Assessing the impact of a health education outreach project on cervical cancer awareness among Vietnamese-American women in San Diego

To Giuseppe Mingione, on the occasion of his 50th birthday, with admiration, gratitude and friendship.

1.   Introduction

We study the regularity of $L^p$-viscosity solutions to

where $F:\mathcal S(d)\times\mathbb{R}^d\times\mathbb{R}\times \Omega\setminus\mathcal{N}\to\mathbb{R}$, is a uniformly elliptic operator with bounded-measurable ingredients, and $f\in L^p(\Omega)$ for $p > p_0$. Here, $\Omega\subset\mathbb{R}^d$ is an open and bounded domain, $\mathcal{N}$ is a null set, $S(d)\sim\mathbb{R}^\frac{d(d+1)}{2}$ is the space of symmetric matrices, and $d/2 < p_0 < d$ is the exponent such that the Aleksandrov-Bakelman-Pucci (ABP) estimate is available for elliptic equations with right-hand side in $L^p$, for $p > p_0$.

Our contribution is two-fold. From a mathematical viewpoint, we extend the gradient potential estimates reported in ^[10] to operators with bounded-measurable coefficients depending explicitly on lower-order terms.

We argue by combining well-known facts in the theory of $L^p$-viscosity solutions, obtaining at once the corpus of results in ^[10]. That reasoning leads to the second layer of our contribution: the findings in the paper attest to the broad scope, and consequential character, of the developments reported in ^[10].

The regularity theory for viscosity solutions to (1.1) is a delicate matter. Indeed, the first result in this realm is the so-called Krylov-Safonov theory. It states that, if $u\in C(B_1)$ is a viscosity solution to

and $F$ and $G$ are $(\lambda, \Lambda)$-elliptic operators, then $u\in C^{\alpha}_{\rm loc}(B_1)$, for some $\alpha\in(0, 1)$ depending only on $d$, $\lambda$ and $\Lambda$. In addition, one derives an estimate of the form

where $C = C(d, \lambda, \Lambda)$ ^[25]. Indeed, the regularity result in the Krylov-Safonov theory concerns inequalities of the form

where the matrices $A: = (a_{ij})_{i, j = 1}^d$ and $B: = (b_{ij})_{i, j = 1}^d$ are uniformly elliptic, with the same ellipticity constants. The transition of those inequalities to (1.2) comes from the fundamental theorem of calculus. Indeed, notice that if $F(0) = G(0) = 0$, we get

By computing the derivatives above with respect to the variable $t$ and setting

one notices that a solution to (1.2) also satisfies (1.3).

If we replace the inequality in (1.2) with the equation

and require $F$ to be a $(\lambda, \Lambda)$-elliptic operator, solutions become of class $C^{1, \alpha}$ with estimates. Once again, $\alpha\in(0, 1)$ depends only on the dimension and the ellipticity ^[4,43]. Finally, if we require $F$ to be uniformly elliptic and convex (or concave) viscosity solutions to (1.4) are of class $C^{2, \alpha},$ with estimates. This is known as the Evans-Krylov theory, developed independently in the works of Lawrence C. Evans ^[21] and Nikolai Krylov ^[24].

The analysis of operators with variable coefficients, in the context of non-homogeneous problems first appeared in the work of Luis Caffarelli ^[3]. In that paper, the author considers the equation

and requires $F(M, x)$ to be uniformly elliptic. The fundamental breakthrough launched in ^[3] concerns the connection of the variable coefficients operator with its fixed-coefficients counterpart. To be more precise, the author introduces an oscillation measure $\beta(x, x_0)$ defined as

Different smallness conditions on this quantity yield estimates in distinct spaces. It includes estimates in $C^{1, \alpha}$, $W^{2, p}$ and $C^{2, \alpha}$-spaces. Of course, further conditions on the source term $f$ must hold. In particular, it is critical that $f\in L^p(B_1)$, for $p > d$.

