The one-story brick-and-wood hospital building housed patients with severe mental disorders, Health Ministry officials said. An Emergencies Ministry official said the fire started in a wooden annex and then spread to the main brick building, which had wooden beams.

Health Minister Veronika Skvortsova said that half of the patients took sedatives at night. She insisted that the patients were not tied to their beds and were not given any medication that would leave them unconscious and unable to escape.

At least 29 people were burned alive, said Irina Gumennaya, a spokeswoman for the federal Investigative Committee.

Investigators said the 38 dead included 36 patients and two doctors. They said a nurse managed to escape and save one patient, while another patient got out on his own. The Emergencies Ministry also posted a list of the patients indicating they ranged in age from 20 to 76. Gumennaya told Russian news agencies that most of the people died in their beds.

Moscow region Governor Andrei Vorobyev said some of the hospital windows were barred. Gumennaya cited the surviving nurse as saying that the doors inside the hospital were not locked.

Investigators said they are looking at violations of fire regulations and a short circuit as possible causes for the blaze that engulfed the hospital in the Ramensky settlement, some 85 kilometers (53 miles) north of Moscow.

Vadim Belovoshin of the Emergencies Ministry said that it took firefighters an hour to get to the hospital because a ferry across a canal was closed and they had to make a detour.

Vorobyev told Russian state television that the fire alarm seems to have worked, but the fire spread too quickly.

Skvotsova told the state television said that the hospital had all the necessary fire equipment, but conceded mental hospitals should be better equiped for emergencies than the current law requires.

President Vladimir Putin called for a thorough investigation into the deadly fire and asked regional authorities to pay more attention to safety regulations.

Russia has a poor fire safety record, with about 12,000 deaths reported in 2012. In January, a fire in an underground parking lot killed 10 migrant workers from Tajikistan who were working and living there. In a similar incident in September, 14 Vietnamese workers were killed by fire at a clothing factory near Moscow.

In one of the most high-profile cases of negligence, more than 150 people died in a night club in the city of Perm after a pyrotechnic show ignited a wooden ceiling.

After a factory fire killed 112 garment workers in November, clothing brands and retailers continued to reject a union-sponsored proposal to improve safety throughout Bangladesh’s $20 billion garment industry. Instead, companies expanded a patchwork system of private audits and training that labor groups say improves very little in a country where official inspections are lax and factory owners have close relations with the government.

In the meantime, the number of deaths and injuries has mounted. In the five months since last year’s deadly blaze at Tazreen Fashions Ltd., there were 40 other fires in Bangladeshi factories, killing nine workers and injuring more than 660, according to a labor organization tied to the AFL-CIO umbrella group of American unions. Manufacturers dispute that there have been that many recent incidents.

Wednesday’s collapse of the Rana Plaza building that killed more than 300 people is the worst disaster to hit Bangladesh’s fast-growing and politically powerful garment industry. For those attempting to overhaul conditions for workers who are paid as little as $38 a month, it is a grim reminder that corporate social responsibility programs are failing to deliver on lofty promises.

More than 48 hours after the eight-story building collapsed, some garment workers were still trapped alive Friday, pinned beneath tons of mangled metal and concrete. Rescue crews struggled to save them, knowing they probably had just a few hours left to live, as desperate relatives clashed with police.

“Improvement is not happening,” said Amirul Haque Amin, president of the National Garment Workers Federation in Bangladesh, who said a total of 600 workers have died in factory accidents in the last decade. “The multinational companies claim a lot of things. They claim they have very good policies, they have their own code of conduct, they have their auditing and monitoring system,” Amin said. “But yet these things keep happening.”

What role retailers should play in making working conditions safer at the factories that manufacture their apparel has become a central issue for the $1 trillion global clothing industry.

The clothing brands say they are working to improve safety, but the size of the garment industry — some 4,000 factories in Bangladesh alone —means such efforts skim the surface. That opaqueness is further muddied by subcontracting. Retailers can be unwittingly involved with problematic factories when their main suppliers farm out work to others to ensure orders are filled on time.

