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ORAL SECONDARY INFECTION IN STEVENS-JOHNSON SYNDROME PATIENT WITH ORAL INVOLVEMENT: A CASE REPORT Etis Duhita Rahayuningtyas; Indah Suasani Wahyuni; Irna Sufiawati
Dentino : Jurnal Kedokteran Gigi Vol 6, No 1 (2021)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v6i1.10645

Abstract

ABSTRACTBackground: Stevens-Johnson syndrome (SSJ) is a hypersensitivity reaction that is often triggered by drugs but this case is rare. These reactions result in uncontrolled keratinocyte damage to the skin and mucosa throughout the body, including the oral mucosa, and are often life-threatening. The use of high doses of corticosteroids is a treatment that is often given but it can trigger secondary infections of fungal and viral in the oral cavity. Purpose: This case report discusses the management of oral manifestations and secondary infections in SSJ patients, and becomes guidance for health professionals. Case: A-42-years-old male patient was consulted from the Department of Dermatology and Venereology (DV) due to oral pain and eating difficulties. The severity-of-illness-score for toxic-epidermal-necrolysis (SCORTEN) was 1. Erosive serosanguinous crusts, tend to bleed were found on the lips. Intraoral clinically presented wide erosive lesions and multiple ulcers, accompanied by a pseudomembranous plaque, and teeth decay. Hematologic examination showed an increase in leukocytes, neutrophil segments, monocytes, SGOT, urea, and creatinine as well as decreased hemoglobin, hematocrit, erythrocytes, MCHC, protein, and albumin. Anti-HSV1 IgG increased almost 6 times than normal values. The patient was diagnosed with SJS with oral involvement, secondary infections of pseudomembranous candidiasis, and herpetic stomatitis. Case Management: Systemic therapy given were intravenous dexamethasone, ranitidine, calcium, and cetirizine, from the DV Department, while hydrocortisone lip ointment, Chlorhexidine digluconate 0.12%, and Nystatin oral suspension for oral problems. The lesions progressed in 24 days. Conclusion: Oral secondary infections may occur in SJS patients due to high-dose corticosteroid therapy.Keywords: Herpetic Stomatitis, Oral Manifestation, Oral Secondary Infection, Pseudomembranous Candidiasis, Stevens-Johnson Syndrome.
ATROPHIC GLOSSITIS AS A CLINICAL SIGN FOR ANEMIA IN THE ELDERLY (Case report) Rahmatia Djou; Indah Suasani Wahyuni
Dentino : Jurnal Kedokteran Gigi Vol 4, No 1 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i1.6179

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Background: Atrophic glossitis is caused by nutritional deficiencies and this condition commonly affects elderly patients. It may be the first sign of more serious systemic diseases or condition like anemia. Aim: Describe about the atrophic glossitis in an elderly woman as a first clinical sign of anemia and the treatment. Case:  The patient was a 74-year-old woman with complaints of pain, burning sensation and numb of the tongue for the last 3 months. The patient has gone to the general dentist and given some medicines but the complaint still persists. Case management: Extra oral examination showed the conjunctiva was anemic, and from intraoral examination found depapillated and glossy tongue. Then the laboratory tests showed haemoglobin, haematocrite and the number of erythrocytes were decreased, while MCV and MCH level were increased. The patient's tongue abnormalities were diagnosed as atrophic glossitis associated with anemia Vitamin B (B12 dan folate) deficiencies. Patients were given high dose of folic acids and vitamin B12 per oral, and mouthwash containing hyaluronic acid as anti inflammation alternating with chlorhexidine gluconate 0,2% mouthwash as an antiseptic. The tongue was repaired after 1 month therapy and healed in 2 months. Discussion: Atrophic glossitis is considered as one of the the clinical signs of anemia, that appears as areas of complete or irregular partial loss of papillae of the tongue, which is caused by atrophy of the lingual papillae. The analysis of the appropriate diagnose and causative factors can be assisted through a complete blood examination and will help us to decide the appropriate therapy. Conclusion: Dentists must be aware of the clinical signs of atrophic glossitis, because it can be an indication of a major health problem especially anemia.
IDENTIFICATION OF CANDIDA SPECIES IN DIABETIC PATIENTS WITH COATED TONGUE Hilda Hindasah; Yuti Malinda; Riani Setiadhi; Indah Suasani Wahyuni; Wahyu Hidayat; Nanan Nur’aeny
Dentino : Jurnal Kedokteran Gigi Vol 4, No 2 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i2.7068