An interesting aspect of this theory concerns the continuity hypotheses on the data of the problem. For instance, the regularity estimates do not depend on the continuity of $f$. Meanwhile, the notion of $C$-viscosity solution requires $f$ to be defined everywhere in the domain, as it depends on pointwise inequalities ^[7,8,9]. Hence, asking $f$ to be merely a measurable function in some Lebesgue space is not compatible with the theory. See the last paragraph before Theorem 1 in ^[3].

In ^[5], the authors propose an $L^p$-viscosity theory, recasting the notion of viscosity solutions in an almost-everywhere sense. In that paper, the authors examine (1.1) and suppose the ingredients of the problem are in $L^p$, for $p > p_0$. The quantity $d/2 < p_0 < d$ appeared in the work of Eugene Fabes and Daniel Stroock ^[22]. It stems from the improved integrability of the Green function for $(\lambda, \Lambda)$-linear operators.

In ^[20], and before the formalization of $L^p$-viscosity solutions, the quantity $p_0$ appeared in the context of Sobolev regularity. In that paper, Luis Escauriaza resorted to the improved integrability of the Green function from ^[22] to extend Caffarelli's $W^{2, p}$-regularity theory to the range $p_0 < p < d$. For that reason, $p_0$ is referred to in the literature as Escauriaza's exponent.

A fundamental study of the regularity theory for $L^p$-viscosity solutions to (1.1) appeared in ^[42]. Working merely under uniform ellipticity, the author proves regularity results for the gradient of the solutions. In case $p > d$, solutions are of class $C^{1, \alpha}$. Here, the smoothness degree depends on the Krylov-Safonov exponent, and on the ratio $d/p$. However, in case $p_0 < p\leq d$, solutions are only in $W^{1, q}$, where $q\to\infty$ as $p\to d$.

The findings in ^[42] highlight an important aspect of the theory, namely: the smoothness of $Du$, in the range $p_0 < p < d$, is a very delicate matter. It is known that $C^{1, \alpha}$-regularity is not available in this context.

A program that successfully accessed this class of information is the one in ^[10]. Through a modification in the linear Riesz potential, tailored to accommodate the $p$-integrability of the data, the authors produce potential estimates for the $L^p$-viscosity solutions to (1.5). Ultimately, those estimates yield a modulus of continuity for the gradient of the solutions.

In addition to uniform ellipticity, the results in ^[10] require an average control on the oscillation of $F(M, x)$. It also assumes $f\in L^p(\Omega)$ for $p_0 < p < d$. Under these conditions, the authors prove a series of potential estimates. Those lead to local boundedness and (an explicit modulus of) continuity for $Du$. Also, a borderline condition in Lorentz spaces follows: if $f\in L^{d, 1}(\Omega)$, then $Du$ is continuous. Besides providing new, fundamental developments to the regularity theory of fully nonlinear elliptic equations, the arguments in ^[10] are pioneering in taking to the non-variational setting a class of methods available before only for problems in the divergence form.

We extend the findings in ^[10] to the case of (1.1) in the presence of bounded-measurable ingredients. Our analysis heavily relies on properties of $L^p$-viscosity solutions ^[5,42]; see also ^[45].

Our first main result concerns the Lipschitz-continuity of $L^p$-viscosity solutions to (1.1) and reads as follows.

Theorem 1 (Lipschitz continuity). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. Then, for every $q > d$, there exists a constant $\theta^* = \theta^*(d, \lambda, \Lambda, p, q)$ such that if Assumption A3 holds with $\theta\equiv\theta^*$, one has

for every $x\in \Omega$ and $r > 0$ with $B_r(x)\subset \Omega$, for some universal constant $C > 0$.

We recall that a constant is called universal whenever it depends solely on the dimension and the ellipticity constants. The potential estimate in Theorem 1 builds upon Święch's $W^{1, q}$-estimates to produce uniform estimates in $B_{1/2}$. In fact, by taking $d < q < p^*$ in Theorem 1, with

one finds $C = C(d, \lambda, \Lambda, p)$ such that

Our second main result establishes gradient-continuity for the $L^p$-solutions to (1.1) and provides an explicit modulus of continuity for the gradient. It reads as follows.

