U.S. Navy Ensign Jimmie Riffle, embarked aboard the multipurpose amphibious assault ship USS Iwo Jima (LHD 7), evaluates a patient during a Continuing Promise medical civic event on Corn Island, Nicaragua, on Sept. 18, 2010. Medical and engineering staff members embarked aboard the Iwo Jima worked with partner nation teams to provide medical, dental, veterinary and engineering assistance to eight nations as part of Continuing Promise.