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107-480: Amenábar was born in Santiago , Chile, to a Chilean father, Hugo Ricardo Amenábar, and a Spanish mother, Josefina Cantos. He has both Chilean and Spanish citizenship. His father worked as a technician at General Electric, while his mother decided to stay at home and take care of the children. Alejandro is the younger of two brothers; his older brother, Ricardo, was born in 1969. Josefina's older sister had moved to

214-489: A 14-metre (46 ft) statue of the Virgin Mary . Today, the statue is visible from various points in the city. However, the shrine was not completed until several decades later. The 1910 Chile Centennial celebrations marked the beginning of several urban development projects. The railway network was expanded, connecting the city and its growing suburbs with a new ring and route to Cajón del Maipo . A new railway station

321-494: A C5 injury may lose some function from the chest down and fine motor skills in his/her hands but still have flexion and extension abilities of certain muscles around the back or arm area. The extent of the injury is also important. A complete severing of the spinal cord will result in complete loss of function from that vertebra down. A partial severing or even bruising of the spinal cord results in varying degrees of mixed function and paralysis. A common misconception with tetraplegia

428-547: A director, Alejandro worked as a stock boy in a warehouse and as a gardener, until he had enough money to buy his own home camera. He did not want to start his university studies in cinema before ever having touched a camera. Amenábar entered the Information Sciences Faculty at Madrid's Complutense University , where after numerous scholastic failures he decided to give up studying cinema and he began directing. The advantage from having attended university

535-407: A downtown core characterized by 19th-century neoclassical architecture and winding side streets with a mix of art deco, neo-gothic, and other styles. Santiago's cityscape is defined by several stand-alone hills and the fast-flowing Mapocho River , which is lined by parks such as Parque Bicentenario , Parque Forestal , and Parque de la Familia . The Andes Mountains are visible from most parts of

642-647: A ghost story starring Nicole Kidman . It was very successful at an international level, especially in Spain, where it was the most viewed film that year. The Others was also very popular in the United States, where it was at the top of the box office for several weeks. The film premiered at the Venice Film Festival in 2001, won eight Goyas, including the Best Picture and Best Director, and

749-486: A heated discussion about the actual implementation of mandatory earthquake standards in the city's modern architecture. Despite urban integration efforts, socioeconomic inequality and geosocial fragmentation remain two of the most important problems, both in the city and in the country. These problems have been considered one of the factors that led to the " Estallido Social " , a series of massive protests and severe riots carried out between 2019 and 2020. The protests led to

856-477: A layer of smog blanketed the city. In response, the authorities implemented legislative measures to reduce industrial pollution and placed restrictions on vehicle use. To address the problem of transportation, the metro system underwent significant expansion, with lines being extended and three new lines added between 1997 and 2006 in the southeastern sector. In 2011, a new extension was inaugurated in Maipú, bringing

963-704: A north–south direction and 35 km (22 mi) from east to west. The Mapocho River flows through the city. The city is flanked by the main chain of the Andes to the east and the Chilean Coastal Range to the west. On the north, it is bordered by the Cordón de Chacabuco , a mountain range of the Andes. At the southern border lies the Angostura de Paine , an elongated spur of the Andes that almost reaches

1070-573: A powerful earthquake struck the city on 3 March 1985, causing minimal casualties but leaving many homeless and destroying numerous historic buildings. With the onset of the transition to democracy in 1990, the city of Santiago surpassed four million inhabitants, with the majority residing in the south, particularly in La Florida, which was the most populous area, followed by Puente Alto and Maipú. The real estate development in these municipalities, as well as in others such as Quilicura and Peñalolén,

1177-503: A result of the injury. This is typically done at 72 hours post-injury; exams done prior to this time have been found to be inaccurate due to the presence of swelling and other confounding factors. For example, an injury at the C6 nerve root level will affect the function of the triceps (elbow extension) but the biceps (elbow flexion) will be spared; in this case, an injury at the C6 root level affects all function at that level and below whereas

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1284-525: A serious civil confrontation, which led to thousands of arrests and accusations of human rights violations. Meanwhile, the demonstrations registered serious episodes of violence against public and private infrastructure, mainly in the surroundings of Plaza Baquedano , with the Santiago Metro being one of the most affected by these episodes: more than half of its stations registered damage (several being partially set on fire) and only eleven months later

1391-466: Is a frequent consequence of incomplete injuries. Spasticity often decreases function, but sometimes a patient can control the spasticity in a way that it is useful to their function. The location and the effect of the spasticity should be analyzed carefully before treatment is planned. An injection of botulinum toxin (Botox) into spastic muscles is a treatment to reduce spasticity. This can be used to prevent muscle shortening and early contractures. Over

1498-420: Is any injury which has absent motor and sensory function in the sacral segments S4 and S5. This is verified during the physical exam by the absence of all three of: voluntary anal contraction, deep anal pressure, and pinprick+light touch sensation in the perineal area. S4 and S5 are both sacral nerve roots found at the lowest portion of the spinal cord. In simpler terms, "complete" is meant as a way to express that

