纽约4月份已经崩溃了, 插管的病人65岁以下的死亡率76%,65岁以上死亡率97%。 还有一个呼吸机拖两个人的奇怪操作。 “Mortality rates for those who received mechanical ventilation in the 18-to-65 and older-than-65 age groups were 76.4% and 97.2%, respectively. ” 白人被收进医院的可能性最低,不过死在医院和死在家也没啥区别,死在医院多个镇定剂 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7177629/#!po=1.38889 underdoc 发表于 2020-12-25 09:53
这里有个黑人的complain: https://www.cnn.com/2020/12/24/us/black-doctor-susan-moore-covid-19/index.html A Black physician died of Covid-19 weeks after she described a White doctor dismissing her pain and concerns about her treatment as she lay in an Indiana hospital. She was later discharged from IU North, but returned to a different hospital less than 12 hours later, she wrote on her Facebook page. "I put forth and I maintain if I was White, I wouldn't have to go through that," Moore said.
这里有个黑人的complain: https://www.cnn.com/2020/12/24/us/black-doctor-susan-moore-covid-19/index.html A Black physician died of Covid-19 weeks after she described a White doctor dismissing her pain and concerns about her treatment as she lay in an Indiana hospital. She was later discharged from IU North, but returned to a different hospital less than 12 hours later, she wrote on her Facebook page. "I put forth and I maintain if I was White, I wouldn't have to go through that," Moore said. trilene 发表于 2020-12-25 11:22
华裔的年龄大,所以mortality rate的多一些?Chinese patients were the oldest among Asians, with a median age of 53 years (IQR 38-64), and they were among the oldest of all racial and ethnic groups. This disparity in mortality among Chinese patients persisted even after adjusting for age, other demographics, and comorbidities (OR 1.44, 95% CI [1.035, 2.011], p=0.03)
华裔的年龄大,所以mortality rate的多一些?Chinese patients were the oldest among Asians, with a median age of 53 years (IQR 38-64), and they were among the oldest of all racial and ethnic groups. This disparity in mortality among Chinese patients persisted even after adjusting for age, other demographics, and comorbidities (OR 1.44, 95% CI [1.035, 2.011], p=0.03) cutie 发表于 2020-12-25 14:19
华裔的年龄大,所以mortality rate的多一些?Chinese patients were the oldest among Asians, with a median age of 53 years (IQR 38-64), and they were among the oldest of all racial and ethnic groups. This disparity in mortality among Chinese patients persisted even after adjusting for age, other demographics, and comorbidities (OR 1.44, 95% CI [1.035, 2.011], p=0.03) cutie 发表于 2020-12-25 14:19
“We conducted a retrospective analysis of 85,328 patients tested for COVID-19 at New York City’s public hospital system between March 1 and May 31, 2020” 这是纽约三月到五月的数据,讨论了各种原因: “Asian Americans, especially those of South Asian and Chinese descent, have several key clinical risk factors in common with Blacks and Hispanics. Asians experience overweight and obesity at lower BMI values than individuals of other racial groups, resulting in a higher prevalence of these conditions than expected.21 Additionally, South Asians have high rates of diabetes and hypertension that are comparable to those observed among Black and Hispanic individuals, and they have a disproportionate burden of morbidity and mortality from cardiovascular disease. These factors are known to put individuals at elevated risk of COVID-19 infection, hospitalization, and death, and they are highly prevalent among many Asian Americans.22,23 Many Asian Americans experience social factors that are known to increase the risk of exposure for COVID-19, including living in multi-generational housing, jobs as frontline or essential workers, lack of paid sick leave, and limited access to linguistically and culturally appropriate healthcare.24,25Furthermore, the social conditions that drive racial and ethnic disparities in diabetes and hypertension among Black and Hispanic Americans, including poverty, limited access to healthcare, limited English language proficiency, and other upstream determinants of health, are similar in the largely immigrant Asian patient population at NYC H+H. The high rate of infection observed among South Asians may be due to factors that increase the likelihood of exposure (e.g., jobs in essential services) or impede the ability to isolate if infected (e.g., crowded housing, lack of paid sick leave) that are well-established as risk factors among other groups of color in the U.S. A recent analysis of community-level factors associated with racial and ethnic COVID-19 disparities found that “household size and food service occupation are strongly associated with the risk of COVID-19 infection” and that these factors “may be contributing to the higher number of COVID-19 cases in Black and Latino communities.”26 These factors are also common among New Yorkers of Asian descent, particularly among those who are recent immigrants, which may partially explain the high rate of infection we observed among South Asians. This same analysis also found that the proportion of foreign-born non-citizens was positively associated with the number of COVID-19 cases in a community, which may also explain higher rates of COVID-19 among Asian New Yorkers as well as among Hispanic New Yorkers, many of whom are also recent immigrants. Furthermore, Asian Americans are most likely of all racial groups to live in larger, multi-generational households, further driving their risk of COVID-19 exposure and infection.”
