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.
Darwin argued that living things have been evolving on Earth for millions of years. Evidence for this process could be found in the fossil record, the geographical distribution of living species, homologous structures of living organisms, and similarities in early development, or embryology.