Each before/after pair concerns the same individual, so subject-specific baseline blood pressure can affect both measurements. Analyzing the within-person difference retains this pairing and removes a common baseline contribution. Under the stated independent normal-difference model,
The normal-sample variance identity gives
Moreover and are independent, because the sample-mean projection and centered residual projection of a Gaussian vector are orthogonal and hence independent. Thus the standardized normal variable is independent of . Consequently
This distribution is free of both unknown parameters.
Set . Symmetry of gives , so
The requested upper confidence bound is therefore
There is a direction inconsistency in connecting this particular interval to the stated treatment alternative. Since is before minus after, a blood-pressure reduction means . An upper interval excludes the null value zero only when , which instead supports .
For the requested reduction alternative, use the lower 95% interval
It excludes zero in the appropriate direction exactly when
This is the correct level-5% paired one-sided test of no mean change against a reduction. The requested upper bound is valid as a confidence statement, but its ordinary exclusion-of-zero test has the opposite direction.
Full column rank gives the least-squares estimator
Write . Since and , we have and
This calculation needs the stated uncorrelated equal-variance errors, but not normality.
Put and take independent measurement errors , independent across the prescribed measurement times. Then
Assume the errors have zero mean so the stated activity curve is the observation mean. Also assume at least two distinct times, making the two design columns linearly independent. The times and the centering constant are treated as known.
By the definition of , . Put . Then
Part (a) therefore gives
In particular the two estimates are uncorrelated, and under the assumed normal-error model they are independent.
The expected activity is . Under normal errors, least squares is maximum likelihood, and invariance of maximum-likelihood estimation gives
The covariance term vanishes by part (ii), so
This is uncertainty in the estimated mean activity; the variance of a future individual observation would include its additional measurement-error variance.

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