The left-side part of the answer is the easiest to explain, in my opinion.
Line up all the people in a line. Take the first person, and pair them up with someone. There are $2n-1$ options. Take these two people out of the line. Take the next person in the line and pair them up with someone. There are $2n-3$ options. Rinse and repeat until there are no more people left. The total number of options for pairing people up this way is therefore
$$
(2n-1)(2n-3)\cdots 3\cdot1
$$
often notated as $(2n-1)!!$, using the so-called double factorial.