1605-788: Is common to have a loss of both sensation and motor control. Although the most obvious symptom is impairment of the limbs, functioning is also impaired in the trunk and pelvic organs. This can lead to loss or impairment of controlling bowel and bladder , sexual function, digestion, breathing and other autonomic functions. Furthermore, sensation is usually impaired in affected areas. This may manifest as numbness, reduced sensation or neuropathic pain . Secondarily, because of their depressed functioning and immobility, tetraplegics are often more vulnerable to pressure sores , osteoporosis and fractures, frozen joints, spasticity , respiratory complications, infections, autonomic dysreflexia , deep vein thrombosis , and cardiovascular disease. The severity of

1712-413: Is common to have partial movement in limbs, such as the ability to move the arms but not the hands, or to be able to use the fingers but not to the same extent as before the injury. Furthermore, the deficit in the limbs may not be the same on both sides of the body; either side may be more affected, depending on the location of the lesion on the spinal cord. Another important factor is the possibility that

1819-500: Is considered the key level at which most activities can be performed independently with a wheelchair and assistive devices; activities include feeding, grooming, dressing, light meal preparation, and transfers on level surfaces. Even in complete spinal cord injury, it is common for individuals to recover up to 1 level of motor function. Even with "complete" injuries, in some rare cases, through intensive rehabilitation, function can be regained through "rewiring" neural connections , as in

1926-653: Is defined as the dysfunction or loss of motor and/or sensory function in the cervical area of the spinal cord . A loss of motor function can present as either weakness or paralysis leading to partial or total loss of function in the arms, legs, trunk, and pelvis. ( Paraplegia is similar but affects the thoracic , lumbar , and sacral segments of the spinal cord and arm function is retained. ) The paralysis may be flaccid or spastic . A loss of sensory function can present as an impairment or complete inability to sense light touch, pressure, heat, pinprick/pain, and proprioception . In these types of spinal cord injury, it

2033-403: Is defined in many ways; C1–C4 usually affects arm movement more so than a C5–C7 injury; however, all tetraplegics have or have had some kind of finger dysfunction. So, it is not uncommon to have a tetraplegic with fully functional arms but no nervous control of their fingers and thumbs. It is possible to have a broken neck without becoming tetraplegic if the vertebrae are fractured or dislocated but

2140-742: Is headed by a provincial delegate appointed by the President of the Republic, and it is also part of the Santiago Metropolitan Region, governed by a popularly elected governor . When the term Santiago is used without further clarification, it typically refers to Gran Santiago (Greater Santiago), the metropolitan area characterized by continuous urban development. This area includes the commune of Santiago and over 40 other communes, encompassing much of Santiago Province and parts of neighboring provinces . The definition of

2247-426: Is imperative to have a broad knowledge of the cervical spinal roots and its many functions. In the cervical spine, nerve roots exit the spine above the associated vertebra (i.e. the C6 nerve root exits above the C6 vertebra). By evaluating what nerve root of the cervical spine is injured, the affected muscle groups and dermatomes can be determined. This informs the evaluator as to what activities may be limited as

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2354-439: Is needed for these patients. Decisions must be based more on experience than on texts or journals. The results of tendon transfers for patients with complete injuries are predictable. On the other hand, it is well known that muscles lacking normal excitation perform unreliably after surgical tendon transfers. Despite the unpredictable aspect in incomplete lesions, tendon transfers may be useful. The surgeon should be confident that

2461-453: Is present at over 1,000 meters of altitude. The natural vegetation of Santiago is made up of a thorny woodland of Vachellia caven (also known as Acacia caven and espinillo) and Prosopis chilensis in the west and an association of Vachellia caven and Baccharis paniculata in the east around the Andean foothills. Tetraplegia Tetraplegia , also known as quadriplegia ,

2568-409: Is that the victim cannot move legs, arms, or any other major body regions; this is often not the case. Some tetraplegics can walk and use their hands, as though they did not have a spinal cord injury, while others may use wheelchairs and retain some functions in their arms and fingers; again, this varies based on the degree of damage to the spinal cord and is mostly seen with incomplete tetraplegia. It

2675-548: Is the Tupungato mountain at 6,570 m (21,555 ft). Other mountains include Tupungatito , San José , and Maipo . Cerro El Plomo is the highest mountain visible from Santiago's urban area. During recent decades, urban growth has outgrown the boundaries of the city, expanding to the east up the slopes of the Andean Precordillera . In areas such as La Dehesa, Lo Curro, and El Arrayan, urban development

2782-596: The American Spinal Injury Association (ASIA) classification. The ASIA scale grades patients based on their functional impairment as a result of the injury, grading a patient from A to D. This has considerable consequences for surgical planning and therapy. After a comprehensive neurologic exam testing segments of the body corresponding to spinal nerve roots, the examiner will determine the patient's motor level and sensory level (e.g. motor level C6, sensory level C7). These levels are unique for

