Looks like a mess. My suggestion, reinstall. I know that is a major pita when it comes to Terminal Services and setting up all the apps again, but with a hack you never know what they did. Can we clean up all the running malware, yes, but we will not be able to tell if any policy changes have been made, registry settings that lower your sam account enumeration, etc etc. So with all of that said, I seriously suggest you reinstall.
If on the other hand, you want me to move forward and help you clean up the machine, I will be more than happy to.
Regardless of what you do, do me a favor and submit a file for me.
This file :
Please submit it at http://www.bleepingcomputer.com/submit-malware.php?channel=3
Just a note, if you want to do this right, you will have to disable terminal services while we fix it as the users logged on will make it difficult to properly clean. Also it is going to be nigh impossible to make sure that you do not get reinfected from programs running on other users profiles. I am willing to give it a try though. Up to you.