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© 2017 Wolters Kluwer Health, Inc. All rights reserved. Purpose of review Advances in technology coupled with increased penetration of mobile phones and smart devices are rapidly changing healthcare delivery. Mobile phone applications ('apps'), text messages, and Internet platforms used alone or in combination are now providing interventions targeting people with multiple cardiovascular risk factors. The present article will review the emerging evidence regarding apps and discuss their potential role in providing secondary prevention interventions via mobile phones. Recent findings Seven recent randomized controlled trials used text messages or apps for six to 12 months, with or without differing combinations of other technology platforms. All studies, involved cardiac and diabetes populations, and demonstrated at least one positive improvement to cardiovascular risk factor profiles. When measured, acceptability of the intervention was high. Summary Mobile apps and technology can deliver positive outcomes in the management of cardiovascular risk factors. However, because of the complexity of combination interventions, it is difficult to determine the 'active' ingredient. A future challenge for researchers and clinicians will be to respond quickly to these rapidly evolving interventions in order to ensure the delivery of effective, evidence-based outcomes.

Despite considerable literature on the Bush administration’s war on terrorism rhetoric, little attention has been paid to its discourse of moral disengagement, leaving an important and still relevant gap that this paper aims to address. Rather than approaching this gap in terms of an archival historical analysis that is disconnected from the present, it proposes an exploratory revisit of the rhetoric that the benefits of hindsight might enrich and, we argue, aid in understanding connections to the current post-invasion turmoil and the gradual ISIS takeover. Having subjected nineteen presidential speeches to qualitative content analysis, we identified a number of moral disengagement mechanisms: moral justification, advantageous comparisons, and attribution of blame, dehumanisation of the enemy, the use of sanitizing language, diffusion of responsibility and minimization of harm. We also identified novel themes relating to American excellence/patriotism, religious ideals and fear- arousing appeals, offering original contributions to the existing literature and advancing our understanding of dynamic, real-world, and highest stakes moral disengagement whose parallels can be identified in today’s political discourses. The detailed analysis unveils the apparent paradox of propagating moral disengagement through a thread of arguments that interweave diversity with uniformity, complexity with simplicity, in effect alerting the reader to the processes of moral desensitisation that the past, current and future “warmongering” political discourses may often rely upon.