First and foremost I thank almighty God wholeheartedly for helping me successfully completethe undertaken dissertation work.I place on record my deep sense of gratitude to Dr. Lincy Jaison, Lecturer, ICRI, Bangalore forher well planned and efficient guidance throughout this work.I would like to express my sincere thanks to Dr. Pravina Koteshwar, Principal, ICRI, Bangalorefor her constant encouragement throughout the tenure of this work.I express my thanks to all other staffs, especially Mr. Narasimha Murthy of ICRI, Bangalore fortheir overwhelming support, which influence me for the successful completion of my project.All staffs of Nurul Islam Medical Science (NIMS), Trivandrum, Kerala, especially Dr. HazeenaK.R., Dr. Sheeja Madhavan and Mr. Alakeshan require greater level of appreciation for their
kind support and patience without which I wouldn’t have completed my project. I also thank all
participants of my study with my heart.Over whiling encouragement extended by my parents has greatly influence the successfulcompletion of this project. I also thank them in this occasion.Finally I thank all my friends, who helped me a lot for the completion of this work and I thank them for their priceless help.