“We conducted a retrospective analysis of 85,328 patients tested for COVID-19 at New York City’s public hospital system between March 1 and May 31, 2020” 这是纽约三月到五月的数据,讨论了各种原因: “Asian Americans, especially those of South Asian and Chinese descent, have several key clinical risk factors in common with Blacks and Hispanics. Asians experience overweight and obesity at lower BMI values than individuals of other racial groups, resulting in a higher prevalence of these conditions than expected.21 Additionally, South Asians have high rates of diabetes and hypertension that are comparable to those observed among Black and Hispanic individuals, and they have a disproportionate burden of morbidity and mortality from cardiovascular disease. These factors are known to put individuals at elevated risk of COVID-19 infection, hospitalization, and death, and they are highly prevalent among many Asian Americans.22,23 Many Asian Americans experience social factors that are known to increase the risk of exposure for COVID-19, including living in multi-generational housing, jobs as frontline or essential workers, lack of paid sick leave, and limited access to linguistically and culturally appropriate healthcare.24,25Furthermore, the social conditions that drive racial and ethnic disparities in diabetes and hypertension among Black and Hispanic Americans, including poverty, limited access to healthcare, limited English language proficiency, and other upstream determinants of health, are similar in the largely immigrant Asian patient population at NYC H+H. The high rate of infection observed among South Asians may be due to factors that increase the likelihood of exposure (e.g., jobs in essential services) or impede the ability to isolate if infected (e.g., crowded housing, lack of paid sick leave) that are well-established as risk factors among other groups of color in the U.S. A recent analysis of community-level factors associated with racial and ethnic COVID-19 disparities found that “household size and food service occupation are strongly associated with the risk of COVID-19 infection” and that these factors “may be contributing to the higher number of COVID-19 cases in Black and Latino communities.”26 These factors are also common among New Yorkers of Asian descent, particularly among those who are recent immigrants, which may partially explain the high rate of infection we observed among South Asians. This same analysis also found that the proportion of foreign-born non-citizens was positively associated with the number of COVID-19 cases in a community, which may also explain higher rates of COVID-19 among Asian New Yorkers as well as among Hispanic New Yorkers, many of whom are also recent immigrants. Furthermore, Asian Americans are most likely of all racial groups to live in larger, multi-generational households, further driving their risk of COVID-19 exposure and infection.”
你可以去读原文,不是说华人胖,是在相同BMI下华人更受到肥胖的影响;后来也说了在3-5月的纽约华人可能因为歧视或别的原因晚去医院之类…… Our finding that Chinese Americans had the highest mortality rate of all racial/ethnic groups and were nearly 1.5 more times likely to die than Whites (OR 1.44, 95% CI [1.04, 2.01]) is concerning. This elevated burden was revealed only when the overall Asian race category was disaggregated into ethnic subgroups, as the overall Asian race group did not have a significantly higher likelihood of death than Whites (OR 1.15, 95% CI [0.93, 1.43], p=0.21). Since the emergence of COVID-19 in early 2020, Chinese and other Asian Americans have experienced increased xenophobia, discrimination, and harassment: one quarter of Asian New Yorkers surveyed reported witnessing or experiencing harassment, violence, or racism related to COVID-19, and more than half of Chinese American adults and their children across the U.S. reported being targeted by COVID-19 related racial discrimination either in person or online, which was associated with poorer mental health.34,35,36Furthermore, this increase in harassment and racism may be leading to reluctance to and/or fear of leaving one’s home for care or testing, which may be exacerbating Chinese patients’ known reluctance to seek timely care, thereby leading to more severe illness that may be more difficult to treat successfully.36,37 Additionally, treatment patterns may have been influenced by early data on worse outcomes among Blacks and Hispanics and the “model minority” myth that Asians are typically healthier than other racial groups.38 Our findings underscore the urgency of additional research into the factors leading to higher mortality among Chinese Americans.
