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Ability and ambition are not enough for success. Success of any project depends solely on support, guidance and encouragement received from guide, our parents and well wishers. I have been fortunate to have more than one pillar of strength in my humble effort to make this research successful. Gratitude is probably hardest emotion to express and often one does not find adequate words to convey the entire feelings. I am pleased to express my deep sense of gratitude to my guide Dr.Aruna Palta who has opened flood gates of her knowledge for me and her extending continuous cooperation and encouragement. Without her supervision, superb guidance, constructive suggestions and sympathetic attitude, the present study would not have able to see the light of this day. It is my fortune to have availed the opportunity of working under her guidance. Always standing by me and helping to every extent was my co supervisor Dr.Vasu Verma. I convey my grateful thanks to her. I express my sincere thanks to Dr.Gaurav Thukral, Facility Director, Raigarh , Fortis group of Hospitals and Dr.Arvind Dayal , Head of Medical Services, Fortis O.P. Jindal Hospital & Research Center, Raigarh for their kind support and permission to carry out this study . I am highly indebted to all the plant employees who cooperated me in the entire course of my study. Not to be forgotten are all the teaching and non teaching staff of my research center Govt. D. B. Girls P.G. College, as I was to able to complete my work successfully with their support and cooperation. A word of appreciation goes to Shri Maneesh Dandekar for statistical analysis.