Theorem 2 (Gradient continuity). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. Suppose further that ${\bf I}^f_p(x, r)\to 0$ as $r\to0$, uniformly in $x$. There exists $0 < \theta^*\ll1$ such that, if Assumption A3 holds for $\theta\equiv\theta^*$, then $Du$ is continuous. In addition, for $\Omega'\Subset\Omega''\Subset \Omega$, and any $\delta\in (0, 1]$, one has

for every $x, y\in\Omega'$, where $C = C(d, p, \lambda, \Lambda, \omega, \Omega', \Omega'')$ and $\alpha = \alpha(d, p, \lambda, \Lambda)$.

The strategy to prove Theorems 1 and 2 combines fundamental facts in $L^p$-viscosity theory to show that a solution to (1.1) also solves an equation of the form

where $\tilde F$ and $\tilde f$ meet the conditions required in ^[10]. In particular, the Lorentz borderline condition for gradient-continuity follows as a corollary.

Corollary 1 (Borderline gradient-regularity). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. Suppose further $f\in L^{d, 1}(\Omega)$. There exists $0 < \theta^*\ll1$ such that, if Assumption A3 holds for $\theta\equiv\theta^*$, then $Du$ is continuous.

We organize the remainder of this paper as follows. Section 2 presents some context on potential estimates, briefly describing their motivation and mentioning recent breakthroughs. We detail our main assumptions in Section 3.1, whereas Section 3.2 gathers preliminary material. The proofs of Theorems 1 and 2 are the subject of Section 4.

2.   Potential estimates: from the Poisson equation to fully nonlinear problems

Potential estimates are natural in the context of linear equations for which a representation formula is available. For instance, let $\mu\in L^1(\mathbb{R}^d)$ be a measure and consider the Poisson equation

It is well-known that $u$ can be represented through the convolution of $\mu$ with the appropriate Green function. In case $d > 2$, we have

where $C > 0$ depends only on the dimension.

Now, recall the $\beta$-Riesz potential of a Borel measure $\mu\in L^1(\mathbb{R}^d)$ is given by

Hence, the representation formula (2.2) allows us to write $u(x)$ as the $2$-Riesz potential of $\mu$. Immediately one infers that

obtaining a potential estimate for $u$. By differentiating (2.2) with respect to an arbitrary direction $e\in\mathbb{S}^{d-1}$, one concludes

That is, the representation formula available for the solutions to the Poisson equation yields potential estimates for the solutions.

This reasoning collapses if (2.1) is replaced with a nonlinear equation lacking representation formulas. Then a fundamental question arises: it concerns the availability of potential estimates for (nonlinear and inhomogeneous) problems for which representation formulas are not available.

The first answer to that question appears in the works of Tero Kilpeläinen and Jan Malý ^[23], and Neil Trudinger and Xu-Jia Wang ^[44], where the authors produce potential estimates for the solutions of $p$-Poisson type equations. Taking this approach a notch up, and accounting for potential estimates for the gradient of solutions, one finds the contributions of Giuseppe Mingione ^{[38,39,40,41]}, Frank Duzaar and Giuseppe Mingione ^{[16,17,18,19]}, and Tuomo Kuusi and Giuseppe Mingione ^{[26,27,28,29,30,31,32,33,34,35,36,37]}. Of particular interest to the present article is the analysis of potential estimates in the fully nonlinear setting, due to Panagiota Daskalopoulos, Tuomo Kuusi, and Giuseppe Mingione ^[10]. More recent contributions appeared in the works of Cristiana De Filippis ^[11] and Cristiana De Filippis and Giuseppe Mingione ^[12,13]. See also the works of Cristiana De Filippis and collaborators ^[14,15].