2889-475: The Apostle James , the patron saint of Spain. The city was established near Huelén, which Valdivia renamed Santa Lucía. He assigned the city's layout to master builder Pedro de Gamboa , who designed a grid plan . At its center, Gamboa placed a Plaza Mayor , which became the town's central hub. Surrounding the plaza, plots were designated for the cathedral , the jail, and the governor's house . The city

2996-525: The Arauco War . Santiago was left vulnerable, and a coalition of Mapuche and Picunche tribes led by chief Michimalonco destroyed the city on 11 September 1541, despite the efforts of a Spanish garrison of 55 soldiers defending the fort. The defense was led by Spanish conquistadora Inés de Suárez . When she realized they were being overpowered, she ordered the execution of all indigenous prisoners, displaying their heads on pikes and throwing some towards

3103-619: The Army of the Andes emerged victorious at the Battle of Chacabuco and restored the patriot government in Santiago. However, independence was still uncertain. The Spanish army achieved further victories in 1818 and advanced toward Santiago, but their progress was finally halted at the Battle of Maipú on April 5, 1818, on the Maipo River plains. With the end of the war, Bernardo O'Higgins

3210-592: The Edificio Diego Portales was constructed in 1972. In 1967, the new Pudahuel International Airport was opened, and after years of discussion, construction of the Santiago Metro began in 1969. The first phase of the Metro, which ran beneath the western section of Alameda, was opened in 1975 and soon became one of the most prestigious buildings in the city. Over the following years, the Metro continued to expand, with two perpendicular lines in place by

3317-574: The Greek root πληγία plegia , for "paralysis". Tetraplegia uses the Greek root τετρα tetra for "four". In the past, "tetraplegia" and "quadriplegia" were used interchangeably in the medical literature. Medical literature favors using "tetraplegia" as the standardized term, as it is frowned upon to mix Greek and Latin roots, although "quadriplegia" remains in use. "Tetraplegia", meaning the paralysis of four limbs, may be confused with "tetraparesis", meaning

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3424-499: The National Stadium emerged in 1938. In the following decades, Santiago continued to grow at an unprecedented rate. In 1940, the city had a population of 952,075 residents, which increased to 1,350,409 by 1952, and reached 1,907,378 in the 1960 census. This growth was reflected in the urbanization of rural areas on the outskirts of the city, where middle and lower-class families with stable housing were established. In 1930,

3531-575: The Padres Escolapios de Getafe school. In his second year of high school, he transferred to the Alameda de Osuna Institute, in the north-east of Madrid. The school was not close to where Alejandro was living; however, his parents, who were very concerned about his education, decided to enroll him in that institute because it was known as one of the best schools in Madrid. Before he became

3638-639: The Picunche people (as they were known to Chileans) or the Promaucae (as referred to by the Incas) were under Inca rule from the late 15th century to the early 16th century. The Incas established a settlement of mitimas in the valley, located in the center of present-day Santiago, with fortifications such as Huaca de Chena and the El Plomo hill sanctuary. According to Chilean historian Armando de Ramón ,

3745-407: The Picunche people who lived in the area. Valdivia later called a meeting with the local chiefs, during which he explained his plan to establish a city on behalf of Charles IV of Spain . The city would serve as the capital of his governorship of Nueva Extremadura . On 12 February 1541, Valdivia officially founded the city of Santiago del Nuevo Extremo ( Santiago of New Extremadura ) in honor of

3852-888: The Teatro Municipal opera house and the Club Hípico de Santiago . In addition, the 1875 International Exposition was held in the Quinta Normal grounds. Santiago emerged as the central hub of the national railway system. On 14 September 1857, the first railway arrived in the city and terminated at the Santiago Estación Central railway station , which was under construction at the time and officially opened in 1884. During this period, rail lines connected Santiago to Valparaíso and regions in northern and southern Chile. The streets of Santiago were also paved, and by 1875, there were 1,107 railway cars in

3959-409: The church of San Francisco in 1572. Both of these structures were primarily made of adobe and stone. In addition to the construction of significant buildings, the city began to thrive as the surrounding areas welcomed tens of thousands of livestock. During the 16th and 17th centuries, the growth of the city was hindered by a series of disasters including an earthquake , a smallpox epidemic in 1575,

4066-418: The ministries and other public services, as well as the start of the construction of medium-rise buildings. Meanwhile, the traditional residents of the center began to migrate to more rural areas like Providencia and Ñuñoa, which attracted the oligarchy and European immigrant professionals, and San Miguel for middle-class families. Additionally, in the periphery, villas were built by various organizations of

4173-495: The 1980s when the government embraced a neoliberal economic model. In 1979, the master plan was revised, expanding the urban area to over 62,000 hectares for real estate development. This led to urban sprawl , particularly in La Florida , causing the city to reach 40,619 hectares in size in the early 1990s. According to the 1992 census, Santiago became the country's most populous municipality, with 328,881 residents. Tragically,

