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Object-oriented
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Databases are related in that you can have a database connected to a VB application and able to read/write from it.
While you can create them with it, Microsoft Excel's main use is not for creating databases, but for creating spreadsheets. Microsoft Access is the main Microsoft product for creating databases. There are also many other applications that you can create databases with too, like Oracle, Open Office, or MySQL
Databases should be designed first. Before a front end can be designed, you need to know what data is going to be used, so databases will have been designed first.