The correct answer is "ineffective low performance related to migraine headaches".
According to the patient's description, migraine headaches are creating a serious problem regarding her ability to perform all the actions that her role in her family involves. Her role as a grandmother involves taking care of her grandchildren and keeping up her garden as a hobby. These are actions which she can no longer perform due to her headaches.
Hot temperatures, natural disasters, agriculture, urbanization, etc.
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<span>geographic isolation.....</span>
The oceanic crust gets carried underneath another tectonic plate and it sinks hundreds of miles into the Earth's Mantle.
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