150523-N-XQ474-302 PUERTO CABEZAS, Nicaragua (May 23, 2015) Vice Presiden of Nicaragua Omar Halleslevens Acevedo and U.S. Ambassador to Nicaragua Phyllis Powers greet Lt. Cmdr. Jane Scribner, from Walla Walla, Wash., a dermatologist assigned to Naval Hospital Great Lakes, Ill., at a medical site established at the Colegio Moravo Juan Amos Comenius during Continuing Promise 2015. Continuing Promise is a U.S. Southern Command-sponsored and U.S. Naval Forces Southern Command/U.S. 4th Fleet-conducted deployment to conduct civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations and to show U.S. support and commitment to Central and South America and the Caribbean. (U.S. Navy photo by Mass Communication Specialist 3rd Class Andrew Schneider/Released)