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—used being a function phrase before a suitable noun to distinguish the affliction in the referent from a usual, former, or hypothetical problemIn the Worldwide Phonetic Alphabet, ⟨a⟩ is used for the open up front unrounded vowel, ⟨ä⟩ is used for the open up central unrounded vowel, and ⟨ɑ⟩ is used for the open up back unrounded vow