Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Jour...Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.展开更多
According to the Annex Technical Regulations for Integrated Curriculum Development(Trial)in Document No.30 of the General Office of the Ministry of Human Resources and Social Security(2012),this paper studies the form...According to the Annex Technical Regulations for Integrated Curriculum Development(Trial)in Document No.30 of the General Office of the Ministry of Human Resources and Social Security(2012),this paper studies the formulation of the curriculum standards for the integration of Chinese medicinal materials production.We focus on the formulation ideas of the curriculum standards for the integration of Chinese medicinal materials production,the formulation process of the curriculum standards for the integration of Chinese medicinal materials production,including the description of typical work tasks,the determination of curriculum objectives,the analysis of study content,the description of referential study tasks,teaching implementation suggestions,assessment and evaluation suggestions,which can provide a reference for the development and research of other related integrated courses.展开更多
Objective In this study, we aimed at exploring the association between work-related musculoskeletal disorders(WMSDs) and work organization based on a case-control study. Methods A total of 1938 workers who claimed t...Objective In this study, we aimed at exploring the association between work-related musculoskeletal disorders(WMSDs) and work organization based on a case-control study. Methods A total of 1938 workers who claimed to suffer from WMSDs were selected from Beijing, Henan, Hubei, and the Guangdong province. The control group consisted of 2009 workers employed in similar industries without severe disease or musculoskeletal discomforts. We used a modified version of the questionnaire developed by the NMQ and the DMQ to investigate individual and work-related factors. Results A total of 13 variables(P〈0.1) were selected by the chi-square test and finally, 7 variables entered into the equation, with 6 variables reaching statistical significance(P〈0.05). The odds ratios(OR) of 'work changing with season' and 'sufficient rest time' did not reach 1(0.749 and 0.441, respectively). In addition, 'sufficient rest time' seemed to be the stronger protective factor according to its higher standardized coefficient. And 'repetitive work every minute', 'constantly repetitive work'(every day), 'shortage of site personnel', and 'often switching shifts with others' seemed to be the risk factors. Conclusion Work organization may have comprehensive effects on the occurrence of WMSDs. This pattern of associations suggests that further investigation into the mechanism of how work organization affects the prevalence of WMSDs is required.展开更多
Strategic quality management is implemented in a local elevator company. Quality strategies, policies and goals focusing on customers′ needs are clearly established. Continuous quality improvement has been adopted as...Strategic quality management is implemented in a local elevator company. Quality strategies, policies and goals focusing on customers′ needs are clearly established. Continuous quality improvement has been adopted as the corporate strategy to improve its performance and competitive edge. This paper presents the successful implementation of a quality improvement project using the work study approach. On the completion of the project, the rate of serious defects which may lead to an accident is reduced by 55%, i.e., from 2% ̄0.9% over a period of two years. A total of HK$ 1.1 million spent on the project is justified when compared with the reduction of financial risks involved. The success of the project demonstrates that the work study approach could be an effective tool for improving the performance of maintenance work.展开更多
Aim: To examine the preference for two dosing regimens of 20 mg of tadalafil, on demand or three times per week, in men affected with erectile dysfunction (ED) in Italy. Methods: Scheduled Use versus on demand Reg...Aim: To examine the preference for two dosing regimens of 20 mg of tadalafil, on demand or three times per week, in men affected with erectile dysfunction (ED) in Italy. Methods: Scheduled Use versus on demand Regimen Evaluation (SURE) is a multicenter, crossover and open-label study, involving 94 urology centers in Italy. Patients aged 18 years or older affected with ED for at least 3 months were enrolled and randomized to 20 mg of tadalafil treatment on demand or three times per week for 5-6 weeks. After a 1-week washout, patients were crossed over to the alternate regimen for 5-6 weeks. A treatment preference question was used to determine the preferred treatment regimen. International Index of Erectile Function (IIEF) and Sexual Encounter Profile (SEP) questionnaire were used as efficacy measures. Results: A total of 1 058 men (mean age 54.8 years), were randomized to treatment. Overall, 59.1% of patients preferred the on-demand regimen and 41.9% preferred the three times per week dosing. Both regimens were efficacious and well tolerated. Although a statistically higher improvement of the IIEF erectile function (IIEF-EF) domain score and the SEP questionnaire was reported for the three times per week compared to the ondemand treatment regimen, this difference was numerically minimal and lacking in clinical significance. Conclusion: Tadalafil is effective and well tolerated whether used on demand or three times per week. Patients should be given the option to choose the best treatment regimen according to personal needs and preferences.展开更多
