Disk Defrag Report— please advice on how to clean it up further?!?!?!? I have deleted ALL temporary internet files, done a disk cleanup, etc etc etc.

**********If youll notice there are tons of "129 8 MB \WINDOWS$hf_mig$\KB908531\SP2QFE\shell3… files that Id like to get rid of, and "windows software distribution" files that Id like to erase as well– Im trying to make more space on my computer because its running SUPER SUPER slow!!!

Volume (C:)
Volume size = 7.96 GB
Cluster size = 4 KB
Used space = 6.82 GB
Free space = 1.14 GB
Percent free space = 14 %

Volume fragmentation
Total fragmentation = 33 %
File fragmentation = 59 %
Free space fragmentation = 8 %

File fragmentation
Total files = 39,990
Average file size = 244 KB
Total fragmented files = 4,572
Total excess fragments = 69,258
Average fragments per file = 2.73

Pagefile fragmentation
Pagefile size = 1.17 GB
Total fragments = 9,962

Folder fragmentation
Total folders = 3,820
Fragmented folders = 9
Excess folder fragments = 291

Master File Table (MFT) fragmentation
Total MFT size = 59 MB
MFT record count = 44,064
Percent MFT in use = 73 %
Total MFT fragments = 10

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Fragments File Size Most fragmented files
25,427 753 MB \Documents and Settings\Sara\My Documents\My Pictures\THE TAP\FULL_TAP.wmv
2,945 33 MB \Documents and Settings\Sara\Local Settings\Application Data\Adobe\Updater5\Install\reader8rdr-e…
311 1 KB \WINDOWS\system32\config\software.LOG
251 17 MB \WINDOWS\system32\MRT.exe
229 14 MB \Program Files\Microsoft Office\OFFICE1133\PUB60.CTG
185 12 MB \WINDOWS\PCHealth\HelpCtr\Database\HCdat…
167 242 MB \Documents and Settings\Sara\Application Data\Apple Computer\iTunes\iPhone Software Updates\iPhone1,1_2.0.2_5C1_Restore.ipsw
161 10 MB \WINDOWS\SoftwareDistribution\Download\d…
142 19 MB \System Volume Information\_restore{069BE4A9-4F17-461A-…
132 8 MB \WINDOWS\system32\spool\drivers\w32x86\h…
130 520 KB \WINDOWS\SoftwareDistribution\Download\d…
129 8 MB \WINDOWS\SoftwareDistribution\Download\d…
129 8 MB \WINDOWS$hf_mig$\KB943460\SP2QFE\shell3…
129 8 MB \WINDOWS$hf_mig$\KB928255\SP2QFE\shell3…
129 8 MB \WINDOWS$hf_mig$\KB921398\SP2GDR\shell3…
129 8 MB \WINDOWS$hf_mig$\KB908531\SP2QFE\shell3…
129 8 MB \WINDOWS$hf_mig$\KB900725\SP2QFE\shell3…
129 8 MB \WINDOWS$hf_mig$\KB908531\SP2GDR\shell3…
129 8 MB \WINDOWS$hf_mig$\KB921398\SP2QFE\shell3…
128 8 MB \WINDOWS\ServicePackFiles\i386\shell32.d…
123 8 MB \WINDOWS\repair\software
122 8 MB \Documents and Settings\All Users\Application Data\Spybot – Search & Destroy\Backups\regLocal.reg
121 8 MB \Program Files\Common Files\Microsoft Shared\Web Components\OWC11.DLL
96 6 MB \WINDOWS\system32\CatRoot\{F750E6C3-38EE…
96 6 MB \WINDOWS\SoftwareDistribution\Download\d…
93 13 MB \WINDOWS\SoftwareDistribution\Download\d…
90 6 MB \WINDOWS$hf_mig$\KB950759-IE7\SP2QFE\ie…
90 6 MB \WINDOWS\SoftwareDistribution\Download\e…
90 6 MB \WINDOWS$hf_mig$\KB953838-IE7\SP2QFE\ie…
90 6 MB \WINDOWS$hf_mig$\KB947864-IE7\SP2QFE\ie…