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Modeling is essential for the investigation of material-energy transport processes below the surface. During the construction of groundwater flow models hydraulic conditions are usually not considered below the investigated space. The boundary conditions are mostly fixed at the border; i.e. there is no flow across the boundary. However, this condition is not tenable in every case, so its practical applications may lead to false conclusions. The present paper shows how the flow geometry changes with the modification of the lower-boundary condition and fault zone conductivity in a study area near Debrecen, NE Hungary.

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The general characterization of the Hungarian Szentes geothermal field is presented based on the review of previous research and is supplemented with the analysis of well hydraulic tests. Forty thermal wells were included in the study area, producing mainly from Upper Pannonian sandstone reservoirs. The intensive and long-term production of thermal water reservoirs without reinjection resulted in significant reservoir pressure decrease from natural conditions. By means of deep-well pressure build-up curves, deep-well capacity curves and surface pressure curves the reservoir condition changes were described in the last half century.

Open access

A gyógyszeres kezelésre nem javuló hirtelen halláscsökkenés lépcsőzetes sebészi terápiája

Staged surgical management of idiopathic sudden sensorineural hearing loss refractory to medical treatment

Orvosi Hetilap
Authors: Márton Kovács, János Uzsaly, Gréta Bodzai, Imre Gerlinger, István Szanyi, and Péter Bakó

Összefoglaló. A hirtelen halláscsökkenés patofiziológiája még nagyrészt tisztázatlan, így oki terápia nem lehetséges. Az elsődleges kezelést a helyileg vagy szisztémásan adott kortikoszteroid jelenti, egységes protokoll azonban nem áll rendelkezésre. Nagy vagy súlyos fokú hirtelen halláscsökkenés esetén kóroki tényezőként felmerül a perilymphafistula lehetősége még azoknál a betegeknél is, akiknél nem szerepel trauma az anamnézisben. A kórkép műtéti kezelése a dobüreg feltárását követően a belső fül ablakainak obliterálása. Amennyiben ez a megoldás nem eredményez megfelelő hallásjavulást, hagyományos vagy implantálható hallókészülékek alkalmazása javasolt. A közleményben részletezett esetünkben teljes siketséggel járó, jobb oldali hirtelen halláscsökkenés alakult ki, melynek hátterében egyértelmű okot azonosítani nem sikerült. Az eredménytelen kombinált, intratympanalis és szisztémás szteroidkezelést követően exploratív tympanotomiát végeztünk, melynek során a belső fül ablakait obliteráltuk. Hallásjavulást ezt követően sem sikerült kimutatni, így cochlearis implantáció elvégzése mellett döntöttünk. Az implantációt a kerek ablakon keresztül végeztük, mely alapján kijelenthetjük, hogy az előzetes kerekablak-obliteráció nem zárja ki a későbbi cochlearis implantációt. Orv Hetil. 2021; 162(51): 2055–2060.

Summary. The pathophysiology of sudden sensorineural hearing loss is mainly unknown, therefore no causative treatment exists. Systemic and local administration of corticosteroids serves as first line therapy although protocols vary. In cases of severe or profound hearing loss with no improvement for medical therapy, perilymphatic fistulae can be assumed even without any history of trauma. Therefore, inner ear window obliteration as a primary surgical option in the early stage can be considered. For patients without complete recovery, conventional hearing aids or implantable hearing devices can be offered. In our case report, we present a patient with right sided idiopathic sudden deafness. After failure of conservative combined intratympanic and systemic steroid therapy, explorative tympanotomy and obliteration of the inner ear windows were performed. As no hearing improvement was witnessed, successful cochlear implantation via round window insertion was performed. Our case justifies that obliterating the round window membrane does not rule out further successful cochlear implantation. Orv Hetil. 2021; 162(51): 2055–2060.

Open access
Central European Geology
Authors: Imre Czinkota, János Szanyi, Balázs Kovács, András Sebők, Ildikó Hajdok, and Márton Papp

This paper aims at determining the behavior of thermal water brought to surface and how this might impact reinjection wells and the rock during reinjection. The biggest problem is that reinjection wells are predisposed to choking. We searched for a method to examine this process, including a model for physico-chemical changes in the water—rock interaction. Two different samples of powdered rock (designated α and β) were analyzed using thermal water samples from production and reinjection wells. The pH shows significant differences between the samples from wells where free water treatment was carried out, and those from the aerated thermal waters, as well as for the rock sample. Basically, a decrease in sediment volume can be obtained by increasing the pH. The salt effect was more coherent. Its result was an interesting case of W-shaped graphs from the producing well. On the other hand there is virtually no difference between the samples with acid titration.

Open access
Central European Geology
Authors: Péter Bajcsi, Tamás Bozsó, Róbert Bozsó, Gábor Molnár, Viktor Tábor, Imre Czinkota, Tivadar M. Tóth, Balázs Kovács, Félix Schubert, Gábor Bozsó, and János Szanyi

Our research team has developed a new well completion and rework technology involving lasers. The system is made up of a high-power laser generator and a custom-designed directional laser drilling head. The laser head is attached to a coiled tubing unit to maximize production and to carry out special downhole tasks. In this phase of the development effort, laser technology is particularly well suited to cost-efficiently drill short laterals from existing wells in a single work phase, drilling through the casing and cement as well as the formation. The technology, which is an extended perforation solution, enables a more intensive interaction with the downhole environment and supports cutting edge subsurface engineering scenarios such as barite removal. Laser-induced heat treatment appears to be a suitable alternative to effectively remove the almost immovable deposits and scales from thermal water-well pipes.

Open access