Objective Triage with HPV genotyping has some caveats and debates for HPV positive cases other than 16 and 18. The Swede score colposcopic scoring system has not previously been evaluated in this group of patients. Objective To use the Swede score colposcopic scoring system to compare scores and final histopathological results in women who have undergone colposcopy owing to infection with high risk-HPVs other than HPV16 and 18 and to establish new cut-off values to predict pre-malignant lesions in this group of patients. Methods This study was conducted in 613 women undergoing colposcopic evaluation because of abnormal cervical cytology together with high-risk HPV infection. All patients referred were evaluated by an expert colposcopist, given a Swede score (using the Swede score colposcopic scoring system) by using five variables (acetowhiteness, margins plus surface, vessel pattern, lesion size, and iodine staining), and had at least one biopsy procedure (either colposcopically directed or by a loop electrical excision procedure). Sensitivity, specificity, positive predictive value, negative predictive value, likelihood ratio values, and receiver operating characteristic curves for each clinico-pathological variable to detect low-grade and high-grade squamous intra-epithelial lesions, and any squamous cell abnormality (low-grade + high-grade squamous intra-epithelial lesions) were evaluated individually. Results Final histopathological results of the patients were normal in 53.2% of cases, low-grade lesions in 32.5% of cases, and high-grade lesions in 14.4% of cases. Swede score was ≥8 (median 7.97) for high-grade lesions and ≥5 (median 5.06) for low-grade lesions. The area under the curve values (95% CI) of Swede scores for low-grade and high-grade squamous intra-epithelial lesions, and low-grade + high grade lesions were 0.92, 0.98, and 0.96, respectively. A Swede score cut-off value ≥6 had a sensitivity, specificity, positive predictive value, negative predictive value, and likelihood ratios of 92%, 98%, 93%, 98%, and 50 (22.6 to 110.8), respectively, for high-grade lesions at the final pathology (P<0.001). One high-risk HPV type (except 16 and 18) was no better than another for calculating the median Swede score during colposcopy (P=0.43). Conclusions The Swede score colposcopic scoring system appears to be a useful tool for evaluating atypical cervical cytology in women with high-risk HPV infection other than HPV types 16 and 18.

Objective: The TUBITAK Nature and Science School Project aimed to train teachers in schools connected with National Education in the Isparta province to raise awareness of smoking and its harm. Material and Method: Two hundred and thirty-one teachers (112 (48.48%) men and 119 (51.52%) women) participated in the training. A pre-test and post-test control group-free experimental study design was applied to measure training effectiveness during the Respiratory School project. At the end of the training, participants were asked to write their positive and negative feedback about the project using the so-called critical events technique. The questionnaire included information on satisfaction with education and trainers, demographic characteristics and thoughts about smoking, and the effect of education. A total of 196 participants completed the questionnaire. Results: Most participants were women (52.9%) aged 36 to 45 (46.2%). Most of the participants had teaching experience between 16 and 25 years. There was a significant improvement in correct answers between the pre-test and the post-test on all training days (p < 0.001). The Cronbach's alpha was 0.904, and the average response to training questions was 4.68. The reliability of our findings is underscored by a Cronbach alpha value of 0.969, with a mean expression score of 4.77, highlighting the reliability of the participants' responses. Approximately 26% of the participants (n=44) reported smoking. However, the incidence of smoking among family members of the participants was markedly higher, 47.9% (n=79). Similarly, the proportion of participants who had a spouse smoking was noteworthy (31.4%; n=48). had attempted to quit smoking at some point, but only three participants (5.8%) sought help in their quitting efforts. Of the participants, 75% (n=33) acknowledged that they had quit smoking but later resumed. Conclusion: The teachers who participated in the training found it helpful and increased targeted awareness.