Abstract
 Background: The aim of this study was to investigate the effectiveness of emotionally focused couple therapy on sexual self-esteem and sexual function in women with multiple sclerosis in the city of Tehran.
 Materials and Methods: This was a quasi experimental study with pretest-posttest, a month follow-up and control group. The statistical population included women with multiple sclerosis in the city of Tehran. 30 patients with the age range of 20-50 years old were chosen as samples and randomly were divided in 2 groups of individuals as control and emotionally focused therapy. The experimental groups practiced the emotionally focused therapy for a month, 9 step and 60 minutes in each session. Then, post-test was performed for them. For data collecting, the sexual self-esteem and sexual function questionnaires were used. Data analysis was done by using multivariate analysis of covariance by SPSS 23 software at a significant level less than 0.05.
 Results: Statistical data analysis illustrated that the amounts of sexual self-esteem of life after emotionally focused couple therapy intervention were significantly increased in experimental than control group (p<0.05). Also, of emotionally focused therapy was significant increase on sexual function of women with multiple sclerosis (p<0.05).
 Conclusion: According to the findings of this study, emotionally focused couple therapy has affected on sexual self-esteem and sexual function in women with multiple sclerosis Thus, emotionally focused couple therapy can be a good approach to improve the sexual problems in women with multiple sclerosis.
 

Background and Aim: Coronaviruses are a large family of viruses that are known to cause respiratory tract infections in humans. SARS-CoV-2 is a new type of this family initiated in late 2019 and its related disease is known as Coronavirus Disease 2019 (COVID-19). Common symptoms of COVID-19 include fever, dry cough, fatigue, myalgia, arthralgia and shortness of breath.
Methods & Materials: In This narrative review a literature search was conducted in scientific databases including Google Scholar and PubMed to find studies published from December 2019 to May 10 2020 on the role the extrapulmonary manifestations of COVID-19. 
Ethical Considerations: Ethical issues (including plagiarism, misconduct, data fabrication, falsification, double publication or submission, redundancy) have been completely observed by the authors.
Results: In addition to respiratory symptoms, involvement of various organs such as gastrointestinal tract, nervous system, skin, olfactory system, cardiovascular system, liver, kidney, and eyes was also reported. Extrapulmonary manifestations of COVID-19 included anosmia, ageusia, skin rash, chickenpox-like blisters, acute cardiac failure with increased troponin levels, kidney inflammation and edema, common gastrointestinal symptoms (e.g. diarrhea, nausea and vomiting), elevated liver enzyme levels, neurological disorders (e.g. stroke), nonspecific symptoms (e.g. headache and dizziness), and decreased consciousness level.
Conclusion: The hypothetical mechanisms of various organ involvements during COVID-19 include immune-mediated inflammation such as cytokine storm, respiratory dysfunction, hypoxemia, cellular damage, or combination of these mechanisms. Further studies should be conducted on the causes of various COVID-19-induced damages to determine the exact relationship between the pathogenesis, prognosis and severity of the disease.