4280-650: The Americas . It is located in the country's central valley and is the center of the Santiago Metropolitan Region , which has a population of seven million, representing 40% of Chile's total population. Most of the city is situated between 500–650 m (1,640–2,133 ft) above sea level . Founded in 1541 by the Spanish conquistador Pedro de Valdivia , Santiago has served as the capital city of Chile since colonial times. The city features

4387-476: The Berlin Film Festival and won seven Goyas, including Best Picture and Best New Director. In 1997 he made Abre Los Ojos , a science fiction movie that had notable success at international festivals such as Berlin and Tokyo. Impressed by the movie, Tom Cruise bought the rights to adapt and produce the film, starring in a remake, Vanilla Sky . His third full length film was The Others ,

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4494-604: The C5 nerve root, which controls the biceps, is spared since it is above the C6 level in the spinal column. When classifying an individual's level of function, there are numerous functional assessment tools that may be used in a clinical setting and it is often up to the clinician's discretion as to which tools are used. A comprehensive list of these tools may be found on the ShirleyRyan AbilityLab website . Spinal cord injuries are classified as complete and incomplete by

4601-539: The Congress mostly meets in nearby Valparaíso . In Chile, several entities share the name Santiago , which can often lead to confusion. The commune of Santiago , also referred to as Santiago Centro , is an administrative division encompassing the area occupied by the city during colonial times. It is governed by the Municipality of Santiago and led by a mayor. This commune is part of Santiago Province , which

4708-577: The International Classification level of the patient can be established without great difficulty. The surgical procedures according to the International Classification level can be performed. In contrast, for patients with ASIA D (incomplete) tetraplegia it is difficult to assign an International Classification other than International Classification level X (others). Therefore, it is more difficult to decide which surgical procedures should be performed. A far more personalized approach

4815-597: The Mapocho River floods in 1590, 1608, and 1618, and a devastating earthquake on 13 May 1647 which resulted in the death of over 600 people and affected over 5,000 others. Despite these setbacks, the capital of the Captaincy General of Chile continued to grow, with all the power of the country being centered on the Plaza de Armas in Santiago. In 1767, the corregidor Luis Manuel de Zañartu launched one of

4922-703: The Normal School of Preceptors, the School of Arts and Crafts, and the Quinta Normal . The latter comprised the Museum of Fine Arts (now the Museum of Science and Technology) and the National Museum of Natural History . These institutions were established primarily for educational purposes, but also served as examples of public planning during that period. In 1851, the first telegraph system connecting

5029-574: The San Sebastián International Film Festival in September 2015, where reviews were lukewarm. Amenábar is also the composer of the soundtrack of his films, as well as others, such as Butterfly's Tongue directed by José Luis Cuerda and Nobody Knows Anybody directed by Mateo Gil. In 2004, Amenábar came out as gay . On 18 July 2015, he married David Blanco. Their divorce was finalised in 2019. Amenábar

5136-479: The Santiago basin around the 10th millennium BC. These groups were primarily nomadic hunter-gatherers, traveling from the coast to the interior to hunt guanacos during the Andean snowmelt. By around 800 AD, the first permanent settlers established agricultural communities along the Mapocho River , where they cultivated crops such as maize , potatoes , and beans , and domesticated camelids. The villages of

5243-529: The United States; the total number of people affected by spinal cord injuries is estimated to be approximately 290,000 people. In the US, spinal cord injuries alone cost approximately $ 40.5 billion each year, which is a 317 percent increase from costs estimated in 1998 ($ 9.7 billion). The estimated lifetime costs for a 25-year-old in 2018 is $ 3.6 million when affected by low tetraplegia and $ 4.9 million when affected by high tetraplegia. In 2009, it

5350-405: The age of 15, Alejandro would dedicate his time to going to the cinema to watch movies. Other than theater, his passions were writing stories and reading books. According to Alejandro's mother, Alejandro had the capacity to absorb everything he read. As a child, he also composed melodies with the keyboard and guitar with the same ease as when he wrote his stories. Alejandro started his studies at

5457-577: The area served as a base for failed Inca expeditions to the south and was a junction along the Inca Trail . Pedro de Valdivia , a conquistador from Extremadura sent by Francisco Pizarro from Peru , arrived in the Mapocho valley on 13 December 1540, after a long journey from Cusco . Valdivia and his party camped by the river on the slopes of the Tupahue hill and gradually began interacting with

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5564-466: The aristocracy lost much of its power, and the middle class, composed of merchants, bureaucrats, and professionals, acquired the role of setting national policy. In this context, Santiago began to develop a substantial middle- and lower-class population, while the upper classes sought refuge in the districts of the capital. Thus, the old moneyed class, who previously frequented Cousiño and Alameda Park, lost their hegemony over popular entertainment venues, and

5671-602: The attackers. In response to this brutal act, the indigenous forces dispersed in fear. The city was gradually rebuilt, with the newly established city of Concepción gaining political prominence as the Royal Audiencia of Chile was established there in 1565. However, the ongoing threat of the Arauco War and frequent earthquakes delayed the establishment of the Royal Court in Santiago until 1607, which solidified

