythmia (NOSVA) during septic shock. The Control Atrial Fibrillation in Septic shock (CAFS) study is being conducted in France and Belgium and will compare risk control (magnesium and control of risk factors for NOSVA), rate control (risk control and low-dose amiodarone) or rhythm control (risk control and cardioversion using high-dose amiodarone with external electrical shock if NOSVA persists) for 7 days. Results are expected by 2026.<\/p>\n

*** ***<\/p>\n

Below are the top ten most-read papers in BMJ Open<\/em> during April 2025:<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n
*Most read figures are based on pdf downloads and full text views. Abstract views are excluded.<\/i><\/caption>\n
Rank* <\/b><\/td>\nAuthor(s) <\/b><\/td>\nTitle<\/b><\/td>\n<\/tr>\n
1<\/td>\nInayat Ali et al<\/i>.<\/td>\nSexual and reproductive health knowledge, attitudes and practices among adolescents in rural Thatta, Pakistan: a cross-sectional study<\/a><\/td>\n<\/tr>\n
2<\/td>\nMansoubi et al<\/i>.<\/td>\nUnderstanding symptom clusters, diagnosis and healthcare experiences in myalgic encephalomyelitis\/chronic fatigue syndrome and long COVID: a cross-sectional survey in the UK<\/a><\/td>\n<\/tr>\n
3<\/td>\nMedisauskaite et al<\/i>.<\/td>\nUK medical students\u2019 mental health and their intention to drop out: a longitudinal study<\/a><\/td>\n<\/tr>\n
4<\/td>\nHowick et al<\/i>.<\/td>\nHow does communication affect patient safety? Protocol for a systematic review and logic model<\/a><\/td>\n<\/tr>\n
5<\/td>\nPradelli et al<\/i>.<\/td>\nHealthcare professional perspective on barriers and facilitators of multidisciplinary team working in acute care setting: a systematic review and meta-synthesis<\/a><\/td>\n<\/tr>\n
6<\/td>\nAlami et al<\/i>.<\/td>\nSafety surveillance of respiratory syncytial virus (RSV) vaccine among pregnant individuals: a real-world pharmacovigilance study using the Vaccine Adverse Event Reporting System<\/a><\/td>\n<\/tr>\n
7<\/td>\nZhang et al<\/i>.<\/td>\nAssociation of 15 common dietary factors with tinnitus: a systematic review and meta-analysis of observational studies<\/a><\/td>\n<\/tr>\n
8<\/td>\nKoychev et al<\/i>.<\/td>\nProtocol for a double-blind placebo-controlled randomised controlled trial assessing the impact of oral semaglutide in amyloid positivity (ISAP) in community dwelling UK adults<\/a><\/td>\n<\/tr>\n
9<\/td>\nLabb\u00e9 et al<\/i>.<\/td>\nRisk, rate or rhythm control for new onset supraventricular arrhythmia during septic shock: protocol for the CAFS multicentre, parallel-group, open-label trial<\/a><\/td>\n<\/tr>\n
10<\/td>\nNaik et al<\/i>.<\/td>\nLow-dose naltrexone for post-COVID fatigue syndrome: a study protocol for a double-blind, randomised trial in British Columbia<\/a><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

In the latest rundown of our top ten most read articles, we highlight new entries to our monthly chart of the most widely read publications in BMJ Open from April 2025. The top ten table below is based on full text views\u2014including downloads of the full article PDFs.   Sexual and reproductive health in rural […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":458,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2471],"tags":[],"class_list":["post-1919","post","type-post","status-publish","format-standard","hentry","category-highly-accessed"],"yoast_head":"\nTop ten most read in April: sexual health in rural Pakistan, ME\/CFS and long COVID, RSV vaccination in pregnancy, and supraventricular arrhythmia during septic shock - BMJ Open<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmjopen\/2025\/05\/28\/top-ten-most-read-in-april-sexual-health-in-rural-pakistan-me-cfs-and-long-covid-rsv-vaccination-in-pregnancy-and-supraventricular-arrhythmia-during-septic-shock\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Top ten most read in April: sexual health in rural Pakistan, ME\/CFS and long COVID, RSV vaccination in pregnancy, and supraventricular arrhythmia during septic shock - BMJ Open\" \/>\n<meta property=\"og:description\" content=\"In the latest rundown of our top ten most read articles, we highlight new entries to our monthly chart of the most widely read publications in BMJ Open from April 2025. 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