“We remain committed to promoting stronger safety measures in factories and that work continues,” Wal-Mart said in a statement after the Rana Plaza collapse. The world’s largest retailer says there was no authorized Wal-Mart production in the building. One of the Rana Plaza factories, Ether Tex, listed Wal-Mart as a customer on its website.

Labor groups argue the best way to clean up Bangladesh’s garment factories already is outlined in a nine-page safety proposal drawn up by Bangladeshi and international unions.

The plan would ditch government inspections, which are infrequent and easily subverted by corruption, and establish an independent inspectorate to oversee all factories in Bangladesh, with powers to shut down unsafe facilities as part of a legally binding contract signed by suppliers, customers and unions. The inspections would be funded by contributions from the companies of up to $500,000 per year.

The proposal was presented at a 2011 meeting in Dhaka attended by more than a dozen of the world’s largest clothing brands and retailers — including Wal-Mart, Gap and Swedish clothing giant H&M — but was rejected by the companies because it would be legally binding and costly.

At the time, Wal-Mart’s representative told the meeting it was “not financially feasible … to make such investments,” according to minutes of the meeting obtained by The Associated Press.

After last year’s Tazreen blaze, Bangladeshi union president Amin said he and international labor activists renewed a push for the independent inspectorate plan, but none of the factories or big brands would agree.

Siddiqur Rahman, former vice president of the Bangladesh Garment Manufacturers and Exporters Association, denied the factories are responsible for killing the plan, saying the problem was that buyers did not want to pay for it.

“We welcome anything that is good for the garment industry and its workers here,” Rahman said. He also disputed several union groups’ figures of dozens of factory fires since November, saying there had been only one.

This week, none of the large clothing brands or retailers would comment about the proposal.

Wal-Mart spokesman Kevin Gardner did not directly answer questions about the unions’ safety plans in replies to questions emailed by The Associated Press. H&M responded to questions with emailed links to corporate social responsibility websites.

In December, however, a spokesperson for the Gap — which owns the Gap, Old Navy and Banana Republic chains — said the company turned down the proposal because it did not want to be vulnerable to lawsuits and did not want to pay factories more money to help with safety upgrades.

H&M also did not sign on to the proposal because it believes factories and local government in Bangladesh should be taking on the responsibility, Pierre Börjesson, manager of sustainability and social issues, told AP in December.

H&M, which places the most apparel orders in Bangladesh and works with more than 200 factories there, is one of about 20 retailers and brands that have banded together to develop training films for garment manufacturers.

Wal-Mart last year began requiring regular audits of factories, fire drills and mandated fire safety training for all levels of factory management. It also announced in January it would immediately cut ties with any factory that failed an inspection, instead of giving warnings first as before.

And the Gap has hired its own chief fire inspector to oversee factories that produce its clothing in Bangladesh.

But many insist such measures are not enough to overhaul an industry that employs 3 million workers.

“No matter how much training you have, you can’t walk through flames or escape a collapsed building,” said Ineke Zeldenrust of the Amsterdam-based Clean Clothes Campaign, which lobbies for garment workers’ rights.

Private audits also have their failings, she said. Because audits are confidential, even if one company pulls its business from a supplier over safety issues, it won’t tell its competitors, who will continue to place orders — allowing the unsafe factory to stay open.

The Tazreen factory that burned last year had passed inspections, and two of the factories in the Rana Plaza building had passed the standards of a major European group that does factory inspections in developing countries. The Business Social Compliance Initiative, which represents hundreds of companies, said the factories of Phantom Apparels and New Wave Style had been audited against its code of conduct which it said focuses on labor issues, not building standards.

“The audits and inspections are too much focused on checklists,” said Saif Khan, who worked for Phillips Van Heusen, the owner of brands Tommy Hilfiger and Calvin Klein, in Bangladesh until 2011 as a factory compliance supervisor.

