쉐도잉 연습: Spay Anatomy in a Cadaver Dog - 영상으로 영어 말하기 배우기

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The purpose of this video is to show the abdominal anatomy of a dog as it relates to an ovario hysterectomy surgery.
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Okay, this is an adult female dog that has been euthanized
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and we can look at the anatomy inside of her to
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help us look at what we're going to be doing when we're spaying a dog.
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When you are inside of the dog's abdomen,
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the things that are important are the location of the uterine body.
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And the uterine body in this dog is here,
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and it lies between the bladder and the colon.
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and it's attached at the back of the dog
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and each horn goes up and attaches to the body wall by the respective kidney.
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This would be the left kidney and this will be the right kidney.
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One thing to notice is that the right kidney is more fixed
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and the right ovary is deeper in the body and harder to exteriorize because this right kidney is less mobile.
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And again, let's look at the left one and you can see that this is much more mobile
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and this ovary is much more easily exteriorized.
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The thing that's important when you're trying to use a spay hook is that the horn of the uterus
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is attached at the back of the body and up to the kidney.
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The other thing is the broad ligament and the round ligament.
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These two things are all part of what's detached here.
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So to retrieve the uterus, put that back in there, pretend like we're spaying her,
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you lift up, come around this side,
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lift up the body wall and send the spay hook directly along the body wall
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and you're trying to get to the bottom turn and lift to lift this up
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you can feel tension when you lift this and if you have tension you know you have what you're looking for
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if you do not have tension and you hook some intestines or something it'll just keep coming.
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One thing that happens frequently when you're trying to get the uterine body is that you will end up hooking the ligament,
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the round ligament.
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And this ligament will also give you that feeling of tension.
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And if you get it,
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it is best to follow the ligament forward to where it attaches to the uterine body by the ovary in this direction,
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rather than going caudally, because it goes away from the uterus.
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At the level of the uterine body and the ovary, which is right here, there is a ligament called the proper ligament.
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And that proper ligament goes between the ovary and the uterine body.
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This is a structure that is strong and you can put a clamp on it and use it to apply caudal traction.
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It's a tough structure.
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The next structure to see is the suspensory ligament
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which comes off of the ovary and attaches to the body wall by the kidney
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and the ovarian vessels which are right here.
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Right there.
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Inside the dog these things form a triangle.
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The ovarian vessels come from the bottom, from their origin, up to the ovary.
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The suspensory ligament comes off of the ovary and goes forward to the body wall.
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So when you're trying to break that suspensory ligament,
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It is best to put caudal traction on it and use your finger to push and break it.
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You can strum it like a guitar string or you can actually just grab it and pull and break it.
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Stop that.
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Now we'll look at the left uterine body, ovary, and suspensory ligament.
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To obtain the uterine body using a spay hook or your finger, first using the spay hook,
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you elevate the body wall
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and send the spay hook along the body wall to the bottom
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or dorsal most aspect of the abdominal cavity and then lift up
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and you will either get the uterine body or the broad ligament.
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If you get the uterine body, you take it up.
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If you get the broad ligament, you can follow the broad ligament in a cranial direction until
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you get to where it joins the uterine body and elevate it that way.
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To use your finger to obtain the uterus,
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you would put your finger in between the bladder and the colon and sweep along to ensnare the uterus.
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And it lies between the colon and the bladder, so if you use your finger in a sweeping fashion,
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you can pick up the eter and body that way.
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On this left side, the suspensory ligament is longer and looser than on the right side,
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and if you put up and caudal traction on this,
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you can tense the suspensory ligament notice that it is quite a distance away from the ovarian vessels.
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So if you're up here, you're not going to damage those.
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You're putting caudal tension and you can pull and tear this ligament.
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Like that to allow you to elevate the ovarian vessels.
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And then you can put a
