We are pleased to announce that Transplantation Direct has received its first Impact Factor of 2.3. As a relative newcomer journal in the field, this is a very encouraging initial evaluation that we will continue to build on, and a milestone step forward for the journal.

The August issue of Transplantation Direct is available online. This issue contains a variety of articles, including a useful review on portopulmonary hypertension. In kidney transplantation, we have articles on the effects of different tacrolimus formulations on brain function, and on how normothermic machine perfusion affects the glycocalyx. On kidney donation, outcomes from single vs. dual transplants from small pediatric donors is analyzed, cancer risk is assessed in HLA compatible vs. incompatible living donor transplants, and the consequences of donor-derived hepatitis A transmission is explored. Another study looks at how a liver transplant can protect a simultaneous kidney transplant from preformed DSA. Included also is a review and meta-analysis on CMV preventive therapy, especially in high-risk patients. In vascularized composite allotransplantation, psychosocial and other factors influencing upper extremity transplants are examined. Please visit this newest Transplantation Direct issue in open-access to get all the details.