Each before-and-after observation belongs to the same individual, so pairing removes individual baseline variation and allows dependence within a person's two readings. Under the stated independent normal model for the differences,
The independence of the normal sample mean and sample variance theorem gives independence of and , and
Also is standard normal. Dividing it by the square root of the independent variable gives
Its law contains neither unknown parameter, providing the pivotal quantity for a paired t-test.
Write . By symmetry of the distribution, . Rearranging gives . Thus the interval printed in the question has endpoint
There is a direction mismatch in the question. Since is before minus after, a reduction corresponds to . The upper interval excludes zero when , which instead tests against a negative mean difference.
For the stated reduction alternative, use the lower 95% interval . It excludes zero exactly when
This is the level- one-sided paired t-test of against . Both the requested upper endpoint and the correctly directed test are thus determined without silently reversing the difference convention.

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