This issue of the journal brings together a number of papers from different countries in the Middle-East. The papers include review, and relevant research. It also provides some insight into the community and well being.

As editors we are pleased with the first year of publication. As we reflect over this initial year, the number of manuscript received was more than expected and the quality of these manuscripts were excellent. The reviewers did a great job in reviewing the manuscripts in record time and in helping good paper with poor writing skills to be published

One of our early goal was to be efficient and quick in our review process. Our average turnaround time from initial submission to initial editorial response is 21 days overall. We are greatly helped by your support, shared enthusiasm, and patience. In addition to the wisdom remarkable support of our publisher. During the last one year the journal covered different issues from the perspective of clinicians, patients, families, and communities.

The paper by Farahbod , and Dadkhah, discussed the impact of EDUCATIONAL PLAY ON FINE MOTOR SKILLS OF CHILDREN . This study was conducted in an attempt to compare eye-hand coordination, hand-hand coordination and speed of hand skills (right and left) in two groups of children; one receiving educational play, and the other a non treatment control group. A significant relationship was found between speed in right-hand skills (P£0/04) and age, while speed in left-hand skills was related to gender (P£0/02). Clinical implications of these findings for occupational therapy are discussed.

A practical approach to the diagnosis of MALE BREAST CANCER is presented through a case report from Saudia Arabia. The authors stressed that although it is rare but early diagnosis is important. They pointed out that most patients present late for several reasons, including the absence of early signs and symptoms, and reduced awareness of the existence of such pathology among patients and physicians. The authors tried to observe any differences in clinical manifestation from those reported in the literature, and aimed to increase the value assigned to male breast as source of pathology among patients and physicians as well.

Yalcin et al reported on the Prevalence and Epidemiological Risk Factors of Obesity in Turkey. The authors stressed that obesity is a progressing problem both in developed or developing countries. Relations between increased body fat and high mortality especially with cardiovascular diseases, diabetes mellitus, and hypertension are well known. The authors attempted to find out the prevalence of obesity indicated as BMI and investigate some of the epidemiologic risk factors. In their conclusion , More effective health promotion programs must be organized in order to control both android and general obesity being an important health problem.

The accompanying paper on Eat Less walk more from AFP stress the importance of exercise and diet in the management of diabetes.