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 Background and objectives: Chemotherapy-induced nausea and vomiting are the most important complications for cancer patients. Ginger is an effective herbal drug for the treatment of nausea and vomiting. It hasn’t any known side effects. In some countries, it is used for making of antiemetic drugs. The aim of this study was to determine the effect of ginger on the intensity of chemotherapy-induced nausea and vomiting in cancer patients .

 Method: This study is a randomized, cross-over, double – blinded, clinical trial that was done on 44 cancer patients undergone chemotherapy. In the first cycle of the study, patients were assigned by four block random allocation to receive one of the antiemetic regimens regimen A (routine and 1gr ginger) and regimen B (routine and 1gr placebo). After 28 days, in the next cycle of chemotherapy, another regimen was administrated A or B plus chemotherapy drugs., the severity of the nausea and vomiting was measured in 4h (1, 2, 3, 4) after second dose and at the end of the 24h after receiving the first dose by using VAS and kortila tools .The data were analyzed by independent student t - test and non-parametric test (Mann-Whitney U test) by using SPSS, version 16 software .

 Results: The results showed that the frequencies of nausea and vomiting in two regimen groups weren’t different, but nausea score was significantly decreased in ginger group, compared to placebo. Independent student t - test and Mann-Whitney U test also revealed a significant difference on nausea scores in 3rd and 24th hour post chemotherapy (p=0.06, p=0.01, respectively).

 Conclusion: In respect to low nausea score in ginger regimen, compared to placebo, it seems ginger using is a safe and simple method and it can be used as antiemetic drugs in patient undergoing chemotherapy

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Background & objectives: Osteoarthritis as a result of the destruction of articular cartilage, leads to joint pain and stiffness. The purpose of this study was to investigate the effect of endurance and ozone therapy on the expression levels of FLS and VEGF genes in the knee tissue of rats with knee osteoarthritis.
Methods: Subjects were male Wistar rats that were randomly divided into 5 groups after two weeks of adaptation, including: control-healthy, control-patient, patient-ozone, patient-exercise and patient-sport. For adapting the rats to exercise and treadmill, walking program was performed before exercise program. The training program consisted of 30 minutes of running on a treadmill with no slope at a speed of 16 m/min for the first week and one m/min added weekly until it reached 22 m/min in the eighth week. Ozone was injected into the knee through the tibiofemoral articular line at a concentration of 20 μg/ml once a week for 3 weeks at 9 o'clock in the morning. Expression levels of FLS and VEGF genes were measured by Real Time PCR. One way ANOVA and Tukey's method were used to determine the difference between groups.
Results: The results showed that the expression levels of FLS and VEGF genes were significantly increased in rats with osteoarthritis. It was also shown that physical training and ozone therapy led to a decrease in FLS and VEGF gene expression levels in osteoarthritic rats. VEGF and its receptors are expressed in OA cartilage and indicating the possibility that VEGF is involved in the elimination of OA articular cartilage by increasing MMP production.
Conclusion: The results of this study are promising for the role of VEGF as a diagnostic marker. VEGF can participate in early OA changes and a treatment modality by modulating VEGF production, which can be considered in future.