Objective:To evaluate the prevalence and types of complementary and alternative medicine(CAM)modalities among patients with cancer in Karachi,Pakistan.Methods:This descriptive cross-sectional study was conducted from ...Objective:To evaluate the prevalence and types of complementary and alternative medicine(CAM)modalities among patients with cancer in Karachi,Pakistan.Methods:This descriptive cross-sectional study was conducted from March 2021 to December 2021.Five hundred patients with cancer were invited to participate in the study.Electronic databases,namely,Google scholar,Publons,EMBASE,PubMed,Chinese National Knowledge Infrastructure Database,and ResearchGate was used for questionnaire designed.The self-administered survey included questions on demographic characteristics,education level,socio-economic conditions and information about CAM therapies,prevalence,effectiveness,and common CAM modalities.Statistical analysis was conducted using SPSS software version 22.Results:Out of the 500 invited patients,433(86.6%)successfully completed and returned the questionnaires.In contrast to patients who were with younger,highly educated,professionally active,higher income,and had advanced cancer,time since diagnosis,type of treatment,cancer types and family history are significantly associated with CAM use.The results showed that 59.8%of the participants were acquainted with complementary and/or alternative medicine and considered safe owing to its natural ingredients.The prevalence of CAM usage among cancer patients was 40.9%and the most widely used CAM modality was herbal medicine(27.7%)and dietary supplements(28.8%).Patients used CAM as a complementary therapy to improve the morphological parameter(28.2%),strengthen the immune system(6.8%),and to decrease the side effects of conventional treatment(18.1%).Most of the respondents get the information regarding CAM therapy from the electronic media(43.2%)and the family members(48%)rather than healthcare personnel.Conclusions:Participants used CAM modalities along with the conventional health care practices.Further multicentre studies should be conducted to provide information regarding the usage of CAM therapies and their eventual benefits in patients with cancer.展开更多
Vast amounts of world oil reservoirs are in natural fractured reservoirs. There are different methods for increasing recovery from fractured reservoirs. Miscible injection of water alternating CO2?is a good choice amo...Vast amounts of world oil reservoirs are in natural fractured reservoirs. There are different methods for increasing recovery from fractured reservoirs. Miscible injection of water alternating CO2?is a good choice among EOR methods. In this method, water and CO2?slugs are injected alternatively in reservoir as miscible agent into reservoir. This paper studies water injection scenario and miscible injection of water and CO2?in a two dimensional, inhomogeneous fractured reservoir. The results show that miscible water alternating CO2?gas injection leads to 3.95% increase in final oil recovery and total water production decrease of 3.89% comparing to water injection scenario.展开更多
Both case-control and cohort studies were undertaken from July 1,1969 to June 30,1983 to ascertain whether exposure to chloroprene increases the risk of cancer.Fifty-five cases of cancer deaths were verified,16 of whi...Both case-control and cohort studies were undertaken from July 1,1969 to June 30,1983 to ascertain whether exposure to chloroprene increases the risk of cancer.Fifty-five cases of cancer deaths were verified,16 of which had histories of exposure to chloroprene ranging from 3 to 23 years(median 11 years)with a latent period of 8-27 years,except for one case of 3 years(median 12.5 years).Fifty-four pairs were obtained by matching the cancer deaths to noncaneer deaths in accordance with strict requirements.The odds ratio for the paired data was 13,x^2=8.64,P <0.005.The average age at death from cancer of workers exposed to chloroprene was 12.7 years younger than that of unexposed workers,t'=2.98,P<0.001.The total cohort consisted of 1213 persons,among whom 149(11.6%)had histories of exposure for over 25 years,381(31.5%) for over 20 years,and 852(70.2%) for over 15 years.The SMR for the total cohort was 2.38(P <0.01),and all SMRs for the high-exposure occupations were of significance(P<0.05or P<0.01),in contrast to those of the low-exposure groups whose SMRs were low or zero.Thus, a dose-response relationship existed.Among the high-exposure occupations,maintenance me- chanics seem to have the highest risk of cancers,and SMRs for liver,lung,and lymphatic cancers were significant in this group.These results suggested that chloroprene exposure increases the risk of developing cancer.1989 Academic Press,Inc.展开更多
Infrared spectra of alternating LB films of octadecyl-TCNQ/CuPc are studied. Charge-transfer complexes are formed in LB films and conductance increases about three orders than that of pure CuPc LB films.
