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Hubungan Depresi dengan Motivasi Berprestasi pada Mahasiswa Pendidikan Dokter Semester III Universitas Sebelas Maret Surakarta Mukti, Mukhtar Ali; Fanani, Mohammad; Wujoso, Hari
Nexus Pendidikan Kedokteran dan Kesehatan Vol 2, No 1 (2013): Nexus Pendidikan Kedokteran & Kesehatan
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Abstract

Background: Most tertiary education students commonly share motivations to achieve better. However, higher education life, particularly when taking medicine program, is typically more demanding and more competitive, leading some students to experience depression symptoms during this period. Depression can adversely influence students’ achievement motivation. Methods: This was an analytical observational study using cross-sectional approach, conducted in December 2012 at Faculty of Medicine, Sebelas Maret University Surakarta. Ninety medical students at 3rd semester were selected as samples using non-random purposive sampling method, based on inclusion and exclusion criteria. Depression scores were measured by Beck Depression Inventory, whereas achievement motivation scores were measured by McClelland achievement motivation questionnaire. Data collected were analyzed by Spearman’s correlation test. Results: Depression scores showed normal distribution (p<0,001), but achievement motivation scores were not normally distributed (p=0,063). Result from the Spearman’s correlation test showed a ρ coefficient of -0,113 (p=0,287). Conclusion: There was no significant correlation between depression and achievement motivation among 3th semester medical students at Sebelas Maret University Surakarta. Medical students should keep their achievement motivation high. Keywords: depression, achievement motivation, medical student
Perbedaan Fase Pendidikan Kedokteran terhadap Persepsi tentang Informed Consent Haniefa, Diena; Wujoso, Hari; Suwandono, Adji
Nexus Kedokteran Klinik Vol 3, No 2 (2014): Nexus Kedokteran Klinik
Publisher : Fakultas Kedokteran Universitas Sebelas Maret Surakarta

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Background: Medical Education Phases are divided into two phases, both are preclinical phase and clinical phase where in the clinical phase, students get clinical experiences. Experience is one factor that affects the formation of perceptions. From 2006 through 2012, Indonesian Medical Disciplinary Board (MKDKI), has received 183 complaints lodged with 5 problems related medical services in Indonesia, one of which is a communication problem. This study aims to determine the difference of medical education phases concerning perceptions of informed consent Methods: This study is an observational study with cross-sectional design which was held on December 2013 at the Faculty of Medicine, Sebelas Maret University and Dr. Moewardi Hospital, Surakarta. 60 subjects were taken by purposive sampling method continued with convenience sampling method. Subjects were asked to fill out a form of identity, informed consent sheet and questionnaire. Then the results of the questionnaire were tested by the Independent t-test through SPSS 20.0 for Windows. Results: Preclinical students were 30 respondents (50 %) , and clinical students  were 30 respondents (50 %) . The results of the analysis by the Independent t- test showed no difference medical education phases (p = 0.083) concerning perceptions of informed consent. Conclusion: There were no difference medical education phases concerning perceptions of informed consent. Keywords: Medical Education Phases, Perception, Informed Consent 
HUBUNGAN PENGETAHUAN DAN SIKAP KELUARGA DENGAN TERKENDALINYA KADAR GULA DARAH PADA PASIEN DIABETES MELITUS TIPE 2 (Studi di Rumah Sakit Umum Daerah Kabupaten Kediri) muhibuddin, nanang; Sugiarto, Sugiarto; Wujoso, Hari
Jurnal Sistem Kesehatan Vol 2, No 1 (2016): Volume 2 Nomor 1 September 2016
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (275.287 KB) | DOI: 10.24198/jsk.v2i1.10407

