Health Education and Health Promotion

Abstract Aims: This study compared two groups of twin pregnancies complicated by twin-to-twin transfusion syndrome (TTTS), with and without selective fetal growth restriction (sFGR), and evaluated the survival rate at 30 days after birth treated with fetoscopic laser photocoagulation (FLP).
Materials & Methods: The present study was a retrospective study of 164 diamniotic monochorionic twin pregnancies complicated with TTTS and treated with FLP. The sFGR was defined as an estimated fetal weight below the 10th percentile. The independent t-test, Chi-square test, or Fisher's exact test were used for statistical analysis. Multiple logistic regression analysis was performed to identify 30-day donor twin survival risk factors for the entire study population. The significance level was determined at p<0.05.
Findings: Of the studied cases, 45.1% had only TTTS, while 54.9% had both TTTS and sFGR. .There was a significant difference (p<0.001) in the distribution of Quintero stages and maternal age during the intervention (p=0.01) between the two groups. The sFGR before laser surgery in TTTS patients was associated with reduced donor survival. The multivariate analysis revealed that gestational age at delivery (OR=0.81, 95%CI:0.7-0.8) and sFGR (OR=0.43, 95%CI:0.2-0.8) were significantly associated with donor survival.
Conclusion: The sFGR before FLP is present in approximately 55% of TTTS cases, which is caused by normal placental abnormalities. TTTS with sFGR is associated with reduced donor embryo survival. Gestational age at delivery and sFGR are important factors affecting donor survival 30 days after birth. Performing successive ultrasounds after diagnosing monochorionic twin pregnancies is essential for timely identification, correct management, and treatment.

Abstract Aims: The Covid-19 pandemic has adversely affected various dimensions of life and lifestyles, and sexual life is no exception. The present study aimed to determine the effect of multimedia sexual index promotion packages on the sexual function, desire, and satisfaction of couples during the outbreak of Covid-19.
Materials & Methods: This randomized clinical trial study was performed on 60 married people in Qazvin City, Iran, in 2022. Participants were randomly assigned into control (n=30) and intervention (n=30) groups. Demographic questionnaire, Larson Sexual Satisfaction Questionnaire, Hurlbert Index of Sexual Desire, International Index of Erectile Function, and Female Sexual Function Index were used to collect data. The Chi-square, independent t-test, Mann-Whitney, paired t-test, and Wilcoxon test were used for data analysis.
Findings: In the intervention group, the mean of sexual function, desire, and satisfaction significantly increased in the post-test compared to the pre-test (p<0.05). This difference was observed only in sexual desire in the control group (p<0.05).
Conclusion: Multimedia sexual indexes promotion packages improve sexual function, desire, and satisfaction of couples during the outbreak of Covid-19.

Abstract Aims: Mass media are among the most important tools for enhancing health information and health promotion in any country. Among the different types of mass media, news agencies are the primary source of health information. The present study examines health coverage in news agencies and implements and evaluates an intervention to improve health promotion news coverage.
Methods: The explanatory sequential mixed-method study includes five phases, including quantitative content analysis of news agencies, semi-structured interviews, intervention, and evaluation of the intervention, and synthesis of the recommendations. Four news agencies utilizing the purposeful sampling method would be selected and divided into two cases and two control groups. Primary outcomes: awareness-raising and enhancing the knowledge, attitude, and performance of health journalists and improving the communication between the media and the health sectors. Secondary outcomes: increasing the quality and quantity of public health (health protection, prevention, education, and promotion) related news agencies coverage. In the Fifth phase, utilizing the results of the four phases, a practical recommendation will be proposed for creating health-promoting media.
Perspective: This result would provide a more holistic approach to understanding the current situation, generating more effective and comprehensive strategies to utilize the potential of news agencies for health promotion and creating health-promoting news agencies.