Font of choice.

I used a drop shadow of vertical 0, horizontal 5, opacity 85, blur 10.

Open a new transparent canvas 750 by 750 and fill with white.

Paste element 187, select all, float and defloat, make a new layer and paste
paper 29 into the selection, deselect, delete the original black element layer
and resize the paper one 65%.

Paste element 143, resize 60%, mirror and position.

Paste element 138, resize 50%, duplicate, mirror the copy, position both and
apply the shadow.

Paste element 144, resize 40%, position below the copies of element 138 and
apply the shadow.

Paste element 165 on the top, resize 45% and mirror, position and apply the
shadow.

Paste element 11, resize 10%, position and apply the shadow.

Paste element 37, resize 10% and rotate 30 degrees in either direction,
duplicate, mirror the copy, position and apply the shadow to each.

Paste frame 21, resize 35% and position, select the interior of the frame
with your magic wand and expand the selection by 20, make a new layer below it
and paste paper 39 into the selection.  Paste element 154, resize 45% and
position in the frame, invert the selection and hit delete, deselect, apply the
shadow to the frame and the element.  Merge the frame down onto the blood drips
and then down again onto the paper. 

Paste element 184, resize 35%, position and apply the shadow.

Paste element 136, resize 20%, position and apply the shadow.

Paste element 10, resize 15%, position and apply the shadow.

Paste element 149, resize 40% and position.

Paste the tube, resize 35%, position and apply the shadow.

Paste element 109, resize 35%, position below the tube and apply the
shadow.

Paste element 106, resize 35%, position and apply the shadow.

Paste element 25, resize 25%, position and apply the shadow.

Paste element 177, resize 20%, position and apply the shadow.

Paste element 137 on the top, resize 35% and mirror, position and apply the
shadow.

Paste element 176, resize 15%, position and apply the shadow.

Paste element 90, resize 20%, position and apply the shadow.

Paste element 147, resize 20%, position and apply the shadow.

Paste element 46, resize 15%, position and apply the shadow.

Paste element 45, resize 10%, position and apply the shadow.

Paste element 44, resize 12%, position and apply the shadow.

Paste element 43, resize 10%, position and apply the shadow.

Paste element 48, resize 10%, position and apply the shadow.

Paste element 56, resize 15%, position and apply the shadow.

Paste element 31, resize 10%, position and apply the shadow.

Paste element 18, resize 8%, position and apply the shadow.

Paste element 40, resize 20%, position and apply the shadow.

Paste element 159, resize 5% and mirror, position and apply the shadow.

Paste element 156, resize 30%, position and apply the shadow.

Paste element 154, resize 35% and mirror, position erasing the top part so just the pool of blood shows and apply the shadow.

Paste element 21, resize 50%, position and apply the shadow.

Paste element 132, resize 15% and mirror, position and apply the shadow.

Paste element 133, resize 40%, position and apply the shadow.

Paste element 146, resize 40%, position and apply the shadow.

Paste element 183, resize 15%, position and apply the shadow.

Paste element 17, resize 12% and mirror, position and apply the shadow.

Paste element 15, resize 10%, position and apply the shadow.

Paste element 27, resize 8%, position and apply the shadow.

Paste element 28, resize 9%, position and apply the shadow.

Paste element 36, resize 15%, position and apply the shadow.

Check your layers now and make any adjustments, then add your copyright
information and text.

ANIMATION:

Starting at the top, close off all layers down to the merged frame layer and
merge visible,  Copy this merged layer and paste in Animation Shop.  Open Kiya's
animation, resize it 35% and note it has 16 frames so duplicate your merged
layer until it also has 16 frames.   Select all of the animation frames copy
them, select all your tag frames and paste the animation into the first frame. 
Go back to Paint Shop, close the merged layer, open the previously closed ones
and copy merged, paste in Animation shop, again duplicate so you have 16 frames,
copy them and paste on your animation.  Run through the Optimization Wizard and
save as a gif.