Abstract

Penyakit Diabetes Melitus  jumlahnya terus meningkat serta menjadi masalah kesehatan karena komplikasinya, terjadi akibat kurangnya pengetahuan maupun sikap Keluarga dalam kontrol gula darah. Tujuan penelitian ini adalah untuk menganalisis hubungan pengetahuan dan sikap keluarga dengan terkendalinya kadar gula darah pada pasien DM tipe-2. Rancangan penelitian analitik dengan pendekatan cross sectional. Sampel 46 Responden keluarga (extended) pasien diambil dengan accidental sampling. Dilaksanakan di RSUD Kabupaten Kediri Bulan Februari sampai Maret 2016. Variabel bebas pengetahuan skor 0-30 dan sikap skor 0-120 tentang terkendalinya kadar gula darah dengan lembar kuesioner, variabel terikat Terkendalinya kadar gula darah Glycohemoglobin (HbA1c) dalam % dengan lembar observasi Rekam Medis (HbA1c). Data  dinyatakan dalam skala interval dan di analisis menggunakan Regresi Linier berganda. Tingkat kesalahan (α) 5% (0,05). Hubungan pengetahuan keluarga dengan terkendalinya kadar gula darah (b= –0.29; CI 95%= -0.53 s/d -0.05; p=0.017 (30,1%)). Hubungan sikap keluarga dengan terkendalinya kadar gula darah (b= -0.125; CI 95%= -0.22 s/d -0.03; p=0,012 (31,1%)). Hubungan pengetahuan dan sikap keluarga dengan terkendalinya kadar gula darah p=0,001 (37%) terkendalinya kadar gula darah pada pasien Diabetes Melitus tipe-2 dipengaruhi oleh faktor pengetahuan dan sikap. Ada hubungan pengetahuan dan sikap keluarga dengan terkendalinya kadar gula darah pada pasien diabetes mellitus tipe-2.Kata Kunci : Pengetahuan Keluarga, Sikap Keluarga, Terkendalinya kadar gula darah
Pengaruh Metode Pembelajaran Ceramah Plus dan Metode Drill terhadap Motivasi Belajar dan Hasil Belajar pada Kompentensi Dasar Efisiensi penggunaan Tempat Tidur Rumah Sakit Lestari, Tri; Wujoso, Hari; Suryani, Nunuk
Media Ilmu Keolahragaan Indonesia Vol 7, No 1 (2017): July 2017
Publisher : Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/miki.v7i1.11134

