The authors report the case of a patient who consulted primarily for depression and anxiety and was secondly diagnosed with Marfan syndrome. The question of whether psychiatric symptoms are part of the Marfan syndrome or merely incidental to it is raised.

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The paper investigates the benefits of certification of cooperatives in conflict‐affected areas. We study whether and how certification may contribute to attenuate the impact of conflicts on the members of coffee cooperatives in the Eastern DRC. We use an inverse probability weighted difference‐in‐difference approach to study data collected between December 2017 and October 2019 from four NGO‐supported cooperatives. Two of these cooperatives got organic certification in 2018, of which one got an additional Small Producers Symbol (SPP) certification in 2018. Certified cooperatives allow Arabica coffee producers to access markets and buffer against drops in market prices. Results indicate that certified cooperatives were better able to resist the international price drop than non‐certified cooperatives and the alternative informal markets. The results also suggest that certified cooperative members increased their sales to the cooperative instead of turning to informal side‐selling. We find a decrease in reported food deficits by the members of certified cooperatives and an increase in the importance of coffee in their household's income. We conclude that certification is an effective way forward for smallholder coffee producers and cooperatives in unstable regions.