In ^[19] the authors examine an equation of the form

where $\Omega\subset\mathbb{R}^d$ is a Lipschitz domain, and $\mu\in L^1(\Omega)$ is a Radon measure with finite mass. Here, $a:\Omega\times\mathbb{R}^d\to\mathbb{R}^d$ satisfies natural conditions, regarding growth, ellipticity, and continuity. Those conditions involve an inhomogeneous exponent $p\geq 2$, concerning the behaviour of $a = a(x, z)$ on $z$. An oversimplification yields

for $p > 2$, turning (2.3) into the degenerate $p$-Poisson equation. In that paper, the authors resort to the Wolff potential ${\bf W}^\mu_{\beta, p}$, defined as

for $\beta\in(0, d/p]$. Their main result is a pointwise estimate for the gradient of the solutions to (2.3). It reads as

whenever $B_R(x)\subset\Omega$, and $R > 0$ is bounded from above by some universal quantity depending also on the data of the problem; see [19,Theorem 1]. A remarkable consequence of this estimate is a Lipschitz-continuity criterium for $u$ obtained solely in terms of the Wolff potential of $\mu$. Indeed, if ${\bf W}^\mu_{\frac{1}{p}, p}(\cdot, R)$ is essentially bounded for some $R > 0$, every $W^{1, p}_0$-weak solution to (2.3) would be locally Lipschitz continuous. We notice the nonlinear character of the Wolff potential suits the growth conditions the authors impose on $a(x, z)$, as it scales accordingly under Lipschitz geometries.

The findings in ^[19] also respect a class of very weak solutions, known as solutions obtained by limit of approximations (SOLA); see ^[1,2]. This class of solutions is interesting because, among other things, it allows us to consider functions in larger Sobolev spaces. Indeed, for $2-1/d < p < d$ one can prove the existence of a SOLA $u\in W^{1, 1}_0(\Omega)$ to

satisfying $u = 0$ on $\partial\Omega$. In addition, $u\in W^{1, q}_0(\Omega)$ with estimates, provided $q > 1$ such that

When it comes to the proof of (2.4), the arguments in ^[19] are very involved. However, one notices a fundamental ingredient. Namely, a decay rate for the excess of the gradient with respect to its average. Indeed, the authors prove there exist $\beta\in(0, 1]$ and $C\geq 1$ such that

for every $0 < r < R$ with $B_R(x)\subset\Omega$. Here,

See [19,Theorem 3.1]. An important step in the proof of (2.5) is a measure alternative, depending on the fraction of the ball $B_r$ in which the gradient is larger than, or smaller than, some radius-dependent quantity.

Although the Wolff potential captures the inhomogeneous and nonlinear aspects of $a = a(x, z)$, a natural question concerns the use of linear potentials in the analysis of (2.3).

Indeed, in ^[39] the author supposes $a(x, z)$ to satisfy

for every $x, y\in\Omega$, $z\in \mathbb{R}^d$, and $\xi\in\mathbb{R}^d$, for some $C, \lambda > 0$, and $\alpha\in (0, 1]$. Under these natural conditions, he derives a gradient bound in terms of the (linear) localized Riesz potential ${\bf I}^\sigma_\beta(x, R)$, defined as

for a measure $\sigma\in L^1(\Omega)$, and $\beta\in(0, 1]$, whenever $B_R(x)\subset\Omega$.

Indeed, the main contribution in ^[39] is the following: under (2.6), solutions to (2.3) satisfy

where $C > 0$ depends on the data in (2.6). In case $a = a(z)$ does not depend on the spatial variable, $K\equiv 0$ and (2.7) recovers the usual potential estimate, such as the one in (2.4).

A further consequence of potential estimates is in unveiling the borderline conditions for $C^1$-regularity of the solutions to (2.3). See ^[17]; see also ^[6] for related results. More precisely, the intrinsic connection between Lorentz spaces and the nonlinear Wolff potentials unlocks the minimal conditions on the right-hand side $\mu$ that ensures continuity of $Du$.

In ^[17], the authors impose $p$-growth, ellipticity, and continuity conditions on $a = a(x, z)$, and derive minimal requirements on $\mu$ to ensure that $u\in C^1(\Omega)$ [17,Theorem 3]; see also [17,Theorem 9] for the vectorial counterpart of this fact.

