—utilized being a function phrase before a proper noun to tell apart the ailment on the referent from a standard, former, or hypothetical ailmentFrom the Worldwide Phonetic Alphabet, ⟨a⟩ is utilized for the open up front unrounded vowel, ⟨ä⟩ is employed for the open central unrounded vowel, and ⟨ɑ⟩ is utilized for the open up back u