Permanent Removal Plz Help

I followed all your steps but i still cant permanently remove the spyware on my computer. The problem is my start page keeps changing. Its weird because I followed your directions and everything was fine for about a day or 2 then all of a sudden it changed back. I didnt go to any bad sites or anything it just changes. Here is my Hijackthis log:
Logfile of HijackThis v1.97.7
Scan saved at 2:48:13 AM, on 5/11/2004
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\Ati2evxx.exe
C:\WINDOWS\system32\svchost.exe
C:\WINDOWS\System32\svchost.exe
C:\WINDOWS\system32\spoolsv.exe
C:\WINDOWS\System32\CTsvcCDA.exe
C:\WINDOWS\System32\MsPMSPSv.exe
C:\WINDOWS\system32\Ati2evxx.exe
C:\Program Files\Intel\NCS\PROSet\PRONoMgr.exe
C:\Program Files\Creative\SBAudigy2ZS\Surround Mixer\CTSysVol.exe
C:\Program Files\Creative\SBAudigy2ZS\DVDAudio\CTDVDDET.EXE
C:\Program Files\ATI Technologies\ATI Control Panel\atiptaxx.exe
c:\progra~1\mcafee.com\vso\mcvsescn.exe
C:\WINDOWS\System32\P2P Networking\P2P Networking.exe
C:\Program Files\Creative\MediaSource\GO\CTCMSGo.exe
C:\Program Files\Creative\MediaSource\RemoteControl\RcMan.exe
C:\Program Files\ATI Multimedia\main\launchpd.exe
C:\Program Files\Steam\Steam.exe
C:\Program Files\Nikon\NkView6\NkvMon.exe
C:\Program Files\Silicon Prairie Software\MemTurbo\memturbo.exe
c:\progra~1\mcafee.com\vso\mcvsftsn.exe
C:\WINDOWS\System32\svchost.exe
C:\Program Files\Messenger\msmsgs.exe
C:\PROGRA~1\Altnet\DOWNLO~1\asm.exe
C:\WINDOWS\explorer.exe
C:\Program Files\Common Files\Real\Update_OB\realsched.exe
C:\Program Files\MSN Messenger\msnmsgr.exe
D:\install.exe
C:\Program Files\MUSICMATCH\MUSICMATCH Jukebox\mmtask.exe
C:\Program Files\MUSICMATCH\MUSICMATCH Jukebox\mm_tray.exe
C:\Program Files\McAfee.com\Agent\mcagent.exe
c:\program files\mcafee.com\shared\mghtml.exe
c:\PROGRA~1\mcafee.com\vso\mcvsshld.exe
c:\PROGRA~1\mcafee.com\vso\mcvsrte.exe
c:\PROGRA~1\mcafee.com\vso\mcshield.exe
c:\PROGRA~1\mcafee.com\vso\mcmnhdlr.exe
C:\Program Files\Internet Explorer\iexplore.exe
C:\Documents and Settings\James\My Documents\removal of spyware\HijackThis.exe