They prove that if $\mu\in L^{d, \frac{1}{p-1}}_{\rm loc}(\Omega)$, then $Du$ is continuous in $\Omega$. To get this fact, one first derives an estimate for the Wolff potential ${\bf W}^\mu_{\frac{1}{p}, p}(x, R)$ in terms of the $(d, 1/(p-1))$-Lorentz norm of $\mu$. It follows from averages of decreasing rearrangements of $\mu$. See [17,Lemma 2]. Then one notices that such control implies

uniformly in $x\in \Omega$, as $R\to 0$; see [17,Lemma 3].

The previous (very brief) panorama of the literature suggests that whenever $a = a(x, z)$ satisfies natural conditions – concerning $p$-growth, ellipticity, and continuity – potential estimates are available for the solutions to (2.3). Those follow through Wolff and (linear) Riesz potentials. Furthermore, this approach comes with a borderline criterion on $\mu$ for the differentiability of solutions. However, these developments appear in the variational setting, closely related to the notion of weak distributional solutions.

Potential estimates in the non-variational case are the subject of ^[10]. In that paper, the authors examine fully nonlinear elliptic equations

where $F$ is uniformly elliptic and $f\in L^p(B_1)$. In this context, the appropriate notion of solution is the one of $L^p$-viscosity solution ^[5]. Technical aspects of the theory – including its very definition – rule out the case where $f\in L^1(\Omega)$, regardless of the dimension $d\geq 2$. Instead, the authors work in the range $p_0 < p < d$, where $d/2 < p_0 < d$ is the exponent associated with the Green's function estimates appearing in ^[22].

The consequences of potential estimates for fully nonlinear equations are remarkable. In fact, if $f\in L^p(\Omega)$ with $p > d$, solutions to (2.8) are known to be of class $C^{1, \alpha}$, with $\alpha\in(0, 1)$ satisfying

where $\alpha_0\in(0, 1)$ is the exponent in the Krylov-Safonov theory available for $F = 0$; see ^[42]. It is also known that $C^{1, \alpha}$-regularity is no longer available for (2.8) in case $p < d$. The fundamental question arising in this scenario concerns the regularity of $Du$ in the Escauriaza range $p_0 < p < d$.

In ^[42], the author imposes an oscillation control on $F(M, \cdot)$ with respect to its fixed-coefficients counterpart and proves regularity estimates for the solutions in $W^{1, q}(\Omega)$, for $p_0 < p < d$, for every

with $d^*: = +\infty$. Meanwhile, the existence of a gradient in the classical sense, or any further information on its degree of smoothness, was not available in the $p < d$ setting.

In ^[10] the authors consider $L^p$-viscosity solutions to (2.8), with $f\in L^p(\Omega)$, for $p_0 < p < d$. In this context, they prove the local boundedness of $Du$ in terms of a $p$-variant of the (linear) Riesz potential. In addition, the authors derive continuity of the gradient, with an explicit modulus of continuity. Finally, they obtain a borderline condition on $f$, once again involving Lorentz spaces. In fact, if $f\in L^{d, 1}(\Omega)$, then $u\in C^1(\Omega)$.

The reasoning in ^[10] involves the excess of the gradient vis-a-vis its average and a decay rate for this quantity. However, in the context of viscosity solutions, energy estimates are not available as a starting point for the argument. Instead, the authors cleverly resort to Święch's $W^{1, q}$-estimates and prove a decay of the excess at an initial scale. An involved iteration scheme builds upon the natural scaling of the operator and unlocks the main building blocks of the argument.

3.   Technical preliminaries and main assumptions

This section details our assumptions and gathers basic notions and facts used throughout the paper. We start by putting forward the former.

3.1.   Main assumptions

For completeness, we proceed by defining the extremal Pucci operators $\mathcal{P}_{\lambda, \Lambda}^\pm:S(d)\to\mathbb{R}$.

