Q: In most establishments in the US, tips are not only accepted, but they are encouraged because the servers rely on them to make enough money to survive. In some other countries, tips might be considered insulting or not allowed! There are some venues where tips may not be allowed. For example, some all-inclusive resorts in the Caribbean may discourage tipping because a service fee is already woven into the overall vacation cost. If you are attending a group gathering paid for in advance by someone else, such as a wedding reception, it's possible that the gratuity was already paid in advance by the person who paid for the event. There's no harm in leaving an extra tip in a situation like that, though, if you can afford to do so. The server will likely appreciate it. The culture around tipping in Europe is not the same as tipping in the US. Tipping is expected in the US, but in Europe it's often not expected at all. Start by looking at the restaurant's menu to see if it lists service as being included. If it's not, you could leave between 5 and 10 percent. It would be considered a lot and unusual to tip more in some countries. The difference is that servers in Europe are often better paid than they are in the US, meaning they rely on tips far less to survive, and are likely to consider the tip as a small and unexpected bonus. It's a good idea to hand the tip to the server rather than leaving it on the table. You might see a 12.5 percent optional tip on some menus in London. Tipping customs vary widely depending on the country you're visiting. It's a good idea to research the country's practices before you embark on your trip. In the Middle East, tipping will be appreciated even in small amounts. Some governments, like Dubai, mandate a 10 percent service charge to bills at restaurants. In Egypt, the tip is often included in the bill but you can add 5-10 percent above that. In Israel and Jordan, the tip is usually included in the bill. Canada is similar to the United States, so tip between 15 and 20 percent there. In some South American countries, like Chile, a 10 percent tip is included in the bill. In Mexico, cash is preferred, and the tip should generally be 10-15 percent. In Australia, leave between 10 to 15 percent. Some Asian countries may frown on tipping. Check into the local customs, and make sure that tipping is not seen as an insult. China has a no tipping culture, although you could leave a tip in fine hotels and restaurants that cater to foreigners. In Japan, the owner might be insulted by the tip, taking it as a statement by you that they don't pay their servers well enough. In some Asian countries, though, it's OK to tip. In Thailand, leave about $1 for the waiter.
A: Make sure tips are accepted. Tip sparingly in Europe. Tip wisely in other areas of the world. Avoid tipping in most parts of Asia.

Q: If you are suspected to have an ovarian cancer from various diagnostic criteria such as family history, age, menstrual status, palpated ovarian mass, ultrasound examination, tumor marker elevation (elevated CA-125), then you want to make sure you are referred to a specialist called a gynecology oncologist. You should find a hospital, treatment center, or clinic that specializes in gynecology oncology. This ensures you are getting the best care. To find a specialist, search online for a gynecologic oncologist in your area. You can read reviews from other patients to help make your choice, or ask your doctor for a referral to a specialist who treats ovarian cancer. Be aware that you may need to go to a different city to find a specialist in gynecology oncology. Research shows that those who are treated by gynecologic oncologists and have their surgeries performed by them have a higher success rate, less side effects, and a better chance of having the stage of their cancer accurately diagnosed. The rest of your cancer treatment team will include a medical oncologist who specializes in chemotherapy, and an ovarian cancer nurse. Other specialists on your team may be radiologists, pathologists, dietitians, and other healthcare professionals. After you create your treatment team and stage your cancer, you can start researching options. The most common treatment for ovarian cancer is surgery to remove the tumors. Chemotherapy is often used as complementary treatment to help kill other cancer cells. Talk to your treatment team about the treatments that are best for you. If you are afraid of how treatment will affect your fertility, talk to your doctor.
A: Meet with a specialist. Do your research.

Q: Your mind determines whether you remember an event as positive or negative. Creating more positive enforcement of memories can help you form positive emotions and memories. When you focus on negative thoughts during an experience, you're more likely to look back on the experience as negative. If you notice yourself creating a negative experience, think about what is going right. Reframe events you experience and remember them more positively. This can help you retrain your brain to approach things more positively and remember them in a positive way. Most experiences can be perceived as either positive or negative, depending on your focus and mindset. For example, if you feel like you've had a bad day, think of the small things that went well or felt good throughout the day. Perhaps you can offset the difficulties of running late or forgetting your lunch in the morning with a more positive and fun afternoon by doing tasks you enjoy, buying a special treat, or talking to someone you care about. Instead of focusing on all of the things that could go wrong, find the things that are going right. Focus on possibilities and opportunities for optimism and not pessimism. If it feels like everything is going wrong, notice even the smallest thing that is going well. If you're feeling frustrated, stop and take a moment to shift your attention to something more positive. For example, if you're running late to a meeting, you might feel overwhelmed or frustrated. Stop and think, "I'm upset that I will be late, but I know I will make it on time. I've prepared for this meeting so I expect that it will go well." Having a tangible motivation can help create a bright side. For example, plan a vacation if you are feeling stressed or overworked. You can look forward to your vacation when you start feeling overwhelmed and remind yourself that enjoyment is in your future. Gratitude is a way to give thanks for what you have. Instead of focusing on what you lack, focus on what you have or what you appreciate. People who consistently practice gratitude tend to have higher levels of optimism and happiness, act with generosity and compassion, and experience more positive emotions. Get in the habit of finding things every day that you are grateful for. You can write in a gratitude journal or notice things throughout your day that you can be thankful for. Try waking up and going to bed each day by naming three things that you are grateful for. Feeling optimistic is easy when life is going well and all of your needs are met. It gets much harder when you're feeling low, things go wrong, and you're struggling. Optimism isn't about feeling happy all the time or thinking that everything will turn out fine. It has more to do with continuing positive momentum even when life gets difficult. If you engage in optimism practices, keep them up even when you're feeling low or in a bad mood.
A:
Create happy memories. Look on the bright side. Practice gratitude. Continue optimism when life is hard.