I use MS Access to manipulate the MySQL database. I just create an ODBC connection to the MYSQL database then open up MSAccess.
I then just choose to open up and ODBC connection, load up all of the tables and manage the database that way. There is no importing or exporting, it does it on the fly. You can create your own views etc.
The OLE tables can't really be edited this way like the Item info and such, but just about everything else can.
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