“They touch on broader areas but do not consider the realities on the ground,” he said.

Organizers of the Saturday event placed $10 cubic zirconia stones in the bottom of 399 of the 400 champagne glasses. The prized diamond, donated by Continental Wholesale Diamonds, was placed in the last.

The problem? Eighty-year-old Miriam Tucker accidentally swallowed it.

Tucker told local news media that she didn’t want to put her finger in the champagne, so she drank a bit. While laughing with women at the table, she realized she swallowed it.

Embarrassed, she had to tell jewelers who were frantically searching for the winner.

Already scheduled for a colonoscopy on Monday, she had a doctor recover the jewel.

The U.S. Marshals Service said Friday that Dzhokhar Tsarnaev left Beth Israel Deaconess Medical Center overnight and was taken to the Federal Medical Center Devens, about 40 miles west of Boston.

The facility, on the decommissioned Fort Devens U.S. Army base, treats federal prisoners and detainees who require specialized long-term medical or mental health care.

The 19-year-old Tsarnaev is recovering from a gunshot wound to the throat and other injuries suffered during his attempted getaway.

The Massachusetts college student was charged with setting off the shrapnel-packed pressure-cooker bombs that killed three people and wounded more than 260 at the marathon finish line April 15.

A military judge on Thursday sentenced Staff Sgt. Robert Hudson of Joint Base San Antonio-Lackland. Hudson pleaded guilty to misconduct charges for making trainees sick during latrine duty and having sex with a female recruit in 2011.

Authorities say Hudson complained that a latrine smelled like urine and he dumped bleach in the area. He forced several recruits into the bathroom to clean up. Some required medical attention or collapsed.

Hudson pleaded guilty to six charges and 14 specifications in a plea agreement. A judge then decided on the bad-conduct discharge.

Hudson is the 17th person convicted in the training instructor scandal.

Jones died Friday at Vanderbilt University Medical Center in Nashville, according to his publicist Kirt Webster. He had been hospitalized with fever and irregular blood pressure, forcing him to postpone two shows.

With one of the most golden voices of any genre, a clenched, precise, profoundly expressive baritone, Jones had No. 1 songs in five separate decades, 1950s to 1990s. He was idolized not just by fellow country artists, but by Frank Sinatra, Pete Townshend, Elvis Costello, James Taylor and countless others. “If we all could sound like we wanted to, we’d all sound like George Jones,” Waylon Jennings once sang.

Word of his death spread Friday morning as his peers paid tribute.

“The greatest voice to ever grace country music will never die,” Garth Brooks said in an email to The Associated Press. “Jones has a place in every heart that ever loved any kind of music.”

Ronnie Dunn added: “The greatest country blues singer to ever live.”

In Jones’ case, that’s not hyperbole. In a career that lasted more than 50 years, “Possum” evolved from young honky-tonker to elder statesman as he recorded more than 150 albums and became the champion and symbol of traditional country music, a well-lined link to his hero, Hank Williams.

Jones survived long battles with alcoholism and drug addiction, brawls, accidents and close encounters with death, including bypass surgery and a tour bus crash that he only avoided by deciding at the last moment to take a plane.

His failure to appear for concerts left him with the nickname “No Show Jones,” and he later recorded a song by that name and often opened his shows by singing it. His wild life was revealed in song and in his handsome, troubled face, with its dark, deep-set eyes and dimpled chin.

In song, he was rowdy and regretful, tender and tragic. His hits included the sentimental “Who’s Gonna Fill Their Shoes,” the foot-tapping “The Race is On,” the foot-stomping “I Don’t Need Your Rockin’ Chair,” the melancholy “She Thinks I Still Care,” the rockin’ “White Lightning,” and the barfly lament “Still Doing Time.” Jones also recorded several duets with Tammy Wynette, his wife for six years, including “Golden Ring,” ”Near You,” ”Southern California” and “We’re Gonna Hold On.” He also sang with such peers as Willie Nelson and Merle Haggard and with Costello and other rock performers.

