from 318; necessary; by implication, close (of kin):

KJV-- near, necessary, necessity, needful.

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318 anagke (an-ang-kay');

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

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

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43 agkale (ang-kal'-ay);

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

KJV-- arm.