This paper described T cell proliferative response by an alternative pathway in normal subjects and In patients with malignant diseases. Two McAbs, Anti-CCTl and Lo-CD2-act recognizing two distinct epitopes on E-recep...This paper described T cell proliferative response by an alternative pathway in normal subjects and In patients with malignant diseases. Two McAbs, Anti-CCTl and Lo-CD2-act recognizing two distinct epitopes on E-receptor (CD2) were used to costimulate PBMC. Proliferative responsiveness was measured by 3H-thymidine incorporation. It was found that 82% of 72 nonnal subjects gave proliferative response whereas only 23% of the 93 patients did. The average cpm±SD in patients with bladder cancer (118±2314), kidney cancer (1619±2719) or lymphoma (2518±4057) was significantly lower than that in normal subjects (4935±2314), (P<0.001). These results indicate that T cell proliferation through the alternative pathway was significantly depressed in patients with cancer, and this can be used as a new parameter to monitor the immune status of cancer patients.展开更多
Based on intertextuality point of view, researching and studying Dickinson's background, education, her family, as well as the society where she lived. Analyzing the Dickinson's poets and other writers' or poets' ...Based on intertextuality point of view, researching and studying Dickinson's background, education, her family, as well as the society where she lived. Analyzing the Dickinson's poets and other writers' or poets' works in different contexts of classical inheritance, and philosophical thought. To break up the text of the solitary, put the text in the associative network of readers' experience, take the text as the link of the writer and the readers, and connect the inheritance, experience of the writer and the readers' reading. Use the method of intertextuality to interpret the non-meaning of the text, then to understand the significance of existence of Dickinson's works. This thesis mainly studies from the following aspects: It reveals the intertextuality of the works of Dickinson and Shakespeare, Isaac Watts and some Romantic poets from the point of classical context. By studying from the point of Transcendentalism and Existentialism, It explores the intertexutality relationship between Dickinson and Emerson, Thoreau as well as other writers. It also disserts the significance and influences of Dickinson's works through comparing and analyzing the intertextuality between Dickinson and Li Qingzhao, Xi Murong, as well as Annebaby.展开更多
Based on the bilingual corpus of Selected Works of Mao Zedong from Shaoxing University,this paper intended to study the English Translation of Chinese Idioms of the anthology.By comparing the translation of the idioms...Based on the bilingual corpus of Selected Works of Mao Zedong from Shaoxing University,this paper intended to study the English Translation of Chinese Idioms of the anthology.By comparing the translation of the idioms in different contexts,this paper analyzes the factors influencing Chinese-to-English translation,discusses the methods and strategies for translating Chinese idioms into English,and summarizes innovative conclusions.In addition to improving English proficiency,the process can enhance the learning quality of Chinese and English,translation capability,English-Chinese comparative research ability,and benefit the spreading of time-honored Chinese culture.展开更多
In the 10<sup>th</sup> Five-Year Plan for National Economic and Social Development (2001-05),the centralauthorities announced that Chinawill adopt a ’leapfrogging’tactic forits technological developmen...In the 10<sup>th</sup> Five-Year Plan for National Economic and Social Development (2001-05),the centralauthorities announced that Chinawill adopt a ’leapfrogging’tactic forits technological development. Butthe questions raised by Chinese sci-entists are:How this can展开更多
From Nov. 5 to 6, 2013, the China Society for Human Rights Studies (CSHRS)held the Fifth National Meeting for the Exchange of Work Experience Among Human Rights Research Institutions at Wuhan University. More than 1...From Nov. 5 to 6, 2013, the China Society for Human Rights Studies (CSHRS)held the Fifth National Meeting for the Exchange of Work Experience Among Human Rights Research Institutions at Wuhan University. More than 100 experts and scholars, focusing on empirical human rights studies and their contribution to building a society based on the rule of law, shared their work experience and discussed effective strategies. CSHRS President Luo Haocai, who served as vice chairman of the 10th National Committee of the Chinese People's Political Consultative Conference,展开更多
Based on corpus-related software and strategic framework of explicitation translation in applied texts,this paper uses Report on the Work of the Government as an example and explore the explicitation in political text...Based on corpus-related software and strategic framework of explicitation translation in applied texts,this paper uses Report on the Work of the Government as an example and explore the explicitation in political texts.According to the research results,political texts have shown explicitation in four sectors of the framework,especially the sector of first person plural pronouns,with quantity,language,culture,and others as influential factors.展开更多
文摘Dear Editor,I am writing in response to the article“Assessment of nurses’workplace silence behavior motives:A cross-sectional study”by Alhojairi et al.published in the September 2024 issue of the International Journal of Nursing Sciences[1].This is a letter written by a nurse with 10 years of clinical work experience and a personal interest in team dynamics.I appreciate the authors'recommendations on mitigating workplace silence among nurses to enhance clinical work development,and I believe their proposals could be expanded further.
