The best way to get better ancient/medieval hygiene is to have some sort of cultural belief about purification through fire spread widely. Instruments should be run through a fire to purify them before use. One should soak their hands (or even whole body) in boiling water (which perhaps also would count as fire, since the "essence" of the fire is being transferred to the water) before engaging in surgery or even just cooking food. Nobody knows that they're actually killing germs, but they'd probably be able to see that surgeons, doctors, etc. who fail to do this kill more of their patients. The downside is inevitable pseudoscience as well as a large increase in burns.
Also, variolation being used earlier and more globally rather than being restricted to only certain regions of the world.
Then again, both gliders and balloons require massive amounts of extremely light woven fabric. And with medieval fabric production still literally being a cottage industry, even a simple balloon would probably only be in reach of a wealthy royal court, not something one would see in an army train or on a battle ship.
It's why it wouldn't be a radical change, certainly, but I could imagine it would have all sorts of impacts on individual battles and campaigns as well as perhaps on culture. I've always thought the best place to put a few hot-air balloons would be along fortifications in border areas. There's already a large amount of supplies and soldiers in that area after all.
Getting the fabric (like silk) to make all those balloons is an entirely different problem.
Visual telegraph. Roman army would have the incentive to build a network all across Europe. Even if it could only be used for official communication it would have a massive impact.
Wouldn't it be extremely expensive to maintain and thus see little use?