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You can use VB.NET or C# to write procedural code and create user-defined types and aggregates in SQL Server.
Well, optimization of SQL in general and VB/SQL (ADO.NET) apps in particular is a huge topic. There is quite a bit on MSDN if you search for it, including some information aimed directly at VB/C# ...
How to Write Multiple Rows to Excel Using Vb.Net. When building Visual Basic.Net applications, consider adding an export to Excel feature in addition to printed reports.