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Genetic Counseling and the Laws of Probability | |
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Genetic Counseling and the Concept of Risk | |
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The Laws of Probability | |
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The Binomial Distribution | |
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Bayes' Theorem | |
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Case Scenario | |
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Autosomal Dominant Inheritance | |
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Reduced Penetrance | |
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Disorders with Late Onset (Age-Dependent Penetrance) | |
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Variable Expression | |
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Parents Have Two Different Autosomal Dominant Disorders | |
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Parents Have the Same Autosomal Dominant Disorder | |
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Affected Siblings Born to Unaffected Parents | |
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Anticipation | |
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Autosomal Recessive Inheritance | |
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Hardy-Weinberg Equilibrium | |
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Risk to the Offspring of a Healthy Sibling | |
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Risks to the Extended Family | |
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Risks to the Offspring of an Affected Homozygote | |
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Two Brothers Marry Two Sisters | |
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Siblings with Different Autosomal Recessive Disorders | |
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Allowing for Separate Mutations | |
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Consanguinity | |
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Direct Mutation Analysis and Multiple Alleles | |
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Case Scenario | |
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X-Linked Recessive Inheritance | |
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The Prior Probability That a Female Is a Carrier of an X-Linked Recessive Disorder | |
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The Probability That the Mother of an Isolated Case Is a Carrier | |
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The Carrier Risks for Female Relatives of an Isolated Case | |
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Different Mutation Rates in Males and Females | |
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Biological Fitness Is Greater Than Zero | |
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Case Scenario | |
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The Use of Linked DNA Markers | |
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Basic Principles of Genetic Linkage | |
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Autosomal Dominant Inheritance | |
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Autosomal Recessive Inheritance | |
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X-Linked Recessive Inheritance | |
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Using Information from Flanking Markers | |
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Disorders with Late Onset | |
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Parental Genotypes Not Known | |
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Linkage Disequilibrium | |
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Linkage Heterogeneity | |
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Case Scenario | |
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Germline Mosaicism | |
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What is Germline Mosaicism? | |
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A Simplified Model of Gametogenesis | |
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Applying This Simple Model | |
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Risk Estimates for Use in Counseling | |
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Case Scenario 1 | |
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Case Scenario 2 | |
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Polygenic and Multifactorial Inheritance | |
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Polygenic Inheritance and the Normal Distribution | |
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The Liability/Threshold Model | |
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General Principles in Counseling for Multifactorial Disorders | |
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Computer Program for Risk Estimation | |
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The Use of Susceptibility Loci | |
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Cancer Genetics | |
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Breast Cancer | |
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Colorectal Cancer | |
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Balanced Chromosome Rearrangements | |
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Reciprocal Translocations | |
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Robertsonian Translocations | |
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Three-Way Translocations | |
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Pericentric Inversions | |
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Paracentric Inversions | |
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Insertions | |
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Rearrangements Involving an X Chromosome | |
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Case Scenario | |
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Other Mechanisms of Inheritance | |
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X-Linked Dominant Inheritance | |
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X-Linked Dominant Inheritance with Male Lethality | |
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X-Linked Dominant Inheritance with Male Sparing | |
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Metabolic Interference | |
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Digenic Inheritance | |
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Uniparental Disomy and Imprinting | |
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Somatic Crossing-Over | |
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Meiotic Drive | |
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Mitochondrial Inheritance | |
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References | |
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Appendices | |
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Ultrasound and Prenatal Diagnosis | |
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Overlapping Normal Distributions | |
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Length of Prometaphase Chromosome Segments | |
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Index | |