Definition 1 (Pucci extremal operators). Let $0 < \lambda\leq \Lambda$. For $M\in S(d)$ denote with $\lambda_1, \ldots, \lambda_d$ its eigenvalues. We define the Pucci extremal operator $\mathcal{P}^+_{\lambda, \Lambda}:S(d)\to\mathbb{R}$ as

Similarly, we define the Pucci extremal operator $\mathcal{P}^-:S(d)\to\mathbb{R}$ as

A 1 (Structural condition). Let $\omega:[0, +\infty)\to[0, +\infty)$ be a modulus of continuity, and fix $\gamma > 0$. We suppose the operator $F$ satisfies

for every $(M, p, r)$ and $(N, q, s)$ in $S(d)\times\mathbb{R}^d\times\mathbb{R}$, and every $x\in \Omega\setminus\mathcal{N}$. Also, $F = F(M, p, r, x)$ is non-decreasing in $r$ and $F(0, 0, 0, x) = 0$.

Our next assumption sets the integrability of the right-hand side $f$.

A 2 (Integrability of the right-hand side). We suppose $f\in L^p(B_1)$, for $p > p_0$, where $d/2 < p_0 < d$ is the exponent such that the ABP maximum principle holds for solutions to uniformly elliptic equations $F = f$ provided $f\in L^p$, with $p < p_0$.

We continue with an assumption on the oscillation of $F$ on $x$. To that end, consider

We proceed with a smallness condition on $\beta(\cdot, y)$, uniformly in $y\in B_1$.

A 3 (Oscillation control). For every $y\in \Omega$, we have

where $0 < \theta\ll 1$ is a small parameter we choose further in the paper.

We close this section with a remark on the modulus of continuity $\omega$ appearing in Assumption A1. For any $v\in C(B_1)\cap L^\infty(B_1)$ we notice that $\omega(|v(x)|)\leq C$ for some $C > 0$, perhaps depending on the $L^\infty$-norm of $v$. Hence

This information will be useful when estimating certain quantities in $L^p$-spaces appearing further in the paper.

3.2.   Preliminaries

In the sequel, we introduce the basics of $L^p$-viscosity solutions, mainly focusing on the properties we use in our arguments. We start with the definition of $L^p$-viscosity solutions for (1.1).

Definition 2 ($L^p$-viscosity solution). Let $F = F(M, p, r, x)$ be nondecreasing in $r$ and $f\in L^p(B_1)$ for $p > d/2$. We say that $u\in C(\Omega)$ is an $L^p$-viscosity subsolution to $F = f$ if for every $\phi\in W^{2, p}_{\rm loc}(\Omega)$, $\varepsilon > 0$ and open subset $\mathcal{U}\subset \Omega$ such that

almost everywhere in $\mathcal{U}$, then $u-\phi$ cannot have a local maximum in $\mathcal{U}$. We say that $u\in C(\Omega)$ is an $L^p$-viscosity supersolution to $F = f$ if for every $\phi\in W^{2, p}_{\rm loc}(\Omega)$, $\varepsilon > 0$ and open subset $\mathcal{U}\subset \Omega$ such that

almost everywhere in $\mathcal{U}$, then $u-\phi$ cannot have a local minimum in $\mathcal{U}$. We say that $u\in C(\Omega)$ is an $L^p$-viscosity solution to $F = f$ if it is both an $L^p$-sub and an $L^p$-supersolution to $F = f$.

Although the definition of $L^p$-viscosity solutions requires $p > d/2$, the appropriate range for the integrability of the data is indeed $p > p_0 > d/2$, as most results in the theory are available only in this setting. See, for instance, ^[5]. For further reference, we recall a result on the twice-differentiability of $L^p$-viscosity solutions.

Lemma 1 (Twice-differentiability). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. Then $u$ is twice differentiable almost everywhere in $\Omega$. Moreover, its pointwise derivatives satisfy the equation almost everywhere in $\Omega$.

For the proof of Lemma 1, see [5,Theorem 3.6]. In what follows, we present a lemma relating $L^p$-viscosity solutions to $F = f$ with equations governed by the extremal Pucci operators.

