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Starch-based flocculants have been emerged as a promising alternative to conventional synthetic flocculants in wastewater treatment, especially for the treatment of oil sand tailings, as they are low cost, safe, biodegradable, fairly shear-stable, readily available from reproducible agricultural resources, and do not result in secondary pollution. In this paper, three types of polymer-grafted starches (St-g-Polymer) with different charge properties were synthesized and their molecular structures were controlled by atom transfer radical polymerization (ATRP). The correlations between the charge properties of starch-based flocculants, external environmental parameters, and flocculation performance were systematically investigated by conducting jar tests under various environmental conditions. It was found that the charge properties of the branch chain had a significant impact on flocculation performance. The cationic St-g-Polymer demonstrated the best performance due to the grafting of the cationic monomer to the starch backbone which improved the solubility of the copolymer and aided in the removal of small/water-soluble particles. The results obtained could assist in guiding the selection and design of suitable biodegradable flocculants when treating targeted wastewater.

Chylous ascites is a form of peritoneal fluid accumulation that can arise from trauma or lymphatic obstruction. In this report, we present the first case of chylous ascites following laparoscopic donor nephrectomy in our high-volume kidney transplant center. The patient presented to the emergency department three weeks post-procedure with complaints of abdominal distention and discomfort, accompanied by constipation and nausea. Radiological confirmation of ascites was followed by paracentesis, which yielded 20 mL of milky fluid that was analyzed and confirmed as chylous ascites. A subsequent pigtail drain was inserted, resulting in a total drainage of 4 L of fluid. Chylous ascites is a rare complication of abdominal surgeries, with higher body mass index and the American Society of Anesthesiologists physical status score system being significant risk factors. Conservative management involving diet modification is the initial therapy, with percutaneous drainage or more aggressive surgical interventions considered if conservative measures are not effective, with high success rates reported for these interventions. Here, we report a case of chylous ascites following donor nephrectomy as the first case reported from our region.