In spite of her difficult living conditions ,she worked extremely hard
-> Much as her living conditions were difficult, she worked extremely hard.
`->` Much as = Although + S + V, S + V: mặc dù ...
Tạm dịch: Dù điều kiện sống khó khăn nhưng cô ấy đã làm việc cực kỳ chăm chỉ.