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During systematic surveys of groundwater snails in Slovakia, Hungary and Bosnia and Hercegovina two new species of the genus Hauffenia, H. lozekiana sp. nov. from a single locality in Slovakia, and H. steffeki sp. nov. with a small range in Bosnia and Hercegovina were discovered and are here described based on shell morphology, anatomy and DNA sequence data (COI, 16S rRNA, ITS2). The discovery of H. steffeki sp. nov. extends the range of the genus considerably towards the south. Hauffenia lozekiana sp. nov. appears to be a relict surviving within the range of the today widely distributed H. kissdalmae. Based on a time tree, we developed a scenario for the origin and diversification of the genus. The ancestor probably evolved in the Miocene on the Balkans and with the gradual desiccation of the Paratethys and its remnant water bodies diversified towards the north. Karstic and in particular alluvial connectivities together with changing courses of paleo-rivers probably played an important role for dispersal. Ecological observations suggest that the phreatic rhizosphere, the delicate net of tree rootlets and their exudates, are important for the existence of these groundwater snails.
Children’s and adolescents’ lives drastically changed during COVID lockdowns worldwide. To compare accident- and injury-related admissions to pediatric intensive care units (PICU) during the first German COVID lockdown with previous years, we conducted a retrospective multicenter study among 37 PICUs (21.5% of German PICU capacities). A total of 1444 admissions after accidents or injuries during the first lockdown period and matched periods of 2017–2019 were reported and standardized morbidity ratios (SMR) were calculated. Total PICU admissions due to accidents/injuries declined from an average of 366 to 346 (SMR 0.95 (CI 0.85–1.05)). Admissions with trauma increased from 196 to 212 (1.07 (0.93–1.23). Traffic accidents and school/kindergarten accidents decreased (0.77 (0.57–1.02 and 0.26 (0.05–0.75)), whereas household and leisure accidents increased (1.33 (1.06–1.66) and 1.34 (1.06–1.67)). Less neurosurgeries and more visceral surgeries were performed (0.69 (0.38–1.16) and 2.09 (1.19–3.39)). Non-accidental non-suicidal injuries declined (0.73 (0.42–1.17)). Suicide attempts increased in adolescent boys (1.38 (0.51–3.02)), but decreased in adolescent girls (0.56 (0.32–0.79)). In summary, changed trauma mechanisms entailed different surgeries compared to previous years. We found no evidence for an increase in child abuse cases requiring intensive care. The increase in suicide attempts among boys demands investigation.