Autostart and Process Viewer Help - APV (freeware).

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This program allows you to view the currently running processes, and to view and remove the autostart entries.

But the most important thing is that you can "accept" the processes and autostart entries, and if a new one appears - you will be notified about it.

Why? Simply because most trojans and viruses put themselves to the autostart, and\or, must run as a process, all of this without your knowledge (unless you have this program installed:). Of course having a good anti-virus and anti-trojans software is a must, but the key problem is that a certain trojan\virus may not be detected by this programs yet (for example because a trojan is new, and the databases of anti-trojan programs are not yet aware of them).

In the following screenshot you can see the currently running processes, some of them accepted, some waiting for acceptance.

In both autostart and processes dialogs you may:

Accept and un-accept an entry. More: accepting autostart entries and processes.
"Go there..." - Windows Explorer will be opened, with the file selected.
"Properties" - Shell properties of a file will be opened.
Kill/Remove an entry. More: Removing Unnecessary Autostart Programs

If you have no idea about processes running on your system, then look at the online database here.