5778-646: The beginning of Chile’s path to independence . The city, which became the capital of the newly formed nation, faced various challenges, particularly from military actions in the vicinity. Although institutions like the Instituto Nacional and the National Library were established during the Patria Vieja , they were shut down after the patriots’ defeat at the Battle of Rancagua in 1814. The royal government continued until 1817, when

5885-490: The capital of Chile, Santiago, and she invited Josefina to join her there. In Santiago, Josefina met Hugo. Alejandro was born there in 1972. In August 1973, his family moved to Spain. The family settled in Madrid , living in a camping caravan. When Alejandro was six years old, they moved to a complex on the outskirts of the town of Paracuellos de Jarama ( Madrid ). Alejandro and his brother did not watch much television. From

5992-478: The capital to the Port of Valparaíso was inaugurated. During the "Liberal Republic" and the administration of Mayor Benjamín Vicuña Mackenna , a new phase in the urban development of the capital was initiated. One of the main projects during this period was the remodeling of Cerro Santa Lucía , which had fallen into disrepair despite its central location. In his effort to transform Santiago, Vicuña Mackenna initiated

6099-582: The case of actor Christopher Reeve . In the case of cerebral palsy , which is caused by damage to the motor cortex either before, during (10%), or after birth, some people with incomplete tetraplegia are gradually able to learn to stand or walk through physical therapy. Tetraplegics can improve muscle strength by performing resistance training at least three times per week. Combining resistance training with proper nutrition intake can greatly reduce co-morbidities such as obesity and type 2 diabetes. There are an estimated 17,700 spinal cord injuries each year in

6206-612: The cathedral's façade, the Palacio de La Moneda , the San Carlos Canal , and the completion of the embankments during the government of Ambrosio O'Higgins . These works were officially opened in 1798. The O'Higgins government also opened the road to Valparaíso in 1791, connecting the capital with the country's main port. On September 18, 1810, the First Government Junta was proclaimed in Santiago, marking

6313-492: The center, lies at 570 m (1,870 ft). Estadio San Carlos de Apoquindo , at the eastern edge of the city, has an elevation of 960 m (3,150 ft). The Santiago Basin is part of the Intermediate Depression and is remarkably flat, interrupted only by a few "island hills;" among them are Cerro Renca , Cerro Blanco , and Cerro Santa Lucía . The basin is approximately 80 kilometers (50 miles) in

6420-561: The central streets of Santiago, further diminishing the role of Valparaíso. The enactment of the Autonomous Municipalities Act empowered municipalities to establish various administrative divisions within the Santiago department, with the goal of enhancing local governance. In 1891, the municipalities of Maipú , Ñuñoa , Renca , Lampa , and Colina were created, followed by Providencia and Barrancas in 1897, and Las Condes in 1901. The La Victoria departmento

6527-537: The city and contribute to a smog problem, particularly during winter due to the lack of rain. The outskirts of the city are surrounded by vineyards, and Santiago is within an hour's drive of both the mountains and the Pacific Ocean. Santiago is the political and financial center of Chile and hosts the regional headquarters of many multinational corporations and organizations . The Chilean government's executive and judiciary branches are based in Santiago, while

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6634-412: The city created a crisis in the city center. To reinvigorate the area, the government transformed the main shopping streets into pedestrian walkways, as it did in the 1970s, and offered tax benefits for the construction of residential buildings, which attracted young adults. The city faced a series of problems due to disorganized growth. During the winter months, air pollution reached critical levels and

6741-474: The city's status as the capital. During the early years of the city, the Spanish suffered from severe shortages of food and other supplies. The Picunches had adopted a strategy of halting cultivation and retreating to more remote locations, which isolated the Spanish and forced them to resort to eating whatever they could find. The shortage of clothing meant that some Spanish had to dress with hides from dogs, cats, sea lions , and foxes . Although Santiago

6848-498: The city, while 45,000 people used trams daily. As the new century began, Santiago underwent various changes due to the rapid growth of industry. Valparaíso, which had previously been the economic center of the country, gradually lost its prominence to the capital. By 1895, 75% of the national manufacturing industry was located in Santiago, while only 28% was in Valparaíso. By 1910, major banks and shops had established themselves in

6955-623: The coast. The mountain range immediately bordering the city on the east is known as the Sierra de Ramón , which was formed due to tectonic activity of the San Ramón Fault . This range reaches 3296 meters at Cerro de Ramón . The Sierra de Ramón represents the " Precordillera " of the Andes. 20 km (12 mi) further east is the even larger Cordillera of the Andes , which has mountains and volcanoes that exceed 6,000 m (19,690 ft) and on which some glaciers are present. The tallest

7062-432: The condition depends on both the level at which the spinal cord is injured and the extent of the injury. An individual with an injury at C1 (the highest cervical vertebra, at the base of the skull) will probably lose function from the neck down and be ventilator -dependent. An individual with a C7 injury may lose function from the chest down but still retain use of the arms and much of the hands. An individual in between, with