But his signature song was “He Stopped Loving Her Today,” a weeper among weepers about a man who carries his love for a woman to his grave. The 1980 ballad, which Jones was sure would never be a hit, often appears on surveys as the most popular country song of all time.

Jones won Grammy awards in 1981 for “He Stopped Loving Her Today” and in 1999 for “Choices.” He was elected to the Country Music Hall of Fame in 1992 and in 2008 was among the artists honored in Washington at the Kennedy Center.

Jones continued to make appearances and put out records, though his hit records declined.

“I don’t want to completely quit because I don’t know what to do with myself,” he said in 2005. “I’ll be out there as long as the people want me to be out there.”

He was in the midst of a yearlong farewell tour when he passed away. He was scheduled to complete the tour in November with an all-star packed tribute in Nashville.

Jones was a purist who lamented the transformation of country music from the family feeling of the 1950s to the hit factory of the early 21st century. He was so caught up in country, old country, that when a record company executive suggested he record with James Taylor, Jones insisted he had never heard of the million selling singer-songwriter. He was equally unimpressed when told that Neil Young had come to visit backstage and declined to see him, saying he didn’t know who he was. He did listen to the Rolling Stones, only because of the guitar playing of Keith Richards, a country fan who would eventually record with Jones.

Asked about what he thought about Carrie Underwood, Taylor Swift and other young stars, Jones said they were good but they weren’t making traditional country music.

“What they need to do really, I think, is find their own title,” he said.

In 1991, country star Alan Jackson dedicated his hit song “Don’t Rock the Jukebox” to Jones, asking in the song that country music remain faithful to the Jones style instead of drifting toward rock ‘n’ roll.

Jones was born Sept. 12, 1931, in a log house near the east Texas town of Saratoga, the youngest of eight children. He sang in church and at age 11 began performing for tips on the streets of Beaumont, Texas. His first outing was such a success that listeners tossed him coins, placed a cup by his side and filled it with money. Jones estimated he made more than $24 for his two-hour performance, enough to feed his family for a week, but he used up the cash at a local arcade.

“That was my first time to earn money for singing and my first time to blow it afterward,” he recalled in “I Lived to Tell it All,” a painfully self-critical memoir published in 1996. “It started what almost became a lifetime trend.”

The family lived in a government-subsidized housing project, and his father, a laborer, was an alcoholic who would rouse the children from bed in the middle of the night to sing for him. His father also noted that young George liked music and bought him a Gene Autry guitar, with a horse and lariat on the front, that Jones practiced on obsessively.

He got his start on radio with husband and wife team Eddie & Pearl in the late 1940s. Hank Williams once dropped by the studio to promote a new record, and Jones was invited to back him on guitar. When it came time to play, he froze.

“Hank had ‘Wedding Bells’ out at the time,” Jones recalled in a 2003 Associated Press interview. “He started singing it, and I never hit the first note the whole song. I just stared.”

After the first of his four marriages failed, he enlisted in the Marine Corps in 1951 and served three years. He cut his first record when he got out, an original fittingly called “No Money in This Deal.”

He had his first hit with “Why Baby Why” in 1955, and by the early ’60s Jones was one of country music’s top stars.

“I sing top songs that fit the hardworking, everyday loving person. That’s what country music is about,” Jones said in a 1991 AP interview. “My fans and real true country music fans know I’m not a phony. I just sing it the way it is and put feeling in it if I can and try to live the song.”

Jones was married to Wynette, his third wife, from 1969 to 1975. (Wynette died in 1998.) Their relationship played out in Nashville like a country song, with hard drinking, fights and reconciliations. Jones’ weary knowledge of domestic warfare was immortalized in such classics as “The Battle,” set to the martial beat of “The Battle Hymn of the Republic.”