Lemma 2. Suppose Assumption A1 is in force and $f\in L^p(\Omega)$, with $p > p_0$. Suppose further that $u\in C(\Omega)$ is twice differentiable almost everywhere in $\Omega$. Then $u$ is an $L^p$-viscosity subsolution [resp. supersolution] of (1.1) if and only if

$i.$ we have

almost everywhere in $\Omega$, and $ii.$ whenever $\phi\in W^{2, p}_{\rm loc}(\Omega)$ and $u-\phi$ has a local maximum [resp. minimum] $at$ x^* $, then

For the proof of Lemma 2, we refer the reader to [42,Lemma 1.5]. We are interested in a consequence of Lemma 2 that allows us to relate the solutions of $F(D^2u, Du, u, x) = f$ with the equation $F(D^2u, 0, 0, x) = \tilde{f}$, for some $\tilde{f}\in L^p(\Omega)$. This is the content of the next corollary.

Corollary 2. Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose A1 and A1 hold. Define $\tilde{f}:\Omega\to\mathbb{R}$ as

If $\tilde{f}\in L^p(\Omega)$, then $u$ is an $L^p$-viscosity solution of

Proof. We only prove that $u$ is an $L^p$-viscosity subsolution to (3.1), as the case of supersolutions is analogous. Notice the proof amounts to verify the conditions in items $i.$ and $ii.$ of Lemma 2.

Because $u$ solves (1.1) in the $L^p$-viscosity sense, Lemma 1 implies it is twice differentiable almost everywhere in $\Omega$. Hence, the definition of $\tilde{f}$ ensures

almost everywhere in $\Omega$, which verifies item $i.$ in Lemma 2.

To address item $ii.$, we resort to Lemma 2 in the opposite direction. Let $\phi\in W^{2, p}_{\rm loc}(\Omega)$ and suppose $x^*\in \Omega$ is a point of maximum for $u-\phi$. Since $u$ is an $L^p$-viscosity solution to (1.1), that lemma ensures that

Therefore, item $ii.$ also follows and the proof is complete.

We also use the truncated Riesz potential of $f$. In fact, we consider its $L^p$-variant, introduced in ^[10]. To be precise, given $f\in L^p(\Omega)$, we define its (truncated) Riesz potential ${\bf I}^f_p(x, r)$ as

In case $p = 1$ we recover the usual truncated Riesz potential.

We proceed by stating Theorems 1.2 and 1.3 in ^[10].

Proposition 1 (Daskalopoulos-Kuusi-Mingione I). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to

Suppose Assumptions A1 and A1 are in force. Then there exists $\theta_1$ such that, if Assumption A3 holds for $\theta\equiv\theta_1$, one has

for every $x\in \Omega$ and $r > 0$ with $B_r(x)\subset \Omega$, for some universal constant $C > 0$.

Proposition 2 (Daskalopoulos-Kuusi-Mingione II). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to

Suppose Assumptions A1 and A1 are in force. Suppose further that ${\bf I}^f_p(x, r)\to 0$ as $r\to0$, uniformly in $x$. Then there exists $\theta_2$ such that, if Assumption A3 holds for $\theta\equiv\theta_2$, $Du$ is continuous. In addition, for $\Omega'\Subset\Omega''\Subset \Omega$, and any $\delta\in (0, 1]$, one has

for every $x, y\in\Omega'$, where $C = C(d, p, \lambda, \Lambda, \gamma, \omega, \Omega', \Omega'')$ and $\alpha = \alpha(d, p, \lambda, \Lambda)$.

For the proofs of Propositions 1 and 2, we refer the reader to [10,Theorem 1.3]. We close this section by including Święch's $W^{1, p}$-regularity result.