7169-575: The construction of new avenues, such as the Américo Vespucio Avenue and Panamericana Route 5 , as well as the expansion of 'industrial belts'. The 1962 World Cup provided a new impetus for city improvement efforts, and in 1966, the Santiago Metropolitan Park was established on Cerro San Cristóbal. The Ministry of Housing and Urbanism ( MINVU ) also began to eradicate shantytowns and build new homes. Finally,

7276-523: The construction of the Camino de Cintura , a road surrounding the entire city. The redevelopment of Alameda Avenue also took place during this time, turning it into the city's main road. Also during this era, O'Higgins Park was established with the help of European landscapers in 1873. The public park, known for its large gardens, lakes, and carriage trails, became a landmark in Santiago. Other notable structures were also opened during this period, including

7383-713: The construction of the Ciudad Parque Bicentenario, which marked the bicentenary of the Republic. The trend of constructing tall buildings continued in the eastern sector, which was highlighted by the opening of the Titanium La Portada and Gran Torre Santiago skyscrapers in the Costanera Center complex. On 27 February 2010, a powerful earthquake hit the capital city of Santiago, causing damage to some older buildings and rendering some modern structures uninhabitable. This sparked

7490-472: The eastern sector. This development extended to the Barrio Alto , which became an attractive location for the construction of high-rise buildings. Major companies and financial corporations established themselves in the area, giving rise to a thriving modern business center commonly known as Sanhattan . The departure of these companies to Barrio Alto and the construction of shopping centers all around

7597-516: The end of 1978. Building telecommunications infrastructure was also an important development of this period, as reflected in the construction of the Torre Entel , which, since its construction in 1975, has become one of the symbols of the capital and remained the tallest structure in the country for two decades. After the military coup of 1973 and the establishment of the military regime , significant changes in urban planning did not occur until

7704-441: The extensor carpi radialis, longus, and other muscles allowing for wrist extension, scapular abduction, and wrist flexion; typically, these patients have modified independent feeding and grooming with adaptive equipment, independent with dressing, can use both a manual and power wheelchair but require assistance with some activities of daily living. The C7 level is where function is retained in the triceps allowing for arm extension; C7

7811-592: The foothills of Las Condes and the La Reina sector. The regulation of growth in Santiago only began in the 1960s with the creation of various development plans for Greater Santiago, a concept that reflected the city's new reality as a much larger urban center. In 1958, the Intercommunal Plan of Santiago was released, which proposed a limit of 38,600 urban and semi-urban hectares for a maximum population of 3,260,000 residents. The plan also included plans for

7918-412: The last ten years, an increase in traumatic incomplete lesions is seen, due to the better protection in traffic. Upper limb paralysis refers to the loss of function of the elbow and hand. When upper limb function is absent as a result of a spinal cord injury it is a major barrier to regain autonomy. People with tetraplegia should be examined and informed concerning the options for reconstructive surgery of

8025-584: The latter derived from the Galician evolution of Vulgar Latin Sanctu Iacobu . Allegedly, there was no indigenous name for the area where Santiago is located, but the Mapuche language uses the adapted name Santiaw . Residents of the city and region are referred to as santiaguinos (for males) and santiaguinas (for females). Archaeological evidence suggests that the first human groups arrived in

8132-540: The metropolitan area has evolved over time as the city has expanded, incorporating smaller cities and rural areas. The name Santiago was chosen by the Spanish conqueror Pedro de Valdivia when he founded the city in 1541 as "Santiago del Nuevo Extremo," in reference to his home region of Extremadura and as a tribute to James the Great , the patron saint of Spain . The saint's name appears in various forms in Spanish, such as Diego , Jaime , Jacobo , or Santiago , with

8239-574: The most significant architectural projects of the colonial period, the Calicanto Bridge, connecting the city to La Chimba on the north side of the Mapocho River. He also began constructing embankments to prevent river overflows. Although the bridge was completed, its piers were frequently damaged by the river. In 1780, Governor Agustín de Jáuregui hired the Italian architect Joaquín Toesca , who designed several important buildings, including

8346-485: The muscle to be transferred has enough power and is under good voluntary control. Pre-operative assessment is more difficult to assess in incomplete lesions. Patients with an incomplete lesion also often need therapy or surgery before the procedure to restore function to correct the consequences of the injury. These consequences are hypertonicity/spasticity, contractures, painful hyperesthesias and paralyzed proximal upper limb muscles with distal muscle sparing. Spasticity

8453-538: The muscle." Tetraplegia is caused by damage to the brain or the spinal cord at a high level. The injury, which is known as a lesion , causes the loss of partial or total function of all four limbs, meaning the arms and the legs. Typical causes of this damage are trauma (such as a traffic collision , diving into shallow water, a fall, a sports injury), disease (such as transverse myelitis , Guillain–Barré syndrome , multiple sclerosis , or polio ), or congenital disorders (such as muscular dystrophy ). Tetraplegia