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Tujuan penelitian ini adalah mengetahui pengaruh metode pembelajaran metode ceramah plus dan drill terhadap motivasi belajar dan hasil belajar mahasiswa pada  kompetensi dasar efisiensi penggunaan tempat tidur rumah sakit pada mahasiswa  Prodi D3 RM STIKes Mitra Husada Karanganyar. Rancangan penelitian ini adalah quasi experiment pretest posttest group design. Data diolah dan dianalisis dengan menggunakan paired t-test dan independent t-test. Keseluruhan subjek penelitian adalah 118 mahasiswa. Hasil Penelitian berdasarkan hasil uji Paired Samples Test menunjukkan bahwa semua pasangan variabel pair 1, pair 2, pair 3, pair 4 mempunyai nilai p atau sig = 0,000 (<0,05) maka h0 ditolak . Hal ini berarti terdapat perbedaan motivasi belajar dan hasil belajar  sebelum dan sesudah pemberian metode pembelajaran melalui metode ceramah plus dan metode dril, sehingga metode pembelajaran melalui metode ceramah plus dan metode dril dapat meningkatkan motivasi belajar dan hasil belajar responden. Hasil Uji Independent Samples T Test menunjukkan bahwa variabel motivasi belajar  mempunyai nilai p atau sig = 0,000 (<0,05), maka Ho ditolak atau motivasi belajar responden melalui metode pembelajaran dengan metode ceramah plus dan  metode  dril benar-benar berbeda. Pada variabel hasil belajar  mempunyai nilai p atau sig = 0,000 (α <0,05), maka Ho ditolak. Hal ini berarti terdapat perbedaan hasil belajar melalui metode pembelajaran dengan menggunakan metode ceramah plus dan metode dril. Disimpulkan bahwa terdapat perbedaan pengaruh Metode Pembelajaran Ceramah Plus dan Metode Dril terhadap motivasi belajar dan hasil belajar sangat berbeda. Metode dril lebih baik daripada metode ceramah plus.The purpose of this study was to determine the effect of teaching methods and drill plus a lecture on motivation to learn and learning outcomes of students to the basic competence the efficient use of hospital beds in student Prodi D3 RM STIKes Mitra Husada Karanganyar. The study design was quasi experimental group pretest-posttest design. The data is processed and analyzed using paired t-test and independent t-test. Overall the study subjects were 118 students. Results based on the results of Paired Samples Test shows that all variable pair 1, pair 2, 3 pair, 4 pair or sig has a value of p = 0.000 (<0.05) then h0 rejected. This means that there are differences in learning motivation and learning outcomes before and after giving a lecture mode of learning methods and methods plus drill, so the method of learning through lecture method plus and drill method can increase learning motivation and learning outcomes of respondents. Independent Test Results Samples T Test showed that the variables of learning motivation or sig has a value of p = 0.000 (<0.05), then Ho is rejected or motivation to learn the respondent through the method of learning by lecture method plus and drill method is completely different. On learning outcome variable has a value of p or sig = 0.000 (α <0.05), then Ho is rejected. This means that there are differences in learning outcomes through a learning method using plus lecture and drill method. Concluded that there are differences in the effect of Learning Method Lectures Plus and Method Dril toward learning motivation and learning outcomes are very different. Drill method is better than the lecture method plus.
The Result of Functional Mobility Scale (FMS) on Cerebral Palsy Spastic Diplegic that treated by SEMLS (Single Event Multi Level Surgey) method in Orthopaedic Hospital Prof. Dr. R. Soeharso, Surakarta Hadinoto, Seti Aji; Satriadi, Anung Budi; Wujoso, Hari
Indonesian Journal of Medicine Vol 2, No 2 (2017)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Cerebral Palsy is a permanent non-progressive brain disorders that occur in early childhood where abnormalities in the brain due to damage on immature brain can cause movement disorders and postural dysfunctionNowadays, the treatment of choice for CP Spastic diplegic is using SEMLS (Single Event Multi Level Surgery). There was many scoring to evaluate outcome of SEMLS, but only a few scoring system that can evaluate changing after SEMLS. Functional Mobility Scale (FMS) is an outcome measure designed to evaluate mobility of children with cerebral palsy (CP). FMS has been shown to detect both improvement and deterioration in mobility status during the rehabilitation period following multilevel orthopaedic surgery in children with spastic diplegicSubjects and Method:This was a cross sectional observasional study. The sample are obtained by sensus from January 1st 2014 untill March 1st 2015. The patient’s characteristic that we include in this study are gender, age when the patient had a surgery, and where the contracture are involved. We evaluate the outcome using FMS before operation, 3 month, 6 month, 9 month, and 12 month after operation on three different distance (5, 50, 500 meter) that represent home, school, and community. After that we analyze the result using regression logistic model to better understands about changes and time of changes on patient after SEMLS procedure. We also analyze the corelation between age, sex, and location of contracture with the outcome after SEMLS procedureResult : 51 patients were reviewed and identified, there were 31 males (61%) and 20 females (39%), mean age when the patient was operated was 8.07 years old, with the most common cases are CP Spastic Diplegic with hip, knee, ankle contracture bilateral about 41 patient (80.3%), knee ankle bilateral about 7 patient (13.2%), and hip ankle bilateral about 3 patient (5.88%). From evaluation of FMS scoring, we found most patient had an improvement on their mobility after SEMLS procedure (OR > 1), with the time changes for 5 and 50 meters distance is at six months (OR : 1.52) and (OR= 1.47), and 500 meters is at 12 months (OR= 3.45). We also found no significant relationships (p value > 0.05) between age (p value= 0.632), sex (p value= 0.576) and location of contracture (p value= 0.222) with the outcome of the FMS after SEMLSConclusion: We found that SEMLS gives a good result to increased mobility of patient with CP Spastic Diplegic. FMS Score were able to  asses the outcome of SEMLS procedure, and also responsive to change that occur after SEMLS. Age, sex, and  contracture’s location were not significantly influence the FMS outcome after SEMLSKeywords: CP Spastic Diplegic, SEMLS (Single Event Muti Level Surgery), FMS (Functional Mobility Scale).Correspondence: Seti Aji Hadinoto. Masters Program of Family Medicine, Sebelas Maret University, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Indonesian Journal of Medicine (2017), 2(2): 100-106https://doi.org/10.26911/theijmed.2017.02.02.04 
The Relationship of Radiological Value and Functional Scale of Lower Motion Devices in Patients with Bone Defects Given Synthetic Bone Graft and BMP2 Ibrahim, Farid; Mariyanto, Ismail; Wujoso, Hari
Indonesian Journal of Medicine Vol 3, No 2 (2018)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Broken bones in a severe lower motion device, especially those associated with a bone defect, often fail or are slow to fuse. The possibility of non-union in patients triggering clinicians to use bone-grafting as part of a procedure aims at achieving the union. The Gold Standard is to use autogenous bone graft, but it actually has some disadvantages. To overcome this, there are alternative measures of bone grafting. Hydroxyapatite is known to be synthetic bonegraft which has good osteoconductive properties. For hydroxyapatite, it has been widely used and easily available. Bone morphogenetic proteins (BMPs) are the family of osteo-inductive proteins in the bone matrix. This study aims to evaluate the effectiveness of synthetic bone graft and BMP-2 as a bonegraft in the process of bone healing with "bone defect" in long bones by evaluating the process of radiological closure of defects and clinical bone healing process.Subjects and Method: This was a cross sectional study. A sample of 20 patients with bone defect in the tibia and femur was selected for this study. An evaluation of radiological defect closure was evaluated using a calculation system using the FDA-determined radiological evaluation method and a periodic lower function of the LEFS (Lower Extremity Functional Scale) every 2 months up to the 6th month. The statistical tests were performed using linear regression.Results: There is a negative relationship between the radiological value and the functional scale of the lower motion device (b = -1.26; p = 0.001). There is an improvement in bone defect closure and clinical functional improvement in patients who performed a synthetic bonegraft closure action added by BMP-2 as well. The evaluation is carried out through radiological calculations that show a periodically reduced size of the defect which affects the increase in the value of the functional scale of the lower motion device.Conclusions: There is a negative relationship between radiological values and functional scale of lower motion devices in patients with bone defect in the tibia bone or femur given synthetic bone graft and Bmp2.Keywords: bone defects, synthetic bone grafts and BMP-2, LEFSCorrespondence:Farid Ibrahim. Masters Program in Family Medicine, Universitas Sebelas Maret, Jl. Ir. Sutami 36 A, Surakarta 57126, Central Java.Indonesian Journal of Medicine (2018), 3(2): 77-83https://doi.org/10.26911/theijmed.2018.03.02.03
Relationships between Age, Sex, Laboratory Parameter, and Length of Stay in Patients with Dengue Hemorrhagic Fever Arianti, Maria Devi; Prijambodo, J.; Wujoso, Hari
Journal of Epidemiology and Public Health Vol 4, No 4 (2019)
Publisher : Masters Program in Public Health, Universitas Sebelas Maret, Indonesia

