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\frac{10y+3}{y^{2}+x^{2}}+\frac{-3y^{2}-4y-2}{y^{2}+x^{2}}
Combine y and 9y to get 10y.
\frac{10y+3-3y^{2}-4y-2}{y^{2}+x^{2}}
Since \frac{10y+3}{y^{2}+x^{2}} and \frac{-3y^{2}-4y-2}{y^{2}+x^{2}} have the same denominator, add them by adding their numerators.
\frac{6y+1-3y^{2}}{y^{2}+x^{2}}
Combine like terms in 10y+3-3y^{2}-4y-2.
\frac{10y+3}{y^{2}+x^{2}}+\frac{-3y^{2}-4y-2}{y^{2}+x^{2}}
Combine y and 9y to get 10y.
\frac{10y+3-3y^{2}-4y-2}{y^{2}+x^{2}}
Since \frac{10y+3}{y^{2}+x^{2}} and \frac{-3y^{2}-4y-2}{y^{2}+x^{2}} have the same denominator, add them by adding their numerators.
\frac{6y+1-3y^{2}}{y^{2}+x^{2}}
Combine like terms in 10y+3-3y^{2}-4y-2.