Abstract

Background: Coated tongue is a condition in which the dorsum of the tongue is covered by a white layer containing food debris or microorganisms such as Candida species (Candida spp).  Factor that can influence coated tongue including a condition such as Diabetes  mellitus which often reduce the production of saliva and initiate the increase of Candida spp in number. Objective: to determine various species of Candida spp. in the saliva of Diabetes  mellitus patients with coated tongue as a preliminary condition to detect oral candidiasis. Methods: Coated tongue examination was performed by evaluating the lesion visually or using tongue scraper. Salivary collection was performed using oral rinse concentrate method. Saliva samples were inoculated in Chromogenic Agar to identify Candida spp. by examining the colour and the form of colony. Results: Eight samples (88.8%) were identified as C. albicans while C. parapsilosis was presented in 5 samples (66.6%) and C. tropicalis in 2 samples (22.2%). Overall, C. albicans is the most common Candida spp. that found in oral cavity. Candida spp. as normal flora in the oral cavity could be pathogen if the body's immune system decreases. In this study, there was a slight difference between Candida spp. found in the saliva of Diabetes mellitus patients compared to the control group. Conclusions: Candida spp. that identified in Diabetes  mellitus patients with coated tongue are C.albicans, C. glabrata, and C. tropicalis.
PRIMARY MANAGEMENT OF BURNING MOUTH SYNDROME FOR GENERAL DENTIST (Review article) Rinda Prawidiastuti; Nur Ismah Gitasari; Yunita Fatmala; Wahyu Hidayat; Indah Suasani Wahyuni
Dentino : Jurnal Kedokteran Gigi Vol 4, No 1 (2019)
Publisher : FKG Unlam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20527/dentino.v4i1.6171

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Background :Burning Mouth Syndrome (BMS) or also called Burning Tongue Syndrome is a chronic idiopathic condition, where the patient complains of pain and burning on the tongue or other oral mucosa. Purpose:The purpose of this paper is to determine the primary management that general dentists can do for patient with burning mouth syndrome in the form of a systematic literature review. Method: All of the articles reviewed were obtained from PubMed, Google Scholar and Science Direct search engines which were selected for publication in the past 10 years. Results: From a total of 30 articles obtained, 23 articles were found to be in accordance with the inclusion criterias, such as written in English, in the form of a Full Paper and only discussed BMS without systemic disease. Discussion: The primary management of patients with burning mouth syndrome that can be done by a general dentist is to determine the type of BMS so that a more specific treatment plan can be obtained. General dentists can provide communication, information and education (IEC) regarding BMS, and if necessary, analgesics in the form of topical lidocaine or benzydamine hydrochloride mouth rinse 0.15% can be given to reduce symptoms but only temporary, so that they need referrals to other competent experts. Conclusion: General dentists need to know and learn about various primary managements of Burning Mouth Syndrome cases, so that they can carry out treatment according to their competence.
Correlation between reactive oxygen species and oral conditions in elderly individuals with hypertension: a preliminary study Nanan Nur'aeny; Wahyu Hidayat; Indah Suasani Wahyuni
Dental Journal (Majalah Kedokteran Gigi) Vol. 50 No. 3 (2017): September 2017
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (583.8 KB) | DOI: 10.20473/j.djmkg.v50.i3.p111-115

