150622-N-PD309-050 ACAJUTLA, El Salvador (June 22, 2015) Hospital Corpsman 3rd Class Bryan Alvarez, from Houston, Texas, assigned to Naval Station Norfolk Branch Health Clinic, prepares to perform a dental exam on a patient at a medical site established at Centro Escolar Doctor Eduardo Enrique Barrientos during Continuing Promise 2015. Continuing Promise is conducting civil-military operations including humanitarian-civil assistance, subject matter expert exchanges, medical, dental, veterinary and engineering support and disaster response to partner nations. (U.S. Navy photo by Mass Communication Specialist 3rd Class Deven Leigh Ellis/Released)