Sunday February 18, 2018

okw news logo

OKW News | South East Oklahoma Latest News

  • Decorating Wisely: Spring…

    By Glenda Wise

    Being cooped up for pretty much all of January and the beginning of February due to the flu and cold…
  • OSDH Announces First…

    Press release

    The flu season continues to hit the state hard and the Oklahoma State Department of Health (OSDH) has…
  •   From left to right: Ellie Collier and Brian Sprague as Li’l Bit and Uncle Peck.

    OSU Theatre presents “How I…

    Press release

    (STILLWATER, Oklahoma) – The OSU Department of Theatre is driven by a vision for the community as it…
  • Oklahoma State Department of…

    Press release

    The Oklahoma State Department of Health (OSDH) and the Cleveland County Health Department are…
  • Decorating Wisely: Pantone

    By Glenda Wise

    I have finally started feeling human again after coming down with the flu and I just realized I never…
  • Valentine’s Day to Kickoff…

    Press release

    Buying flowers or candy for your Valentine? How about condoms?

    Valentine’s Day is also National Condom…
  • Eye Doctors Prepare to…

    Press release

    Optometric Physicians Rally to Protect Vision Health and Medical Standards in Oklahoma

    Preparations for…
  • Parent Support Group Meeting…

    Press release

    The Pervasive Parenting Center (C.P.R.C.) will host a parent support group meeting on Monday, February…
  • For the Children: As Session…

    By OICA CEO Joe Dorman

    The Oklahoma Legislature will convene for the 2018 regular session on Monday, February 5. Also…
  • Enrollment in Oklahoma…

    Press release from TSET

    Oklahoma City, OK – More Oklahomans are reaching out to the Oklahoma Tobacco Helpline for…
  •  Attorney General Mike Hunter (center) speaks with DisposeRx CFO and co-founder Dennis Wiggins before a demonstration of how DisposeRx works to disolve household medications.

    Attorney General Hunter…

    Press release

    Attorney General Hunter receives hands-on demonstration at local Walmart pharmacy

  • Chewy Chocolate Chip Cookie…

    Recipe from

    Ingredients2 cups all-purpose flour1/2 teaspoon baking soda1/2 teaspoon salt3/4 cup…
  • Producers urged to take part…

    By Leilana McKindra, Communications Specialist Agricultural Communications Services, Oklahoma State University
  • OSU faculty recital to…

    Submitted by Jim Mitchell, OSU Communications

    The OSU Music Department Faculty Recital Series will feature pianist…
  • Study shows Oklahoma had…

    Press release

    Oklahoma City—A first-ever report of its kind studying the national trend of rising numbers of children…
Health & Wellness

Press release


The flu season continues to hit the state hard and the Oklahoma State Department of Health (OSDH) has confirmed the first pediatric death associated with the flu since the season began in September. The death occurred in an Oklahoma County resident between the ages of 5-18.

This week’s flu report indicates record-breaking numbers with 3,440 flu-associated hospitalizations, and 153 deaths. These numbers surpass any other flu season since the OSDH began tracking in 2009. Public health officials remind the public that there are several weeks remaining in the flu season, and the number of hospitalizations and deaths will continue to increase. A flu shot is encouraged for anyone over the age of 6 months who hasn’t been immunized.

In an effort to reduce the number of hospitalizations and deaths, the OSDH is offering flu vaccinations statewide at no cost to recipients at all county health department sites. The flu shot is encouraged for anyone over the age of 6 months, but is especially recommended for those over the age of 65, those who suffer from chronic heart and lung conditions, and pregnant women.

The OSDH has high-dose vaccine for seniors that may not be available from health care providers. The vaccine must by administered by the end of May. Anyone interested in receiving a flu shot at no cost should contact their local county health department for clinic times.

“We have been surprised at the number of people who haven’t received the flu vaccination yet this season and we are making this effort to ensure that everyone who would like a flu shot will be able to get one,” said State Epidemiologist Dr. Kristy Bradley. “It is not too late to receive protection from the flu and it is important to do it now, since it takes up to two weeks after receiving the vaccine to reach full effectiveness.”

OSDH data indicates a total of 32 flu-associated deaths have occurred among Oklahoma children under the age of 18 between 2009 and the 2016-17 flu seasons. Of the 32 who died, 25 of them were over the age of 6 months, and eligible to receive a flu shot.