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Background: The increased number of elderly people in Indonesia can be a positive phenomenon if their health is well-preserved. The elderly are influenced by physiological changes, environmental factors, and personal habits making them susceptible to chronic diseases. The oral cavity is also subject to change, one of the causes being reduced salivary flow that is manifested in dental caries and other oral health concerns. This disease is stimulated by oxidative stress in the body due to an imbalance between reactive oxygen species (ROS) and the antioxidant defense system. Purpose: This preliminary study aimed to investigate ROS-related hypertension and the state of oral health of elderly patients. Methods: The study constitutes a combination of cross-sectional observation and consecutive sampling. Twelve subjects, selected on the basis of inclusive and exclusive criteria, consisted of two males and ten females. Physical examinations and blood sampling were performed on all subjects. R version 3.4.1 for Windows operating system was used to perform statistical tests. Results: The 12 patients shared a history of hypertension, the lowest ROS level was 0.87 IU/ml, while the highest was one of 7.20 IU/ml. The correlation between ROS and oral conditions showed only ROS and tooth loss as having a significant positive correlation. An independent t test showed there to be a mean difference between ROS with Miyazaki index 1 and 2 but it was statistically insignificant. Conclusion: There was no correlation between the ROS level in the bloodstream and general oral health, except in the relationship between the ROS level in the bloodstream and tooth loss which had a positive correlation.
Suplementasi mikronutrien pada pasien eritema multiforme dengan penurunan kualitas eritrositMicronutrient supplementation in erythema multiforme patients with decreased erythrocyte quality I Nyoman Gede Juwita Putra; Suniti Suniti; Nanan Nur'aeny; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 32, No 3 (2021): Februari 2021 (Suplemen 2)
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/jkg.v32i3.31871

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Pendahuluan: Eritema multiforme (EM) adalah penyakit peradangan akut yang merupakan reaksi hipersensitivitas pada mukokutan dan jarang ditemukan. Gambaran klinis EM berupa lesi erosi-ulseratif dan memiliki tendensi perdarahan. Kualitas eritrosit yang menurun dapat mempengaruhi proses penyembuhan penyakit ini, namun hal ini dapat diatasi dengan pemenuhan asupan mikronutrien. Tujuan laporan kasus ini untuk memaparkan hasil terapi suplementasi mikronutrien yang diberikan untuk tatalaksana EM pada pasien yang mengalami penurunan kualitas eritrosit. Laporan kasus: Seorang wanita berusia 21 tahun mengeluhkan perdarahan bibir dan sariawan dalam rongga mulut, terasa sakit sejak 3 minggu sebelumnya. Riwayat keluhan yang sama pernah dialami 7 tahun sebelumnya. Pemeriksaan ekstraoral memperlihatkan krusta hemoragik pada bibir, sedangkan hasil pemeriksaan intraoral menunjukkan ulserasi multipel pada hampir seluruh mukosa rongga mulut. Hasil pemeriksaan laboratorium menunjukkan adanya penurunan kualitas eritrosit berdasarkan parameter Mean Corpuscular Volume (MCV), Mean Cell Hemoglobin (MCH), dan Mean Cell Hemoglobin Concentration (MCHC); peningkatan jumlah eritrosit; dan eosinofil pada borderline atas, serta anti HSV-I IgG non-reaktif. Diagnosis pasien adalah eritema multiforme dengan riwayat stomatitis aftosa rekuren (SAR). Tatalaksana farmakologis diberikan asam folat dan vitamin B12 sebagai suplementasi mikronutrien. Diberikan pula chlorhexidine digluconate 0,12% mouthrinse sebagai antiseptik, dan petroleum jelly untuk pelembab bibir. Lesi oral pasien sembuh setelah 2 minggu terapi. Simpulan: Suplementasi mikronutrien berperan penting dalam mempercepat penyembuhan lesi mukosa oral pada pasien eritema multiforme yang mengalami penurunan kualitas eritrosit. Mikronutrien berupa asam folat dan vitamin B12 berperan penting dalam sintesis DNA eritrosit, pembelahan sel, dan perbaikan jaringan. Kata kunci: Mikronutrien, eritema multiforme, kualitas eritrosit. ABSTRACTIntroduction: Erythema multiforme (EM) is an acute inflammatory disease as a hypersensitivity reaction to mucocutaneous and is rarely found. The clinical feature of EM is an erosive-ulcerative lesion with a tendency of bleeding. Decreasing erythrocyte quality can affect its healing process, although able to be overcome by fulfilling the micronutrient intake. The purpose of this case report was to describe the results of micronutrient supplementation therapy given in the management of EM patients with decreasing erythrocyte quality. Case report: A 21-year-old woman complained of lip bleeding and oral thrush, which felt pain three weeks prior. A similar complaint history had been experienced in the previous seven years. Extraoral examination revealed haemorrhagic crusting on the lips, whereas intraoral examination showed multiple ulcerations of almost the entire oral mucosa. Laboratory examination results showed a decreasing erythrocyte quality based on the parameters of Mean Corpuscular Volume (MCV), Mean Cell Haemoglobin (MCH), and Mean Cell Haemoglobin Concentration (MCHC); an increasing number of erythrocytes and eosinophils in the upper borderline, as well as non-reactive anti-HSV-I IgG. The patient was diagnosed with erythema multiforme with a history of recurrent aphthous stomatitis (RAS). Pharmacological management was performed by given folic acid and vitamin B12 as micronutrient supplementation. Also, given a 0.12% chlorhexidine digluconate mouth rinse as an antiseptic and petroleum jelly for lip balm. The patient’s oral lesions resolved after two weeks of therapy. Conclusion: Micronutrient supplementation plays an essential role in accelerating the oral mucosal lesions healing in erythema multiforme patients with decreasing erythrocyte quality. Micronutrients in folic acid and vitamin B12 play an important role in erythrocyte DNA synthesis, cell division, and tissue repair.Keywords: Micronutrient, erythema multiforme, erythrocyte quality.
Penilaian faktor predisposisi recurrent aphthous stomatitis dengan menggunakan Kessler psychological distress scale, food recall, dan food frequency questionnaireAssessment of predisposing factors for recurrent aphthous stomatitis using Kessler psychological distress scale, food recall, and food frequency questionnaire Ayu Galih Permata Dewi; Erna Herawati; Indah Suasani Wahyuni
Jurnal Kedokteran Gigi Universitas Padjadjaran Vol 29, No 3 (2017): Desember
Publisher : Fakultas Kedokteran Gigi Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (359.139 KB) | DOI: 10.24198/jkg.v29i3.15941

