Can someone diagnose my HJT Log?

I've been trying to fix this myself for a few hours and I've read some different walkthroughs but the files keep coming back and changing names on me....can you help me?

Logfile of HijackThis v1.98.0
Scan saved at 9:00:13 AM, on 7/14/2004
Platform: Windows XP SP1 (WinNT 5.01.2600)
MSIE: Internet Explorer v6.00 SP1 (6.00.2800.1106)

Running processes:
C:\WINDOWS\System32\smss.exe
C:\WINDOWS\system32\winlogon.exe
C:\WINDOWS\system32\services.exe
C:\WINDOWS\system32\lsass.exe
C:\WINDOWS\system32\svchost.exe
C:\WINDOWS\System32\svchost.exe
C:\WINDOWS\system32\spoolsv.exe
C:\WINDOWS\system32\userinit.exe
C:\WINDOWS\Explorer.EXE
C:\PROGRA~1\SYMANT~1\SYMANT~1\DefWatch.exe
C:\PROGRA~1\SYMANT~1\SYMANT~1\Rtvscan.exe
C:\WINDOWS\System32\nvsvc32.exe
C:\WINDOWS\iphl.exe
C:\WINDOWS\System32\RUNDLL32.EXE
C:\WINDOWS\System32\CTHELPER.EXE
C:\Program Files\iTunes\iTunesHelper.exe
C:\PROGRA~1\SYMANT~1\SYMANT~1\vptray.exe
C:\WINDOWS\system32\apiwa32.exe
C:\Program Files\Messenger\msmsgs.exe
C:\Program Files\iPod\bin\iPodService.exe
C:\Documents and Settings\Tom Colegrove\Desktop\HijackThis.exe

R1 - HKCU\Software\Microsoft\Internet Explorer\Main,Search Page = res://C:\WINDOWS\ovqyo.dll/sp.html#96676
R0 - HKCU\Software\Microsoft\Internet Explorer\Main,Start Page = res://ovqyo.dll/index.html#96676
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Page_URL = res://ovqyo.dll/index.html#96676
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Search_URL = res://C:\WINDOWS\ovqyo.dll/sp.html#96676
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Search Page = res://C:\WINDOWS\ovqyo.dll/sp.html#96676
R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Start Page = res://ovqyo.dll/index.html#96676
R3 - Default URLSearchHook is missing
O2 - BHO: AcroIEHlprObj Class - {06849E9F-C8D7-4D59-B87D-784B7D6BE0B3} - C:\Program Files\Adobe\Acrobat 5.0\Reader\ActiveX\AcroIEHelper.ocx
O2 - BHO: (no name) - {5C397BB2-36D2-F787-9AA2-DB56173763F4} - C:\WINDOWS\mscj.dll
O2 - BHO: Google Toolbar Helper - {AA58ED58-01DD-4d91-8333-CF10577473F7} - c:\program files\google\googletoolbar1.dll
O3 - Toolbar: &Google - {2318C2B1-4965-11d4-9B18-009027A5CD4F} - c:\program files\google\googletoolbar1.dll
O4 - HKLM\..\Run: [SystemTray] SysTray.Exe
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\System32\NvCpl.dll,NvStartup
O4 - HKLM\..\Run: [nwiz] nwiz.exe /install
O4 - HKLM\..\Run: [NvMediaCenter] RUNDLL32.EXE C:\WINDOWS\System32\NvMcTray.dll,NvTaskbarInit
O4 - HKLM\..\Run: [WINDVDPatch] CTHELPER.EXE
O4 - HKLM\..\Run: [Jet Detection] "C:\Program Files\Creative\SBLive\PROGRAM\ADGJDet.exe"
O4 - HKLM\..\Run: [CTStartup] C:\Program Files\Creative\Splash Screen\CTEaxSpl.EXE /run
O4 - HKLM\..\Run: [iTunesHelper] C:\Program Files\iTunes\iTunesHelper.exe
O4 - HKLM\..\Run: [QuickTime Task] "C:\Program Files\QuickTime\qttask.exe" -atboottime
O4 - HKLM\..\Run: [vptray] C:\PROGRA~1\SYMANT~1\SYMANT~1\vptray.exe
O4 - HKLM\..\Run: [apiwa32.exe] C:\WINDOWS\system32\apiwa32.exe
O4 - HKLM\..\Run: [msbd.exe] C:\WINDOWS\system32\msbd.exe
O4 - HKLM\..\RunOnce: [iphl.exe] C:\WINDOWS\iphl.exe
O4 - HKCU\..\Run: [MSMSGS] "C:\Program Files\Messenger\msmsgs.exe" /background
O4 - Global Startup: Microsoft Office.lnk = C:\Program Files\Microsoft Office\Office\OSA9.EXE
O8 - Extra context menu item: &Google Search - res://C:\Program Files\Google\GoogleToolbar1.dll/cmsearch.html
O8 - Extra context menu item: Backward &Links - res://C:\Program Files\Google\GoogleToolbar1.dll/cmbacklinks.html
O8 - Extra context menu item: Cac&hed Snapshot of Page - res://C:\Program Files\Google\GoogleToolbar1.dll/cmcache.html
O8 - Extra context menu item: Si&milar Pages - res://C:\Program Files\Google\GoogleToolbar1.dll/cmsimilar.html
O8 - Extra context menu item: Translate into English - res://C:\Program Files\Google\GoogleToolbar1.dll/cmtrans.html
O9 - Extra button: AIM - {AC9E2541-2814-11d5-BC6D-00B0D0A1DE45} - C:\Program Files\AIM\aim.exe
O12 - Plugin for .spop: C:\Program Files\Internet Explorer\Plugins\NPDocBox.dll