Acute gout. This stage occurs when the urate crystals that have been deposited suddenly cause acute inflammation and intense pain. This sudden attack is referred to as a flare and will normally subside within 3-10 days. Flares can sometimes be triggered by stressful events, alcohol and drugs, as well as cold weather.
Evaluation is inherently a theoretically informed approach (whether explicitly or not), and consequently any particular definition of evaluation would have be tailored to its context â the theory, needs, purpose, and methodology of the evaluation process itself. 1  Having said this, evaluation has been defined as:
Effective program evaluation is a systematic way to improve and account for public health actions by involving procedures that are useful, feasible, ethical, and accurate. The recommended framework was developed to guide public health professionals in using program evaluation.