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Objectives “Environmental Blindspots” are newly defined as a type of social problem within the realm of various environmental pollution and climate issues, wherein they are pushed down in priority due to factors such as corporate profit, consumer preferences, and government regulations, consequently remaining unresolved. This ultimately leads citizens to experience a sense of guilt. Despite the significant influence they wield on the welfare of current and future generations, various environmental social issues characterized by environmental blindspots (such as micro-hazardous substances like microplastics and environmental hormones) fail to become major considerations in societal decision-making. Consequently, they are not actively discussed within the social community. This absence of social consensus on these issues reflects the current situation. As a result, citizens repeatedly make choices that do not prioritize environmental values due to a perception of powerlessness stemming from the absence of environmentally friendly options, the belief that the issue is too immense to tackle individually, and lack of knowledge about specific actions to take for environmental problem-solving, among other factors. In this process, they experience involuntary and deliberate emotions of guilt. Since environmental blindspots are issues collectively experienced by the societal community comprising citizens, businesses, and government, solutions must also be derived collectively through collective thinking. This review has endeavored to incorporate such efforts. Methods In this review, to develop a more effective interdisciplinary research methodology for addressing the previously mentioned environmental social issues, ten interdisciplinary researchers from the Environmental Engineering and Social Sciences fields at the center for convergence research (SEBIS) collaborated, leveraging their respective expertise to document literature survey results. Firstly, they reported on the environmental behavior, toxicity, distribution, and regulatory status of micro-hazardous substances, namely (micro)plastics and volatile organic compounds, which are the research subjects of the Environmental Blindspot Research Center. Secondly, they compiled relevant treatment technologies. Subsequently, they described the socio-structural causes of environmental blindspots and various solutions to environmental social issues through social science methodologies. Results and Discussion To address the environmental blindspots, a key environmental social issue, it is necessary to advance various environmental technologies alongside responsible production by businesses and the enhancement of citizen environmental awareness. It is crucial for the government to institutionalize policies in the public domain to achieve this. Understanding the structural roles of citizens, businesses, and government is essential. It requires ethical consumer awareness and active participation, public campaigns and education, as well as effective government environmental policies to incentivize environmental friendly technological innovations by companies. Conclusion In this review, the issue of environmental blindspots as an environmental social issue is being addressed comprehensively for the first time. Through this, we aim to establish an effective communication and cooperation system among social entities to explore solutions to environmental blindspots, and to propagate this ability to address social issues to future academic generations.

The effect of improvement by keeping the former as the priority was examined through an evaluation of the role of the blood transfusion management (BTM) division. This division manages the status of blood for transfusion, evaluates the adequacy of blood transfusion (EABT), monitors and responds to the occurrence of transfusion-related side effects, and performs other tasks necessary for BTM. Although the establishment and operation of the BTM division can lead to the efficient evaluation of transfusion adequacy, there are disadvantages in that it takes time for EABT and it is difficult for the staff in charge of the BTM division to evaluate the adequacy of all the blood. In the future, it is essential to introduce a BTM division and committee specific to Korean patients to implement safe and appropriate BTM in medical institutions, and to assist medical institutions in training their personnel.

Blood products (BPs) can only be obtained through blood donation and hence represent a finite resource. BPs should therefore be used conservatively. However, BPs are being used indiscriminately without evidence. The purpose of this study was to evaluate the reasons for the use of BPs and their appropriateness. The investigation was carried out based on hemoglobin levels. Data were obtained from Nov 1, 2020, to Oct 31, 2021, from a hospital’s OCS/EMR systems. The BPs were dispensed in 21,303 cases, and the number of hemoglobin levels ＞7.0 g/dL or higher among red blood cell drugs used by each treatment department was 1,173 (＞7.0 g/dL). The misuse of blood transfusions is increasing social costs, with the adequacy of transfusion becoming increasingly important. Hence, each medical institution should review the transfusion guideline evaluation index, check the status of the release of BPs, and institute educational programs covering transfusion guidelines and continually evaluate their adequacy.