At first sight, Hayate appeared to be not in the best of health, as he had an unexplained chronic cough and eye bags. He, however, is scheduled to be the proctor during the final rounds of the Chnin Exams, and as such, oversees the preliminary matches that will decide who advances to the final round. During the battle between Neji and Hinata Hyga after an enraged Neji prepared to attack Hinata with the intent of killing her, Hayate along with the other jnin present stopped him from doing so. After the preliminaries were completed, the participants were given a chance to train and recuperate. In the anime, learning of the deaths of several Anbu who had been assigned to guard Sasuke Uchiha, Hayate worried about Ygao who was in that unit, rushing to the village hospital. After a brief conversation with Ygao, in which the two lovers promised on the moon to be there to protect each other no matter what, he was assigned by the Third Hokage to investigate Kabuto Yakushi, who had been revealed as Orochimaru's spy after a confrontation with Kakashi, tracking his target to Kiky Castle.

Hayate learned of Sunagakure and Otogakure's plans to invade Konoha after overhearing the conversation between Baki and Kabuto. Before he could escape to tell the Third Hokage what he had learned, he was sensed by the two and chased down. After a short battle with Baki, Hayate used his Dance of the Crescent Moon technique on him. However, the swing of his blade was too shallow and got stuck in his flak jacket. As Baki praised him for his skill and effort, he used his Blade of Wind technique to kill Hayate. His body was found the next day by a squad of Anbu, including Ygao, who had been sent to investigate the sounds of a disturbance in the area. Genma Shiranui subsequently replaced Hayate as proctor for the Chnin Exam finals. In the anime, the fight between Hayate and Baki was expanded upon, revealing Baki actually needing to use his bare hand to stop Hayate's strike. It is shown that Hayate was hit multiple times by wind discs and that Kabuto took away his DNA, removing his corpse's odour in the process.


Bob Proctor Kimdir


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3. Proficiency in performing TSP is a key factor for a successful LAAO programme; adequate experience in safe and accurate TSP technique and performance of at least 10 TSPs in other procedures or guided by an expert in the initial LAAO procedures prior to embarking on the unproctored performance of LAAO.

Depending on their background, during training operators should focus on different aspects of the procedure. For example, interventional cardiologists who are not familiar with TSP should acquire adequate experience before starting to perform LAAO or be proctored by an expert for at least the first 10 LAAOs. Experience in manipulating and deploying devices for other structural heart disease operations can be valuable for improving LAAO techniques, so operators should be encouraged to participate in several such interventions if feasible. Knowledge of more than one device type for LAAO is also welcomed as it may increase the spectrum of anatomies to be treated. In case of minimal experience in cardiac imaging and depending on which modality is used in a particular centre, operators should attend relevant cardiac imaging courses before embarking on LAAO procedures and consult respective experts for individual cases.

3. During their first procedures with each kind of device, operators should be properly proctored by experienced operators. The number of proctored cases before becoming an independent operator varies and depends on previous experience in LAAO, structural heart disease, AF ablation, or other relevant interventions. In principle, proctoring should be provided until both operator and proctor agree that the operator can perform LAAO alone with adequate safety and confidence. In case the operator has not performed an LAAO procedure for an extended period of time, proctoring should be re-offered, if prior experience was small.

9. Chapter 9 deals with standards for training of operators and centre readiness. We believe that embarking on LAAO requires extensive understanding of the LAAO anatomy, proficiency in procedures involving TSP techniques, thorough understanding of the device operation and procedure acquired through online courses and workshops. We also encourage operators to have training in experienced centres or to be proctored at their own centres with their organic team. Special attention should be given to the training of echocardiography experts in order to support these procedures. Immediate access to pericardial tap and the availability of cardiac surgery with open chest within one hour of the complication are prerequisites. 2351a5e196

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