基金Supported by Scientific Research Fund Project of Yunnan Provincial Department of Education (2023J2034).
文摘According to the Annex Technical Regulations for Integrated Curriculum Development(Trial)in Document No.30 of the General Office of the Ministry of Human Resources and Social Security(2012),this paper studies the formulation of the curriculum standards for the integration of Chinese medicinal materials production.We focus on the formulation ideas of the curriculum standards for the integration of Chinese medicinal materials production,the formulation process of the curriculum standards for the integration of Chinese medicinal materials production,including the description of typical work tasks,the determination of curriculum objectives,the analysis of study content,the description of referential study tasks,teaching implementation suggestions,assessment and evaluation suggestions,which can provide a reference for the development and research of other related integrated courses.
基金supported by the Research Fund from National Science and Technology Infrastructure Program of the People’s Republic of China(2014BAI12B03)Major Project of Beijing Academy of Science and Technology(PXM2014-178304-000002-00131228)
文摘Objective In this study, we aimed at exploring the association between work-related musculoskeletal disorders(WMSDs) and work organization based on a case-control study. Methods A total of 1938 workers who claimed to suffer from WMSDs were selected from Beijing, Henan, Hubei, and the Guangdong province. The control group consisted of 2009 workers employed in similar industries without severe disease or musculoskeletal discomforts. We used a modified version of the questionnaire developed by the NMQ and the DMQ to investigate individual and work-related factors. Results A total of 13 variables(P〈0.1) were selected by the chi-square test and finally, 7 variables entered into the equation, with 6 variables reaching statistical significance(P〈0.05). The odds ratios(OR) of 'work changing with season' and 'sufficient rest time' did not reach 1(0.749 and 0.441, respectively). In addition, 'sufficient rest time' seemed to be the stronger protective factor according to its higher standardized coefficient. And 'repetitive work every minute', 'constantly repetitive work'(every day), 'shortage of site personnel', and 'often switching shifts with others' seemed to be the risk factors. Conclusion Work organization may have comprehensive effects on the occurrence of WMSDs. This pattern of associations suggests that further investigation into the mechanism of how work organization affects the prevalence of WMSDs is required.
文摘Strategic quality management is implemented in a local elevator company. Quality strategies, policies and goals focusing on customers′ needs are clearly established. Continuous quality improvement has been adopted as the corporate strategy to improve its performance and competitive edge. This paper presents the successful implementation of a quality improvement project using the work study approach. On the completion of the project, the rate of serious defects which may lead to an accident is reduced by 55%, i.e., from 2% ̄0.9% over a period of two years. A total of HK$ 1.1 million spent on the project is justified when compared with the reduction of financial risks involved. The success of the project demonstrates that the work study approach could be an effective tool for improving the performance of maintenance work.
