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\frac{x+4}{x^{2}+a}+\frac{-6x\left(x^{2}+a\right)}{x^{2}+a}-\left(-1\right)
To add or subtract expressions, expand them to make their denominators the same. Multiply -6x times \frac{x^{2}+a}{x^{2}+a}.
\frac{x+4-6x\left(x^{2}+a\right)}{x^{2}+a}-\left(-1\right)
Since \frac{x+4}{x^{2}+a} and \frac{-6x\left(x^{2}+a\right)}{x^{2}+a} have the same denominator, add them by adding their numerators.
\frac{x+4-6x^{3}-6xa}{x^{2}+a}-\left(-1\right)
Do the multiplications in x+4-6x\left(x^{2}+a\right).
\frac{x+4-6x^{3}-6xa}{x^{2}+a}+1
The opposite of -1 is 1.
\frac{x+4-6x^{3}-6xa}{x^{2}+a}+\frac{x^{2}+a}{x^{2}+a}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{x^{2}+a}{x^{2}+a}.
\frac{x+4-6x^{3}-6xa+x^{2}+a}{x^{2}+a}
Since \frac{x+4-6x^{3}-6xa}{x^{2}+a} and \frac{x^{2}+a}{x^{2}+a} have the same denominator, add them by adding their numerators.
\frac{x+4}{x^{2}+a}+\frac{-6x\left(x^{2}+a\right)}{x^{2}+a}-\left(-1\right)
To add or subtract expressions, expand them to make their denominators the same. Multiply -6x times \frac{x^{2}+a}{x^{2}+a}.
\frac{x+4-6x\left(x^{2}+a\right)}{x^{2}+a}-\left(-1\right)
Since \frac{x+4}{x^{2}+a} and \frac{-6x\left(x^{2}+a\right)}{x^{2}+a} have the same denominator, add them by adding their numerators.
\frac{x+4-6x^{3}-6xa}{x^{2}+a}-\left(-1\right)
Do the multiplications in x+4-6x\left(x^{2}+a\right).
\frac{x+4-6x^{3}-6xa}{x^{2}+a}+1
The opposite of -1 is 1.
\frac{x+4-6x^{3}-6xa}{x^{2}+a}+\frac{x^{2}+a}{x^{2}+a}
To add or subtract expressions, expand them to make their denominators the same. Multiply 1 times \frac{x^{2}+a}{x^{2}+a}.
\frac{x+4-6x^{3}-6xa+x^{2}+a}{x^{2}+a}
Since \frac{x+4-6x^{3}-6xa}{x^{2}+a} and \frac{x^{2}+a}{x^{2}+a} have the same denominator, add them by adding their numerators.