Thus far during the current season, over 1,800 Oklahomans over the age of 65, and over 400 under the age of 18 have been hospitalized due to medical complications from the flu.

In addition to getting a flu shot, it is important to practice frequent hand washing and prevent the spread of germs by covering your sneeze and cough. Those who are having flu-like symptoms such as fever, body aches, fatigue and chills are encouraged to stay home from public gatherings until they are able to go 24 hours without a fever, and without fever-reducing medication.

For more information, contact your local county health department or visit Media inquiries should contact Jamie Dukes at (405) 271-5601 or This email address is being protected from spambots. You need JavaScript enabled to view it..

Press release

The Oklahoma State Department of Health (OSDH) and the Cleveland County Health Department are investigating a confirmed case of measles in Norman located in Cleveland County. This is the first confirmed case in Oklahoma since 2015.

Measles was identified in a person who had returned to Oklahoma after international travel. Measles is a highly contagious respiratory disease and spreads through the air when an infected person coughs or sneezes. The virus may remain airborne up to 2 hours in a room after the person with measles has left an indoor area.

Based on collected information about the measles case during the time they were contagious, public health officials want to alert anyone who visited the following locations in Norman during the specified times about potential exposure to the measles virus:

• Norman Pediatrics (808 Wall Street, Norman, OK) during the following dates and times:
• Friday, February 2 from 9:45 a.m. – 1:15 p.m.
• Tuesday, February 6 from 11:15 a.m. – 2:30 p.m.
• Chuck E Cheese’s (2201 Interstate Drive, Norman, OK) on Saturday, February 3 from 12:45 – 3:30 p.m.
• Norman Regional HealthPlex (3300 HealthPlex Parkway, Norman, OK) on Tuesday, February 6 from 12:25 – 3:30 p.m. The specific areas include outpatient registration, emergency room waiting, and laboratory collection services.

The OSDH is collaborating with officials of these organizations to identify persons that may have visited the above mentioned locations to inform them of their exposure and provide recommendations. Persons are protected if they are immunized with two doses of a measles-containing vaccine after the first birthday, or if they were born during or before 1957. Those who think they may have been at risk of exposure should review their immunization records and contact the Cleveland County Health Department (405-321-4048 ext. 260), their local county health department or the OSDH epidemiologist-on-call at 800-234-5963 (24/7/365 availability).

Persons who are susceptible to measles usually develop symptoms about 10 days after exposure with a range of 7-21 days. Symptoms of measles begin with a mild to moderate fever, runny nose, red eyes, and cough. A few days later, a rash appears starting on the face spreading to the rest of the body accompanied by a fever that can reach up to 105 degrees. Measles can lead to pneumonia and other complications, especially in young children and adults over 20. The disease can also cause serious problems in pregnant women and those with weakened immune systems.

Individuals that were exposed and are not experiencing symptoms of illness do not need to be evaluated by a healthcare provider. If you experience symptoms of illness suggestive of measles, contact your healthcare provider before presenting for care to discuss instructions for check-in and registration.
People with measles can spread the virus up to four days before the onset of the rash and until four days after the rash starts. Measles can be prevented with the measles vaccine (usually given in combination with rubella and mumps, called MMR vaccine), and is recommended for all children at 12 to 15 months of age and again at four to six years of age. If a person has not received a second dose of the vaccine between four to six years of age, the booster dose may be given at any age thereafter. Two doses of vaccine normally provide lifelong immunity.

Press release

Buying flowers or candy for your Valentine? How about condoms?

Valentine’s Day is also National Condom Day and is the first day of National Condom Week (Feb. 14-21). The Oklahoma State Department of Health (OSDH) shares the primary goal of National Condom Day in promoting safe sex and normalizing the use of condoms.

National Condom Day began in the late 1980s and is recognized on Valentine’s Day because studies indicate condom sales are 25 percent higher compared to other days of the year. Of all birth control methods available, the condom is the only option to also protect against the spread of sexually transmitted diseases (STDs) such as HIV, gonorrhea, chlamydia and syphilis.

Oklahoma continues to see a steady increase in STDs. In 2016, the OSDH reported more than 21,000 cases of chlamydia, more than 7,500 cases of gonorrhea, nearly 6,000 cases of HIV/AIDS, and nearly 700 cases of syphilis.

