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Comparing the DNA sequence of an individual to that of another individual can show whether one of them was derived from the other. However, DNA paternity tests are not currently 100% accurate. Specific sequences are usually looked at to see whether they were copied verbatim from one of the individual's genome to the other. If that was the case, then the genetic material of one individual could have been derived from that of the other (i.e., one is the parent of the other). Besides the nuclear DNA in the nucleus, the mitochondria in the cells also have their own genetic material termed the mitochondrial DNA. Mitochondrial DNA comes only from the mother, without any shuffling.

Accu-metrics.com:In testing the paternity of a male child, comparison of the Y chromosome can be used since it is passed directly from father to son.

In the US, AABB has regulations for DNA paternity and family relationship testing, however, AABB-accreditation is not necessary. DNA test results are legally admissible if the collection and the processing follows a chain of custody. Similarly in Canada, the SCC has regulations on DNA paternity and relationship testing, however, this accreditation is recommended but not necessary.

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NIH guidelines for the diagnosis and management of food allergy and the diagnosis and management of asthma recommend either allergy blood testing or skin prick testing to reliably determine allergic sensitization.

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DNA testing is currently the most advanced and accurate technology to determine parentage. In a DNA parentage test, the result (called the 'probability of parentage) is 0% when the alleged parent is not biologically related to the child and the probability of parentage is typically 99.99% when the alleged parent is biologically related to the child. However, while almost all individuals have a single and distinct set of genes, rare individuals, known as "chimeras", have at least two different sets of genes, which can result in a false negative result if their reproductive tissue has a different genetic makeup from the tissue sampled for the test.
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In the United States, paternity testing is fully legal, and fathers may test their children without the consent or knowledge of the mother. Paternity testing take-home kits are readily available for purchase, though their results are not admissible in court, and are for personal knowledge only. Only a court-ordered paternity test may be used as evidence in court proceedings. If parental testing is being submitted for legal purposes in the U.S. including immigration, testing must be ordered through a lab that has AABB accreditation for Relationship DNA testing. All accredited labs are listed on the AABB's website. The legal implications of a paternity result test vary by state and according to whether the putative parents are unmarried or married. If a paternity test does not meet forensic standards for the state in question, a court ordered forensic test may be required for the results of the test to have legal meaning.

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