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—used for a operate word in advance of a correct noun to tell apart the condition with the referent from a regular, former, or hypothetical ailmentInside the Global Phonetic Alphabet, ⟨a⟩ is employed for the open up front unrounded vowel, ⟨ä⟩ is used for the open central unrounded vowel, and ⟨ɑ⟩ is useful for the open back unrounded