C. difficile diarrhea is largely a nosocomial disease and is the most frequent cause of diarrhea in hospitalized patients. Its occurrence in the outpatient setting, other than in patients confined to nursing homes, is much less common.
Darwin had arrived at a complete theory of evolution by 1839, but it was to be another 20 years before he published his ideas of evolution through natural selection in his epochal book On the Origin of Species by Means of Natural Selection.
The evidence for evolution. Darwin and other 19th-century biologists found compelling evidence for biological evolution in the comparative study of living organisms, in their geographic distribution, and in the fossil remains of extinct organisms.