8560-400: The name to Agora . The film starred big-name actors including Rachel Weisz and Max Minghella. Agora premiered on October 9, 2009, and with a budget of 50 million euros, it is the most expensive Spanish film in history. After a hiatus of almost seven years, Amenábar returned in 2015 with the thriller Regression , starring Ethan Hawke and Emma Watson . The film had its world premiere at

8667-461: The neck can result. High-level tetraplegics (C4 and higher) will likely need constant care and assistance in activities of daily living (ADLs), such as getting dressed, eating, and bowel/bladder care. Individuals with C5 injuries retain some function in their biceps, deltoids, and other muscles; they typically can perform many ADLs including feeding, bathing, and grooming but require total assistance with bowel/bladder care. The C6 level adds function in

8774-546: The network returned to full normal service. The city lies in the center of the Santiago Basin , a large bowl-shaped valley consisting of broad and fertile lands surrounded by mountains. The city has a varying elevation, gradually increasing from 400 m (1,312 ft) in the western areas to more than 700 m (2,297 ft) in the eastern areas. Santiago's international airport , in the west, lies at an altitude of 460 m (1,509 ft). Plaza Baquedano , near

8881-403: The patient may exhibit sporadic movement in the affected areas. One of the main causes for this would be myoclonus, or muscle spasms. "After a spinal cord injury, the normal flow of signals is disrupted, and the message does not reach the brain. Instead, the signals are sent back to the motor cells in the spinal cord and cause a reflex muscle spasm. This can result in a twitch, jerk or stiffening of

8988-418: The patient's left and right side. This level is assigned based on the lowest (closest to the patient's feet) intact motor and sensory level. After this assignment, a neurological level of injury (NLI) is determined. The NLI is the lowest segment with intact sensory and motor function provided there is normal sensory and motor function above this segment. As in the above ASIA chart, a complete spinal cord injury

9095-412: The population of Santiago to be 507,296 inhabitants, equivalent to 13.6% of the total population of Chile. This represented a growth of 52.5% from the 1907 census, an annual increase of 3.3%, which was almost three times the national average. This growth was mainly due to an influx of farmers from the southern regions who came to work in the factories and railroads that were being built. However, this growth

9202-548: The script of Himenóptero so he would give his opinion. Thereafter, Cuerda was interested in Amenábar's work. This led to him becoming the producer of Thesis (1996), which is one of Amenábar's most recognized films, putting his name on the map. Thesis was a thriller set in the School of Information Sciences at the Complutense University of Madrid. Through this film, he gained the attention of critics in

9309-448: The spinal cord is injured such that no signal, motor or sensory, is carried to or from the level of injury to these lower levels of the spinal cord. Incomplete spinal cord injuries result in varied post injury presentations. There are three main syndromes described, depending on the exact site and extent of the lesion. For most patients with ASIA A (complete) tetraplegia, ASIA B (incomplete) tetraplegia and ASIA C (incomplete) tetraplegia,

9416-410: The spinal cord is not damaged. Conversely, it is possible to injure the spinal cord without breaking the spine, for example when a ruptured disc or bone spur on the vertebra protrudes into the spinal column. Since tetraplegia is defined as dysfunction in the cervical spinal cord, this section will focus on the anatomy of the cervical spinal cord. To understand how tetraplegia presents after injury, it

9523-426: The streets. The harsh living conditions resulted in widespread diseases like tuberculosis, and took a toll on the homeless population. At the same time, unemployment rates and living costs skyrocketed, while the salaries of the people in Santiago fell. The situation would change several years later with a new industrial boom fostered by CORFO and the expansion of the state apparatus from the late 1930s. At this time,

9630-406: The tetraplegic arms and hands. Delayed diagnosis of cervical spine injury has grave consequences for the victim. About one in 20 cervical fractures are missed and about two-thirds of these patients have further spinal-cord damage as a result. About 30% of cases of delayed diagnosis of cervical spine injury develop permanent neurological deficits. In high-level cervical injuries, total paralysis from

9737-488: The time. Modernity also spread in the city, with the introduction of the first theaters, the expansion of the telephone network, and the opening of Los Cerrillos Airport in 1928, among other advancements. The perception that the early 20th century was a time of economic prosperity due to technological advancements was in stark contrast to the living conditions of lower social classes. The previous decades of growth resulted in an unprecedented population boom starting in 1929, but

9844-431: The total length of the metropolitan railway to 105 km (65 mi). In the early 1990s, the bus system also underwent a major reform. In 2007, the master plan known as Transantiago was established, although it has faced various challenges since its implementation. Entering the 21st century, rapid development continued in Santiago. The Civic District was revitalized with the creation of the Plaza de la Ciudadanía and

9951-417: The urban area covered 6,500 hectares, which increased to 20,900 in 1960 and to 38,296 in 1980. Although growth was mainly concentrated in communities such as Barrancas to the west, Conchalí to the north, and La Cisterna and La Granja to the south, the center of the city lost population, leaving more space for commercial, banking, and government development. The upper class, on the other hand, began to settle in

