there are way too many 04 entries that shouldn't be there
R0 - HKLM\Software\Microsoft\Internet Explorer\Main,Local Page = C:\WINDOWS\SYSTEM\blank.htm
O4 - HKLM\..\Run: [SystemTray] SysTray.Exe
O4 - HKLM\..\Run: [system32] c:\windows\system\syst32.exe
O4 - HKLM\..\Run: [shell32] c:\windows\system32\PoweMngt.exe
O4 - HKLM\..\Run: [kernel132] c:\winnt\system32\kernel132.exe
O4 - HKLM\..\Run: [SVCHOST] C:\WINDOWS\MDM.EXE
O4 - HKLM\..\Run: [MSConfig] C:\WINDOWS\PCHealth\HelpCtr\Binaries\MSConfig.exe /auto
O4 - Global Startup: chk32.exe
at the very least remove those entries from registry. they are not needed to run in startup (which means they are most likely malware)
if you want to remove them from you pc, reboot into safe mode and delete those files
note:
mdm.exe might be legit. BUT, according to the running processes you have, the mdm.exe you are running is in another folder
also, even if this is legit, there is no need for this program to run at startup
i suggest you run an anti spyware program and remove any infection you see. i also advice you to update your anti virus and try running an online scan as well to see if any infections come up