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:
3. Summative evaluation is a review process which takes place after instruction. It is designed to provide measures of achievement up to the time of assessment for purposes of accountability or selection. Group-administered, standardised tests administered at the end of a course have a summative purpose, as do final examinations at the end of a course.