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Paternity adjudication: in the best interests of the out-of-wedlock child.

Little effort has been exerted by health, social work, and education professionals in the arena of out-of-wedlock births to speak for the economic and psychological benefits that attach to the child's right to legal paternity. In the large majority of instances, no paternity adjudication is sought, and these children are deprived of their rights.

Child↗

Bayesian interval estimation of genetic relationships: application to paternity testing.

Using genetic marker data, we have developed a general methodology for estimating genetic relationships between a set of individuals. The purpose of this paper is to illustrate the practical utility of these methods as applied to the problem of paternity testing. Bayesian methods are used to compute the posterior probability distribution of the genetic relationship parameters. Use of an interval-estimation approach rather than a hypothesis-testing one avoids the problem of the specification of an appropriate null hypothesis in calculating the probability of paternity. Monte Carlo methods are used to evaluate the utility of two sets of genetic markers in obtaining suitably precise estimates of genetic relationship as well as the effect of the prior distribution chosen. Results indicate that with currently available markers a "true" father may be reliably distinguished from any other genetic relationship to the child and that with a reasonable number of markers one can often discriminate between an unrelated individual and one with a second-degree relationship to the child.

Bayes Theorem↗

Childhood brain tumors and paternal occupation in the aerospace industry.

Data from a case-control study of childhood brain tumors were analyzed to examine the possibility that paternal occupation in the aerospace industry is related to the development of a brain tumor in offspring. Parents of 51 children with brain tumors diagnosed in western Washington State during 1978-81 were interviewed, and their responses were compared to those of parents of 142 children selected at random from this population. Among all children, proportions of case and control fathers who had ever been employed in the aerospace industry were nearly identical [relative risk (RR) = 0.94; 95% confidence interval (CI) = 0.40-2.19]. Employment in the aerospace industry during the period from 1 year prior to birth to the time of diagnosis and any employment in the manufacturing part of the industry were not associated with increased risk. However, stratification by age at diagnosis revealed an increased risk associated with father's ever-employment in the industry (RR = 2.10; 95% CI = 0.79-5.60) for children under 10 years old. A corresponding decreased risk (RR = 0.12; 95% CI = 0.01-1.08) was found for children over 10 years old. Because of the relatively small number of cases with a positive paternal occupational history, interpretations of the difference in the direction of the association according to age at diagnosis must remain tentative ones.

Adolescent↗

[Validation of paternity in a father-mother-child trio, by the use of genetic markers. Description of a program to aid in the decision. Determination of the optimal sequence of examinations].

The knowledge of human polymorphism provides aid to the decision for the diagnosis parenthood. This work gives an algorithm of paternity diagnosis on a (presumed father, mother, child) triplet: the program verifies the logical relationships and calculates several indices used to estimate the likelihood of non-exclusion. We propose to attach greater importance to a neglected index: the percentage of subjects for which the paternity is excluded for the doublet (Mother, Child). Finally, we determine the most efficient and most economical sequence for the sequential use of genetic markers.

Alleles↗

The palatal ruga pattern in possible paternity determination.

The use of a genetic marker in paternity determination has been successful with the ABO blood group system but unsuccessful in dermatoglyphics and palatal rugae because the genetic mechanism is polygenic. The palatal rugae of 17 families (34 parents and 49 children) were classified and recorded, and the data used to construct a statistical analysis system (SAS) cluster map. A positive result would have meant a father clustering with all his children at Level 83, where, in fact, the best result achieved was at Level 5. The best cluster occurred at Level 82 between the ten-year-old boy of Family 7 and the eleven-year-old girl of Family 3. It is thus clear that the palatal rugae cannot be used in a practical procedure to determine paternity.

ABO Blood-Group System↗

Medicolegal aspects of paternity testing.

Blood group testing has achieved wide acceptance by the courts as a major scientific determinant in paternity proceedings. Other tests, including H-LA types and hemoglobin determinations, are also being used with increasing frequency; however, there are legal safeguards which must be met to satisfy the court's need to ensure the validity of the tests and their interpretation. In order for the results of paternity testing to be admitted into testimony (evidence) the following should be established: 1) proof that proper persons provided the blood samples; 2) consent to the tests and permission for release of information regarding test results; 3) proof that the speciment was correctly labeled and transported; 4) documented accuracy of the testing procedures; 5) fact testimony regarding the test results; and 6) expert testimony explaining the exclusion principle. In the future, laboratory personnel can expect wider application of these and other laboratory results to legal proceedings. For determinations derived from any laboratory testing to be admissable as evidence, the courts will apply the above safeguards.

Blood Group Antigens↗

Paternal age and Down syndrome in British Columbia.

