Severe "silent" mitral regurgitation after myocardial infarction: a clinical conundrum.

Cynics ons SugarLoafmountain granite stack at 30 metres a day, spending most of their time bivouacked in portable platforms hanging from a single hook. From the city you could just see their banner, tiny against the grey green rock face, creeping higher day by day. It was like a barometer for the negotiations. Today they would reach the top. As Edwin Drummond and Tess Burrows finally scrambled over the ledge the idealism in their sunburnt faces contrasted starkly with the cynicism being expressed below. The people hugging them were idealists too. "The easiest thing in the world is to complain," said Robert Swan, the UN ambassador for environment and youth. "But what has happened in Rio is positive, there's no question about it. The time for confrontation is over. We have to give young people hope. Unless we inspire them now they won't bother to turn up next time."