The item is clearly adding itself to the startup list, eg: attatched to something your comp runs on startup, thus re-adding itself to the msconfig list. You need to uncheck the item yes, but then be sure it's process has stopped under task manager and remove all the files you can associated with it, even if you can't delete them all, remove the .dll etc and it shouldn't be able to run the next boot, allowing you to finishe deleting the rest of the files.
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