Chronic Malware Issue

I recently switched to Firefox after a bombardment of popups in Internet Explorer. I thought I'd cleaned out the problem with AVG Anti-Spyware, Combofix and by getting rid of all of the Outerinfo (and related) programs on my computer, but similar issues have cropped up since, and it keeps coming back. Clearly, I am in over my head on this one. Any help getting this thing gone for good (and preventing its return) would be greatly appreciated.

Here's my latest HijackThis log:

Logfile of Trend Micro HijackThis v2.0.0 (BETA)
Scan saved at 1:58:32 PM, on 3/26/2008
Platform: Windows XP SP2 (WinNT 5.01.2600)
Boot mode: Normal

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:\Program Files\Grisoft\AVG Anti-Spyware 7.5\guard.exe
C:\Program Files\Symantec_Client_Security\Symantec AntiVirus\DefWatch.exe
C:\Program Files\Intel\Intel Application Accelerator\iaantmon.exe
C:\Program Files\Common Files\Microsoft Shared\VS7DEBUG\MDM.EXE
C:\Program Files\Symantec_Client_Security\Symantec AntiVirus\Rtvscan.exe
C:\WINDOWS\system32\svchost.exe
C:\PROGRA~1\SYMANT~1\SYMANT~1\vptray.exe
C:\Program Files\Common Files\Real\Update_OB\realsched.exe
C:\Program Files\Hewlett-Packard\LaserJet All-in-one\hppdirector.exe
C:\WINDOWS\explorer.exe
C:\Program Files\Mozilla Firefox\firefox.exe
C:\Documents and Settings\IMS\My Documents\Alice\My Stuff\Virus Cleanup\HiJackThis_v2.exe

R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Page_URL = http://go.microsoft.com/fwlink/?LinkId=69157
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Default_Search_URL = http://go.microsoft.com/fwlink/?LinkId=54896
R1 - HKLM\Software\Microsoft\Internet Explorer\Main,Search Page = http://go.microsoft.com/fwlink/?LinkId=54896
R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Start Page = http://www.dell4me.com/mywaybiz
O2 - BHO: Adobe PDF Reader Link Helper - {06849E9F-C8D7-4D59-B87D-784B7D6BE0B3} - C:\Program Files\Adobe\Acrobat 7.0\ActiveX\AcroIEHelper.dll
O2 - BHO: testCPV6 - {15421B84-3488-49A7-AD18-CBF84A3EFAF6} - C:\Program Files\CPV\CPV7.dll (file missing)
O3 - Toolbar: (no name) - {BA52B914-B692-46c4-B683-905236F6F655} - (no file)
O4 - HKLM\..\Run: [vptray] C:\PROGRA~1\SYMANT~1\SYMANT~1\vptray.exe
O4 - HKLM\..\Run: [NvCplDaemon] RUNDLL32.EXE C:\WINDOWS\system32\NvCpl.dll,NvStartup
O4 - HKLM\..\Run: [TkBellExe] "C:\Program Files\Common Files\Real\Update_OB\realsched.exe" -osboot
O4 - HKLM\..\Run: [QuickTime Task] "C:\Program Files\QuickTime\qttask.exe" -atboottime
O4 - HKLM\..\Run: [Windows Defender] "C:\Program Files\Windows Defender\MSASCui.exe" -hide
O4 - HKLM\..\Run: [!AVG Anti-Spyware] "C:\Program Files\Grisoft\AVG Anti-Spyware 7.5\avgas.exe" /minimized
O4 - Global Startup: Adobe Gamma Loader.lnk = C:\Program Files\Common Files\Adobe\Calibration\Adobe Gamma Loader.exe
O4 - Global Startup: Adobe Reader Speed Launch.lnk = C:\Program Files\Adobe\Acrobat 7.0\Reader\reader_sl.exe
O4 - Global Startup: HP LaserJet Director.lnk = C:\Program Files\Hewlett-Packard\LaserJet All-in-one\hppdirector.exe
O4 - Global Startup: Microsoft Office.lnk = C:\Program Files\Microsoft Office\Office10\OSA.EXE
O8 - Extra context menu item: E&xport to Microsoft Excel - res://C:\PROGRA~1\MICROS~2\OFFICE11\EXCEL.EXE/3000
O9 - Extra button: Research - {92780B25-18CC-41C8-B9BE-3C9C571A8263} - C:\PROGRA~1\MICROS~2\OFFICE11\REFIEBAR.DLL
O9 - Extra button: Real.com - {CD67F990-D8E9-11d2-98FE-00C0F0318AFE} - C:\WINDOWS\system32\Shdocvw.dll
O16 - DPF: {D27CDB6E-AE6D-11CF-96B8-444553540000} (Shockwave Flash Object) - https://download.macromedia.com/pub/shockwave/cabs/flash/swflash.cab
O17 - HKLM\System\CCS\Services\Tcpip\Parameters: Domain = ars.local
O17 - HKLM\Software\..\Telephony: DomainName = ars.local
O17 - HKLM\System\CS1\Services\Tcpip\Parameters: Domain = ars.local
O20 - Winlogon Notify: byxurpp - byxurpp.dll (file missing)
O20 - Winlogon Notify: ddcyaaa - ddcyaaa.dll (file missing)
O20 - Winlogon Notify: fccaabx - fccaabx.dll (file missing)
O20 - Winlogon Notify: opnnlih - opnnlih.dll (file missing)
O20 - Winlogon Notify: qomnklm - qomnklm.dll (file missing)
O20 - Winlogon Notify: rqrqoop - rqrqoop.dll (file missing)
O20 - Winlogon Notify: vtuusrq - vtuusrq.dll (file missing)
O22 - SharedTaskScheduler: Browseui preloader - {438755C2-A8BA-11D1-B96B-00A0C90312E1} - C:\WINDOWS\system32\browseui.dll
O22 - SharedTaskScheduler: Component Categories cache daemon - {8C7461EF-2B13-11d2-BE35-3078302C2030} - C:\WINDOWS\system32\browseui.dll
O23 - Service: AVG Anti-Spyware Guard - GRISOFT s.r.o. - C:\Program Files\Grisoft\AVG Anti-Spyware 7.5\guard.exe
O23 - Service: pcAnywhere Host Service (awhost32) - Symantec Corporation - C:\Program Files\Symantec\pcAnywhere\awhost32.exe
O23 - Service: iSeries Access for Windows Remote Command (Cwbrxd) - IBM Corporation - C:\WINDOWS\CWBRXD.EXE
O23 - Service: DefWatch - Symantec Corporation - C:\Program Files\Symantec_Client_Security\Symantec AntiVirus\DefWatch.exe
O23 - Service: IAA Event Monitor (IAANTMon) - Intel Corporation - C:\Program Files\Intel\Intel Application Accelerator\iaantmon.exe
O23 - Service: Symantec AntiVirus Client (Norton AntiVirus Server) - Symantec Corporation - C:\Program Files\Symantec_Client_Security\Symantec AntiVirus\Rtvscan.exe
O23 - Service: NVIDIA Display Driver Service (NVSvc) - Unknown owner - C:\WINDOWS\system32\nvsvc32.exe (file missing)
O24 - Desktop Component 0: (no name) - file:///C:/DOCUME~1/IMS/LOCALS~1/Temp/msohtml1/01/clip_image002.jpg

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