Imposing on Napoleon: the Romantic appropriation of Bonaparte

This article explores how major British Romantic writers perceived Napoleon in the early nineteenth century: the ideas they associated with him and the images they used to depict him. I argue that these perceptions have relatively little to do with the politics of the various writers, or with the chronology of Napoleon’s career. Instead, interest in Bonaparte is driven by aesthetic and philosophical concerns: especially the question of whether Napoleon is an ordinary man ‘within’ history, or a semi-allegorical personage -a representative of some ideology or concept (like Liberty or Heroism). I also discuss how Napoleon is appended to the Romantic problem of the ‘overreacher’, who fails due to his glorious success, and who thus blurs the boundaries between triumph and failure. Lastly, I show how Napoleon influences Romantic concern about ‘imposing’ ideas onto analysis of the world. In this way, Napoleon exposes insecurities at the heart of Romantic self-perception

In vivo ureteroscopic intrarenal pressures and clinical outcomes: a multi-institutional analysis of 120 consecutive patients

  Objectives To evaluate the pressure range generated in the human renal collecting system during ureteroscopy (URS), in a large patient sample, and to investigate a relationship between intrarenal pressure (IRP) and outcome. Patients and Methods A prospective multi-institutional study was conducted, with ethics board approval; February 2022–March 2023. Recruitment was of 120 consecutive consenting adult patients undergoing semi-rigid URS and/or flexible ureterorenoscopy (FURS) for urolithiasis or diagnostic purposes. Retrograde, fluoroscopy-guided insertion of a 0.036-cm (0.014″) pressure guidewire (COMET™ II, Boston Scientific, Marlborough, MA, USA) to the renal pelvis was performed. Baseline and continuous ureteroscopic IRP was recorded, alongside relevant operative variables. A 30-day follow-up was completed. Descriptive statistics were applied to IRP traces, with mean (sd) and maximum values and variance reported. Relationships between IRP and technical variables, and IRP and clinical outcome were interrogated using the chi-square test and independent samples t-test.   Results A total of 430 pressure traces were analysed from 120 patient episodes. The mean (sd) baseline IRP was 16.45 (5.99) mmHg and the intraoperative IRP varied by technique. The mean (sd) IRP during semi-rigid URS with gravity irrigation was 34.93 (11.66) mmHg. FURS resulted in variable IRP values: from a mean (sd) of 26.78 (5.84) mmHg (gravity irrigation; 12/14-F ureteric access sheath [UAS]) to 87.27 (66.85) mmHg (200 mmHg pressurised-bag irrigation; 11/13-F UAS). The highest single pressure peak was 334.2 mmHg, during retrograde pyelography. Six patients (5%) developed postoperative urosepsis; these patients had significantly higher IRPs during FURS (mean [sd] 81.7 [49.52] mmHg) than controls (38.53 [22.6] mmHg; P  Conclusions A dynamic IRP profile is observed during human in vivo URS, with IRP frequently exceeding expected thresholds. A relationship appears to exist between elevated IRP and postoperative urosepsis.</p