你可以去读原文,不是说华人胖,是在相同BMI下华人更受到肥胖的影响;后来也说了在3-5月的纽约华人可能因为歧视或别的原因晚去医院之类…… Our finding that Chinese Americans had the highest mortality rate of all racial/ethnic groups and were nearly 1.5 more times likely to die than Whites (OR 1.44, 95% CI [1.04, 2.01]) is concerning. This elevated burden was revealed only when the overall Asian race category was disaggregated into ethnic subgroups, as the overall Asian race group did not have a significantly higher likelihood of death than Whites (OR 1.15, 95% CI [0.93, 1.43], p=0.21). Since the emergence of COVID-19 in early 2020, Chinese and other Asian Americans have experienced increased xenophobia, discrimination, and harassment: one quarter of Asian New Yorkers surveyed reported witnessing or experiencing harassment, violence, or racism related to COVID-19, and more than half of Chinese American adults and their children across the U.S. reported being targeted by COVID-19 related racial discrimination either in person or online, which was associated with poorer mental health.34,35,36Furthermore, this increase in harassment and racism may be leading to reluctance to and/or fear of leaving one’s home for care or testing, which may be exacerbating Chinese patients’ known reluctance to seek timely care, thereby leading to more severe illness that may be more difficult to treat successfully.36,37 Additionally, treatment patterns may have been influenced by early data on worse outcomes among Blacks and Hispanics and the “model minority” myth that Asians are typically healthier than other racial groups.38 Our findings underscore the urgency of additional research into the factors leading to higher mortality among Chinese Americans. Apple06 发表于 2020-12-25 17:14
panel b,c 拉平了comorbidity, insurance和socioeconomic status
黑人被拔的不要太多,你还是问问白人的敢拔吗吧
同意,希望多点像王嘉廉那样的富翁
就算平均年龄53,这个年龄还是比川总年轻20岁啊!
我同意这个,至少我边上等着移民的父母没什么人敢随便去看病的。都是中国城的郎中给两副帖子
喜欢这个数据。最好尽快来点全国的数据。我觉得亚洲人是该醒醒了,二代也要醒过来了吧?一代移民语言各种问题,二代总要发点正义的声音了吧?还有空Blm。
老人也会先拔管
我估计美女不怎么会拔管。猥琐男可能会先拔。
这就是health disparity。
https://www.cnn.com/2020/12/24/us/black-doctor-susan-moore-covid-19/index.html
A Black physician died of Covid-19 weeks after she described a White doctor dismissing her pain and concerns about her treatment as she lay in an Indiana hospital.
She was later discharged from IU North, but returned to a different hospital less than 12 hours later, she wrote on her Facebook page. "I put forth and I maintain if I was White, I wouldn't have to go through that," Moore said.
而且估计蓝州华裔老人比例比红州高。蓝领比例也高。
说的就是这个女的。这个女的视频还在Facebook上。我觉得黑人不管别的,人家Ownership挺强胆子也大的。看到不公平一定会跳出来的。这也就是为啥人家有Blm,都是人家70年不停斗争出来的
看着吓死人了😓
这话我特别不服。那根据这个统计,你是说华人猥琐男比例大?说这话的,不说别的,我等着习大大开飞机打你
我看了,这个女医生说的都有道理。种族歧视确实存在。
你的链接我找到楼主说的了,截屏在下面,楼主说的是100%真实的。
可见现在美国人有多恨中国人。大家要保重好身体,争取少用医院医生。发了财的马公麻婆们,为了我们的后代应该建立华人自己的医院。
是的,其实对华人的歧视非常明显了!文章说了即使做了年龄上的统计调节,华人死亡率还是比其他族裔高很多!
为什么我们全家都是华人医生,用白人信不过。
坚决Re你最后一句话。如果不能建自己的医院,至少要大胆的转发这个在Facebook上,还有Nextdoor上。
这段说明按整体族裔,白人死亡率是最高的(33.6%)。亚裔25.5%。亚裔中的中国人的确是最高的(35.7%) 文中也分析了原因,其中主要原因是中国的入院病人年龄是最大的,而且很多是第一次住院的新病人。大部分从事的工作也是高风险(我估计就是餐馆,超市之类)。所以文章的主旨是分析问题,找出可以改善的方法。
如果硬要和歧视联系起来,哪为啥白人的死亡率会是所以族裔里最高的?