文摘Aim: To examine the preference for two dosing regimens of 20 mg of tadalafil, on demand or three times per week, in men affected with erectile dysfunction (ED) in Italy. Methods: Scheduled Use versus on demand Regimen Evaluation (SURE) is a multicenter, crossover and open-label study, involving 94 urology centers in Italy. Patients aged 18 years or older affected with ED for at least 3 months were enrolled and randomized to 20 mg of tadalafil treatment on demand or three times per week for 5-6 weeks. After a 1-week washout, patients were crossed over to the alternate regimen for 5-6 weeks. A treatment preference question was used to determine the preferred treatment regimen. International Index of Erectile Function (IIEF) and Sexual Encounter Profile (SEP) questionnaire were used as efficacy measures. Results: A total of 1 058 men (mean age 54.8 years), were randomized to treatment. Overall, 59.1% of patients preferred the on-demand regimen and 41.9% preferred the three times per week dosing. Both regimens were efficacious and well tolerated. Although a statistically higher improvement of the IIEF erectile function (IIEF-EF) domain score and the SEP questionnaire was reported for the three times per week compared to the ondemand treatment regimen, this difference was numerically minimal and lacking in clinical significance. Conclusion: Tadalafil is effective and well tolerated whether used on demand or three times per week. Patients should be given the option to choose the best treatment regimen according to personal needs and preferences.
文摘Objective:To evaluate the prevalence and types of complementary and alternative medicine(CAM)modalities among patients with cancer in Karachi,Pakistan.Methods:This descriptive cross-sectional study was conducted from March 2021 to December 2021.Five hundred patients with cancer were invited to participate in the study.Electronic databases,namely,Google scholar,Publons,EMBASE,PubMed,Chinese National Knowledge Infrastructure Database,and ResearchGate was used for questionnaire designed.The self-administered survey included questions on demographic characteristics,education level,socio-economic conditions and information about CAM therapies,prevalence,effectiveness,and common CAM modalities.Statistical analysis was conducted using SPSS software version 22.Results:Out of the 500 invited patients,433(86.6%)successfully completed and returned the questionnaires.In contrast to patients who were with younger,highly educated,professionally active,higher income,and had advanced cancer,time since diagnosis,type of treatment,cancer types and family history are significantly associated with CAM use.The results showed that 59.8%of the participants were acquainted with complementary and/or alternative medicine and considered safe owing to its natural ingredients.The prevalence of CAM usage among cancer patients was 40.9%and the most widely used CAM modality was herbal medicine(27.7%)and dietary supplements(28.8%).Patients used CAM as a complementary therapy to improve the morphological parameter(28.2%),strengthen the immune system(6.8%),and to decrease the side effects of conventional treatment(18.1%).Most of the respondents get the information regarding CAM therapy from the electronic media(43.2%)and the family members(48%)rather than healthcare personnel.Conclusions:Participants used CAM modalities along with the conventional health care practices.Further multicentre studies should be conducted to provide information regarding the usage of CAM therapies and their eventual benefits in patients with cancer.
文摘Vast amounts of world oil reservoirs are in natural fractured reservoirs. There are different methods for increasing recovery from fractured reservoirs. Miscible injection of water alternating CO2?is a good choice among EOR methods. In this method, water and CO2?slugs are injected alternatively in reservoir as miscible agent into reservoir. This paper studies water injection scenario and miscible injection of water and CO2?in a two dimensional, inhomogeneous fractured reservoir. The results show that miscible water alternating CO2?gas injection leads to 3.95% increase in final oil recovery and total water production decrease of 3.89% comparing to water injection scenario.
文摘Both case-control and cohort studies were undertaken from July 1,1969 to June 30,1983 to ascertain whether exposure to chloroprene increases the risk of cancer.Fifty-five cases of cancer deaths were verified,16 of which had histories of exposure to chloroprene ranging from 3 to 23 years(median 11 years)with a latent period of 8-27 years,except for one case of 3 years(median 12.5 years).Fifty-four pairs were obtained by matching the cancer deaths to noncaneer deaths in accordance with strict requirements.The odds ratio for the paired data was 13,x^2=8.64,P <0.005.The average age at death from cancer of workers exposed to chloroprene was 12.7 years younger than that of unexposed workers,t'=2.98,P<0.001.The total cohort consisted of 1213 persons,among whom 149(11.6%)had histories of exposure for over 25 years,381(31.5%) for over 20 years,and 852(70.2%) for over 15 years.The SMR for the total cohort was 2.38(P <0.01),and all SMRs for the high-exposure occupations were of significance(P<0.05or P<0.01),in contrast to those of the low-exposure groups whose SMRs were low or zero.Thus, a dose-response relationship existed.Among the high-exposure occupations,maintenance me- chanics seem to have the highest risk of cancers,and SMRs for liver,lung,and lymphatic cancers were significant in this group.These results suggested that chloroprene exposure increases the risk of developing cancer.1989 Academic Press,Inc.