Jan Fox, director of the OSDH HIV/STD Service, said the primary purpose of promoting National Condom Day is to educate the public about the need for practicing safe sex at all times. Studies indicate people are more likely to use condoms if they are available prior to a sexual encounter.

“We want more people to be comfortable with purchasing, carrying, talking about, and using condoms,” said Fox. “We hope that one day, buying condoms at the store will feel as normal as buying a gallon of milk.”
The OSDH partners with community-based organizations throughout the state who provide condoms and lubricant, along with additional materials, throughout the year. County health department sites across the state also offer condoms. These sites can also offer important guidance and information about the proper use of condoms.

For more information about condoms and preventing STDs, visit or


Press release


Optometric Physicians Rally to Protect Vision Health and Medical Standards in Oklahoma

Preparations for a major effort to protect vision health and medical standards are now underway after the Oklahoma Supreme Court approved a ballot initiative submitted by a Walmart-backed political group.


As currently written, Oklahoma's Constitution mandates that optometry - like other kinds of medicine - must be practiced in medical settings and not large retail environments. The constitutional language reflects a commitment to a high standard of care and prevents large retailers from placing profit motives above medical priorities. Walmart is attempting to change the Constitution to fit their business model.


In a decision handed down today by the Oklahoma Supreme Court, Walmart was given approval to begin the signature-collecting process which could ultimately put their proposal on the ballot.

Dr. Jason Ellen, president-elect of the Oklahoma Association of Optometric Physicians (OAOP) and a Tulsa-based optometrist, said that eye doctors will now begin the hard work of educating their patients and voters on why Walmart's proposal is bad for them.


"My partners and I perform surgeries, diagnose and manage chronic eye diseases, and can detect life-threatening conditions," said Dr. Ellen. "The right place to do that is a medical clinic, not a gigantic grocery and hardware store. If Walmart gets their way, corporate management will reduce quality and increase prices. It's a lose-lose situation for my patients and for Oklahoma consumers."


OAOP Vice-President Dr. Selina McGee, who practices in Edmond and Midwest City, said that putting optometrists in big retail settings - as Walmart has proposed - will ultimately raise prices and make vision care less convenient.


"Companies like Walmart want to control the market for vision care and raise prices," said Dr. McGee. "That's a losing proposition for patients, especially seniors on a fixed income. Walmart also wants to make their store the singular destination for vision care. The vast majority of the patients we treat don't want to navigate a Walmart parking lot or rush-hour shopping to get their eyes checked or a procedure done."

Should Walmart's proposal be placed on the November ballot, the OAOP and its members are committed to supporting a statewide education campaign emphasizing the dangers of reducing the standards for medical care in Oklahoma.


The OAOP represents over 500 Optometric Physicians in Oklahoma. OAOP's mission is to lead optometric physicians through education and opportunities to improve vision, eye care, and health care.

Press release


The Pervasive Parenting Center (C.P.R.C.) will host a parent support group meeting on Monday, February 26, at 6 p.m. This will be held at the Pervasive Parenting Center office on the campus of Carl Albert State College in Poteau, OK.

The Pervasive Parenting Center will offer their monthly parent support group meeting to help the families find resources, talk to other families, and provide moral support for coping with disabilities.


This meeting is open to everyone including families, professionals, teachers, etc.


There will be childcare provided. All services are provided free.

If you have any questions contact Kodey Toney @ 918-647-1255 or This email address is being protected from spambots. You need JavaScript enabled to view it.

By OICA CEO Joe Dorman

The Oklahoma Legislature will convene for the 2018 regular session on Monday, February 5. Also on that day, Governor Mary Fallin will deliver her final State of the State address. Speaking on behalf of the Oklahoma Institute for Child Advocacy (OICA), I hope Governor Fallin makes child well-being a priority in her speech and in her policy agenda.


OICA has identified five priority areas we hope she and our lawmakers focus on. They include: economic opportunity for Oklahomans; foster care, adoption and child welfare; criminal justice reform; race equity issues; and early childhood development.


As the session develops, I plan on writing frequently about these issues and relevant legislation. One of the bills that has drawn our attention early on is Senate Bill 1517, dealing with trauma informed care.