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Background: Dengue Hemorrhagic Fever (DHF) is an infectious disease caused by dengue virus. Until now, Dengue virus infection remains a health problem in Indonesia. The things which cause problems in DHF case are high mortality rates, diseases spread which are easily spread, especially affect children. Handling of DHF patients needs long of a length of stay which has large costs.Subjects and Method: This was an analytic observational study with a cross-sectional design. This study was conducted at Dr. Moewardi Hospital, Surakarta, based on medical records. 32 samples were selected using purposive sampling. The independent variables were age, sex, platelet count, hematocrit value, and a number of leukocytes. The dependent variable was the length of stay. The data were obtained from medical records using a Chi-square test. Bivariate analysis was used to determine the factors which affected DHF on length of stay using Chi-square, Kolmogorov Smirnov, continuing with multiple linear regression analysis.Results: The age of DHF patients was from 1 year of age to 53 years of age with an average age of 20.07 +13.45 years. The number of female patients was 15 patients. Platelets level (x 1,000) was 25 for minimum and 308 for maximum. Mean ± SD platelet was 94.86 + 67.97. Hematocrit level was 28 for minimum and 54 for maximum. Mean ± SD hematocrit was 40.69 + 6.59. Leukocytes level (x 1,000) was 1.6 for minimum and 10.8 for maximum. Mean ± SD leukocytes was 5.50 + 2.95. The shortest length of stay was 3 days and the longest was 11 days. Mean ± SD length of stay was 5.21 ± 1.90 days. The result of multiple linear regression analysis showed a statistically non-significant relationship (p> 0.05) between age, sex, platelets, hematocrit, leukocytes, and length of stay.Conclusion: There is a non-significant relationship between age, sex, platelet count, hematocrit value, leukocyte count, and length of stay.Keywords: DHF, length of stay, platelet count, hematocrit value, leukocyte countCorrespondence: Maria Devi Arianti. Masters Program in Family Medicine, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: ariantidevi­88@yahoo.co.id Mobile: 08124612699Journal of Epidemiology and Public Health (2019), 4(4): 307-313https://doi.org/10.26911/jepublichealth.2019.04.04.05
PERBEDAAN PENGARUH ANTARA KRISTALOID DAN KOLOID TERHADAP PERUBAHAN ELEKTROLIT (Na, K, Cl) Puspitosari, Maya Sapti; Wujoso, Hari; Judin, Marthunus
Jurnal Kesehatan Vol 9, No 1 (2016): Jurnal Kesehatan
Publisher : Universitas Muhammadiyah Surakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.23917/jurkes.v9i1.3404

