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Recent trends in precipitation and streamflow in the United States have become a particular focus of hydroclimatic research. The U.S. Hydro-Climatic Data Network (HCDN) has proven to be especially useful for the analysis of long-term streamflow trends. The U.S. Geological Survey (USGS) scientists selected sites for inclusion in the HCDN from the USGS stream-gauge network on the basis of streamflows being relatively free of nonclimatic anthropogenic influences. Consequently, most previous analyses of flow trends at those sites have either implicitly or explicitly attributed the trends to climate change and variability. In this paper, trends in seasonal and annual precipitation, and annual 7-day low, mean, and peak flows are examined for 48 medium-sized HCDN streams in the upper Mississippi (UM) water-resource region over 1939--2008. Using the concept of precipitation elasticity of flow, it is shown that the observed magnitudes of statistically significant increases in mean and low flows were up to a factor of 3 greater than expected from observed precipitation increases alone. Peak flows increased less than expected, and in the case of the Driftless Area at the center of the UM basin, decreased despite increased precipitation. It is proposed that the differences between expected and observed changes in streamflow can be explained by rural land-use changes in this principally agricultural region. [ABSTRACT FROM AUTHOR]