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Pendahuluan: Recurrent aphtous stomatitis merupakan kelainan mukosa rongga mulut, dengan ulser berbatas regular secara berulang. Etiologi belum diketahui, tetapi ada beberapa faktor predisposisi yang dapat menginisiasi, antara lain defisiensi stres dan nutrisi. Laporan kasus ini bertujuan membahas penentuan faktor predisposisi recurrent aphtous stomatitis minor terkait defisiensi nutrisi dan stres emosional dengan menggunakan indikator pengukuran stres dan asupan nutrisi. Laporan Kasus: Seorang wanita berusia 23 tahun mengeluhkan sariawan pada bibir, sakit saat makan, dan berulang 2 bulan sekali. Pasien jarang makan sayur dan buah, serta banyak pekerjaan. Secara klinis ulser berdiameter 2mm, ditutupi pseudomembran putih kekuningan, dengan margin reguler pada mukosa labial kanan atas. Pasien didiagnosis recurrent aphtous stomatitis minor dan diterapi dengan gel Triamcinolone acetonide 0,1%. Faktor predisposisi yaitu stress diukur dengan kuisioner Kessler psychological distress scale, dan asupan nutrisi diukur dengan food recall 24 jam dan food frequency questionnaire. Tingkat stres skala 35 dikategorikan stres berat. Berdasarkan Angka Kecukupan Gizi (AKG) pasien mengalami defisiensi nutrisi terutama asam folat dan zat besi. Penyembuhan terjadi lebih lama, sekitar 16 hari, dibandingkan pasien recurrent aphtous stomatitis pada umumnya. Simpulan: Faktor predisposisi recurrent aphthous stomatitis dapat dinilai dengan menggunakan Kessler psychological distress scale, food recall dan food frequency questionnaire.Kata kunci: Recurrent aphtous stomatitis minor, faktor predisposisi, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire. ABSTRACTIntroduction: Recurrent aphthous stomatitis is a mucosal abnormality of the oral cavity, with regular border ulcers. The aetiology is unknown, but several predisposing factors can initiate, including stress deficiency and nutrition. This case report was aimed to discuss the determination of predisposing factors of minor aphthous stomatitis related to nutritional deficiencies and emotional stress by using indicators of stress measurement and nutritional intake. Case Report: A 23-years-old woman was complaining mouth ulcers, pain while eating, and recurred every two months. The patient was rarely eating vegetables and fruit, and having a lot of working burden. The ulcer was having a diameter of 2mm clinically, covered with a yellowish-white pseudomembrane, with a regular margin on the right upper labial mucosa. The patient was diagnosed with minor aphthous stomatitis and treated with a 0.1% Triamcinolone acetonide gel. Stress predisposing factors were measured by the Kessler psychological distress scale questionnaire, and the nutritional intake was measured by the 24-hours food recall and a food frequency questionnaires. The 35 scale stress level was categorised as severe stress. Based on the Recommended Dietary Allowance (RDA), the patient was having nutritional deficiencies, especially folic acid and iron. Healing process occurred longer, around 16 days, compared to patients recurrent aphthous stomatitis in general. Conclusion: Predisposing factors for recurrent aphthous stomatitis can be assessed using Kessler’s psychological distress scale, food recall and food frequency questionnaire.Keywords: Recurrent aphthous stomatitis minor, Kessler psychological distress scale, food recall questionnaire, food frequency questionnaire.
PENDIDIKAN KESEHATAN DENGAN METODE HYBRID TENTANG COVID-19 DAN PENYAKIT HIPERTENSI PADA KADER PKK DESA CIKIDANG KECAMATAN LEMBANG Jutti Levita; Sri Adi Sumiwi; Mutakin Mutakin; Tiana Milanda; Irma Melyani Puspitasari; Sriwidodo Sriwidodo; Ellin Febrina; Yasmiwar Susilawati; Indah Suasani Wahyuni; Irma Erika Herawati; Renny Amelia; Gofarana Wilar
Dharmakarya : Jurnal Aplikasi Ipteks Untuk Masyarakat Vol 11, No 2 (2022): Juni. 2022
Publisher : Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.24198/dharmakarya.v11i2.34927

