We can use the commutative property and associative property in order to solve this problem:
associative property:
(x*y)*z = x*(z*y)
commutative property:
a + b = b + a
Therefore:
5 (9 x 4)+7+(3+1) = 191
We can rewrite the left hand side of the equation as:
1 + (3+7) + 4(5x9) = 191