文摘Infrared spectra of alternating LB films of octadecyl-TCNQ/CuPc are studied. Charge-transfer complexes are formed in LB films and conductance increases about three orders than that of pure CuPc LB films.
文摘This paper described T cell proliferative response by an alternative pathway in normal subjects and In patients with malignant diseases. Two McAbs, Anti-CCTl and Lo-CD2-act recognizing two distinct epitopes on E-receptor (CD2) were used to costimulate PBMC. Proliferative responsiveness was measured by 3H-thymidine incorporation. It was found that 82% of 72 nonnal subjects gave proliferative response whereas only 23% of the 93 patients did. The average cpm±SD in patients with bladder cancer (118±2314), kidney cancer (1619±2719) or lymphoma (2518±4057) was significantly lower than that in normal subjects (4935±2314), (P<0.001). These results indicate that T cell proliferation through the alternative pathway was significantly depressed in patients with cancer, and this can be used as a new parameter to monitor the immune status of cancer patients.
文摘Based on intertextuality point of view, researching and studying Dickinson's background, education, her family, as well as the society where she lived. Analyzing the Dickinson's poets and other writers' or poets' works in different contexts of classical inheritance, and philosophical thought. To break up the text of the solitary, put the text in the associative network of readers' experience, take the text as the link of the writer and the readers, and connect the inheritance, experience of the writer and the readers' reading. Use the method of intertextuality to interpret the non-meaning of the text, then to understand the significance of existence of Dickinson's works. This thesis mainly studies from the following aspects: It reveals the intertextuality of the works of Dickinson and Shakespeare, Isaac Watts and some Romantic poets from the point of classical context. By studying from the point of Transcendentalism and Existentialism, It explores the intertexutality relationship between Dickinson and Emerson, Thoreau as well as other writers. It also disserts the significance and influences of Dickinson's works through comparing and analyzing the intertextuality between Dickinson and Li Qingzhao, Xi Murong, as well as Annebaby.
基金This paper is part of the achievements of the 2021 Shanghai College Student’Innovation and Entrepreneurship Project“English Translation and Dissemination of Selected Works of Mao Zedong”(No.SH2021146).
文摘Based on the bilingual corpus of Selected Works of Mao Zedong from Shaoxing University,this paper intended to study the English Translation of Chinese Idioms of the anthology.By comparing the translation of the idioms in different contexts,this paper analyzes the factors influencing Chinese-to-English translation,discusses the methods and strategies for translating Chinese idioms into English,and summarizes innovative conclusions.In addition to improving English proficiency,the process can enhance the learning quality of Chinese and English,translation capability,English-Chinese comparative research ability,and benefit the spreading of time-honored Chinese culture.
文摘In the 10<sup>th</sup> Five-Year Plan for National Economic and Social Development (2001-05),the centralauthorities announced that Chinawill adopt a ’leapfrogging’tactic forits technological development. Butthe questions raised by Chinese sci-entists are:How this can
文摘From Nov. 5 to 6, 2013, the China Society for Human Rights Studies (CSHRS)held the Fifth National Meeting for the Exchange of Work Experience Among Human Rights Research Institutions at Wuhan University. More than 100 experts and scholars, focusing on empirical human rights studies and their contribution to building a society based on the rule of law, shared their work experience and discussed effective strategies. CSHRS President Luo Haocai, who served as vice chairman of the 10th National Committee of the Chinese People's Political Consultative Conference,
文摘Based on corpus-related software and strategic framework of explicitation translation in applied texts,this paper uses Report on the Work of the Government as an example and explore the explicitation in political texts.According to the research results,political texts have shown explicitation in four sectors of the framework,especially the sector of first person plural pronouns,with quantity,language,culture,and others as influential factors.