The construction industry is experiencing changes in its processes and work methods, and the advancement of new technologies in recent decades has led to a new concept known as Construction 4.0, coined in 2016 in Germany. Since its definition is still diffuse, it was deemed necessary to conduct a review on the publications in this field to grasp how this concept is being understood. For that purpose, a bibliometric analysis was conducted among 260 research articles using seven keywords. The results reveal that the number of publications is growing exponentially, with the USA, the UK, and China being leaders in this field; besides, four technologies are essential to understand Construction 4.0 at present time: 3D printing, big data, virtual reality, and Internet of Things. The results of this review suggest that further reviews should be conducted every 3 years to grasp the rapid evolution of Construction 4.0.

Objective  To evaluate the inter- and intraobserver agreement regarding the Walch classification system for shoulder arthritis. Methods  Computed tomography scans of the shoulder joint of adult patients were selected between 2012 and 2016, and they were classified by physicians with different levels of expertise in orthopedics. The images were examined at three different times, and the analyses were evaluated by the Fleiss Kappa index to verify the intra- and interobserver agreement. Results  The Kappa index for the intraobserver agreement ranged from 0.305 to 0.545. The inter-observer agreement was very low at the end of the three evaluations (κ = 0.132). Conclusion  The intraobserver agreement regarding the modified Walch classification varied from moderate to poor. The interobserver agreement was low.

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