fact often alluded to later in stories about her rumored survival. Anastasia's title is most precisely translated as "Grand Princess". "Grand Duchess" became the most widely used translation of the title into English from Russian. The Tsar's children were raised as simply as possible. They slept on hard camp cots without pillows, except when they were ill, took cold baths in the morning, and were expected to tidy their rooms and do needlework to be sold at various charity events when they were not otherwise occupied. Most in the household, including the servants, generally called the Grand Duchess by her first name and patronym, "Anastasia Nikolaevna", and did not use her title or style. She was occasionally called by the French version of her name, "Anastasie", or by the Russian nicknames "Nastya", "Nastas", or "Nastenka". Other family nicknames for Anastasia were "Malenkaya", meaning "little (one)" in Russian, or "Shvybzik", meaning "merry little one" or "little mischief" in German. Anastasia and her older sister Maria were known within the family as "The Little Pair". The two girls shared a room, often wore variations of the same dress, and spent much of their time together. Their older sisters Olga and Tatiana also shared a room and were known as "The Big Pair". The four girls sometimes signed letters using the nickname OTMA, which derived from the first letters of their first names. DNA testing on the remains of the royal family proved conclusively in 2009 that Anastasia’s younger brother, Alexei, suffered from Hemophilia B, a rare form of the disease. His mother and one sister, identified alternatively as Maria or Anastasia, were carriers. Symptomatic carriers of the gene, while not hemophiliacs themselves, can have symptoms of hemophilia including a lower than normal blood-clotting factor that can lead to heavy bleeding. If Anastasia lived to have children of her own, it’s genetically probable that they would have been afflicted by the disease. Appearance and personality Anastasia was short and inclined to be chubby, and she had blue eyes and blonde hair. Baroness Sophie Buxhoeveden, her mother's lady-in-waiting, reflected that "her features were regular and finely cut. She had fair hair, fine eyes, with impish laughter in their depths, and dark eyebrows that nearly met." Buxhoeveden believed that Anastasia resembled her mother, saying that she "was more like her mother's than her father's family." Anastasia was a vivacious and energetic child. Margaretta Eagar, a