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.
Therefore the organs in this area may be the cause of the pain. This includes: Lung and bronchus; Heart and great blood vessels; Esophagus; Stomach; Colon; Spleen; Kidney; There are a number of conditions of the chest wall that can cause superficial pain over the left ribcage. This may sometimes extend deeper under the left ribcage. Broken ribs, shingles, trauma and breast pain are some of the possible causes of chest wall pain. Heart and Blood Vessels. The heart lies in the center of the chest and extends more to the left. It therefore causes central to left-sided chest pain and the pain with certain cardiac conditions may extend down the left arm.