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:
Realist evaluation is a form of theory-driven evaluation, but is set apart by its explicit philosophical underpinnings. Pawson and Tilley (1997) developed the first realist evaluation approach, although other interpretations have been developed since.he difference between realist and other kinds of programme theory-based evaluation approaches is that a realist programme theory specifies what mechanisms will generate the outcomes and what features of the context will affect whether or not those mechanisms operate.