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First, it perpetuates a smoke screen of obfuscation between who pays and who chooses.
Even if it were the case that the initial smoke-induced events involve antigen non-specific inflammation and tissue damage, this would not necessarily diminish the potential importance of autoimmunity in the propagation and transition to a self-perpetuating, smoke-independent process (which could explain why COPD persists after cessation of smoking).
Illustrating that message with a cartoon image of an Indian sending smoke signals perpetuates the stereotype that Native Americans are stuck in a time warp, when in fact many tribes are technologically savvy.
Patronising and perpetuating myths again.
People think it's perpetuating neo-Nazis.
Who's perpetuating "Nixonland" now?
"You keep perpetuating the flow.
It's for perpetuating Facebook.
Stop perpetuating the silos.
So the cycle is perpetuating.
IE it was self perpetuating.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com