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.
Sharp, stabbing pains under your left breast could be caused by heartburn, stress, gastritis, or even too much gas. Pain under your breast caused by gastritis can be dull, throbbing pain that feels like something is gnawing at you. Other lower chest pains can be momentary and be sharp and uncomfortable.