亏你的网名叫Biden!Biden根本不会这么说...你是故意黑Biden的吧?
你自己要做选择性忽视随便你,白纸黑字睁眼说瞎话我可要指出来了,写的清清楚楚,做过统计上的年龄调节,华人还是比其他族裔高!
可惜板上还继续自我感觉良好。
看吧,这个疫情过去以后对华裔的清算和报复应该是少不了。就看谁倒霉了。
这个是传闻还是有出处吗?你说的这些就是那个去世的黑人女医生抱怨的点,她强调这就是歧视。 如果是大外宣那种贬低海外华人的不真实报道就算了。昨天被国内报道民运人士的那个气的喘不上气来。
不是说了,除了年龄还有其他因素,比如自身的职业,对医疗机构不熟悉。难道长着一张亚洲脸,医院接收还会专门区分是中国人还是马来西亚人? 就算你说的死亡率高代表被针对,那为啥排第二的是白人? 他们也受到了超过黑人和西班牙裔歧视?
https://twitter.com/hinechaos/status/1259114690480832513
自己看吧,当然你说这个是不是五毛编的我不确定。
https://twitter.com/hinechaos/status/1259114690480832513
自己看吧当然你说这个是不是五毛编的我不确定。
“今天做了感染新冠近七个月后的复查,主要是肺部胸片和血检。血检一切正常,但胸片显示我可能得了COPD,所谓慢性肺阻病。医生安慰我别难过,要等两周后我做完PFT肺功能测试才能确诊。我想对所有那些轻视病毒的人说:如果我的个人惨痛经历还不足以让您警醒,那么就把一切交给死亡吧。”
白人的死亡率高不是因为他们的体重是华裔的三倍?🤔三倍体重死亡率都比华裔低,想想吧。
新冠对白人死亡率比亚裔大,这个早就知道的。医院填表格要选族裔的,而且从姓上也可以知道,别当医生是傻瓜。在亚裔里华人死亡率奇高是不可接受的。当然像你这种类型乖乖的放在等死区里随你便。
这篇文章一定是大外宣发的。
This disparity in mortality among Chinese patients persisted even after adjusting for age, other demographics, and comorbidities (OR 1.44, 95% CI [1.035, 2.011], p=0.03)
不是很大。仔细看按年龄组对比其实跟白人差不多。这篇文章华人crude mortality5%。认识一百个人死五个,这个数字相当可怕。 就算现在累积的数字,洛杉矶亚裔感染死亡率5%,也是各族裔最高。
其实这就是美国社会的缩影啊。资源充足的时候大家都彬彬有礼一团和气,你好我好大家好,亚裔是model minority值得羡慕,就算有歧视也是隐形的不敢公开。资源匮乏的时候本性出来了,亚裔是第一个被拔管的,都懒得掩饰歧视了。
你怎么知道黑人和白人的管被没被拔?有出处吗?