10058-527: Was accepted as Supreme Director and, like his father, undertook several important projects for the city. During the Patria Nueva era, previously closed institutions were reopened. The General Cemetery was inaugurated, work on the San Carlos Canal was completed, and the drying riverbed in the south arm of the Mapocho River, known as La Cañada, which had been used as a landfill for some time,

10165-579: Was also built in the north of the city: the Mapocho Station . The Parque Forestal was established on the southern side of the Mapocho river, and new buildings such as the Museum of Fine Arts , the Barros Arana public boarding school , and the National Library were opened. In addition, a sewer system was installed, serving approximately 85% of the city's population. The 1920 census estimated

10272-402: Was also divided, leading to the creation of Lo Cañas in 1891, which was then further split into La Granja and Puente Alto in 1892, followed by La Florida in 1899, and La Cisterna in 1925. The San Cristobal Hill underwent a prolonged process of development during this period. In 1903, an astronomical observatory was established on the hill, and the following year, construction began on

10379-453: Was concentrated in the suburbs and not in the city center. During this time, the downtown district consolidated as a commercial, financial, and administrative center, with the establishment of various shops and businesses around Ahumada Street and a Civic District in the vicinity of the Palace of La Moneda. The latter project involved the construction of modernist buildings for the offices of

10486-474: Was divided into eight blocks from north to south and ten blocks from east to west, between the Mapocho River and the Cañada with each quarter-block, or solar , granted to settlers. The colonial architecture following the grid plan consisted of one or two-story houses, adobe walls, tile roofs, and rooms around interior corridors and patios . Valdivia left for the south with his troops months later, initiating

10593-532: Was due to suburban expansion to the south and west of the capital, as well as the growth of the bustling district of La Chimba, which resulted from the division of old properties in the area. This new peripheral development marked the end of the previous checkerboard structure that had dominated the city center. During the Republican era, several institutions were founded, including the University of Chile ,

10700-539: Was estimated that the lifetime care of a 25-year-old rendered with low tetraplegia was about $ 1.7 million, and $ 3.1 million with high tetraplegia. About 1,000 people are affected each year in the UK (~1 in 60,000—assuming a population of 60 million). The condition of paralysis affecting four limbs is alternately termed tetraplegia or quadriplegia . Quadriplegia combines the Latin root quadra , for "four", with

10807-399: Was facing the threat of permanent destruction early on, due to attacks from indigenous peoples, earthquakes, and floods, the city began to grow rapidly. Out of the 126 blocks designed by Pedro de Gamboa in 1558, 40 were occupied. In 1580, the first major buildings in the city started to be erected, marked by the placement of the foundation stone of the first Cathedral in 1561 and the building of

10914-428: Was largely driven by the construction of housing projects for middle-class families. Meanwhile, high-income families relocated to the foothills, now commonly referred to as Barrio Alto , boosting the population of Las Condes and giving rise to young communes, including Lo Barnechea and Vitacura , both established in 1981 and 1991, respectively. The area around Providencia Avenue became an important commercial hub in

11021-495: Was met with tragedy as the Great Depression hit. The collapse of the nitrate industry in the north left 60,000 people unemployed, compounded by a decline in agricultural exports, resulting in an estimated 300,000 unemployed people nationwide. Desperate for survival, many migrants flocked to Santiago and its thriving industry. However, they often found themselves struggling to find housing, with many being forced to live on

11128-490: Was nominated for best European Film Movie. In 2004 Amenábar released The Sea Inside , a real life-story about a quadriplegic Ramón Sampedro (played by Javier Bardem ), which addressed issues such as euthanasia, abortion, or “the right to a dignified life.” The movie won 14 Goyas, including best movie and best director, and an Academy Award for Best Foreign Language Film in 2004. In 2008 Amenábar released his next film, called Mists of Time ; however he later changed

11235-406: Was raised Catholic , but later became agnostic and is now atheist . Santiago Santiago ( / ˌ s æ n t i ˈ ɑː ɡ oʊ / , US also / ˌ s ɑː n -/ ; Spanish: [sanˈtjaɣo] ), also known as Santiago de Chile ( Spanish: [san̪ˈtja.ɣo ðe ˈtʃi.le] ), is the capital and largest city of Chile and one of the largest cities in

11342-596: Was that he met people who later in life would become very important throughout his career (that was the case for Sergio Rozas and Carlos Montero , through whom he met Eduardo Noriega ). At university, he also met Mateo Gil , a friend and companion, and the pair made a pact to always support each other's projects. Between 1991 and 1994, Amenábar made three short films which in a very significant way influenced his first full-length films: La Cabeza , Himenóptero , and Luna . Knowing José Luis Cuerda helped Alejandro greatly in his career. A friend of José Luis Cuerda gave him

11449-409: Was transformed into an avenue now known as the Alameda de las Delicias . Two earthquakes struck the city in the 19th century: one on November 19, 1822, and another on February 20, 1835. Despite these disasters, the city continued to grow rapidly. In 1820, the population was recorded as 46,000, but by 1854, it had risen to 69,018. By 1865, the census reported 115,337 residents. This significant increase

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