Indigenous populations experience a risk of socio-economic marginalization in health emergency, including COVID-19. Public service announcements (PSA) are promotional materials that address problems in an attempt to increase public awareness. North Kalimantan is one of the frontier, outermost, and least developed regions in Indonesia with 11 regional languages spoken. One of the districts with inadequate human resources in the area is Nunukan regency. The present study sought to understand how one group of people in Nunukan Regency reactions, interests, and impressions with the COVID-19 information found in Bugis and Toraja version of audio PSAs released by Health Empowerment and Education Project (HEUProject). The study belongs to qualitative research and used purposive sampling with seven participants from two sub-district in Nunukan Regency. The data is analyzed qualitative-thematically which is further interpreted and presented  in the form of a description. Additionally, to see the variety of participants’ answers information transmission through PSAs, we analyzed the data using Tableau software 2020 version and presented the relative frequency of words with visual infographic. The study findings of the participants' immediate reactions were following the advice on the PSAs audio, for instance to keep the physical distance and washing their hands frequently. The most participants in this study have the willingness to hear, to understand, and also feel interested with the useful content in audio format that apparently improves their awareness of COVID-19 information. Overall, it is immediately apparent that the language, transmission of message, and information found in the HEUProject’s COVID-19 educational PSA were understood and engaged by participants in a way that it reflects on the pandemic situation. Our study supports the national usage of disease prevention with this type of media approach that could be used in public places in the future that may minimize the language divide.

Background: Post Obstructive Diuresis (POD) is defined as urine output 200 ml/hour for two consecutive hours immediately subsequent to the relief of urinary tract obstruction. POD occurs in 0,5% to 52% of patients after the relief obstruction. It is usually self-limited, but If the POD becomes pathologic, it can cause serious consequences. We report a case of woman who had POD after underwent ureteroscopic lithotripsy procedure due to unilateral ureteral stone. Case Presentation: A 35-year-old woman came to ER with episodic left flank pain and LUTS. On examination, left costovertebral angle (CVA) tenderness was positive. An Abdominal X-Ray confirmed left distal ureteral stone. The patient was scheduled to have ureteroscopic lithotripsy procedure. After underwent the procedure, the patient drained 3500 ml of urine over 24 hours and showed clinical deterioration. The patients was diagnosed with acute kidney injury secondary to obstructive uropathy with serum creatinine 2.5 mg/dl. The patient's urine output is 3150-4100 cc per day. Resuscitation with normal saline and moderate hypokalemia correction with potassium chloride infusion is initiated. Close monitoring of fluid balance, urine output, and electrolytes was done on our patients. A negative fluid balance with normal saline infusion should be limited to no more than 75% of 2-hour urine production to avoid diuresis stimulation. Conclusion:The prolonged course of polyuria in our patient may be a reflection of the chronicity of her obstruction. Patients at high risk for POD should be detected and monitored properly. Early diagnosis and appropriate management of POD will reduce mortality

In early of 2020, China had identified a new etiology of pneumonia which was later called Coronavirus Disease 2019 (COVID-19) by the World Health Organization (WHO) and the condition declared as pandemic. In this emergency state of affair, people will seek information from websites disseminating health information online, including Indonesia. Since there is currently no vaccine or specific antiviral treatment, the application of preventive measures has been essential. The hygiene and health measures can be easily spread widely as there’s been fast & numerous information spreading in the media, but that is not usually the case with underprivileged people with little access to technology. False news and lack of credible sources are also a threat. A health startup in Bandung, Indonesia, made initiatives to educate people about COVID-19 prevention through downloadable script and audio in the form of Public Service Announcement provided with 19 local languages through their website.  This study aims to know the characteristics of profile users accessing the website through descriptive observational approach. The data came from the website automatically analysed by Google Analytics. We look into the audience data, comprising demographics and geographical distribution. Additionally, we observe the acquisition data that helps us in seeing website traffic. The significant difference found in this study is seen in the age group, meanwhile the gender group did not have a significant difference, which has 8% of disparity. By geographical distribution, 60% of top users are located in cities located in Java Island. Direct traffic, interestingly, made up almost 86 percent of all traffic. Twitter ranked the top for the social media traffic in our case. In conclusion, it is necessary to promote credible information in COVID-19 preventive measures and help maintain the accessibility of information.