When I copy a section of text from an article I’m reading in Paperpile into a Word document or other text editor, the formatting is sometimes off. Like this:
However, when I download the same article and copy the same text from within Preview or PDF Expert, I don’t have an issue:
While the term ‘engagement’ is increasingly used in clinical practice and research, there has been relatively little critical exploration of what ‘engagement’ means and the underpinning concept/s the term may represent. Research of engagement appears to be in its early days, with little consensus on what engagement is, what leads to a patient being perceived as engaged or disengaged or indeed, how engagement occurs. The term engagement is used in multiple ways in the literature, variably referring to patient actions and behaviors such as accessing services , retention within services [7, 8], enthusiasm  and self‐management of health conditions ,
Why is this?