Among Down syndrome cases born in 1964--1976 reported to the British Columbia Registry for Handicapped Children, the mean parental age was about half a year greater than in the entire population of live births after controlling for maternal age, a difference significant at the .05 level. After adjustment for maternal age, a regression analysis was consistent with an increase of 1.024-fold for each year of paternal age. Among Down syndrome cases in 1952--1963, however, for which ascertainment appears likely to be less complete, there was no evidence for a significant paternal age effect. The reasons for the variation between the two groups investigated here and the heterogeneity in results among studies of other populations are discussed.

British Columbia↗

Usefulness of lymphocyte typing to exclude incorrectly assigned paternity in horses.

Lymphocyte typing can be used to detect incorrectly identified parentage of horses. Efficacies of lymphocyte typing to solve paternity questions were calculated using gene frequency estimates of equine lymphocyte antigen (ELA) markers for Thoroughbreds and Standardbreds. Probabilities that ELA typing will detect an incorrectly assigned sire were 68.7% in Thoroughbreds, 67.9% in pacing Standardbreds, and 62.0% in trotting Standardbreds. These calculations demonstrate that ELA typing is among the most efficacious genetic systems for solving paternity questions in horses. Likewise, it could also be effective for blood type identification and solving other questions of parentage in horses.

Animals↗

[Problems and dilemmas in the testing of genetic characteristics of the blood for the purpose of determining disputed paternity (forensic hemogenetics)].

The work presents certain groups of cases selected from more than 1500 triplets (father-mother-child) we tested from 1979. to 1984., in order to indicate certain dilemmas in making definite conclusions on disputed paternity. 55 cases of the first rule exclusions, using one system only were found to be definite; one conclusion on disputed paternity exclusion using Duffy system only was found to be correctly finished, although we should not recommend it; extention of the analysis set with HLA-A, B, C products determination significantly increases exclusion percentage of misjudged fathers; in the analyzed group of 22 exclusions where HLA antigens were determined, during the second stage or simultaneously with the determination of erythrocytes, we found 7 exclusions according to erythrocyte system, also confirmed according to HLA; 12 cases with exclusions according to HLA only, 3 cases with no exclusions either according to erythrocyte system or HLA; according to Duffy system we had two cases of apparent maternity exclusions.

Blood Group Antigens↗

Hyperprolactinemia in women with paternal deprivation during childhood.

It was reported that most females with prolactinoma, idiopathic hyperprolactinemia, or euprolactinemic galactorrhea were reared either without their father or with an alcoholic, violent father. To gain further insight into this association, a group of sisters of patients with prolactinoma (generally exposed to the same environment as the patients') and a control group were studied. Women with paternal deprivation during childhood differed from the women who had normal childhoods in that they had: 1) higher mean serum prolactin concentration (14.7 versus 9.4 ng/mL; P less than .001); 2) higher incidence of hyperprolactinemia (12 of 50 versus three of 59; P less than .005); and 3) higher incidence of galactorrhea (14 of 50 versus seven of 59: P less than .03). These observations support the contention that paternal deprivation during childhood is associated, in a minority of women, with a predisposition to develop hyperprolactinemia and presumably, prolactinoma later in life. A hypothesis on the possible mechanisms of a casual relationship is presented.

Female↗

The double-edged sword: paternalism as a policy in the problems of aging.

Paternalism--coercive or deceptive interference in a citizen's life for his own good--is much in evidence in our policies regarding the aged. Some argue that paternalism is an unwarranted denial of individual liberty, ,for doubtful societal gain. Others contend that freedom has but instrumental value, and the aged cannot always use it effectively to aid in pursuit of their own happiness. The philosophical and political choices made on behalf of the aged must be understood as imperfect compromises.

Aged↗

[The control function of anthropologic and genetic biology expertise in the legal determination of paternity].

This is an example of a case presented at the meeting of the association of heredo-anthropologic evaluaters (Arbeitsgemeinschaft anthropologisch-erbbiologischer Gutachter) in Tübingen (Feb. 16th/17th, 1979). The meeting included beyond the morphological experts serologists as well as judges. The question is being raised whether an heredo-anthropological evaluation can be used as a control in the scientific clarification of paternity cases. This control could consist on the one hand in the confirmation of a serological exclusion constellation. On the other hand it could also be instrumental in raising doubts or even it could reverse the serological findings (exclusion) with results bordering on certainty in the determination of a paternity. The convention was initiated by a case in which a doubtless maternity was excluded in three serological systems.

Female↗

Human histocompatibility complex (HLA). The distribution of HLA-ABC antigens and structure of exclusions in investigations on disputable paternity in population of north-eastern Poland.