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Kegiatan Pengabdian Kepada Masyarakat (PPM) di Desa Cikidang sudah dilaksanakan selama tiga tahun berturut-turut. Masyarakat berpartisipasi sangat baik dan menginginkan kegiatan dapat dilakukan secara kontinu serta melibatkan masyarakat yang lebih luas. Desa Cikidang belum memiliki sarana kesehatan dan lokasi Puskesmas terdekat adalah di Desa Cikole, berjarak 3,5 km. Berdasarkan data dari Puskesmas Cikole periode tahun 2019, tercatat bahwa penyakit hipertensi memiliki angka kejadian tertinggi yaitu 135 kejadian. Kegiatan PPM ini bertujuan untuk meningkatkan pemahaman kader PKK tentang penyakit hipertensi dan juga tentang COVID-19. Kegiatan dilakukan dengan menerapkan metode hybrid luring dan daring (gabungan sinkronus dan asinkronus menggunakan media leaflet dan video). Dari sejumlah enam puluh undangan yang disebarkan, kegiatan PPM dihadiri oleh tiga puluh lima peserta. Hasil pre-test dan post-test menunjukkan adanya peningkatan pengetahuan peserta, sehingga dapat disimpulkan bahwa pendidikan kesehatan secara hybrid berhasil meningkatkan pengetahuan kader PKK tentang COVID-19 dan Penyakit Hipertensi sebesar 13,56%. 
PENENTUAN LAJU ALIR SALIVA PADA PASIEN GERIATRI SEBAGAI PERTIMBANGAN MANAJEMEN KOMPREHENSIF PADA STOMATITIS HERPETIKA Mega Rafika; Indah Suasani Wahyuni; Wahyu Hidayat
B-Dent: Jurnal Kedokteran Gigi Universitas Baiturrahmah Volume 5, Nomor 2, Desember 2018
Publisher : Universitas Baiturrahmah

