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I don't think there is a universal prefix equivalent to 小 or 阿. Certainly you can add 'Little', but that's not a prefix, but an adjective. In the West, nicknames follow different patterns, mainly using the first syllable of the full name and adding an [i] (-ie, -y or similar): E.g. John --> Johnnie, Andrew ---> Andy, Lisa ---> Lizzy, etc. Other countries ...

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