Maj. Karen Santiago, left, an operating room nurse for the 399th Combat Support Hospital, adjusts the lighting prior to surgery in the operating room at the Hopital Militaire de Ouakam, Dakar, Senegal, Jan. 27, 2016. Santiago and other members of the Army Reserve are in partnership with the Senegalese Defense Force to conduct a Army Africa Medical Readiness Training Exercise, from Jan. 18-29. This exercise is the first of many scheduled throughout the year to demonstrate the strong partnership the has with its African partners. ( Army photo by Capt. Charles An)

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