Hand held, manual focus.

Other info:
Exposure: f/5.6 1/40s, ISO 3200
Exposure Mode: Auto
Focal Length: 60.0 mm
Lens: EF-S60mm f/2.8 Macro USM
Flash: Did not fire, compulsory mode
Metering Mode: Spot
Subject Distance: 0.2m
Custom Rendered: Normal process
White Balance: Manual
Scene Capture Type: Standard
Model: Canon EOS50D
Camera Raw
White Balance: Custom
Temperature: 3975° K
Tint: +19
Fill Light: 16
Blacks: 13
Brightness: +21
Contrast: +50