After one argument, Jones drove off on a riding mower in search of a drink because Wynette had taken his car keys to keep him from carousing. Years earlier, married to his second wife, he had also sped off in a mower in search of a drink. Jones referred to his mowing days in the 1996 release, “Honky Tonk Song.”

His drug and alcohol abuse grew worse in the late ’70s, and Jones had to file for bankruptcy in 1978. A manager had started him on cocaine, hoping to counteract his boozy, lethargic performances, and Jones was eventually arrested in Jackson, Miss., in 1983 on cocaine possession charges. He agreed to perform a benefit concert and was sentenced to six months probation.

“In the 1970s, I was drunk the majority of the time,” Jones wrote in his memoir. “If you saw me sober, chances are you saw me asleep.”

In 1980, a 3-minute song changed his life. His longtime producer, Billy Sherrill, recommended he record “He Stopped Loving Her Today,” a ballad by Curly Putnam and Bobby Braddock. The song took more than a year to record, partly because Jones couldn’t master the melody, which he confused with Kris Kristofferson’s “Help Me Make it Through the Night,” and partly because he was too drunk to recite a brief, spoken interlude (“She came to see him one last time/And we all wondered if she would/And it kept running through my mind/This time he’s over her for good.”)

“Pretty simple, eh?” Jones wrote in his memoir. “I couldn’t get it. I had been able to sing while drunk all of my life. I’d fooled millions of people. But I could never speak without slurring when drunk. What we needed to complete that song was the narration, but Billy could never catch me sober enough to record four simple spoken lines.”

Jones was convinced the song was too “morbid” to catch on. But “He Stopped Loving Her Today,” featuring a string section that hummed, then soared, became an instant standard and virtually canonized him. His concert fee jumped from $2,500 a show to $25,000.

“There is a God,” he recalled.

In 1983, Jones married his fourth and final wife, Nancy Sepulveda, whom he credited with stablizing his private life. He had four children, one with first wife Dorothy Bonvillion, two with second wife Shirley Ann Corley and one with Wynette. His daughter with Wynette, Georgette Jones, became a country singer and even played her mother in the 2008 TV series “Sordid Lives.”

The focus in Pyongyang on Wednesday was less on preparing for war and more on beautifying the capital ahead of the nation’s biggest holiday: the April 15 birthday of the nation’s founder, Kim Il Sung. Soldiers put down their rifles to blanket the barren ground with sod and students picked up shovels to help plant trees.

But the impoverished, tightly controlled nation that has historically used major holidays to draw the world’s attention by showing off its military power could well mark the occasion by testing a missile designed to strike U.S. military installations in Japan and Guam.

South Korea’s foreign minister said the prospect of a medium-range missile launch is “considerably high.”

North Korean officials have not announced plans to launch a missile in defiance of U.N. Security Council resolutions barring Pyongyang from nuclear and missile activity.

But they have told foreign diplomats in Pyongyang that they will not be able to guarantee their safety starting Wednesday and urged tourists in South Korea to take cover, warning that a nuclear war is imminent. Most diplomats and foreign residents in both capitals appeared to be staying put.

Premier Alison Redford was in Washington for her fourth trip to lobby on behalf of a pipeline that Canada sees as critical to its economic well-being. The Obama administration is considering whether to approve the pipeline, which would carry 800,000 barrels of oil a day from Alberta across six U.S. states to the Texas Gulf Coast, which has numerous refineries. A decision is expected later this summer.

“It would become something that we would continue to talk about,” Redford said of a possible rejection during a telephone interview with The Associated Press. “It would be a continuing issue.”

The pipeline has become a flashpoint in the U.S. debate over climate change. Republicans and business and labor groups have urged the Obama administration to approve the pipeline as a source of much-needed jobs and a step toward North American energy independence. Environmental groups have been pressuring President Barack Obama to reject the pipeline, saying it would carry “dirty oil” that contributes to global warming. They also worry about a spill.

Obama’s initial rejection of the pipeline last year went over badly in Canada, which relies on the U.S. for 97 percent of its energy exports.

