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This case study highlights implementation barriers and factors associated with success and improved outcomes in LDCT screening. Male circumcision is linked to a reduction in the risk of HIV infection, ****ually transmitted infections, penile inflammatory skin disorders, cancers, urinary tract infections, and other complications. We examined the extent to which the change in circumcision recommendation by the American Academy of Pediatrics in 1999 and Medicaid coverage status in states affected the total number of procedures performed. We u