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Cairan tubuh manusia sekitar 60% dari berat badan (BB) tubuhyang terdiri dari elektrolit dan non elektrolit. Resusitasi cairan pada pasien operasi harus dimonitoring dengan baik untuk menghindari terjadinya gangguan keseimbangan asam basa tubuh. Pemberian cairan pada pasien yang akan operasi, khususnya section caesaria (SC). Monitoring elektrolit pasien yang menjalani operasi penting dilakukan. Penulis tertarik untuk melakukan penelitian mengenai pengaruh pemberian cairan kristaloid dan koloid sebagai cairan pengganti pasien yang menjalani operasi. Tujuan penelitian ini adalah menganalisis perbedaan pengaruh antara kristaloid dan koloid terhadap perubahan elektrolit (Na, K, Cl) pasca operasi sectio caesaria. Penelitian dilakukan di Instalasi Bedah Pusat RSUD Dr. Moewardi Surakarta, dimulai pada bulan Juni sampai September 2015. Jenis penelitian eksperimental berupa uji klinik dengan desain single blind pre and post test accidental control trial pada pasien yang menjalani operasi sectio caesaria elektif dan emergensi sebagai subyek penelitian. Kelompok penelitian dibagi menjadidua yaitu kelompok Kristaloid (K1), dan Koloid (K2). Terdapat perbedaan yang signifikan kadar elektrolit (Na, K, dan Cl) sebelum dan sesudah perlakuan pada kelompok yang diberi cairan ringerfundin dimana terjadi penurunan kadar Na = 2,0% , K = 12,1% , dan Cl = 3,2%. Ringerfundin dan tetraspan sama-sama dapat mencegah turunnya elektrolit pada pasien operasi (p>0,05). Pada kelompok ringerfundin terjadi penurunan/perubahan kadar elektrolit yang signifikan (p<0,05), sedangkan pada kelompok tetraspan kadarelektrolit tidak terjadi penurunan/perubahan signifikan (p>0,05) sehingga dapat diketahui bahwa terdapat perbedaan pengaruh pemberian ringerfundin dan tetraspan terhadap perubahan kadar elektrolit.Kesimpulan pada penelitian ini adalah terdapat perbedaan pengaruh pemberian ringerfundin dan tetraspan terhadap perubahan kadar elektrolit dimana pemberian tetraspan sebagai?airan perioperatif dapat mempertahankan keseimbangan kadar elektrolit tubuh lebih baik daripada cairan ringerfundin.
Pengaruh Psikokuratif terhadap Kadar VEGF-c, Kortisol dan Skor HADS Pasien Kanker Serviks Stadium Lanjut Soetrisno, Soetrisno; Sulistyowati, Sri; Tjiang, Rubin Enhui; Wujoso, Hari; Nurinasari, Hafi; Cahyanto, Erindra Budi
JURNAL KESEHATAN REPRODUKSI Vol 7, No 1 (2020)
Publisher : Fakultas Kedokteran, Kesehatan Masyarakat dan Keperawatan UGM

