Validación del “Cuestionario de aceptación y acción laboral” (WAAQ) con estudiantes universitarios / [Validation of the “Job Action and Acceptance Questionnaire” (WAAQ) with university students]

El objetivo de este estudio fue adaptar y validar el “Cuestionario de aceptación y acción laboral” (WAAQ; Bond et al., 2013) para que pueda ser utilizado para medir la flexibilidad psicológica en el ámbito académico de una universidad del Ecuador. La muestra de estudio estuvo compuesta por 6.230 estudiantes. El instrumento demostró una alta consistencia interna (α= 0,90; ω= 0,91). El análisis de los componentes principales mostró un solo factor, lo que explica el 62,3% de la varianza. El análisis factorial confirmatorio mostró un ajuste satisfactorio del modelo. Las correlaciones entre el WAAQ y el “Cuestionario de aceptación y acción-II” (AAQ-II; Bond et al., 2011) y la “Escala de competencia personal de Wallston” (Wallston, 1992) sugieren que los cuestionarios evalúan diferentes constructos. Se concluyó que el WAAQ es un instrumento válido y fiable para medir la flexibilidad psicológica en el ámbito académico universitario ecuatoriano.

The objective of this study was to adapt and validate the Work-Related Acceptance and Action Questionnaire (WAAQ, Bond et al., 2013) so it can be used to measure psychological flexibility in the academic environment of a university of Ecuador. The study sample comprised 6,230 students. The instrument demonstrated high internal consistency (α= .90, ω= .91). The analysis of the main components showed a single factor, which explained 62.3% of the variance. The confirmatory factor analysis showed a satisfactory fit of the model. The correlations between WAAQ and the Acceptance and Action-II Questionnaire (AAQ-II, Bond et al., 2011) and Wallston’s Personal Competence Scale (Wallston, 1992) suggest that the questionnaires evaluate different constructs. Based on these results, it was concluded that the WAAQ is a valid and reliable instrument for measuring psychological flexibility in the Ecuadorian university academic environment.

A case-control emergency department-based analysis of acute pancreatitis in Covid-19: Results of the UMC-19-S6.

BACKGROUND/PURPOSE: We investigated the incidence, risk factors, clinical characteristics and outcomes of acute pancreatitis (AP) in patients with COVID-19 attending the emergency department (ED), before hospitalization. METHODS: We retrospectively reviewed all COVID patients diagnosed with AP in 62 Spanish EDs (20% of Spanish EDs, COVID-AP) during the COVID outbreak. We formed two control groups: COVID patients without AP (COVID-non-AP) and non-COVID patients with AP (non-COVID-AP). Unadjusted comparisons between cases and controls were performed regarding 59 baseline and clinical characteristics and four outcomes. RESULTS: We identified 54 AP in 74 814 patients with COVID-19 attending the ED (frequency = 0.72‰, 95% CI = 0.54-0.94‰). This frequency was lower than in non-COVID patients (2231/1 388 879, 1.61‰, 95% CI = 1.54-1.67; OR = 0.44, 95% CI = 0.34-0.58). Etiology of AP was similar in both groups, being biliary origin in about 50%. Twenty-six clinical characteristics of COVID patients were associated with a higher risk of developing AP: abdominal pain (OR = 59.4, 95% CI = 23.7-149), raised blood amylase (OR = 31.8; 95% CI = 1.60-632) and vomiting (OR = 15.8, 95% CI = 6.69-37.2) being the strongest, and some inflammatory markers (C-reactive protein, procalcitonin, platelets, D-dimer) were more increased. Compared to non-COVID-AP, COVID-AP patients differed in 23 variables; the strongest ones related to COVID symptoms, but less abdominal pain was reported, pancreatic enzymes raise was lower, and severity (estimated by BISAP and SOFA score at ED arrival) was higher. The in-hospital mortality (adjusted for age and sex) of COVID-AP did not differ from COVID-non-AP (OR = 1.12, 95% CI = 0.45-245) but was higher than non-COVID-AP (OR = 2.46, 95% CI = 1.35-4.48). CONCLUSIONS: Acute pancreatitis as presenting form of COVID-19 in the ED is unusual (<1‰ cases). Some clinically distinctive characteristics are present compared to the remaining COVID patients and can help to identify this unusual manifestation. In-hospital mortality of COVID-AP does not differ from COVID-non-AP but is higher than non-COVID-AP, and the higher severity of AP in COVID patients could partially contribute to this increment.