说得很对啊。现在是美国国难的时候,每个人都自顾不暇,总有人是要被牺牲的。亚裔基本上都首先被牺牲的。
那个是川黑。狗咬狗。
+1
你自己引的第二段话就明确说了,把年龄差异考虑进去之后,还是华裔死亡率高。
看figure 1的最后一组数据,确实华裔死亡率最高,discussion里面也说了死亡率(mortality rate)所有族裔最高,是白人的1.5倍
这是纽约三月到五月的数据,讨论了各种原因: “Asian Americans, especially those of South Asian and Chinese descent, have several key clinical risk factors in common with Blacks and Hispanics. Asians experience overweight and obesity at lower BMI values than individuals of other racial groups, resulting in a higher prevalence of these conditions than expected.21 Additionally, South Asians have high rates of diabetes and hypertension that are comparable to those observed among Black and Hispanic individuals, and they have a disproportionate burden of morbidity and mortality from cardiovascular disease. These factors are known to put individuals at elevated risk of COVID-19 infection, hospitalization, and death, and they are highly prevalent among many Asian Americans.22,23 Many Asian Americans experience social factors that are known to increase the risk of exposure for COVID-19, including living in multi-generational housing, jobs as frontline or essential workers, lack of paid sick leave, and limited access to linguistically and culturally appropriate healthcare.24,25Furthermore, the social conditions that drive racial and ethnic disparities in diabetes and hypertension among Black and Hispanic Americans, including poverty, limited access to healthcare, limited English language proficiency, and other upstream determinants of health, are similar in the largely immigrant Asian patient population at NYC H+H. The high rate of infection observed among South Asians may be due to factors that increase the likelihood of exposure (e.g., jobs in essential services) or impede the ability to isolate if infected (e.g., crowded housing, lack of paid sick leave) that are well-established as risk factors among other groups of color in the U.S. A recent analysis of community-level factors associated with racial and ethnic COVID-19 disparities found that “household size and food service occupation are strongly associated with the risk of COVID-19 infection” and that these factors “may be contributing to the higher number of COVID-19 cases in Black and Latino communities.”26 These factors are also common among New Yorkers of Asian descent, particularly among those who are recent immigrants, which may partially explain the high rate of infection we observed among South Asians. This same analysis also found that the proportion of foreign-born non-citizens was positively associated with the number of COVID-19 cases in a community, which may also explain higher rates of COVID-19 among Asian New Yorkers as well as among Hispanic New Yorkers, many of whom are also recent immigrants. Furthermore, Asian Americans are most likely of all racial groups to live in larger, multi-generational households, further driving their risk of COVID-19 exposure and infection.”
华人感染率是正常的,但是感染死亡率非常高。 那么问题就是基因吗?治疗手段效用吗?还是治疗有歧视呢?
这个是扯淡。亚裔里只有华人最高,其它印度日本越南人死亡率都低,他怎么说?而且说华人胖,更是扯淡,他不看看他自己300磅的体重,好意思说200磅以下的胖。
这还不容易理解 。医疗没崩。
没跟那个帖子,医生不给药?不上呼吸机?
是有这么一个帖子。
你可以去读原文,不是说华人胖,是在相同BMI下华人更受到肥胖的影响;后来也说了在3-5月的纽约华人可能因为歧视或别的原因晚去医院之类……
Our finding that Chinese Americans had the highest mortality rate of all racial/ethnic groups and were nearly 1.5 more times likely to die than Whites (OR 1.44, 95% CI [1.04, 2.01]) is concerning. This elevated burden was revealed only when the overall Asian race category was disaggregated into ethnic subgroups, as the overall Asian race group did not have a significantly higher likelihood of death than Whites (OR 1.15, 95% CI [0.93, 1.43], p=0.21). Since the emergence of COVID-19 in early 2020, Chinese and other Asian Americans have experienced increased xenophobia, discrimination, and harassment: one quarter of Asian New Yorkers surveyed reported witnessing or experiencing harassment, violence, or racism related to COVID-19, and more than half of Chinese American adults and their children across the U.S. reported being targeted by COVID-19 related racial discrimination either in person or online, which was associated with poorer mental health.34,35,36Furthermore, this increase in harassment and racism may be leading to reluctance to and/or fear of leaving one’s home for care or testing, which may be exacerbating Chinese patients’ known reluctance to seek timely care, thereby leading to more severe illness that may be more difficult to treat successfully.36,37 Additionally, treatment patterns may have been influenced by early data on worse outcomes among Blacks and Hispanics and the “model minority” myth that Asians are typically healthier than other racial groups.38 Our findings underscore the urgency of additional research into the factors leading to higher mortality among Chinese Americans.
然后黄皮川粉说,这都是黑人和劳模太坏。
难道老人家没大包裹,就可以被歧视遭到更差的医疗待遇吗?医者仁心难道不应该更优待老年人吗?
不信。韩国人,马来,泰国,越南什么的,大比例是中国人基因,很多人祖上就是真正的中国人。中国人因病毒死亡率跟这几个国家比差异这么大,非常FISHY. 而且,中国大陆人也不是没有感染数据,武汉,江浙,上海,香港数据都一把把的。
数据说话,我希望在明年赶快有全国性的数据出来。那么多人整天要发Nature science,我觉得这个研究也会上Nature science。如果我们这里医院同意大家接触这样的数据,我愿意主动当义工。
支持。不过未必可以。
谁告诉你被放弃治疗的? 我只看到党媒写文章说他被放弃.