Oklahoma ranks first in the nation for multiple Adverse Childhood Experiences (ACEs) impacting children. ACEs include traumatic events like suffering from physical or sexual abuse; neglect; witnessing domestic violence; witnessing drug abuse; or having a parent in prison. Multiple studies (including Kaiser Permanente’s 1998 Adverse Childhood Experience Study) have proven that these events or circumstances have adverse effects on an individual’s ability to function and his or her mental, physical, social, emotional, or spiritual well-being into adulthood.


OICA has worked with the Potts Family Foundation and other partners to increase awareness among legislators about the proven social impact of ACEs. An interim study was held at our request by the House of Representatives this past summer that looked at the impact of traumatic experiences and how they can be addressed. Senator A.J. Griffin listened to those conversations and has since filed SB 1517. This legislation will create a task force on trauma-informed care to study and make data-driven policy recommendations that are results-oriented. OICA applauds Sen. Griffin for her focus on this important issue.


Another piece of legislation we are monitoring closely at this time is House Bill 3146, which reinstates the refundability of the Earned Income Tax Credit (EITC). The EITC is a tax cut for low income working families that may also supply some families with a refund beyond what they owe in income taxes. Oklahoma removed the refundable portion of the EITC, a move that was rightly criticized as an attempt to balance the budget on the backs of the poor. Rep. Jason Dunnington of Oklahoma City has filed HB 3146 to restore that provision within the EITC and deliver low-income families some much-needed relief. OICA strongly supports this proposal.


These are just two of the bills filed this year. A total of 706 Senate bills and 1,226 House bills have been filed, along with 1,996 House and Senate measures carried over from last year (which also includes measures vetoed which could be overridden). As you can imagine, legislators have a full four months ahead of them.


As we await the State of State, now is the time to start contacting your own legislators and ask them to make 2018 the “Year of the Child” and remember kids as they are crafting legislation and casting their votes.



About OICA
The Oklahoma Institute for Child Advocacy was established in 1983 by a group of citizens, to create a strong advocacy network that would provide a voice for the needs of children and youth in Oklahoma, particularly those in the state’s care and those growing up amid poverty, violence, abuse and neglect, disparities, or other situations that put their lives and future at risk.

Our mission statement: “Creating awareness, taking action and changing policy to improve the health, safety and well-being of Oklahoma’s children.“


Press release from TSET


Oklahoma City, OK – More Oklahomans are reaching out to the Oklahoma Tobacco Helpline for help quitting tobacco use, making the helpline one of the top-ranked programs in the nation.


The Oklahoma Tobacco Helpline, a free service available 24/7 to Oklahomans who want help quitting tobacco, saw a 38 percent increase in the number of Oklahomans enrolling in services in 2017.


With record registrations over the past two years and a high reach rate across the state, the Helpline is also exceeding national benchmarks for success with a 32.2 percent quit rate for Helpline callers who report 30-days smokefree 7 months after registering for services. Typical quit rates for the cold turkey method are at 5 percent. Tobacco users from all 77 counties, a wide range of ages and socio-economic status accessed the Helpline’s free services.


“TSET expanded Helpline services in 2015 with an emphasis on meeting the tobacco user where they are and to provide more options to help them quit,” said John Woods, TSET executive director. “This expansion of services, along with the support of media and other TSET programs like the Healthy Living Program reinforce these messages, helping Oklahoma reach nearly 5 percent of smokers in Oklahoma – one of the highest reach rates of any quitline in the country.”


The Oklahoma Tobacco Helpline uses proven, best-practice methods to provide free, cessation services to help Oklahomans quit tobacco. Oklahomans can register for services by calling 1-800-QUIT-NOW, online at, or receive a referral from a healthcare provider. Tobacco users can choose from a variety of free services from the traditional telephone counseling program to expanded services including nicotine replacement therapy (NRT), web-based assistance, text messaging, emails, and a Quit Guide.


The Oklahoma Tobacco Helpline has been instrumental in bringing Oklahoma’s smoking rate to an all-time low, with 19.6 percent of Oklahoma adults smoking, according to the Centers for Disease Control and Prevention.

“High utilization of the Helpline, high satisfaction in services, and favorable quit rates for those who used the services further support that the investment TSET is making in tobacco control is contributing to the record low smoking rate,” said Laura Beebe, PhD, Professor in the Department of Biostatistics & Epidemiology at University of Oklahoma Health Sciences Center, who conducted the review of the Oklahoma Tobacco Helpline data for fiscal year 2017, which runs July 1, 2016 through June 30, 2017.


