150623-N-NK134-045 SAN JULIAN, El Salvador (June 23, 2015) Cmdr. Anna Schwartz, from Pixley, Calif., a pediatric nurse practitioner assigned to Naval Hospital Camp Lejeune, N.C., performs an exam on a child 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 2nd Class Derek Paumen/Released)