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.22146/jkr.50642

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Background: Cancer diagnosis and therapy that causes chronic stress, its progression to depression  increase cortisol and VEGF-c levels in advanced cervical cancer patientsObjective: To  know the VEGF-c, cortisol and HADS level  in advanced stage cervical cancer patients who get Psychocurative intervention Method : An experimental study of pretest – posttest controle group design in outpatient oncology clinic and ward of Doctor Moewardi General Hospital. Thirty subjects with advanced cervical cancer were randomly divided into 15 patients in the intervention group, and 15 in control. Psycho-curative intervention 4 times a month, 1 time a week, 60 minutes duration. Before and after intervention, each subject of the two groups was examined levels of VEGF-c, cortisol and HADS scores. Data obtained were analyzed by independent t test, Mann Whitney, Pair t and Wilcoxon with the 19th version of SPSS for Windows.Result and Discussion: Average VEGF-c levels before intervention 9006.53 ± 2181.49, after intervention 5631.20 ± 2071.55, p <0.001. The mean cortisol level before intervention was 12.29 ± 4.36, after intervention 6.71 ± 3.88, p <0.001. The mean HADS Anxiety score before intervention was 14.13 ± 3.02, after intervention 8.47 ± 3.07, p <0.001. Mean Depression HADS scores before intervention 13.80 ± 3.21, after intervention 7.20 ± 2.70, p <0.001.Conclusion : VEGF-c levels, cortisol, HADS anxiety scores and depression in patients with advanced cervical cancer decline after psychocurative intervention. Keywords : Psychocurative; VEGF-c; Cortisol; HADS; Cervical cancer
The diagnostic value of apparent diffusion coefficient to differentiate benign and malignant meningiomas Marissa, Risa; Rahayu, Rachmi Fauziah; Wujoso, Hari; Subandi, Subandi; Putro, Prasetyo Sarwono; Soewondo, Widiastuti
Universa Medicina Vol. 40 No. 2 (2021)
Publisher : Faculty of Medicine, Universitas Trisakti

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.18051/UnivMed.2021.v40.141-150

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BACKGROUNDMeningiomas are the most common primary extra-axial non-glial intracranial tumors. The severe grade of meningioma, according to WHO, has the highest recurrence rate accompanied by high morbidity and mortality rates. Therefore, it is imperative to perform pre-operative assessments so the clinician can give prompt treatment to gain a better prognosis. It is a novel alternative way of predicting meningioma’s malignancy by calculating the tumor’s apparent diffusion coefficient (ADC) value. The objective of the study was to determine the value of ADC for differentiating benign and malignant meningiomas. METHODSThis cross-sectional study involved 32 subjects with clinically diagnosed or histologically verified meningioma (21 benign and 11 malignant). They underwent a head-magnetic resonance imaging (MRI) examination and biopsy. We calculated the ADC value by creating regions of interest (ROIs) on the solid part of the tumor, guided by contrast and fluid-attenuated inversion recovery (FLAIR) sequence. We analyzed the ADC value with independent t-test and Bland-Altman graphs, calculated the average difference, CI 95%, limit of agreement between observers, and ROC. RESULTSMean ADC of malignant meningiomas (0.877 ± 0.167 x 10-3 mm2/s) was significantly lower than that of benign meningiomas (0.990 ± 0.105 x 10-3 mm2/s) (p<0.05). The ADC threshold is 0.886 x 10-3 mm2/s with sensitivity 63.6%, specificity 85.7%, positive predictive value 70% and negative predictive value 81.8%. CONCLUSIONThe ADC value measurement provides a discriminative feature to differentiate between benign and malignant meningiomas. However, the clinical applicability still needs to be elucidated, as histopathological confirmation remains the mainstay of definitive diagnosis.