The Helpline also expanded its reach to high-risk target audiences and increased the age and socio-economic range of registrants.


“Tobacco users over the age of 55 accounted for about 30 percent of Helpline users, which is critical because the longer a smoker smokes, the more likely they are to experience negative health consequences,” Woods said. “Expanded services such as text messages and email offer more choices and utilize the technology preferred by many tobacco users – especially males, smokers with a higher level of education, and younger tobacco users.”

In addition to tobacco users calling or registering via web, health care providers can proactively refer their patients who want help quitting to the Helpline. During fiscal year 2017, more than 18,000 referrals were made by health professionals and health systems across the state.


Over the last seven years, TSET has layered in funded grants that work with hospitals to ensure that doctors are talking with their patients about tobacco use, referrals are being made to the Oklahoma Tobacco Helpline, and participating hospitals are tobacco-free environments. Physicians working in rural and underserved areas through the TSET-funded Oklahoma Medical Loan Repayment Program are also making referrals to the Helpline.


The Helpline was the first program funded by TSET in 2003. Since then, more than 360,000 tobacco users received free services to quit tobacco.


TSET was created by a constitutional amendment in 2000 as a long-term strategy to improve health and ensure settlement payments from a 1998 multi-state lawsuit against the tobacco industry are used to improve the health of all Oklahomans. The funds are placed in an endowment to ensure a growing funding source for generations to come. Only the earnings from the endowment are used to fund grants and programs.


The Oklahoma Tobacco Helpline is a free service for Oklahomans wanting to quit tobacco. Funding is primarily provided by the Oklahoma Tobacco Settlement Endowment Trust (TSET), in partnership with the Oklahoma State Department of Health, Oklahoma Health Care Authority, and the Centers for Disease Control and Prevention. The Oklahoma Tobacco Helpline has served more than 360,000 Oklahomans since 2003 and has been ranked among the top quitline’s for reaching tobacco users seeking treatment over the last decade by the North American Quitline Consortium.


The Oklahoma Tobacco Settlement Endowment Trust (TSET) serves as a partner and bridge builder for organizations working towards shaping a healthier future for all Oklahomans. TSET provides leadership at the intersections of health by working across the state, by cultivating innovative and life-changing research, and by working across public and private sectors to develop, support, implement and evaluate creative strategies to take advantage of emerging opportunities to improve the public's health. TSET. Better Lives Through Better Health.

Press release


Attorney General Hunter receives hands-on demonstration at local Walmart pharmacy

OKLAHOMA CITY – Attorney General Mike Hunter today met at a local Walmart pharmacy with officials from Walmart and DisposeRx to receive a hands-on demonstration of an innovative new initiative to help curb the nation’s opioid abuse epidemic.

Walmart announced last week it would carry and distribute the opioid disposal solution, known as DisposeRx, in all of its 4,700 pharmacies nationwide, free of charge. Additionally, pharmacists have been trained to help educate customers on how to safely and effectively use the product.

DisposeRx is a powder that when mixed with warm water in a pill bottle, creates a gel that can responsibly be thrown out with household trash.

Attorney General Hunter applauded Walmart’s efforts for taking the lead by being the first retail pharmacy in the nation to utilize the program.

“The pioneering initiative from a corporate partner like Walmart is a positive step in the battle against the opioid epidemic,” Attorney General Hunter said. “It is reported that more than two out of three individuals who misuse opioids get them from a medicine cabinet and approximately 80 percent of heroin users abused prescription painkillers first. This is a simple solution to the growing problem of unused prescription pain medication left in the household.”
For more on what Attorney General Hunter is doing to combat the state’s opioid epidemic, click here:

The new program comes after more than 64,000 individuals in the United States died from a drug overdose in 2016, up from 59,000 deaths in 2015, the largest jump in the nation’s history.

In Oklahoma over the last 15 years, drug overdose deaths have increased by 91 percent. Between 2015 and 2016 the Centers for Disease Control and Prevention reported overdose deaths in the state increased by 13.2 percent.
“We wanted to do our part to help curb one of the issues contributing to this deadly epidemic – unused prescriptions in our medicine cabinets,” said Walmart Market Health and Wellness Director Robyn Janaway. “Providing an easy, free, responsible and convenient way to dispose of unused medicine will make an impact and help prevent misuse.”