实际上他的治疗情况, 只有他和医生知道. 医疗记录不会对记者公开. 党媒只能是杜撰的.
这段话可以确定你在中国. 你不知道美国医疗保险不一样, 大家去的医院不一样.
从盖楼的ID看, 大差不差.
https://www.cdc.gov/coronavirus/2019-ncov/covid-data/investigations-discovery/hospitalization-death-by-race-ethnicity.html
我知道,我想呼吁医学院各位中国同胞有条件的,行动起来。我觉得在美国这个真相是能发现的。武汉那个数据确实没人信,那就用美国的数据。 我希望有公共的数据给我们用最好,病人具体情况可以隐藏起来,现在的技术这是一盘小菜
新冠病人不是呼吸困难医院不会收的。所以收了住院的新冠病人都很严重,不管种族。
说过很多遍了,统计排除年纪和其他各种因素,华人还是不成比例的比其他亚裔高很多。
我还真不在中国,让你失望了。这个数据已经Adjust了保险了,还这样! 而且为啥就直接Assume老人一定没保险?我相信有保险的华人也有年老的时候吧? 我们的问题就是问题不落到自己身上就当这问题不存在,或者直接贬低遭难的一方。这个帖子的人气连隔壁lululemon 买买买的帖子都差点比不过,这说明点问题吧。虽然我也给那个帖子回了很多😅
这跟医者仁心没有关系。第一,现在COVID病房肯定是没有家人陪护的。以前有孝顺儿女贴身照顾,遇事随时帮忙翻译。现在要护士每问一个问题都用到翻译我感觉有难度。第二,看到我们现任总统大人的治疗之后,还觉得经济条件不会影响医疗是不是有点太天真了。我相信所有的医护都在竭尽全力地救护病人,但是保险不同医疗条件不同也是客观事实。第三,这纯粹是我的个人感觉。我觉得华裔的老人家长寿有一部分原因是家族的support system非常好,也就是有很孝顺的子女长期护理。并不是说华裔比其他族裔的老人体质要好。可是很不幸COVID是一种传染病,在医院家人无法陪护,在家很可能全家人都在suffer。所以华裔的这种优势没办法发挥。我觉得按地区收入语言来调查,比笼统地恐慌性地说华人死亡率高来得更有意义。
看不懂这个图 为什么这3个category里每个category的总数都超过100%?难道是以每个族裔总人数为基数?全美华人25%的华裔是positive 而在这25%得病的华人里 有52.6%的华人住院 有35.7%的华人死亡?死亡那一组有stratify年龄吗?还有就是这个计算里面把华人特别的分出来 25%的华人positive 其实基数相比其他族裔就不大, 所以算出的死亡率才会觉得大吧
有些人就觉得因为收入相对高点,所以比同族裔得其它人优越,可笑。 都进重症监护了,还在做梦。
楼主说的意思很难理解吗。 她说的死亡率分子,分母都是某特定族裔的人数。 这么简单个事,你值得你一大堆问号发问,也是醉了。
如果在新闻媒体的,就跟踪采访报道一下,能引起重视
疫情一开始,亚特拉大之类的地方,就一直说什么黑人感染率最高blabla一副被歧视的样子
上面拔管子歧视亚裔,确实有可能啊。不报道出来根本没人知道
川粉简直跟希特勒时期的盖世太保有一拼
去看原文。两千多华人的样本不算太小,
是的,这时候如果有华人能站出来,去调查是否真的存在华裔被医院歧视就好了,如果真的存在歧视,写一个调查报告出来,投到各大媒体,找律师告医院,这样医院就不敢随便歧视华裔了
不知道数据有多大,准不准,HAWAII黑人,木木什么的,居然一个没有死亡的。。天气可能有影响。
made some points
就是新冠染病和死亡的每周官方报道。
共党已经渗透到纽约的医疗界了,可怕可怕。
1) "缺乏维生素D对新冠死亡率的correlation蛮大的",有link吗? 2)美国其他州和在亚洲的Asian也缺乏Vitamin D啊,为什么纽约Asian的死亡率这么高?说明有人为(歧视)因素啊。
一遇到问题,第一时间就想办法帮对方洗的人都是什么脑回路