from 303 and the base of 43; constraint (literally or figuratively); by implication, distress:

KJV-- distress, must needs, (of) necessity (-sary), needeth, needful.

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303 ana (an-ah');

a primary preposition and adverb; properly, up; but (by extension) used (distributively) severally, or (locally) at (etc.):

KJV-- and, apiece, by, each, every (man), in, through. In compounds (as a prefix) it often means (by implication) repetition, intensity, reversal, etc.

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43 agkale (ang-kal'-ay);

from agkos (a bend, "ache"); an arm (as curved):

KJV-- arm.