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hole in the broad ligament and put a clamp below the ovary to begin to set yourself up to ligate them.
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Okay.
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Now we'll look at the right uterine body, ovary, and suspensory ligament.
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Okay, now we're going to go over using the spay hook or your finger to retrieve the uterine body.
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You can lift up the abdominal wall and send your spay hook inside along the abdominal wall to the bottom.
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Turn it perpendicular to the incision and lift up to find the uterus or the ligament.
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I have the ligament here and that will lead me to the uterus which is in the front.
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If you are having trouble, you can use your finger to find the place in between the colon and the bladder.
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Use your finger here and hook the uterus with your finger to lift it up.
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So you're going to go into the abdomen
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and find the place between the bladder and the colon and sweep and obtain the uterus in that way.
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When you get it, you're going to pull
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caudal traction on this uterus to put tension on the suspensory ligament
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which goes to the body wall off of the ovary and it is here.
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With caudal and upper tension you put pressure on the suspensory ligament to break it.
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You're breaking it or stretching it in that fashion so that you can elevate the ovary outside of the body wall.
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You don't have to completely disrupt the ligament, but you do put pressure on it to stretch it
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and get these vessels up where you can put a hole in the body
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and put a clamp on here and deal with them below the ovary.
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Now we'll go over a few things that should help you avoid some problems or deal with some problems should they occur.
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When you're making your incision into the abdomen of a dog, one thing that's important to realize is that the structures
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that lie just below the abdominal wall are generally the spleen and the bladder.
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They both can be easily cut with a scalpel blade and
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so it's important when you're making your incision to lift up the body wall
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when you're going in so you avoid hitting these structures.
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When you get them open you can move them out of the way,
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but when you're going in they frequently lie just below the body wall.
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They're the first thing that you're going to encounter
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when you go in so you've got to be careful not to cut them.
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Many people prefer to use the spay hook on the right side of the dog
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because the spleen is not on this side.
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The spleen lies on the left side of the dog
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and many times you can have trouble lacerating the spleen if you're using the spay hook on this side.
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So to use the spay hook on the right side,
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you go along the body wall to the bottom of the body and lift up,
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trapping the uterus or the broad ligament.
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If you have bleeding problems inside of the dog's abdomen during surgery,
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it's important to understand how to use the biological retractors.
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On the right side of the abdomen,
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the descending duodenum, which you can see next to the pancreas, is the biological retractor.
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You pick it up and and entrap the rest of the intestines in it.
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You can retract it to the side and more easily visualize the structures by the kidney and the ovarian vessels.
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Generally, you're looking for the ovarian vessel to re-ligate it or to be sure that it is not a source of bleeding.
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So by retracting the duodenum on the right side, that will enable you to visualize this area.
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On the left side of the dog, the descending colon is the biological retractor.
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You take the colon up and reflect it to the opposite side.
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And it will allow you to visualize this area around the
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base of the kidneys where you might have a bleeding ovarian vessel if a ligature has slipped.
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So again, this is the biological retractor on this side.
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And to look for a bleeder in the ovarian body,
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you reflect the bladder caudally and obtain the uterine body here.
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And you can inspect the body and the blood vessels on either side of it.
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Okay.
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If you've transected the ovary and reflected it backwards and have bleeding at your ovarian pedicle,
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what you need to do is to, on the left side, use the colon as the biological retractor,
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open up the abdomen, and find these blood vessels as they come off just coddled to the kidney.
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and this dog is not bleeding because she's euthanized
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but the blood vessels come off at the caudal aspect of the kidney
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and you want to try to obtain them with your finger and elevate them before you put a clamp on them.
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If you go in with a clamp and just clamp blindly
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There's a possibility of grabbing other vital structures such as the ureter
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that comes off of the kidney and that could be incorporated into your ligature when you tie that again.
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So again it is better technique to grab this pedicle with your fingers
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and elevate it before you put the clamp on it.