As part of the program, patients filling Class II opioid prescriptions at Walmart pharmacies now receive a DisposeRx packet and an opioid safety brochure. Additionally, patients can request a free DisposeRx packet at any time.
“The way out of the current crisis will take innovative thinking, combined with the collaboration of local businesses, community leaders and local and state governments,” said DisposeRx CFO Dennis Wiggins. “We all have a role to play, whether through public policy, or community partnerships, but as long as we are working together in a systematic way, we will ensure the next generation will be a better place.”


From left: DisposeRx CFO and Co-Founder Dennis Wiggins, Walmart Pharmacist Jennifer Roberts and Attorney General Mike Hunter discuss how pharmacy patients use DisposeRx.

The DisposeRx powder, when mixed with water in a pill bottle, creates a gel that can be thrown away with household trash. DisposeRx is available in all of Walmart's 4,700 pharmacies nationwide, free of charge.

Press release


Oklahoma City—A first-ever report of its kind studying the national trend of rising numbers of children in state foster care as well as the concurrent decrease in the numbers of foster homes shows Oklahoma had the greatest increase in foster care capacity in the nation.


Oklahoma was among only three states that also showed a constant or lower number of children and youth in foster care, according to the report. At least half of the states in the U.S. have seen their foster care capacity decrease in the past five years, or any increase in beds has been dwarfed by an even greater increase in children and youth in foster care.


“We are so proud that all of our hard work over the past five years to improve Oklahoma’s foster care system is being recognized; however, what is most important is that we have improved the experiences of children who come into contact with our system due to abuse or neglect,” said Jami Ledoux, director of child welfare services for the Oklahoma Department of Human Services (DHS).


“While we focused efforts with Governor Fallin and the Oklahoma Fosters Initiative to recruit more foster families, we were simultaneously increasing family-centered services to keep children safe in their homes and reduce the need for foster care,” said Ledoux.


“I appreciate the dedication of the DHS child welfare services division staff to reduce the number of children and youth in foster care,” Governor Mary Fallin said. “I am also pleased to see how many dedicated, compassionate Oklahomans have answered the call to become foster parents. Every child deserves a family and we must continue our efforts to ensure children with special needs have the same opportunities, regardless of their needs. The findings of this report show the state is making strides in providing adequate protection and care to vulnerable Oklahoma children.”


Ledoux cautioned interpreting this positive report as a sign that foster families are no longer needed.

“This is huge for our state and our kids but we still have work do to. We still need foster homes for sibling groups in every community and we need homes to fit the unique needs of each child. There are brothers and sisters who are placed in different foster homes outside their communities because the right homes are not available for them. There are youth who have special medical needs or disabilities and those with behavioral challenges who are going into shelters who also need loving homes.”


The report by the Chronicle of Social Change looked at state data from 2012 through 2017 to see if the 11 percent increase in the numbers of children and youth in foster care nationwide has been met with a proportional increase in foster homes.

Other key findings in the report showed that in some states, kinship care took the place of traditional foster homes as states’ overall capacity declined. However, Oklahoma increased the percentage of children going into kinship placements while also continuing to add traditional foster homes. Oklahoma was also one of only 18 states that received high marks in its last federal Child and Family Services Review for performance in the recruitment of foster families.


Since DHS began reforming its foster care system in 2012 through the Pinnacle Plan, the experiences of children suffering abuse or neglect have dramatically changed.


In Oklahoma today:
• Children are more likely to be able to safely remain in their own homes while their families get the help they need.
• Children first entering foster care are more likely to be placed with a foster family rather than in an emergency shelter.
• Children entering foster care are more likely to be placed with their own families or with someone they know.
• Children are less likely to experience multiple moves while in care.
• Children are less likely to age out of foster care without legal permanency like adoption or guardianship.
• After reunification with their families, children are less likely to reenter foster care.


Page 1 of 37

Latest Events

Sponsored By:
Benefit for Ms. Vickie Gillion
Thu Feb 22 @11:00AM - 01:00PM
Poteau Blood Drive
Tue Feb 27 @12:30PM - 05:30PM
Storm Spotter Training
Tue Feb 27 @ 6:00PM - 08:30PM