In the present study 80 cases of disputable paternity analysed at the Department of Forensic Medicine in Bialystok in years 1990-1993 were reviewed. Gene frequencies of HLA antigens calculated for the north-eastern population of Poland are not significantly different from those reported for all-Polish population. Similarly, the most frequent HLA haplotypes calculated per 10,000 individuals for the studied population corresponded to those reported by others for central European population. In 13 cases (16.3%) paternity of a defendant was excluded. One case (7.7%) represented exclusions based on three antigens (of loci A, B and C), four cases (30.8%)-exclusions based on two antigens (of loci A and B) and eight cases (61.5%) exclusions based on one antigen (three of locus A and five of locus B).

Adult↗

Adverse effects of paternal opiate exposure on offspring development and sensitivity to morphine-induced analgesia.

We have shown previously that chronic morphine administration to adolescent male rats produced a number of gender specific deficits in their offspring. The purpose of the present studies was to extend our earlier observations by examining the acute, direct effects of morphine exposure to male rats on their fertility and the development of viable offspring. Sexually mature male rats were injected with a single dose of morphine (25 mg/kg) and 24 hr later were bred with drug-naive females. Fertility rates (vaginal plugs and pregnancies) were monitored throughout the breeding period as was the development of the offspring. Our results showed that a large, acute dose of morphine given to drug-naive male rats 24 hr before the initiation of breeding had no effect on fertility rates, but produced several adverse effects on fetal outcome. Litter sizes in morphine-derived offspring were considerably smaller than in controls and mortality rates were more than 6 times higher. Moreover, morphine-derived male, but not female, offspring had a significantly enhanced sensitivity to the antinociceptive effects of morphine. Collectively, these data suggest that acute paternal morphine exposure just before breeding with drug-naive females had no effect on fertility, but exerted negative effects on the viability and development of their offspring. These results represent the most compelling evidence to date that paternal opiate exposure can adversely affect fetal outcome and are particularly striking in that they were produced by a single injection of morphine. We are aware of no animal studies, clinical cases or anecdotal reports in humans in which such a phenomenon has been described.

Analgesia↗

Paternally derived H19 is differentially expressed in malignant and nonmalignant trophoblast.

The paternal allele of the H19 gene has been shown to be transcriptionally inactive in the developing human embryo. Using reverse transcription PCR and RNase protection assays, we demonstrate that expression of H19 is predominantly, but not exclusively, from the maternal allele in the human placenta. In situ hybridization analysis shows strong expression of the H19 gene in eight complete hydatidiform moles, hyperplastic tissues consisting of trophoblasts which contain only paternally derived genetic material, indicating that H19 is not functionally imprinted in this tissue. H19, a putative growth suppressor, is oppositely imprinted to the neighboring insulin-like growth factor II (IGF2) gene and an up-regulation of IGF2 expression has been linked previously to a down-regulation of H19 expression in the progression to Wilms' tumor. Two cases of complete hydatidiform mole which progressed to choriocarcinoma show high levels of expression of both H19 and IGF2. The choriocarcinomas which developed from these complete hydatidiform moles showed similar expression of IGF2 but a decreased number of H19-positive cells, which may reflect selection for cells expressing IGF2 and against those expressing H19 in this tissue.

Alleles↗

Paternity identification in twins with different fathers.

If a female has sexual intercourse with two males at short intervals within the same ovulatory period, superfecundation may occur. This article reports two cases of paternity identification in twins. The results showed that each twin had come from a different father. Thus, great attention should be paid to such a situation when the twin paternity identification is asked for.

Blood Grouping and Crossmatching↗

Prenatal exclusion of paternity by PCR-FLP analysis of VNTR.

A prenatal paternity test was requested by a 30-year-old woman. Variable number of tandem repeat (VNTR) systems were used for DNA analysis by means of amplification and electrophoresis followed by ethidium bromide staining or Southern blotting and oligonucleotide hybridization. Exclusion of paternity could be established on the basis of the great polymorphism and heterozygosity indexes of these genetic systems. This rapid method presents several advantages in contrast with other recombinant DNA techniques such as HLA class II oligotyping or RFLP.

Adult↗

[Paternity test by DNA fingerprinting in a sexual assault].

We have applied the method of DNA fingerprinting to resolve a paternity case. DNA samples were extracted from the blood of mother, child (4 months old fetus) and alleged father, digested with the restriction endonuclease Hinf I and Hae III, size separated by agarose gel electrophoresis, and hybridized with the multi-locus minisatellite probe B.E.S.T.-MZ1.3 digoxigenin. DNA fingerprinting patterns in the child and alleged father indicated possibly paternity. Following extraction of DNA from cord blood (infant of 26 to 39 week's gestation), the quantity of DNA isolated was determined on a spectrophotometer at 260 nm and its integrity by electrophoresis in agarose gels. We found that high-molecular-weight DNA could be recovered in large quantities from cord blood as well as from adult blood.

DNA↗