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추천 영상

이 레슨의 어휘와 말하기 포인트

이 C1 수준 말하기 레슨은 영상 “Spay Anatomy in a Cadaver Dog”을(를) 바탕으로 합니다. 가장 자주 반복되는 단어는 다음과 같습니다: ligament, ovary, wall, uterine, kidney. 이 영상에는 섀도잉할 문장 130개와 단어 1728개가 있습니다. 말하는 구간의 길이는 14:57입니다. 화자는 분당 약 116단어의 일정한 속도로 말해서 섀도잉하기에 편한 속도입니다. 영어에서 가장 많이 쓰이는 3,000단어에 속하는 단어가 80%뿐이라 어휘가 어려운 편입니다.

이 영상의 핵심 어휘

영상에서 가장 어려운 단어 15개를 발음, 뜻과 함께 정리했습니다.

단어발음뜻
ligament 명사/ˈlɪɡəmənt/인대
ovary 명사/ˈoʊvəɹi/난소
kidney 명사/ˈkɪdni/콩팥, 신장
colon 명사/ˈkoʊ.lən/쌍점, 콜론
clamp 명사/ˈklæmp/조임틀, 클램프
bladder 명사/ˈblædɚ/부레
abdomen 명사/ˈæb.də.mən/배, 복
bleed 동사/ˈbliːd/피를 흘리다
attach 동사/əˈtæt͡ʃ/첨부하다, 붙이다
spleen 명사/spliːn/지라
sweep 동사/swiːp/쓸다
duodenum 명사/ˌduəˈdinəm/십이지장
intestine 명사/ɪnˈtɛs.tɪn/창자, 창
anatomy 명사/əˈnætəmi/해부학, 해부
hysterectomy 명사/hɪstəˈɹɛktəmi/자군 절제

영상에 나오는 구동사

단어뜻
go up 동사올라가다
pick up 동사줍다

이 영상의 문법

화자가 가장 많이 쓰는 문형을 영상 속 실제 표현과 함께 정리했습니다.

문형영상 속 표현
수동태 be + 과거분사 — 누가 하는지보다 무슨 일이 일어나는지에 초점has been euthanized · is attached · can be easily cut
현재완료 have/has + 과거분사 — 과거의 일이 지금도 관련이 있을 때has been euthanized · has slipped · you've transected
관계절 who / which + 절 — 사람이나 사물에 대한 추가 정보ovary, which is · vessels which are · uterus which is

주의할 발음

화자는 you're, we're, we'll 같은 축약형과 약화된 형태를 30번 사용합니다. 들리는 대로 짧게 발음하세요.

  • “sh”와 “zh” 소리: traction /ˈtɹæk.ʃən/, incision /ɪnˈsɪʒən/, visualize /ˈvɪʒuəˌlaɪz/
  • 긴 단어 — 강세 위치에 주의: ovarian /oʊˈvɛɹi.ən/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/, anatomy /əˈnætəmi/, hysterectomy /hɪstəˈɹɛktəmi/, perpendicular /ˌpɜː.pənˈdɪk.jə.lə(ɹ)/

한국어 화자가 어려워하는 소리:

  • /v/ — ㅂ(/b/)과 구별하기: ovary /ˈoʊvəɹi/, ovarian /oʊˈvɛɹi.ən/, elevate /ˈɛləveɪt/, visualize /ˈvɪʒuəˌlaɪz/, retrieve /ɹɪˈtɹiːv/
  • /z/ — ㅈ이 아니라 성대를 울리는 /s/: visualize /ˈvɪʒuəˌlaɪz/, euthanize /ˈjuː.θənˌaɪz/, exteriorize /ɪkˈstɪɹi.əˌɹaɪz/
  • /r/과 /l/ 구별하기: cranial /ˈkɹeɪ.ni.əl/, dorsal /ˈdɔɹ.səl/, perpendicular /ˌpɜː.pənˈdɪk.jə.lə(ɹ)/, triangle /ˈtɹaɪˌæŋɡəl/

이 영상으로 연습하는 방법

  1. 먼저 말하지 않고 영상을 끝까지 듣고 모르는 단어를 적어 둡니다.
  2. 보통 속도로 한 문장씩 섀도잉하고, 화자의 리듬과 맞을 때까지 반복합니다.
  3. 자신의 목소리를 녹음해 원본과 비교하고, ligament, ovary, kidney 같은 단어에 특히 주의합니다.

쉐도잉이란? 영어 실력을 빠르게 키우는 과학적 방법

쉐도잉(Shadowing)은 원래 전문 통역사 훈련을 위해 개발된 언어 학습 기법으로, 다언어 학자인 Dr. Alexander Arguelles에 의해 대중화된 방법입니다. 핵심 원리는 간단하지만 매우 강력합니다: 원어민의 영어를 들으면서 1~2초의 짧은 지연으로 즉시 소리 내어 따라 말하는 것——마치 '그림자(shadow)'처럼 화자를 따라가는 것입니다. 문법 공부나 수동적인 청취와 달리, 쉐도잉은 뇌와 입 근육이 동시에 실시간으로 영어를 처리하고 재현하도록 훈련합니다. 연구에 따르면 이 방법은 발음 정확도, 억양, 리듬, 연음, 청취력, 말하기 유창성을 크게 향상시킵니다. IELTS 스피킹 준비와 자연스러운 영어 소통을 원하는 분들에게 특히 효과적입니다.

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