U.S. Navy Lt. Cmdr. Kathaleen Sikes, a nurse embarked aboard the amphibious assault ship USS Kearsarge (LHD 3), examines a child at the Arima District Hospital in Trinidad and Tobago on Oct. 26, 2008. The Kearsarge is supporting the Caribbean phase of Continuing Promise 2008, an equal-partnership mission involving the United States, Canada, the Netherlands, Brazil, France, Nicaragua, Colombia, Dominican Republic, Trinidad and Tobago and Guyana. DoD photo by Seaman Apprentice Joshua Adam Nuzzo, U.S. Navy.