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (115.542 KB) | DOI: 10.33854/jbd.v5i2.163

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Latar belakang Laju saliva adalah sekresi saliva yang dinyatakan dalam ml/menit. Pada pasien geriatri dengan riwayat hipertensi dapat menurunkan kuantitas, kualitas dan laju saliva. Kondisi ini dapat meningkatkan terjadinya infeksi rongga mulut seperti stomatitis herpetika.Tujuan Mengukur laju saliva pada pasien geriatri dengan riwayat hipertensi yang didiagnosa stomatitis herpetika, keilitis eksfoliatif dan hiposalivasi sebagai pertimbangan perawatan yang komprehensif. Laporan kasus Seorang wanita usia 63 tahun datang ke klinik karena sariawan selama beberapa tahun dan mengganggu sejak 2 bulan yang lalu. Pemeriksaan ekstraoral berupa bibir kering. Pemeriksaan intraoral menunjukkan oral hygiene buruk, kondisi mukosa oral yang kering dan terdapat ulser multipel. Pemeriksaan laboratorium menunjukkan eosinofil dan monosit di bawah normal, dan IgG anti HSV-1 reaktif. Laju saliva 0,2 ml/menit, dilakukan dengan metode spitting untuk menegakkan diagnosa hiposalivasi. Penatalaksanaan kasus Pasien diberikan vitamin B12, asam folat untuk meningkatkan daya tahan tubuh, Vaseline album untuk melembabkan bibir, chlorhexidine gluconate 0,2%, oral hygiene instruction dan scalling dilakukan untuk memperbaiki oral hygiene serta disarankan nutrisi seimbang dan hidrasi yang memadai sebagai terapi nonfarmakologi. Diskusi Pasien ini memiliki kondisi yang kompleks: geriatri, oral hygiene yang buruk, menggunakan obat antihipertensi, dan juga mengalami stres emosional. Hal ini dapat menyebabkan penurunan kuantitas dan kualitas saliva sebagai pertahanan mukosa mulut. sehingga pasien akan lebih rentan terhadap infeksi HSV-1 dan reaktivasi. Simpulan Laju saliva dapat menjadi pertimbangan dalam tatalaksana stomatitis herpetika pada pasien geriatri dengan hipertensi dan pengobatan anti hipertensinya.
The Oral Health and Comorbid Diseases Knowledge Between Urban and Rural Community during Pandemic Wahyuni, Indah Suasani; Herawati, Irma Erika; Puspitasari, Irma Melyani; Mutakin, Mutakin; Milanda, Tiana; Levita, Jutti
KEMAS: Jurnal Kesehatan Masyarakat Vol 18, No 1 (2022)
Publisher : Department of Public Health, Faculty of Sport Science, Universitas Negeri Semarang

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15294/kemas.v18i1.31454

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The restriction of social mobility and activity during the COVID-19 pandemic has been implemented to stop the deadly transmission of the SARS-CoV2 virus. People are forced to stay at home and strictly perform the COVID-19 health protocol in their daily activities. Currently, a continuous self-maintenance of the health, including oral health, is considered the best strategy worldwide. This community service activity aimed to assess the knowledge of the urban and rural adult community about oral health, comorbidity, and the quality of life (QoL) during this pandemic situation by using a pre-and post-test quasi-experimental design with an intervention of health-knowledge sharing using leaflets and videos, and a WHOQOL 2012 questionnaire to study the QoL. Paired t-test was used as statistical analysis. Total respondents were 131 (n = 76 for urban and n = 55 for rural), selected using the purposive sampling method. There was a significant difference between the results of the pre-test and post-test in both urban and rural groups (t count ranged from 1.69 to 5.98; p 0.05). Based on the WHOQOL 2012 questionnaire, both urban (90.79%) and rural (87.27%) respondents indicated a good QoL, while the remaining was scored as medium. Physical conditions/pain was the main domain that directly affects the QoL in both communities. It could be concluded that the knowledge-sharing intervention to the community gave a good impact in enhancing the knowledge of the respondents, however, a continuous program should be further carried out for better results.