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.
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.Other symptoms associated with pinched nerves in your mid back are: shortness of breath, increased heart rate, sweating, heart palpitations, and numbness. All of these symptoms are similar to those of a heart attack.our heart, or misalignment of your spine, can cause chest pain. Many people that experience chest pain go to their family doctor or to the emergency room in fear that they are experiencing a heart attack.