Goals, objectives, and performance measures establish the strategic framework for a statewide. multiâmodal transportation plan. Goals and objectives provide strategic direction by defining. what a state hopes to achieve over the life of its plan, and establish a framework for tracking. and reporting system performance.
Chest Pain on the Left Side and Heart Attack. Chest pain on the left side of the body is a classic sign that you may soon experience a heart attack. In most cases this pain is combined with other side effects. The pain in the chest is often described as pressure, squeezing, or fullness within the chest cavity.
The sharp pain comes from the nerve being pinched, but the pain can travel around your rib cage or pierce straight through your rib cage and out your breastbone. When the nerves are pinched on the left side of your spine, they can simulate a heart attack because the pain travels around the ribs or through the chest on the left side. Sometimes the pain can last for days if the nerve is being pinched hard enough.