Proposition 3 ($W^{1, q}$-regularity estimates). Let $u\in C(\Omega)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. There exists $0 < \overline{\theta}\ll1$ such that, if Assumption A3 holds with $\theta\equiv\overline{\theta}$, then $u\in W^{1, q}_{\rm loc}(\Omega)$ for every $1 < q < p^*$, where

Also, for $\Omega'\Subset \Omega$, there exists $C = C(d, \lambda, \Lambda, \gamma, \omega, q, {\rm diam}(\Omega'), {\rm dist}(\Omega', \partial \Omega))$ such that

The former result plays an important role in our argument since it allows us to relate the operator $F(M, p, r, x)$ with $F(M, 0, 0, x)$. In what follows, we detail the proofs of Theorems 1 and 2.

4.   Proof of Theorems 1 and 2

In the sequel, we detail the proofs of Theorems 1 and 2. Resorting to a covering argument, we work in the unit ball $B_1$ instead of $\Omega$. As we described before, the strategy is to show that $L^p$-viscosity solutions to (1.1) are also $L^p$-viscosity solutions to

Then verify that $G:S(d)\times B_1\setminus\mathcal{N}\to\mathbb{R}$ and $g\in L^p(B_1)$ are in the scope of ^[10]. More precisely, satisfying the conditions in Theorems 1.2 and 1.3 in that paper. We continue with a proposition.

Proposition 4. Let $u\in C(B_1)$ be an $L^p$-viscosity solution to (1.1). Suppose Assumptions A1 and A1 are in force. Suppose further that Assumption A3 holds with $\theta\equiv\overline\theta$, where $\overline\theta$ is the parameter from Proposition 3. Then $u$ is an $L^p$-viscosity solution for

where $\tilde{f}\in L^p_{\rm loc}(B_1)$ and there exists $C > 0$ such that

Proof. We split the proof into two steps.

Step 1 - We start by applying Proposition 3 to the $L^p$-viscosity solutions to (1.1). By taking $\theta$ in Assumption A3 such that $\theta\equiv \overline{\theta}$, we get $u\in W^{1, q}_{\rm loc}(B_1)$ and

for some universal constant $C > 0$. Moreover, because $u$ is an $L^p$-viscosity solution to (1.1), Lemma 1 ensures it is twice-differentiable almost everywhere in $B_1$. Define $\tilde f:B_1\to\mathbb{R}$ as

Step 2 - Resorting once again to Lemma 1, we get that

almost everywhere in $B_1$. Ellipticity implies

for almost every $x\in B_1$. Using (4.1), and noticing that one can always take $q > p$, we get $\tilde{f}\in L^p_{\rm loc}(B_1)$, with

for some universal constant $C > 0$, also depending on $p$. A straightforward application of Corollary 2 completes the proof.

Proposition 4 is the main ingredient leading to Theorems 1 and 2. Once it is available, we proceed with the proof of those theorems.

Proof of Theorem 1. For clarity, we split the proof into two steps.

Step 1 - Because of Proposition 4, we know that an $L^p$-viscosity solution to (1.1) is also an $L^p$-viscosity solution to

where

and $\tilde{f}$ is defined as in Proposition 4. To conclude the proof, we must ensure that $\tilde F$ satisfies the conditions in Proposition 1.

Step 2 - One easily verifies that $\tilde F$ satisfies a $(\lambda, \Lambda)$-ellipticity condition, inherited from the original operator $F$. It remains to control the oscillation of $\tilde F(M, x)$ vis-a-vis its fixed-coefficient counterpart, $\tilde F(M, x_0)$, for $x_0\in B_{9/10}$.

Because

one may take $\theta\equiv\theta_1$ in Assumption 3 to ensure that $\tilde F$ satisfies the conditions in Proposition 1. Taking

and applying Proposition 1 to $u$, the proof is complete.

The proof of Theorem 1.2 follows word for word the previous one, except for the choice of $\theta^*: = \min\left(\, \theta_2, \; \overline\theta\, \right)$, and is omitted.

Acknowledgements

This work was partially supported by the Centre for Mathematics of the University of Coimbra - UIDB/00324/2020, funded by the Portuguese Government through FCT/MCTES. EP is partially funded by FAPERJ (# E-26/201.390/2021). MW is partially supported by FAPERJ (# E-26/201.647/2021).

Conflict of interest

The authors declare no conflict of interest.