The pipeline is critical to Canada, which needs infrastructure in place to export its growing oil sands production from northern Alberta. The region has the world’s third largest oil reserves, with 170 billion barrels of proven reserves. Daily production of 1.5 million barrels from the oil sands is expected to increase to 3.7 million in 2025. Only Saudi Arabia and Venezuela have more reserves.

Gen. Mike Hostage, commander of Air Combat Command at Joint Base Langley-Eustis in Virginia, issued the warning Tuesday as the Pentagon braces for more effects of the automatic spending cuts triggered by the lack of a budget agreement in Washington.

Hostage said that only the units preparing to deploy to major operations, such as the war in Afghanistan, will remain mission-ready. Other units would stand down on a rotating basis, he added.

The Air Force didn’t immediately release a list of the specific units and bases that would be affected, but it said it would cover some fighters like F-16 Fighting Falcons and F-22 Raptors, and some airborne warning and control aircraft in the U.S., Europe and the Pacific.

The Air Force says, on average, aircrews “lose currency” to fly combat commissions within 90 to 120 days of not flying. It generally takes 60 to 90 days to train the crews to mission-ready status.

Returning grounded units to be ready for missions will require additional funds beyond Air Combat Command’s normal budget, according to Air Force officials. The “stand down” will remain in effect for the remainder of fiscal year 2013 barring any changes to funding.

“Even a six-month stand down of units will have significant long-term, multi-year impacts on our operational readiness,” Air Combat Command spokesman Maj. Brandon Lingle wrote in an email to The Associated Press.

“We have been unaware of how a predator behaves,” Sue Paterno said at a program celebrating Child Abuse Awareness Month in Pennsylvania. “In many cases, we unknowingly helped him ‘groom’ his victims while we thought we were helping a child achieve self-esteem and find a better life.”

Mrs. Paterno said she was horrified when she learned the truth about Sandusky after his arrest in November 2011.

Her husband, a College Football Hall of Fame coach who led the Penn State’s Nittany Lions for 46 years, died in January 2012 at 85.

“The last 17 months have been filled with disbelief, horror, the pain of loss, sleepless nights, praying for the victims and for peace of mind for those who unwittingly were too naive to recognize the signs of abuse,” she said.

Jay Paterno, one of the couple’s five children, also spoke at the breakfast gathering sponsored by the Pennsylvania Family Support Alliance.

The group’s executive director, Angela Liddle, acknowledged that some members questioned the choice of the Paternos as speakers, but she defended the decision and described the family as “good folks.”

An internal probe led by former FBI director Louis Freeh and completed in July accused Joe Paterno and three former Penn State administrators of covering up an abuse allegation about Sandusky more than a decade ago in an attempt to shield the university from bad publicity. Paterno was fired by the university trustees days after Sandusky was charged.

The Paterno family has vehemently denied that Joe Paterno had any knowledge about Sandusky’s crimes against children.

Sandusky, 69, is serving a 30- to 60-year prison sentence after being convicted last year of 45 counts of child sexual abuse involving 10 boys over a period of years. He maintains his innocence and is pursuing appeals.

The Second Mile, the charity where prosecutors say Sandusky met most if not all of his victims, is still functioning but received a judge’s permission in March to sell its State College headquarters for $650,000.

A February report commissioned by the family portrayed Paterno as the victim of a “rush to injustice” spawned by the university-financed internal probe. Dick Thornburgh, the former U.S. attorney general and former Pennsylvania governor, was among the people assembled to review Freeh’s findings.

Freeh has said he stands by his report. It concluded that Paterno and the university’s former president Graham Spanier, former athletic director Tim Curley and retired vice president for business and finance Gary Schultz concealed critical information and “failed to protect against a sexual predator harming children for over a decade.”

On Tuesday, the supervising judge of the grand jury whose findings resulted in charges against Spanier, Curley and Schultz rejected their pre-trial motions, allowing their criminal cases to move forward.