R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Start Page = www.google.com
R0 - HKCU\Software\Microsoft\Internet Explorer\Toolbar,LinksFolderName =
O2 - BHO: (no name) - {06849E9F-C8D7-4D59-B87D-784B7D6BE0B3} - C:\Program Files\Adobe\Acrobat 6.0\Reader\ActiveX\AcroIEHelper.dll
O2 - BHO: (no name) - {53707962-6F74-2D53-2644-206D7942484F} - C:\PROGRA~1\SPYBOT~1\SDHelper.dll
O2 - BHO: (no name) - {71BC75AE-7B1B-4001-BD26-B771E41EE378} - C:\WINDOWS\System32\eflfj.dll (disabled by BHODemon)
O2 - BHO: (no name) - {7650386B-60B9-4A68-9C71-017DB7BE29C6} - C:\WINDOWS\System32\eflfj.dll (disabled by BHODemon)
O2 - BHO: (no name) - {A1F2F3E7-7584-4AFE-996E-376D0B54B9A8} - C:\WINDOWS\System32\fkeoll.dll (file missing)
O3 - Toolbar: &Radio - {8E718888-423F-11D2-876E-00A0C9082467} - C:\WINDOWS\System32\msdxm.ocx
O3 - Toolbar: McAfee VirusScan - {BA52B914-B692-46c4-B683-905236F6F655} - c:\progra~1\mcafee.com\vso\mcvsshl.dll
O4 - HKLM\..\Run: [PRONoMgr.exe] C:\Program Files\Intel\NCS\PROSet\PRONoMgr.exe
O4 - HKLM\..\Run: [CTSysVol] C:\Program Files\Creative\SBAudigy2ZS\Surround Mixer\CTSysVol.exe /r
O4 - HKLM\..\Run: [CTDVDDET] C:\Program Files\Creative\SBAudigy2ZS\DVDAudio\CTDVDDET.EXE
O4 - HKLM\..\Run: [SBDrvDet] C:\Program Files\Creative\SB Drive Det\SBDrvDet.exe /r
O4 - HKLM\..\Run: [ATIPTA] C:\Program Files\ATI Technologies\ATI Control Panel\atiptaxx.exe
O4 - HKLM\..\Run: [NeroCheck] C:\WINDOWS\system32\NeroCheck.exe
O4 - HKLM\..\Run: [InCD] C:\Program Files\Ahead\InCD\InCD.exe
O4 - HKLM\..\Run: [MMTray] C:\Program Files\MUSICMATCH\MUSICMATCH Jukebox\mm_tray.exe
O4 - HKLM\..\Run: [VSOCheckTask] "c:\PROGRA~1\mcafee.com\vso\mcmnhdlr.exe" /checktask
O4 - HKLM\..\Run: [VirusScan Online] "c:\PROGRA~1\mcafee.com\vso\mcvsshld.exe"
O4 - HKLM\..\Run: [MCAgentExe] c:\PROGRA~1\mcafee.com\agent\mcagent.exe
O4 - HKLM\..\Run: [MCUpdateExe] C:\PROGRA~1\McAfee.com\Agent\McUpdate.exe
O4 - HKLM\..\Run: [TkBellExe] "C:\Program Files\Common Files\Real\Update_OB\realsched.exe" -osboot
O4 - HKLM\..\Run: [P2P Networking] C:\WINDOWS\System32\P2P Networking\P2P Networking.exe /AUTOSTART
O4 - HKLM\..\Run: [UpdReg] C:\WINDOWS\UpdReg.EXE
O4 - HKLM\..\Run: [CleanUp] C:\PROGRA~1\McAfee.com\Shared\mcappins.exe /v=3 /cleanup
O4 - HKLM\..\Run: [mmtask] C:\Program Files\MUSICMATCH\MUSICMATCH Jukebox\mmtask.exe
O4 - HKCU\..\Run: [Creative MediaSource Go] C:\Program Files\Creative\MediaSource\GO\CTCMSGo.exe /SCB
O4 - HKCU\..\Run: [RemoteCenter] C:\Program Files\Creative\MediaSource\RemoteControl\RcMan.exe
O4 - HKCU\..\Run: [ATI Launchpad] "C:\Program Files\ATI Multimedia\main\launchpd.exe"
O4 - HKCU\..\Run: [Steam] C:\Program Files\Steam\Steam.exe -silent
O4 - HKCU\..\Run: [MsnMsgr] "C:\Program Files\MSN Messenger\MsnMsgr.Exe" /background
O4 - HKLM\..\RunOnce: [mcupdmgr.exe] c:\PROGRA~1\mcafee.com\agent\mcupdmgr.exe -regserver
O4 - HKCU\..\RunOnce: [MPlayer2_FixUp] C:\WINDOWS\inf\unregmp2.exe /Fixups
O4 - Startup: MemTurbo.lnk = C:\Program Files\Silicon Prairie Software\MemTurbo\memturbo.exe
O4 - Global Startup: NkvMon.exe.lnk = C:\Program Files\Nikon\NkView6\NkvMon.exe
O6 - HKCU\Software\Policies\Microsoft\Internet Explorer\Control Panel present
O8 - Extra context menu item: E&xport to Microsoft Excel - res://C:\PROGRA~1\MICROS~2\OFFICE11\EXCEL.EXE/3000
O9 - Extra button: Research (HKLM)
O9 - Extra button: Messenger (HKLM)
O9 - Extra 'Tools' menuitem: Windows Messenger (HKLM)
O12 - Plugin for .spop: C:\Program Files\Internet Explorer\Plugins\NPDocBox.dll
O16 - DPF: {00B71CFB-6864-4346-A978-C0A14556272C} (Checkers Class) - http://messenger.zone.msn.com/binary/msgrchkr.cab
O16 - DPF: {166B1BCA-3F9C-11CF-8075-444553540000} (Shockwave ActiveX Control) - http://download.macromedia.com/pub/shockwave/cabs/director/sw.cab
O16 - DPF: {1D6711C8-7154-40BB-8380-3DEA45B69CBF} (Web P2P Installer) -
O16 - DPF: {39B0684F-D7BF-4743-B050-FDC3F48F7E3B} (FilePlanet Download Control Class) - http://www.fileplanet.com/fpdlmgr/cabs/FPDC_1_0_0_41.cab
O16 - DPF: {4ED9DDF0-7479-4BBE-9335-5A1EDB1D8A21} (McAfee.com Operating System Class) - http://bin.mcafee.com/molbin/shared/mcinsctl/en-us/4,0,0,76/mcinsctl.cab
O16 - DPF: {665585FD-2068-4C5E-A6D3-53AC3270ECD4} (FileSharingCtrl Class) - http://appdirectory.messenger.msn.com/AppDirectory/P4Apps/FileSharing/en/filesharingctrl.cab
O16 - DPF: {8E0D4DE5-3180-4024-A327-4DFAD1796A8D} (MessengerStatsClient Class) - http://messenger.zone.msn.com/binary/MessengerStatsClient.cab
O16 - DPF: {A8658086-E6AC-4957-BC8E-7D54A7E8A78E} (SassCln Object) - http://www.microsoft.com/security/controls/SassCln.CAB
O16 - DPF: {BCC0FF27-31D9-4614-A68E-C18E1ADA4389} (DwnldGroupMgr Class) - http://download.mcafee.com/molbin/shared/mcgdmgr/en-us/1,0,0,19/mcgdmgr.cab
O16 - DPF: {D27CDB6E-AE6D-11CF-96B8-444553540000} (Shockwave Flash Object) - http://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab
O16 - DPF: {F6BF0D00-0B2A-4A75-BF7B-F385591623AF} (Solitaire Showdown Class) - http://messenger.zone.msn.com/binary/SolitaireShowdown.cab

can anyone help me?
ps: could it be a program or something?