Prompt Title: Updating database from Access

If you have made changes to the design of your database and Visual Studio is not reflecting those changes, there are a few things you can try:

1. Check that you have saved the changes you made to the database design in your database management system (e.g. SQL Server Management Studio, MySQL Workbench, etc.). If you have not saved your changes, they will not be reflected in Visual Studio.

2. Verify that you are looking at the correct database in Visual Studio. Sometimes, developers may have multiple copies of the same database, which can cause confusion. Make sure that you are looking at the correct database in Visual Studio.

3. Refresh the database in Visual Studio. In the Server Explorer pane, right-click on the database and select "Refresh" to ensure that the latest changes are reflected.

4. Check that your connection string is correct. Make sure that the connection string you are using in Visual Studio points to the correct database and that it includes the necessary authentication credentials.

5. If you have added or removed tables, views, or stored procedures from the database, you may need to update your entity data model in Visual Studio to reflect those changes. To do this, right-click on your entity data model in Solution Explorer and select "Update Model from Database".

6. If you have made other changes to the database schema, you may need to manually update your code to reflect those changes. For example, if you have added a new column to a table, you will need to update any code that accesses that table to include the new column.

If none of these solutions work, you may need to provide more information or consult with a developer or database administrator who can help you troubleshoot the issue further.