The "things" (こと) I do with my "ma" (ま) are always supported by sincerity and truth. I am always sincere with my mom. That's why the things I do with ma are always sincere. I have a name for this, it is ma 事 (まこと), because with ma, sincerity is the most important thing to do.
I’m sincerely upset that the judge accepted his plea of not guilty by reason of insanity.